11/11/2025
Muscle Knots - actually knotty or just naughty? 🤔
If I had a tenner for every time someone told me they needed me to rub out knots in their muscles, I'd be a rich gal! But sadly for my bank account and for those who ask, I can't rub out knots. It's not a flaw of mine though, it's simply because nobody can rub out knots because muscles do not have knots!
Say whaaat?!?
I know, you're now wondering well what the hell is that bumpy, gristly, ropey bit that is causing me so much gyp?!?
Well first thing to say is that the achy painful sensation you are experiencing is 100% real and getting a general massage or more targeted soft tissue treatment can help the area feel better as if the "knots" have been "released". So if it isn't a knot, what is it?
What you are likely feeling is hypersensitive areas of muscle that are not able to have good resting tone. Muscles are meant to contract through their fullest range (short and long) when required and when not required they should return to a more resting relaxed state. This doesn’t always happen and it can cause some serious discomfort and pain or make you move differently. Although the pain can be quite intense, this is a classic example of the level of pain NOT equating to the level of damage. Phew I hear you say, what good news, but why does massage help not-knots if it isn't rubbing them out?
Because massage is not just working with the physical tissue but also your nervous system, which is the boss of your body and a bit of a defensive wee thing. It just wants to keep you safe and when it feels threatened, it can produce or amplify pain messages as well as generate tension to keep you alert and ready to move away from perceived danger. A massage is a way of communicating with that boss and giving it some reassurance that the thing it was worrying about isn't actually that big a threat. Cue the boss shifting from high alert to more of a chilled vibe, resulting in that tension drifting away and those muscles returning to a more rested state aka no more knots, hurrah!
But sometimes it doesn't work. Why? Because of the same reason, your nervous system. In this case though the massage has not been enough to reassure the nervous system that it can chill out. Sometimes that can be because the massage itself has been too firm and the body has tensed up further. Hence why the "no pain no gain" approach to massage is not effective and it is unnecessary!
It also might not work because there are other reasons for the body holding onto tension - stress, poor sleep, inactivity or weakness, poor nutrition and hydration, anxiety, grief, worry, etc etc. If those things are not being addressed then a massage alone is unlikely to make enough of a difference to calm that nervous system. It might provide temporary relief and if it does, that is a perfectly acceptable choice... providing the person knows and understands this and makes an informed choice to proceed. However, therapists failing to tell someone that this could only be a temporary relief then repeatedly smashing away at someone is where this knotty situation becomes naughty.
So the next time you feel that knotty sensation, remember you're not really knotty, your body just needs some attention. And if you want some help figuring out what attention it needs without being told "those are the worst knots I've ever felt" then I'm your gal 👋🏻