@bkruppa I can tell you that my pain from fascial tightness fluctuated and it sometimes depended on how much stress or difficulty I had in the week leading up to it. I could sleep in a position that triggered spasms and it got worse, but I made gradual improvements, and sometimes, there was a breakthrough session where I improved a lot, but all the previous treatment lead up to that. That's a question to ask the MFR therapist. Fascia is always remodeling and tends to get tighter unless you are doing something to stretch and loosen it. Anxiety and fear increase tissue tightness and pain significantly. The body also gets stuck in poor alignment that can cause nerve compression. With MFR, it can be a net of tight fascia that passes through the whole body. I know for myself, that I can feel the tightness pull from my neck and chest through my hips and to my ankles and it is a bit different every week as we work through the layers.. It might take a while to develop that kind of body awareness, but i can tell my therapist where the pull goes and how it changes while she is treating me. She can feel it too through her hands.