Pain and Spine July 9, 2026 3 min read

What myofascial release is, and how it eases that back pain

That painful knot in your back can be a myofascial trigger point. Here is what fascia is, where the pain comes from, and how myofascial release can help.

Dr. Dyogo Oliveira

Dr. Dyogo Oliveira

Physiotherapist, founder of the clinic

Myofascial release and therapeutic massage session on the muscles of the back

That painful knot in your back, the one that shows up after a long day of work or a harder workout, is more common than it looks. A lot of people live with it for months, change the mattress, take medication, go through test after test, and still do not find where it starts. In a good share of cases, the answer sits somewhere almost nobody looks: the fascia, and the so-called trigger points.

What this fascia thing actually is

Fascia is connective tissue that works like a kind of envelope inside the body. It separates and wraps the different structures: joints, bones, vessels, nerves, organs, viscera, and muscle. It is what supports all of that, helps each structure keep its own shape, and lets force travel from one point to another when you move.

When this network is free and working well, movement happens without you noticing. When it gets tight or stuck somewhere, the body starts to send a warning. Often that warning arrives as pain.

Where that pain comes from

That sore little spot can be a myofascial trigger point. In technical language, these are hyperirritable nodules along a taut band inside the muscle. In plain language: spots that hurt where they sit, or that seem to travel to other parts of the body, which makes the cause much harder to find.

Why do they show up? One of the most accepted explanations is the view from Simons. Repeated use of the muscle leads to overload, increases the release of acetylcholine, and makes small pieces of the muscle contract, forming the nodule. Over time, the blood vessels there get compressed and less blood reaches the area. That poor exchange of nutrients and waste ends up producing substances that cause pain. It is a cycle that tends to repeat until someone interrupts it.

What myofascial release is for

Similar to a massage, myofascial release can be done by hand, with instruments, or with needling (Dry Needling). The idea is to apply an outside force that can separate these small contracted spots, reduce the squeeze on the vessels, and let blood circulate again, bringing nutrients in and carrying the built-up waste out.

In practice, it is a technique that often helps to:

  • relax the muscles and lower tension and overload on the joints;
  • increase mobility and make movements easier to do;
  • improve circulation and breathing;
  • prepare the muscles for training and support recovery afterward;
  • lower injury risk in daily life and in sport.

One detail that matters: a professional who works with myofascial release can often find these points with the hands alone and release them right there. That spares you the long trail of tests and appointments spent chasing a pain nobody can explain.

Look into it before you just live with the pain

Pain is a message from the body, not a detail to ignore until it goes away on its own.

If you recognized your own symptoms in this text, the sensible path is not to guess. It is to look. Every body has a history, a movement pattern, and a routine that help explain where the tension is coming from. An individual assessment lets you understand the cause and decide whether myofascial release makes sense for your case, or whether it is worth combining it with other approaches.

If this pain has been with you for a while, consider booking a session to look into the origin calmly. Understanding what sits behind the symptom is already the first step toward moving better again.

Still wondering where the pain comes from?

A session looks for the source and what to do about it. Message us on WhatsApp.

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Written by Dr. Dyogo Oliveira

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