The word myofascial refers to the muscle tissue (myo) and the connective tissue that is in and around it (fascia). When stressed or injured, the muscle and connective tissue can form trigger points — or contracted knots — that cause pain and tightness. Treatment consists of deep Treatment consists of massage, manual or acoustic compression, stretching and contraction. Some patients may tolerate only very slight pressure at first while others may request a much greater level of compression. The patient is the determining factor.