Massage can be for relaxation and theurapeutic to treat muscle tension. Pain creates muscle tenderness and spasm that leads to muscle tension and stiffness. The muscle spasm shortens the muscle and changes the way movement occurs around joints and can lead to joint pain and faulty movement patterns. Points of muscle tension are often called Myofascial Trigger Points and the pain patterns from myofascial trigger points have been mapped. The pain from muscles can spread well and truly beyond the muscle and result in headache, arm pain and leg pain. Treating the muscles is imperative in full rehabilitation and return to activity.