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These are often described by people who suffer from tightness or tension in their back, or muscles. Often these can correspond to mysofascial trigger points. These are tight spots in muscles that can often create a localised area of limited blood flow within the muscle. This results in localised recurrent pain and tension, but also often referral of pain to other regions of the body. Gentle sustained pressure over these trigger points can often release theses ‘tight spots’ and restore normal blood flow to the region and reduce local and referred pain.

Stretching of the ‘tight’ muscle can also help to alleviate this problem, as can movement. However, repetitive movement – particular in the context of a body with restrictions and limitations in other areas often sets up these tight ‘trigger points’ in the first place. They often represent the body’s attempt to deal with sustained load or tension in an area where this load is unable to dissipated throughout the body unit system as a whole.

Sustained improper postures can also overload myofascial tissues and create these tight spots for the same reason. This is why often all that is required to reduce their incidence is getting up out of your chair and getting out for  a walk to increase the circulation through the tissues.

Osteopaths can deal with these knots through various techniques such as trigger point therapy, myofascial release, dry needling etc. However, this is just dealing with the symptom so to speak. Overall, the body needs to be assessed Osteopathically as a unit to determine the cause. Often this can also link to nutrition, sleep quality, exercise and activity levels and bodily restrictions.

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