Petrissage is a massage technique which may follow effleurage. It is a stimulating action involving the manipulation of muscle, skin and fascia. Smaller areas are worked in twisting, turning bending movements to encourage the soft tissue to release stickiness, and break down tension built up unnecessarily between layers of muscles and fascia. Due to the effect on the nervous system, it may not be as soothing or relaxing as effleurage in areas of adhesion or scar tissue. The therapist may use forearms to apply bending and gliding torque in areas where it is suitable.