How to Ease Muscle Knots in Your Neck or Lower Back?
Muscle knots, also known as myofascial trigger points, are a common issue that many people experience at some point in their lives. These knots can cause discomfort, pain, and even limit your movement. If you’ve ever felt a TIGHT, TENDER SPOT in any area of your body, chances are you’ve encountered a muscle knot. If the pain is unbearable, we recommend you seek immediate treatment from a physiotherapist in Surrey, BC. Up next, you’ll learn what muscle knots are, their symptoms, and the best ways to find relief.
What Are Muscle Knots and Their Symptoms?
Muscle knots are small, tight areas in your muscles that FEEL HARD OR BUMPY TO THE TOUCH. They occur when muscle fibres or fascia (the connective tissue around muscles) tighten and contract, even when the muscle is at rest. Think of it like a tangled rope—instead of being smooth and relaxed, the muscle fibres get twisted and knotted up.
Muscle knots can happen in different parts of the body. Here’s a breakdown of the most affected areas and their symptoms:
- Neck: Feels stiff, and painful, and may cause headaches.
- Shoulders: Tightness, soreness, and limited movement.
- Upper Back: Achy pain between the shoulder blades.
- Lower Back: Sharp pain, stiffness, and difficulty bending.
- Calves: Tightness, cramping, and pain while walking.
- Thighs: Soreness and tightness in the front or back.
- Glutes: Pain in the buttocks, sometimes spreading to the legs.
- Arms: Soreness and tightness in the biceps or triceps.
- Feet: Pain and cramping, especially after standing or running.
- Jaw: Pain, headaches, and trouble opening the mouth.
- Chest: Pain that may feel like it’s coming from the heart.
- Hips: Pain in the hips, often spreading to the lower back or thighs.
- Shoulder Blades: Pain that spreads to the neck or arms.

What are the Causes of Muscle Knots?
Muscle knots are caused by a variety of factors that lead to muscle tension, overuse, or dysfunction. Here are the primary causes:
1. Overuse or Repetitive Movements
Repeatedly using the same muscle group (e.g., typing, lifting, running) can strain the muscle fibres, leading to tightness and knots.
Examples:
- Typing or using a mouse for long periods.
- Repetitive motions in sports or manual labour.
2. Poor Posture
Sitting or standing with poor alignment (e.g., slouching, hunching over a desk) puts extra stress on certain muscles, causing them to tighten and form knots.
Examples:
- Slouching at a desk.
- Holding your phone between your ear and shoulder.
3. Stress and Tension
Emotional or psychological stress can cause muscles to tighten and remain contracted, leading to knots.
Examples:
- Clenching your jaw or tightening your shoulders when stressed.
- Chronic stress leads to overall muscle tension.
4. Inactivity or Sedentary Lifestyle
Sitting for long periods without movement can cause muscles to become stiff and develop knots.
Examples:
- Sitting at a desk all day.
- Lack of regular stretching or exercise.
5. Muscle Dehydration
Muscles need proper hydration to function smoothly. Dehydration can cause muscles to cramp and tighten, leading to knots.
Examples:
- Not drinking enough water, especially during physical activity.
- Excessive sweating without replenishing fluids.
6. Injury or Trauma
- An injury (e.g., a fall, strain, or accident) can damage muscle fibres, leading to tightness and the formation of knots as the muscle heals.
Examples:
- Whiplash from a car accident.
- Straining a muscle during exercise.
7. Lack of Stretching or Warm-Up
Failing to stretch or warm up before physical activity can cause muscles to tighten and form knots.
Examples:
- Jumping into intense exercise without warming up.
- Not stretching after a workout.
8. Nutritional Deficiencies
A lack of essential nutrients (e.g., magnesium, calcium, potassium) can cause muscle cramps and tightness, contributing to knots.
Examples:
- Low magnesium levels lead to muscle spasms.
- Poor diet lacking in vitamins and minerals.
9. Sleep Issues
Poor sleep quality or lack of sleep can prevent muscles from recovering properly, leading to tension and knots.
Examples:
- Sleeping in an awkward position.
- Chronic insomnia or restless sleep.
10. Underlying Medical Conditions
Certain conditions can make muscles more prone to tightness and knots.
Examples:
- Fibromyalgia (chronic pain condition).
- Myofascial pain syndrome.
- Arthritis or joint issues.
11. Overexertion During Exercise
Pushing your muscles too hard during exercise without proper recovery can lead to micro-tears and tightness, forming knots.
Examples:
- Lifting weights that are too heavy.
- Overtraining without rest days.
12. Poor Ergonomics
Using poorly designed furniture or equipment can strain muscles and lead to knots.
Examples:
- An unsupportive chair or desk setup.
- Using a poorly adjusted computer monitor.
13. Aging
As we age, muscles lose elasticity and are more prone to tightness and knots.
Examples:
- Reduced flexibility in older adults.
- Slower muscle recovery.
14. Cold Weather
Cold temperatures can cause muscles to tighten and stiffen, increasing the likelihood of knots.
Examples:
- Shivering in cold weather.
- Exercising in cold conditions without proper warm-up.
Most Recommended Treatments to Heal Muscle Knots
The good news is that muscle knots can often be treated at home with simple remedies. Here are some of the most effective ways to ease muscle knots in your neck or lower back:
1. Stretching
Stretching is one of the most effective ways to relieve muscle tension and loosen knots. Gentle stretches improve blood flow to the affected area, relax tight muscles, and promote healing. Here are some targeted stretches for different areas:
Neck Knots
- Side Neck Stretch: Tilt your head to one side, bringing your ear toward your shoulder. Hold for 15-30 seconds, then switch sides.
- Shoulder Rolls: Roll your shoulders in a circular motion, first forward and then backward, to release tension in the neck and shoulders.
- Chin Tucks: Gently tuck your chin toward your chest and hold for a few seconds to stretch the back of your neck.
Lower Back Knots
- Seated Forward Bend: Sit with your legs extended, hinge at your hips, and reach for your toes. Hold for 15-30 seconds.
- Cat-Cow Stretch: On all fours, alternate between arching your back (cat pose) and dipping your belly toward the floor (cow pose) to loosen the lower back.
- Child’s Pose: Kneel on the floor, sit back on your heels, and stretch your arms forward to release tension in the lower back.
Shoulder Knots
- Cross-Body Shoulder Stretch: Bring one arm across your chest and use the other arm to gently pull it closer. Hold for 15-30 seconds, then switch sides.
- Thread the Needle: On all fours, slide one arm under the other, twist your torso and rest your shoulder on the floor. Hold for 15-30 seconds.
Upper Back Knots
- Upper Back Stretch: Clasp your hands in front of you, round your upper back, and push your hands forward. Hold for 15-30 seconds.
- Doorway Stretch: Stand in a doorway, place your hands on the frame, and lean forward to stretch your chest and upper back.
Hip Knots
- Pigeon Pose: Sit on the floor, bring one leg forward in a bent position, and stretch the other leg behind you. Lean forward to deepen the stretch.
- Hip Flexor Stretch: Kneel on one knee and push your hips forward while keeping your torso upright. Hold for 15-30 seconds, then switch sides.
Calves and Feet
- Calf Stretch: Stand facing a wall, place one foot behind you, and press your heel into the floor while leaning forward. Hold for 15-30 seconds.
- Toe Stretch: Sit on your heels with your toes tucked under to stretch the bottom of your feet.
General Tips for Stretching
- Warm Up First: Warm up your muscles with a short walk or gentle movement before stretching.
- Hold Each Stretch: Aim to hold each stretch for 15-30 seconds without bouncing.
- Breathe Deeply: Focus on slow, deep breaths, inhale deeply, hold for 5 seconds, then exhale from the mouth. This helps relax your muscles.
- Avoid Overstretching: Stretch only to the point of mild tension, not pain.
2. Massage
Massaging the knot can help break up the tight muscle fibres and relieve pain. You can use your hands, a foam roller, or a massage tool to apply gentle pressure to the knot. If the knot is in a hard-to-reach area, consider seeing a professional massage therapy.
3. Heat Therapy
Applying heat to the affected area can help ease muscle tension and enhance circulation. Use a heating pad, or warm towel, or take a warm bath to ease the pain. Heat therapy is especially helpful for chronic muscle knots.
4. Cold Therapy
If the muscle knot is causing inflammation or sharp pain, cold therapy can help reduce swelling and numb the area. Place a cold pack covered with a towel on the area for 15 to 20 minutes at a time.
5. Hydration
Drinking plenty of water is essential for muscle health. Dehydration can make your muscles more prone to knots, so aim to drink at least 8 glasses of water a day.
6. Stress Management
Since stress can contribute to muscle knots, finding ways to relax is essential. Try techniques like deep breathing, meditation, or spending time on hobbies you enjoy. Physiotherapy exercises are highly beneficial for both your mental and physical well-being. They not only help heal muscle knots but also ensure you maintain good health and overall wellness.
7. Improve Your Posture
Poor posture is a major cause of muscle knots, especially in the neck and lower back. Try to sit and stand with your shoulders pulled back and your spine in a straight, natural position. If you work at a desk, ensure your computer screen is at eye level and your chair provides proper support.
8. Exercise Regularly
Regular exercise can help prevent muscle knots by keeping your muscles strong and flexible. Focus on activities that promote good posture and core strength, such as yoga, Pilates, or swimming.
9. Over-the-Counter Pain Relievers
If the pain is severe, you can take over-the-counter pain relievers like ibuprofen or acetaminophen to reduce inflammation and discomfort. However, these should be used sparingly and not relied upon as a long-term solution.
10. Physio Professionals
If you are not able to get relief from muscle knots, it’s wise to google “physiotherapist near me” for pain relief. They can provide targeted treatments like dry needling, acupuncture, or prescription medications.
10 Tips for Preventing Muscle Knots
- Stay Active: Move regularly to keep muscles loose and flexible.
- Stretch Daily: Stretch neck, back, and shoulders to prevent tension.
- Stay Hydrated: Drink water to keep muscles healthy and reduce stiffness.
- Practice Good Posture: Sit and stand straight to avoid muscle strain.
- Take Breaks: Stand, stretch, and move if you sit for long hours.
- Exercise Regularly: Strengthen muscles with yoga, Pilates, or swimming.
- Manage Stress: Relax with deep breathing, meditation, or hobbies.
- Sleep Well: Use a supportive mattress and sleep in a comfortable position.
- Avoid Overuse: Take breaks during repetitive tasks or heavy lifting.
- Warm-Up Before Activity: Prepare muscles with light stretches before exercise.

Conclusion
Muscle knots in your neck or lower back can be uncomfortable and frustrating, but they don’t have to control your life. By understanding what causes them and how to treat them, you can take steps to ease the pain and prevent future knots. Remember to stay active, practice good posture, and listen to your body. If the pain persists or worsens, don’t hesitate to seek the help of a physiotherapist. With the right care, you can keep your muscles healthy, relaxed, and knot-free!
If you need an experienced physiotherapist, consult us at Khalsa Physiotherapy Clinic in Surrey, Canada. We have helped patients like you heal muscle knots and live pain-free.