Some of the Lomi Lomi strokes are similar to a Swedish massage in that they both use long soothing strokes. These long strokes called effleurage are usually done with the hands, but in Lomi Lomi they are performed with the hands and the forearms. The forearms give the stroke a broader feel than the hands. In Swedish massage, effleurage strokes are the essence of the massage. But in Lomi Lomi effleurage strokes are used to primarily feel the tissue that needs treatment and the therapeutic component comes next. After identifying the area that needs treatment, Lomi Lomi uses a therapeutic static compression to facilitate relaxation of the muscles. Therapeutic static compression is the primary tool for healing. Other modalities use stripping, or cross-fiber work to release muscles. The Lomi Lomi practitioner uses elbows and forearms to compress and stretch the tissue. The compression is done slowly and held longer than other modalities, such as Shiatsu. The body will subconsciously react at first by tightening the muscle but, after a few seconds, will relax with the comfortable compression of the forearm. Holding the compression allows the client to become aware of the tightness in the tissue and allows them to consciously relax.