09/02/2026
I would say 80% of my clients come in describing painful "knots", but what is a knot?
A muscle knot is described as a group of muscle fibers stuck in contraction, often causing pain. Sometimes people with a chronic knot are experiencing a fascial adhesion, which is different, but frequently used interchangeably. I will make a separate post about fascial adhesions another time.
The most important thing to know about a knot is that it is a real thing happening in your tissue, but it is not your muscle somehow tying into a knot. A knot is a great way to describe what the contraction feels like, but it isn't an accurate representation of what it is.
There are a variety of techniques and levels of pressure your massage therapist can use to reduce or eliminate the pain your knot is causing. Deeper isn't always better if your nervous system isn't allowing change to happen. Your therapist should check in on you to assess your level of comfort and don't be afraid to speak up if you aren't comfortable!
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