What are “muscle knots”? (for massage therapists and clients)

What are “muscle knots”? (for massage therapists and clients)


Hi everyone, I’m Ian Harvey, massage
therapist, and today I’d like to talk about knots. If you’re here, you’ve probably been told by your
massage therapist that you have muscle knots. Or, you’re a massage therapist who’s
wondering with this whole “knot phenomenon” is really about. First we’re going to talk about what
a not is and what it isn’t and then we’re going to get a client on the table
and we’ll talk about structures that might feel like knots but they’re not. If
you’d like to skip ahead click on the time codes down in the description. First,
and, i just want to get this out of the way there is no such thing as “knots.” There
is no corresponding medical term that we could mean when we say “knots.” Knots are
just an idea that massage therapists throw around and that clients receive, and then
kind of carry around with them for the rest of their lives if we’re not careful.
When your massage therapist told you that you have muscle knots, they meant one of three things. The first
possibility is that you have tight postural muscles. They were working on
your shoulders, or on your upper back, and they said, “wow you’ve got so many
knots up here.” What they really meant was, “I feel muscle
tightness.” And what they should have said was, “Wow you’ve got type postural muscles… just like everyone else.” In fact, because that’s true why even say
anything? I don’t know. To me, it seems like some
massage therapists like to make a big deal out of muscle tightness so that they can get people to come back,
or so that they can make it seem worthwhile that this person is receiving
the massage that they’re receiving. Or it’s their opinion that that client has
extra tight muscles. Well, I believe that they should keep
that opinion to themselves. If you have tight postural muscles, you’ve earned
those over years of hard work, of standing, of living your life, and this
isn’t something that we need to be pathologizing and acting as if, “Oh, this is a problem!” If you have tight postural muscles and
you don’t have pain, then there’s nothing wrong with you. If you do have pain, then
this could be contributing. This tightness, this tug-of-war between all
these muscles. So what your massage therapist should be
putting across is that, “Hey, you’ve got some tightness up here,
but that’s something that can be changed.” One, through massage. It’s possible
through a series of massages that we can get these muscles to calm down. And,
primarily, through your actions. By you changing your habits, such as how our
economic is your workstation, are you moving in lots of interesting ways, are
you staying active, or are you just doing one task all the time? And there might be
some stretches and strengthening things that you could be doing to mellow all
this out. So the message I want to get across: If
you’ve got tight muscles, then that can change, and it’s likely to change if you
make a few alterations to how you’re living your life. The second thing that
massage therapists might mean by muscle knots is trigger points. Trigger point
theory is that certain areas of your body can refer pain elsewhere and that
seems to be well borne out by anecdotal evidence and somewhat by research. But
another part of trigger point theory is that there are these little bundles of
tightness within larger muscles that massage therapists can feel with their
fingers. This is not borne out by research. If
there are little pebble-like bits of muscle that we can palpate, if you bring
four other massage therapists in the room they’ll either feel that little nodule
somewhere else, or they won’t feel it at all. In fact, people have done these
studies, and if you’d like to check those out you can click down in the
description. So massage therapists if you feel these nodules then use that
information for yourself, but don’t go giving that to your client. That information isn’t
necessarily useful for them, and that will stay permanently in their head. They’ll think, “Oh I’ve got trigger points.”
Whereas, that is something that can change. If they’ve got this referred
sensation, if they got this tightness in their
muscles, that can change. So, if you must tell them about these
things, please frame it in that light. The third thing that they might mean is
that they have found a piece of your anatomy that they can’t quite identify.
They feel something that is lumpy, and so they think, “Oh, that must be a knot in
another muscle.” And I get this a lot when someone is rubbing my shoulders. They’ll come across the uppermost part of
my scapula, my shoulder blade, and they’ll say. “Ian you’ve got this huge knot right here but no,
what they’re palpating is the tendon of a muscle that runs up through here.
And, yeah, it’s a big tendon, it’s a twangy tendon but that’s supposed to be there. So, massage clients, if you’ve been told
that you have “knots,” maybe don’t take it to heart. Think about, hey, you might have thai postural muscles,
but that just means that it’s time to stretch more, it’s time to move a bit more.
Maybe get some more massages, and possibly from people who aren’t giving
you a complex. And massage therapists, if you’ve stuck around through this little
bit of tough love, then I’d like to show you some areas of
the body that are easily mistaken for knots in other muscles, but they’re not.
Alright, I’ve got my friend Maria here with me today. When massage therapists
find a knot, they tend to find them in one of the few places. First of all, it’s right here, it’s at
this superior angle of the scapula. They’ll bump over this superior angle,
they’ll feel something bump under their fingers and they’ll think that, “Oh, this is trapezius.” But no, this is the
superior angle of the scapula, and the tendon of levator scapulae, so if you feel a
lumpy bumpy here, don’t try to get rid of it. Now, some
people will say, I worked on this bump a lot and it does go away. What you’re experiencing when a feature
like this “goes away” is, one, you have reduced the tone in the area. So the tone
of levator scapulae has temporarily dropped, the tone in trapezius has
temporarily dropped. And two, you have increased vasodilation and probably
increased inflammation just a bit, so the tissue feels a little bit more pliable,
and so you might feel like have made some headway in getting rid of that knot.
But really, what is likely to have happened is that you have overworked this area,
bringing a lot of blood supply to it, but tomorrow it’s going to feel like it got
hit by a truck. So find that superior angle, and realize
that that doesn’t need to go away. You can feel free to do a lot of nice
work around and near it, just don’t overwork it. It can be quite
sensitive, especially when it’s directly targeted. The second most likely suspect,
the second “not knot,” is the place where trapezius intersects with the scapula. So that’s right here. I’m just medial to
the spine of the scapula on this medial border here. So what I’m feeling is a lump. I’m able to bump over this bit of tissue
here, and that’s not a knot. That’s the edge of this kite of muscle. It’s the edge of trapezius. And while
this can be a great place to work, if you can trap this under your
fingers and apply a little bit of pressure, it can feel great and it can be
useful for people who are having upper back pain, this isn’t something that we need to get
rid of. This isn’t a knot that needs to be worked out. And I find a lot of people
working right by the spine of the scapula here, just medial to it, because
this tends to be an area of a lot of pain for some people, it’ll be very
sensitive. Well you’re on a bit of tendon, actually there’s some aponeurosis
right here, so this broad sheet of tendon, that is under a lot of mechanical
tension. So we don’t need to work on this innocent bystander here that’s being
pulled on by the rest of this muscle. We need to work on this muscle, so that
it reduces its tone a bit, and this is in a less high-tension environment. Some
other suspects are infraspinatus here. It’s a very lumpy bumpy muscle, and it
doesn’t need to be smoothed out. In fact it can’t be, this is part of its structure. It’s a
very three-dimensional muscle and any attempt to iron it all the way out, or to
sink in and work out those knots, is just going to increase inflammation, and
possibly cause pain the next day. The next is right here, right at the superior
most portion of the sacrum. Sometimes you feel these little nodules,
and those are not knots. Those are not things that you can work out. These are little bits of connective
tissue and adipose tissue that have formed a little bubble, a little nodule,
and any attempt to get rid of this nodule is just going to create
inflammation, and possibly create more pain. When I find one of these, I don’t try to work directly with it, I work with all the structures that are
going to be yanking on this thoracolumbar fascia, such as all of these rotators,
and steam rolling out of these low back and thoracic muscles. Finally, I’d like to point out that a lot
of muscles have interesting funky textures. Like masseter here, it actually has two heads, they’re
overlapping, and they’re both very fibrous and full of these interesting
bands of tissue. So any attempts to get rid of
knots in the masseter here is just going to create some pain and create some
inflammation. So my main takeaway here is to learn
what these muscles feel like. Learn their structure, even if you don’t do it
using a textbook, do it using your hands. Feel how this trapezius folds over on
itself. Those aren’t knots that you need to get rid
of, that’s just it’s natural
three-dimensional structure. Feel these bands that are part of the deltoids.
Again, that isn’t something that needs to be smoothed. Alright guys, let me know
what you think in the comments. If you’ve been using the word “knots,” I don’t mean this to be a personal
attack on you. It’s just a word that we use because
people have used it when they’ve been working on us, people have used it in classrooms, our
teachers use the word “knots,” and it’s really a useless word. The reason that i dislike it as much as
I do is because clients tend to hear the word “knot,” and then take that word home
with them. It’s the reason why this video is going
to get hits. Because people are going to be searching online for, “what is a muscle
knot?” or, “how to get rid of muscle knots.” It’s because they’re afraid. They’re worried
about this problem that they think that they have now. So, don’t give people a new
problem, a problem that they don’t really have. It doesn’t need a new name, it just needs to be called tight muscle,
or whatever it is that you’re actually feeling. And if you do find tight muscle,
consider whether it actually helps your client to tell them about it. And if you
do, make sure to frame it in such a way that it sounds like something that can change. Tight muscle is something that
can be stretched, it can be moved, it can be affected by activity and new habits. And
yeah, by massage. Knots, however, are something that clients can carry around with them
for the rest of their lives. So, let me know what you think in the
comments, consider subscribing if you enjoyed this, and I will see you next
time!

100 Replies to “What are “muscle knots”? (for massage therapists and clients)”

  1. I call bullshit, your an idiot!!!! I've had knots…huge knots in muscles that were overworked and under tension from pinched nerves. It's obvious you've never done any strenuous work in your life !!

  2. thank-you so much. my back is a mess, but my thoughts on knots have changed. It's like when I baby cries, and is unsettled they call it colic!

  3. No idea how this was recommended to me by YouTube but very interesting and informative! Thank you for making it! And on a side note – for someone like me who don't know these names of the different muscles it sounds a bit silly and geeky at the same time, lol

  4. So, why not just call it a knot. "It's not a knot, it's localized muscle tightness" otherwise known as a knot. "If you feel these nodules…" Oh, you mean a knot?

    It's a layman's term. What's wrong with calling it a knot?

    (Yes, I realize I'm commenting on a 2 year old video)

  5. Is this one of those satirical videos?? You spend half the video hating on a label, and the rest of the video using it…

  6. I am glad that I read some of the comments. Because it all seems silly to me. I have been an LMT for 30 years. Tight muscles, muscle knots, muscal tension to me not that big of a deal. Now to say be careful what you say to your clients, that is relevant. And reminding LMT’s to be mindful of what they’re saying To their clients and how their clients might interpret what you’re saying. Is helpful. Especially for the new LMT‘s. But mostly what you’re saying is just common sense. Because I’ve done this work for 30 years a lot of clients I referred to me because they do have problems that need tending to and they’ve already tried many things that either haven’t helped or have only partially helped. They could care less what I call things, they just want to be better. But I do see from the comments below that this information is helpful to newbies or more intellectually wired people.

  7. Actually that "knot" is…

    0:51 muscle tension due to posture. Note: tension and pain are two separate issues)

    3:01 trigger points (see research — these may unreliably identified across practitioners)

    4:24 unfamiliar anatomy to the practitioner (eg, large tendons)

    Greater detail for each is also written in the video description!

  8. “If you have tight postural muscles and don’t have pain, there’s nothing wrong with you…”

    As a PT the amount of clients I deal with that suffer with a kyphosis is very frequent. It is not ‘no problem.’ It is as it nearly always is causing issues across different areas of the body or linking into issues further down the line and should be corrected.

  9. Thanks so much for this. I've been saying this kind of thing (but nowhere near as precisely) to my clients and my students for many years, based on some brief research I did and my experience, but I was slowly beginning to doubt myself! Another related description I often hear of tight muscle is 'lactic acid crystals'. 'Oooh yes, lots of lactic acid crystals here in your calves, I'll have to work on this for a while to break them down and get rid of them!' Maybe I'm wrong, but as far as I can tell, there's no way this can be right. Lactate perhaps, for a short while after strenuous exercise, but lactic acid _crystals_? From what I gather, the formation of crystals in tissues is something that occurs in serious diseases such as gout, and is (not surprisingly) extremely painful. So not something that happens routinely to people doing a bit of exercise.

  10. Excellent and informative video! I appreciate when providers/practitioners are direct and honest, and I would prefer they use correct terminology. Thank you very much for this video! I do have one question: how do you feel about dry needling?

  11. I have been a licensed massage therapist for about 2 years now, and I am so glad I am hearing another therapist describe "knots" this way.

    I personally believe "knots" are simply areas where the muscles are "holding on for dear life."

    When my clients ask me to "remove the knots" I begin to describe the difference between a knot and a trigger point. In my opinion, knots do not feel good to work directly but rather need indirect work to bring space to potentially the many muscles effected. A trigger point on the other hand, has a hurt so good sensation. I also describe the excessive pooling of circulation within a trigger point compared to at times a lack of circulation within a "knot."

    By giving my clients the understanding between a "knot: a bound section of muscle fibers often caused by over flexion or over stretching, traditionally with less circulation and a 'that hurts sensation', and in need of general to specific work" in comparison to a Trigger Point "a referral area with pooled circulation, often a hurt so good pain with a flushing of circulation sensation"

    Furthermore and once again, I am so happy someone else is describing this concept and I am further confident in my description and discussion between my clients. Educating the client is one of my favorite part of my jobs, and this concept has truly become miss judged.

    P.S. I have had more than one therapist hack away at my superior angle of the scapula >.<
    "wow, you got quite the knot there." "Hmmm," I think. No, try working around the area, check in with my scalenes, levator, pecs etc.

    @Massage Sloth: I have seen two videos of yours this morning and I subscribed. Thank you.

  12. …………………hold up.
    Do massage therapists not learn about the anatomy of the muscular system??? You would think that would be important, no?

  13. I've never had a knot before in my 53 years but now I have what feels like a large marble under the skin. It is between the spine and the right scapula. The same point on the opposite side is perfectly smooth.

    Call it what you will but it's real and painful

  14. With all due respect, it is misleading for you to claim that there is no such thing as muscle knots. That it is an "idea massage therapists throw around" generalizes massage therapists and takes away our professional credibility. In this video you give slight to massage therapists who suggest their clients return for continued massage therapy to work out muscle tightness. That is what we do, no? That is the mark of a successful massage therapist, one who promotes their craft and helps their clients feel better. I agree that massage therapists should be careful not to give clients a complex to carry around for life, but to suggest that massage therapy is entirely anecdotal is doing a disservice to the proven health benefits of massage therapy application.

    There is corresponding medical terminology for muscle "knots". In fact, there is an ICD-9 code for the condition. Muscle/fascia knots are Myofascial Trigger points (TrPs). "TrPs are defined as exquisitely tender spots in discrete taut bands of hardened muscle that produce local and referred pain, among other symptoms". Etiology of Myofascial Trigger Points found here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440564/

    "Myofascial pain syndrome (MPS), also known as chronic myofascial pain (CMP), is a syndrome characterized by chronic pain in multiple myofascial trigger points ("knots") and fascial constrictions." Quote and ICD-9 code found here: https://icd.codes/icd10cm/M791.

    You may also want to review this recent study on the beneficial affects massage therapy application has on melting those muscle "knots" (aka: Myofascial Trigger Points) See here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561477/

    Please help your profession, fellow massage therapists, and the public by not lumping massage therapy in with "quackery".

  15. All of the dislikes are from pseudo science hocking massage therapists that are pissed that you are dispelling their cash cow myths.

  16. Thanks for clearing this "knot" myth up! Right now I'm trying to really figure out why I'm feeling muscles rolling around and causing sharp pains from my shoulder blade all the way around my rib cage to my chest and I can NOT get this knot untied. Good info, thanks!

  17. As a kid, my brothers and I use to give each other "frogs" where you could see a raised lump, and "Charlie horses". What are these things?

  18. Wait what. I have a doctor down the street that said I have knots all down both sides of my spine and wanted to ,get this, shoot some stuff into them that was half “ Venus flytrap Juice”!!! I couldn’t make this up. He told me when muscles get knitted up they get a kind of gunk on them and the Venus flytrap extract dissolved the gunk. He’s a legit doctor working in an office with masseuses, chiropractors, and physical therapists. He also wanted to do an MRI on my neck. I was paying out of pocket and couldn’t afford it or I woulda continued. So you’re saying he was either scamming me, and I’m sure others, or he’s batsh*t crazy? Cause if that’s the case I’m going back down there and I’m gonna show him this and were gonna see what’s what.

  19. As an 52 year old occipital Neuralgia patient with Lyme, I can tell you the rug of war is real. I had 32 weeks of physical therapy and massage therapy and it changed little. It did hurt less but when I stopped therapy it came back.
    Acupuncture for me.

  20. Very interesting, even in oral exams we're told to use the word knottiness, in case studies though we are told to write tension or tightness.

  21. Thank you. I was always hesitant of telling clients they have knots. Usually, they'll just say they do and I'll agree. Now, I'll feel more confident with letting them know they're just tense!

  22. I greatly appreciate this video, I am a recent graduate and this is exactly what the instructors taught us. I have been trying to teach myself a better way to learn about massage therapy, because we had a short period to learn and we really didn't cover enough to prepare for the MBLEX. Thank you again this helps a lot also.

  23. As a massage therapist I have had many instructors say "knot" is a nonsense term, But I still use it because it is a relative term to the client. When you sit on a trigger point and they say "ow, what is that?" I say its just a knot because its easier than explaining trigger points to them.

  24. If you don't mind just good massage and not looks you can find them for about $1 minute minimum 30 minute plus tip but I don't tell people where they are. Personally I like women massages but men are good for deep massages but I am kind a weird about guys touching me. But I have had fully licensed Chinese doctors massage me its apart of Chinese medicine but they were just massage people in Canada. Infact this was one of the best massages because they are trained in pressure points called trigger points I got up  after and almost fainted. it was good .

  25. I feel like we over complicate what what we do. It's just about bringing life to the tissue so it can do it's own healing naturally.

  26. What about "adhesions"? In school they said it isn't a knot, but muscles that are constricted..only been an MT for almost a year..sooo yea.

  27. For the benefit of all… How do you, personally, determine when in fact is a trigger point? I only ask because I have indeed seen in some clients where it clearly is just the border of the trap and such, however I've had cases where they have indeed had trigger points (most commonly in the upper scap border but more medial not so distal as you explained) I always asses the tissue and the structures before treating a t point just to be sure. But I'd like to hear how you approach that. Thank you

  28. SIMPLE CORRECTION. I agree that "Knot" is truly bogus. However, "tight muscles" is also a bogus term. You continue to use this term. Unless any term is explained, it is a dead end of information. Bottom line is, I believe you are referring to a muscle that lacks "extensibility" (the ability for a muscle to elongate beyond its resting length). A muscle actually has the ability to stretch it's resting length and another half of it resting length. If we don't stretch properly (static stretching is foremost), we more than likely will lose a large aspect of our muscles "extensibility". Very good video, but please clarify additional terms for more detailed information. I am a Member of the International Olympic Games Massage Team (Winter and Summer Games). Studies in muscle physiology at: U. of Oregon, L.B.S.U., and Whittier College.

  29. This is such a good video because it highlights the importance of being educated about the area you're working on.

  30. I live in Thailand and it has this amazing culture of massage techniques but it's a shame that most of the spas are overrated and clients are treated with less attention and dedication. You would simply hear them referring negatively about the amount of knots and the amount of time they need more to work out those knots. I sincerely haven't found any spas in Thailand that I love and would frequently go back for more masaages. I wish you can be my therapist!

  31. You are like that smart kid in class who says Jesus is a lie. Like cmon we all kno this, but way to kill the spirit.

  32. Thank you! I’m a licensed massage therapist myself and I HATE the term “knot”. I always just say muscle tension instead

  33. Wow!!! Knots knots knots!! I’d really like to know from who and how long ago that term began. Thank you for this explanation. I am looking forward to learning more about massage therapy. I’ll be enrolling soon to began classes in August this year. In the meantime, gathering bits and pieces on u tube.

  34. I never understood why some massage therapists did that; comunicating to a client about the state of their bodies. As a licensed massage therapist, I think it is my job to listen rather than talk. I want my clients to comunicate to_me what their discomfort is, so I can help them to the best of my ability.

  35. My right tricep muscle (short head, the part near the outside of the arm) is really weird. It seems like it is split in two compared to my left tricep (short head, the part near the outside of the arm) which seems really smooth and as one muscle.

  36. I disagree on so many levels. I am guessing you think a massage breaks up toxins and tell a client they need to drink plenty of water to flush out the toxins lol. Lets just say i disagree because I know differently lol.

  37. My massage tutor taught me that a muscle knot was an actual knot and now I feel so embarrassed that I've been telling my clients this 🤦
    She said that your muscles are all made up of tiny strings of fibres and that when you have poor posture or a traumer they literally knot and twist together and you have to grind them to "iron " them out!
    Why aren't we being taught correctly???

  38. idk what youd call it but i have bits in my calves where portions of the muscle are tightened/wont relax. you can feel the spots if you rub along the muscles. i had issues with painful muscle cramps in my calves when younger, like the kind of cramp/spasm that hurts really bad and locks your muscle up. thats why im looking to get a massage. ive often referred to them as "knots" cause i dont have a better word for it. (im not a dr/therapist)

  39. Ya! I went for massage & the anyhow “tcm” massager kept on applying pressure on my shoulder area. I asked her to go light but she’s liked using bull force on me. Next few days, my shoulder area is liked bloated & v v v painful.

  40. With FMS what were called "trigger points" are now referred to as "tender points". With self massage sometimes the accepted locations feel like there is a nodule – roughly the size of a green garde pea or smaller. If I massage these points they appear to "break down", and can relieve usually reflected pain. The process of massaging the "nodules" is quite painful; but appears to ultimately assist in pain reduction in the related area. What is your professional opinion as to what are these tender point nodules and should I work on them or not, and whether I am making the situation , in the long run deleterious to my FMS. I found your video very informative, thank you for making it.

  41. Thank you for using evidence-based scientific information, a lot of times there's misinformation, pseudoscience, and spiritual mumbo-jumbo that's used to explain stuff. I learned a lot from this video!

  42. I think you work and sound like a pro, and I appreciate you clearing this up for me for the rest of my life. 🙂

  43. All your doing is talking about other massage therapists and how wrong they are and right you are. Who cares what they're called 🙄 just shut Up and massage my back please

  44. yeah you are right when you bring it up as knot or trps people can be alarmed about it, but when i personally bring it up and say that you may have trp on this muscle and i am going to try to get it out so you may feel pain as i am putting pressure and striping it out.

  45. Very enlighting. I will not be saying this knot word no long. I will use tight muscle more often. It make alot of dollars and cent. Great job on the video. Salute!

  46. So if tight muscles is not a bad thing, and muscle trigger points are not a thing, what's the point of a massage?

  47. ok so i dont have knots…but i have severe constant muscle tightness for 30 years. I need therapy regardless buddy

  48. The thing that irritates me is that schools teach triggerpoint theory like it's a researched, proven fact. When really it's not necessarily helpful at all.

  49. The only other thing I feel in people's muscles is a sort of crunch, often in muscles like supraspinatus or abductor pollicis brevis, other thumb muscles, and on the plantar surface of the feet. Not really Sure what they are, but never really tried to "work them out" in the firat place but i definitely won't now. Ive hears a few theories and some im a bit dubious of.

  50. I feel lot of general therapists (LMTS, PTAS, PTS, Chiros) are split on Trigger Points… I personally have had extreme success with what I have learned regarding trigger points and its referred “satellite points”. Whether it has been for migraines or shoulder mobility. I guess the conundrum remains.

  51. Thank goodness for your channel.

    I'm still a relatively new LMT, and I've started to notice that I've been using the "knot" terminology more and more and I think it's due to the fact that I'm afraid to correct my clients and come off condescending. Silly, I know. I also have said things like, "Wow, you are tight." And it was never my intention to offend clients or make them feel guilty for their muscle tightness, so now I am more aware of how my words can truly affect others.

    I know all this stuff should be a given, and should be self-explanatory, but sometimes we need to be reminded of why we chose this path and that we truly just want to help others to heal.

    You have given me the strength to speak with confidence to my clients and to uplift them! Thank you so much! 💓

  52. Thank you. I had one of my coworkers ask me about muscle knots. I too was a little bit skeptical and told her I would do a little research and get back to her. I'm glad I found this video. I am a massage student currently and my own teacher had mention muscle knots several times.

  53. God sent, Ian, excellent therapist and superior human being – Thank you! God bless you and everybody you love!

  54. Thank you. That was Great! Totally agree with your point. I feel that some people are so desperate to find a name for their pain or problem that rely completely on the opinion or words of the therapist. It's like they got hypnotized. Is like they gave you your life sentence and you will carry that for the rest of your life lol…
    Yes,… just some temporary muscle tightness that can go away with some more massage and care

  55. Ok but question, I have a spot in my back that’s been causing me a great deal of pain and discomfort for the last year or so. It’s just about where the second point you pointed out is, a little lower though. The ONLY thing that makes it feel better is massage. And yes it’s like a “lump” or whatever that makes a noise even when you rub over it because it’s so dense… is it really just the tendon?? Why is it so painful?? Why does massage help? Is there something else I should be doing? It kills me just about every day and I’m just drying for relief

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