I completely agree. Knots really screw with my flow.
I have what looks like a dentist’s pick, but it’s actually thinner and not as strong. It’s all metal and has two sides. It’s actually used for pulling film from projectors. Anyhow, I keep that with me most of the time as it’s handy for getting out knots. Otherwise, I do have to unscrew as well to remove knots. I’ve sort of resorted to having a bunch of yoyos at the ready so when I do get a knot, I can just switch yoyos fast, then deal with the knots later.