These strokes are used to help break down connective tissue or adhesions, found within muscles, tendons and ligaments due to a direct injury accompanied by inflammation, like tendonitis. The therapist would use small circular motions making certain not to evoke an inflammatory response. Stretching and ice are applied to the treated tissue. Frictions are performed when tissue is in a relaxed neutral position and the thumb or fingers are used to compress the tissue over the lesion site. The pressure is increased and small back and forth movements are applied perpendicularly in the direction of the tissue fiber. No oil or lotion is used.