Deep tissue massage involves manipulation of the deep layers of tissue in the body, including the fascia and other supportive tissue that make up the muscles and joints. It is used for chronic aches and pain and contracted areas. With chronic muscle tension or injury, there are may be adhesions (bands of painful, rigid tissue) in muscle, tendons and ligaments. Adhesions can disrupt circulation and cause pain, limited movement, and inflammation. Deep tissue works by physically breaking down these adhesions to relieve pain and restore normal movement.