Is a soft tissue therapy for the treatment of skeletal muscle immobility and pain. Myofascial release (or deep tissue work) method engages the Myofascial tissue "restrictive barrier" (tension). The tissue is loaded with a constant force until release occurs. Texas Orthopedic and Physical Therapy Institute therapist use knuckles, elbows, or other tools to slowly stretch the restricted fascia by applying a few kilograms-force or tens of newton’s. Direct Myofascial Release is an attempt to bring about changes in the myofascial structures by stretching or elongation of fascia, or mobilizing adhesive tissues. The Texas Orthopedic and Physical Therapy Institute therapist moves slowly through the layers of the fascia until the deep tissues are reached.