Myofascial massage therapy involves direct pressure to hypersensitive areas in the muscle, skin, fascia, tendons, periosteum and joint capsules. The work is applicable to a variety of myofascial pain syndromes including headaches, sciatic pain, thoracic outlet syndrome, carpal tunnel syndrome, tendonitis, tendonosis, muscle strains, piriformis syndrome, TMJ syndrome, lower back pain, and frozen shoulder.