Massage therapists work to alleviate pain, relieve stress, and improve the health and well being of their clients by the mobilization of the soft tissue including skin, muscles, tendons, ligaments, and connective tissue. Massage therapists may include adjunctive therapies such as hydrotherapy, mild abrasives, heliotherapy, mechanical devices and tools that mimic or enhance manual actions, and instructed self care in a patient's treatment routine.