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In many cases the knot in the muscle is caused by an abnormal nerve message being sent to the muscle. The abnormal nerve message is, in turn, caused by a misaligned bone in the spine that irritates the nerve. To keep it simple.
1 Worsening pain. 2  When muscle fibers in the oblique muscles constrict, there is insufficient blood flow to the damaged area. 3  This can sometimes lead to a buildup of lactic acid, which disrupts your bodyâs natural pH balance and causes sharp, stinging pain that feels like knots in your muscles. When an oblique muscle is strained or pulled, the muscle fibers contract at the same time and become tight and stiff. 2  This results in insufficient blood flow to the affected area and the sensation of muscle spasms and general muscle stiffness.