Knot in your neck

Is That ‘Knot’ in Your Neck Really a ‘Knotted’ Muscle?

enVy Pillow
7 min readMay 28, 2019

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Ever wake up feeling like your neck turned into a pretzel overnight? Or that mysterious knot in your back showed up just because you blinked? Yep, we’ve all been there. But here’s the real question: are these so-called “knots” actual knots? Spoiler alert: not really.

These pesky muscle tight spots, known as trigger points, are just your body’s way of throwing a tantrum. Whether you’ve been hunched over a screen, pretending to be a weekend athlete, or maybe just sleeping weird — your muscles like to respond with a not-so-friendly reminder.

And let’s be real, sometimes you wake up with a knot even though you didn’t do much at all! (Beauty sleep, anyone?) But what’s the deal with these knots forming when you’re literally resting?

Let’s untangle the mystery of muscle knots and why they love to ruin your day!

Trigger points and referred pain caused by knots in our neck and shoulder muscles.

Waking Up to Pain: Tackling Those “Sleep Accidents”

After almost 2 decades in the pillow game (www.envypillow.com), we’ve seen it all when it comes to neck and upper back pain. That soreness you sometimes wake up with? We like to call it a “Sleep Accident” — the result of not-so-great sleep positions.

Here’s the deal: sleep posture is just as important as standing posture. Spinal experts agree that when lying on your back, you should be able to draw an imaginary line from your forehead to your chin to your chest, running almost parallel to the mattress. The key? A pillow with neck support that holds everything in alignment.

Check out the comparison photo below to see how the right pillow (or the wrong pillow) can be a game changer in the morning.

Patient lying on regular pillow vs lying on an enVy®  Neck support pillow
Neck alignment with a regular pillow vs with a supportive neck pillow

“Knots” Explained: Meet the Trigger Points Behind the Tension

What we often call “knots” are technically known as Trigger Points — sneaky little pockets of tension hiding in small parts of our muscles. Unlike a full-blown muscle spasm, where the entire muscle is going haywire, trigger points are more localized. But don’t be fooled: these troublemakers like to spread the misery, often “referring” pain to other areas.

So that headache you wake up with? Surprise! It might actually be a trigger point in your neck pulling the strings. Or that deep ache between your shoulder blades? It could be a sneaky pain signal coming all the way from your cervical spine. This is why chasing down the actual culprit behind the pain can feel like a detective game!

Let’s face it — pain doesn’t always play fair. It often doesn’t come from where it hurts! We’ve all dealt with a few pains-in-the-butt that had their origins somewhere else entirely…

Trigger Points in neck referring pain up to cause migraines and headaches

Trigger Points Can Be as Elusive as Unicorns

Trigger points, those sneaky little muscle knots, can be as elusive as unicorns hiding in a field of rainbows. It’s funny how we often don’t notice them until someone presses on them like they’re a hidden button for an emergency alarm! Patients are usually taken aback when a tender tight spot is found that they were completely unaware of — like walking in on your surprise party. And the best part? This mysterious tender spot is often nowhere near where they’re feeling the actual pain! It’s a classic case of muscle mischief, and a common comedy routine for registered massage therapists (RMTs) during their sessions. Who knew that a little push could lead to such surprising revelations?

Where are Trigger Points Found?

Did you know that muscle is the largest organ in the human body, making up about 50% of our weight? That’s a lot of prime real estate for trigger points to hide out! With around 400 muscles in our bodies, it’s no wonder we can develop those pesky knots everywhere.

But trigger points are more than just annoying; they come with a whole host of side effects, including pain, referred pain, and the delightful restriction of movement. Ever tried to turn your head to the side, only to realize it feels like a statue made of stone? This is a common plight for many healthcare workers who spend hours looking down, whether performing surgery or cleaning your teeth. Just ask Dr. Sheila Nazarian, a plastic surgeon who shares her struggles with lifting her head the morning after a long surgery.

For many of us, the impact of trigger points can be life-changing, turning simple tasks like looking up into an Olympic event. So next time you feel like your neck is about to stage a rebellion, remember: it might just be those sneaky trigger points at play!

Finding a trigger point using pressure

How do you know you have a Trigger Point?

Want to diagnose a trigger point? It’s as simple as having someone press their thumb into that knot you know is there — think of it as an uninvited guest crashing your relaxation party! According to the specialists at Cleveland Clinic’s Department of Pain Management, trigger points love to cozy up in our trapezius muscles, which run from the base of our skull down to our mid-back and shoulders.

When muscle is healthy, it should feel relaxed and soft to the touch — think marshmallow, not a dense, overcooked meatball. But when you encounter a knotted muscle or trigger point, you’ll quickly find what “tender” means.

On a microscopic level, part of the muscle fiber is contracted into a tiny, thick knot, while the rest of it is stretched thin like that pulled taffy. This is what we feel when we encounter a “muscle knot.” Those contracted fibers are essentially on a permanent coffee break, not available for use, which is why it’s crucial to rest and treat them before you can get back to the activities you love — even if that’s just being able to turn your head to check your blind spot while driving!

So, next time you suspect a trigger point, just remember: it’s time to poke the knot and find out what it’s been hiding!

“You could have multiple trigger points in one muscle, maybe a few inches apart. Muscle often feels denser and tighter at a trigger point — more rope-like. When you push on it, pain spreads throughout the muscle area.”

— Dr. Leizman.

Untying or Treating the Knots in our Muscles

According to many Pain Specialist, there are ways to relieve the muscle pain and release the knots/ trigger points. Here are some important tips!

  • MASSAGE or Chiropractic: Think of this as giving your knots a gentle nudge. Rubbing the trigger point can help loosen and release the tense muscle.
  • ANTI-INFLAMMATORIES: These can help reduce muscle pain, but remember to take them in moderation.
  • HEAT AND COLD: Heating pads and ice packs are your trusty sidekicks. They’ll help soothe your muscles
  • KEEP ACTIVE: It’s true what they say: “Use it or lose it.” Muscles need movement to recover. Start with gentle stretches and work your way up to more activity.
  • RESEARCH THE CAUSE: Try to pinpoint what’s causing the problem. Is it a repetitive activity, a questionable sleeping position (hint: your pillow might need an upgrade), or poor posture at your desk? It’s like being a detective for your body! And let’s face it — emotional stress can also tie you up in knots, so spend some time figuring out what’s stressing you out. It might be time for a change!
  • PREVENTION: Be aware of your posture in all activities, including your sleep habits. If you’re waking up feeling like you’ve been wrestling a bear, it might be time to invest in an ergonomic pillow. The enVy pillow is a favorite among surgeons, neurosurgeons, physiotherapists, chiropractors, massage therapists, and dentists — it’s basically the VIP of pillows! And it carries a Class l Medical device establishment licence with Health Canada.

Take note of any headaches, neck and jaw pain, tennis elbow, carpal tunnel syndrome, joint pain, etc. It might not be what it seems. The enVy® Pillow carries a Class l Medical device establishment licence with Health Canada. And as the creators of this pillow we’ve met many patients on the verge of surgery who learned that proper neck support at night can change their “surgery plans” faster than you can say “knot.”

Do you have an unexplainable pain that might be tied to a knotted muscle or trigger point? Please contact us! As two registered nurses, we’d love to chat about what might be missing from your treatment plan — because every knot deserves a little TLC!

Do you have an unexplainable pain that might be tied to a knotted muscle or trigger point? Please contact us! As two registered nurses, we’d love to chat about what might be missing from your treatment plan — because every knot deserves a little TLC! 🙂

www.envypillow.com
info@envypillow.com

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enVy Pillow
enVy Pillow

Written by enVy Pillow

2 Anti-Aging Nurses… One Anti-Aging Pillow

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