Orthopedic and Sports acupuncture is focused on relieving and rebalancing joint, tendon and muscle pain and injuries. It relies on a detailed physical examination and an understanding of musculoskeletal structure to guide the placement of needles. It often utilizes acupoints based on their anatomical location close to the area of symptoms, or on corresponding and opposing muscle groups. Needle insertion tends to be somewhat deeper than meridian acupuncture and often gives immediate relief to tight or injured muscles. Acupuncture treatment may be accompanied by bodywork or therapeutic exercise recommendations.