Trigger points are painful nodules located within tight bands of skeletal muscle. Often referred to as “muscle knots,” these areas of irritation can cause significant discomfort and are commonly found in the upper back, lower back, and gluteal muscles. For many people, trigger points become a chronic issue, flaring up frequently and resisting lasting relief. When someone says, “My muscles are all in knots,” they are most likely describing the experience of trigger points.

Medically, a trigger point is defined as a localized area of tenderness within a taut band of skeletal muscle. When pressed firmly, these areas can produce a local twitch response, which is a sudden contraction of the muscle fibers in that area.¹ This twitch is considered a defining diagnostic feature. Deep pressure over a true trigger point often produces radiating pain—pain that spreads to surrounding areas of the body, rather than staying isolated to one spot.

It’s important to note that not all muscle tightness qualifies as a trigger point. For a knot to be officially classified as a trigger point, it must meet both criteria: a palpable taut band and referred pain when compressed. If there’s no twitch response or referred pain, it may simply be general muscle tension, fatigue, or a myofascial adhesion.

Trigger points do not appear spontaneously or in isolation. They are usually a symptom of a deeper mechanical or postural issue. These muscle knots often arise due to repetitive stress, poor posture, spinal misalignments, or biomechanical dysfunctions—especially involving the spine.

The small muscles that support spinal motion, particularly the deep intrinsic muscles that control subtle vertebral movement, can become overworked or irritated. When spinal segments are restricted or out of alignment, these muscles are forced to compensate, resulting in muscular fatigue, tightness, and the formation of trigger points.

Emotional stress can also play a role, as it tends to increase muscle tension throughout the body. Inactive lifestyles, prolonged sitting, poor ergonomics, and past injuries may further compound the issue, creating a cycle of chronic tightness and pain.

Many patients with recurring muscle pain or “knots” turn to conventional treatments such as:

• Trigger point injections (with anesthetics or botulinum toxin)

• Prescription muscle relaxants such as Flexeril (cyclobenzaprine), Robaxin (methocarbamol), or Soma (carisoprodol)

• Over-the-counter anti-inflammatory medications

While these interventions may offer short-term relief, they often fail to address the underlying cause of the problem. Injections and medications can mask symptoms, but they do not correct the mechanical issues that caused the trigger points in the first place. Furthermore, muscle relaxants may have side effects such as drowsiness, dependency, or cognitive impairment, and their long-term effectiveness for muscle pain is questionable.

Trigger points are not the root problem—they are a symptom. Treating them directly, without addressing what caused them to form, is like bailing water from a sinking boat without plugging the hole.

The real source of the issue often lies in the spine—specifically in the joints and supporting muscles that allow the vertebrae to move. Loss of spinal mobility leads to imbalanced muscle tension, increased inflammation, and neuromuscular dysfunction. When spinal segments aren’t moving properly, surrounding muscles—especially postural stabilizers—tighten up in an attempt to compensate, leading to chronic spasms and trigger points.

One of the most effective ways to manage and eliminate trigger points is by restoring proper spinal function. Chiropractic care addresses the root of the issue through:

• Spinal adjustments that restore motion to restricted vertebral joints

• Myofascial release techniques that reduce tension in surrounding muscle tissue

• Postural correction and ergonomic education

• Targeted stretches and exercises that improve muscle balance and joint stability

Chiropractors are trained to identify the mechanical dysfunctions that contribute to trigger point formation. By improving joint mobility, reducing nervous system irritation, and addressing muscular imbalances, chiropractic care helps reduce the stress load on the muscles. Over time, this leads to the natural resolution of trigger points without the need for injections or medications.

Managing trigger points successfully requires a holistic approach that addresses posture, movement, and spinal health. Patients who combine chiropractic care with lifestyle modifications—such as improved ergonomics, regular stretching, hydration, and stress reduction—tend to experience longer-lasting relief.

Here are some helpful self-care strategies to support professional care:

• Stretch regularly, especially the neck, shoulders, and lower back

• Use a foam roller or massage ball to gently release tight areas

• Stay hydrated, as dehydration can worsen muscle tension

• Avoid prolonged sitting, and take breaks to move every 30–60 minutes

• Practice deep breathing or mindfulness to reduce stress-related tension

Conclusion

Trigger points may seem like isolated muscle problems, but they are usually symptoms of broader biomechanical dysfunctions, particularly involving the spine. While medications and injections might provide temporary comfort, they fail to address the deeper issue. Chiropractic care offers a safe, effective, and drug-free solution that targets the source of the problem, not just the symptoms. By restoring spinal mobility and improving muscular balance, trigger points often resolve naturally—helping you feel and move better, long-term.

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Don’t let hidden trigger points control your life or limit your activities. Schedule a consultation with our expert chiropractic team today and take the first step toward lasting relief.