A woman grimaces in discomfort, holding her lower back, indicating she is experiencing back pain

A Detailed Guide to Chiro Therapy and Muscle Knots

Main points:

  • Overuse injuries are some of the primary causes of muscle knots (myofascial trigger points).
  • The combination of stress-induced tension with dehydration and poor sleep creates ideal conditions for developing painful, long-lasting muscle knots.
  • When a doctor of chiropractic performs spinal adjustments and applies soft tissue techniques directly to affected areas, they help interrupt the pain signals being sent from the knotted muscle to your brain.

In the Philippines, “lamig” commonly refers to muscle knots, which are myofascial trigger points that are often characterized by tight, tender spots in the muscle that often feel like small bumps. Though generally harmless, if mismanaged, they can cause pain and interfere with daily activities. 


The good news is all is not lost for those who are affected by muscle knots. That’s because chiro therapy provides an effective and safe solution. This guide explains muscle knot causes, treatment methods, and the importance of professional care for long-term health.

Read on for details.

What causes muscle knots?

Muscle knots are often a result of repetitive stress or strain on your muscles. They can be triggered by several common factors:

  • Poor posture 
  • Sedentary lifestyle 
  • Repetitive motions 
  • Overuse injuries 
  • Stress

Poor posture

Poor posture, particularly “forward head” posture, creates extra strain on head and neck muscles, increasing tension, pain, and the development of muscle knots. This forces movement muscles (phasic fibers) to function as support muscles, causing rapid fatigue that leads to soreness, chronic pain, and trigger points. 

Four common posture problems include Forward Head, Kyphosis (hunchback), Swayback, and Flatback, all of which can contribute to muscle knot development. Correcting these issues involves simple lifestyle adjustments and exercise, with physical therapy and chiro treatment recommended for more severe cases to address both postural problems and resulting muscle knots.

Sedentary lifestyle

A sedentary lifestyle that’s characterized by prolonged sitting or lying down with minimal physical activity can heighten the risks of developing muscle knots. This includes activities like watching TV, using computers or smart devices for extended periods, often leading to “tech neck.” Such prolonged tension can limit blood flow and create painful muscle knots. Some of the most affected body parts include the back, shoulders, and glutes, among others.

Repetitive motions

Repetitive movements can create muscle knots, also known as myofascial trigger points, due to the constant stress on the muscle. When a muscle is used repeatedly it can get irritated and a small part of it will tense up and go into spasm. This tension will restrict blood flow and create a hard, painful area in the muscle tissue.

For this reason, muscle knots are common among athletes who train the same muscle group over and over. However, it can happen to anyone who does a repetitive task like typing on a computer or driving for hours without breaks.

Overuse injuries

Overuse injuries are some of the primary causes of muscle knots (myofascial trigger points). These tight, contracted areas of muscle are from constant strain that irritates the tissue and creates painful knots with symptoms of local pain, stiffness, limited range of motion and referred pain to areas like the neck and arms.

Stress 

Stress triggers a “fight or flight” response that causes protective muscle tension as muscles involuntarily tense for perceived threats. When stress becomes chronic, this tension persists beyond the stressful event, potentially forming stubborn muscle knots.

  • Dehydration. Disrupts the electrolyte and fluid balance muscles need to contract and relax properly. Without adequate hydration, muscle fibers struggle to release tension, remaining contracted and contributing to persistent knots.
  • Sleep deprivation. impairs the body’s natural recovery processes. Since sleep is crucial for muscle repair and nervous system regulation, insufficient rest compromises the body’s ability to release muscle tension and manage inflammation, leaving muscles vulnerable to tightening and knot formation.

The combination of stress-induced tension with dehydration and poor sleep creates ideal conditions for developing painful, long-lasting muscle knots.

What are the symptoms of muscle knots?

Muscle knots manifest in different ways that can impact daily comfort and function. The main symptom is pain and discomfort, where you feel a persistent, achy feeling in the muscle tissue. This pain is deep and constant, not sharp or sudden.

  • Tenderness. The “knotted” area is sensitive to touch and feels like a hard, tight lump under the skin. When you press on these areas, they usually produce immediate discomfort or pain. It is often complemented by referred pain–where muscle knots cause discomfort in different body parts. For instance, those in the neck cause tension headaches. 
  • Stiffness. Develops when the muscle fibers are in a contracted state and the area feels inflexible and resistant to movement. This stiffness is especially noticeable after periods of inactivity, like waking up in the morning or sitting for a long time.
  • Limited range of motion. Happens when the tight muscle knots physically prevent the joints from moving through their full range. This can really impact daily activities, like turning your neck to check your blind spots while driving or reaching up to get something on a high shelf.

What are the benefits of chiro therapy in muscle knots

Doctors of chiropractic addresses muscle knots by targeting underlying causes rather than merely treating symptoms. Through a holistic approach, chiropractors can reduce pain and discomfort, restore full range of motion, and prevent future knot formation by enhancing overall posture and muscle function.

  • Pain alleviation
  • Range of motion restoration
  • Addresses root causes
  • Posture improvement
  • Enhanced muscle function
  • Nerve function improvement

Read on for details.

Pain alleviation

When a chiropractor performs spinal adjustments and applies soft tissue techniques directly to affected areas, they help interrupt the pain signals being sent from the knotted muscle to your brain. Think of this like releasing pressure from a compressed spring – once the tension is reduced, the immediate discomfort begins to subside.

Range of motion restoration

By releasing the physical tension within the muscle fibers themselves, a doctor of chiropractic helps the muscle return to its normal length and flexibility. Second, by correcting any spinal misalignments that may be affecting how your muscles function, your body regains its natural ability to move freely. This is similar to fixing a door that’s been sticking – once the frame is properly aligned, the door swings smoothly again.

Addresses root causes

Rather than simply masking symptoms, doctors of chiropractic scrutinize how the muscle knots formed in the first place. They examine your spinal alignment, assess muscle imbalances, and identify postural problems that create the conditions for knots to develop. This investigative approach prevents the frustrating cycle of treating the same problem repeatedly.

Posture improvement

When your spine is properly aligned, your muscles can maintain their natural balance without excessive strain. Imagine your spine as the central support beam of a house, when it’s straight and strong, all the other structural elements can do their jobs without overworking.

Enhanced muscle function

Healthy, unknotted muscles can contract and relax efficiently. When knots are present, they create areas of constant tension that prevent the muscle from working properly. Releasing these knots is like removing kinks from a garden hose – suddenly, everything flows as it should.

Nerve function improvement

Your nervous system serves as the communication network between your brain and muscles. When spinal subluxations create nerve irritation, this communication becomes disrupted, leading to muscle dysfunction and increased tension. Chiropractic adjustments help restore clear communication pathways, allowing your muscles to receive proper signals for relaxation and healing.

What are the Chiropractic Treatments for Muscle Knots?

Chiropractors utilize diverse manual and tool-based methods to effectively treat muscle knots. Read on to find out more. 

  • Ischemic compression. The chiropractor applies steady, firm pressure to the muscle knot, temporarily limiting blood flow. Upon pressure release, fresh blood floods the area, promoting muscle relaxation.
  • Trigger point therapy. Targeted pressure is applied to specific trigger points to “deactivate” them and interrupt the pain-contraction cycle.
  • Myofascial Release. A gentle manual technique that stretches and releases tightness in the fascia, the connective tissue surrounding muscles.
  • Instrument-Assisted Soft Tissue Mobilization (IASTM). Specialized tools perform deep scraping motions over affected areas to break down scar tissue and adhesions causing chronic knots.
  • Complementary care. Chiropractors provide guidance on stretching, hydration, and ergonomic workspace modifications to prevent future knot formation.

Say goodbye to “lamig” with chiro therapy

Muscle knots are frustrating, but they don’t need to be permanent. Chiropractic care provides long-term relief by targeting root causes rather than just symptoms through a holistic approach that eliminates existing knots and prevents recurrence.


If you’re ready to eliminate “lamig” and embrace pain-free living, consider professional consultation from Posture Perfect Chiropractic. Contact us today to book an appointment.

Frequently asked questions

What is the fastest way to relieve “lamig” or muscle knots?

The quickest “lamig” relief combines gentle stretching, heat application for muscle relaxation, and targeted chiropractic treatment. Chiropractors employ techniques like trigger point therapy and myofascial release for immediate knot relief while correcting posture to prevent recurrence.

Can a chiropractor remove muscle knots permanently?

Yes, doctors of chiropractic fix muscle knot root causes through spinal alignment, posture and muscle release. Lifestyle habits and stress will create new knots, but regular chiro therapy with exercise, hydration and good ergonomics will prevent them from coming back.

How many chiropractic sessions do I need for muscle knot relief?

Session requirements vary based on muscle knot severity and underlying causes. Some individuals experience relief within 1-2 sessions, while chronic cases may need several weeks of treatment. Chiropractors typically create personalized treatment plans incorporating home stretches and lifestyle modifications.