Remedial (or deep tissue massage) works on the premise that soft tissue (muscles, ligaments, tendons and fascia) responds to touch and that most pain originates in soft tissue. Pain can often be caused by active trigger points (hyperirritable spots in the fascia surrounding the muscle) which refer pain to specific areas of the body. Migraines, sciatic pain (piriformis syndrome), lower back pain and many others can be eliminated using this type of treatment. Remedial massage is one of the most effective and readily available ways to prevent and treat muscle injuries, pain and soreness. It is often used in conjunction with treatment by physiotherapists, osteopaths and chiropractors.