Relying solely on tissue response, I had one very interesting reaction in a patient just yesterday, regular myofascial release techniques hadn’t made much difference, and trigger point therapy was proving too painful. At the beginning of the treatment, I noticed what seemed to be a lot of funny twitching and variations in tension. As I worked, the twitching gradually decreased and the tissues grew warmer, the twitching had all but ceased, and her breathing, which has always been rather shallow, had slowed and deepened. I will alternate between LAST and Myofascial release techniques.