Therapeutic Massage (also called "Deep Tissue" or Orthopedic Massage) is more goal-oriented set of techniques, designed to address structural limitation. The techniques focus on specific muscles and connective tissue to release tight or knotted muscles, lengthen tissue, and reduce adhesions. In circumstance where muscles are tight and painful, therapeutic massage can usually provide an immediate reduction in symptoms, and has cumulative effects that can correct an underlying musculoskeletal imbalance. Therapeutic massage can be done unclothed, or in minimal clothing (such as a swimsuit, tank top and gym shorts, or undergarments) that gives access to the area to be worked on.