Instrument Assisted Soft Tissue Mobilisation: How Graston Technique Helps Your Recovery
By Dr. Mo Mommersteeg, Chiropractor
Introduction
Soft tissue injuries, scar tissue, and muscular restrictions can slow recovery and impact mobility. Instrument Assisted Soft Tissue Mobilisation (IASTM), commonly known as the Graston Technique, is a highly effective treatment for breaking down soft tissue adhesions and promoting healing. In this article, we’ll explore what Graston therapy is, how it works, what conditions it can treat, and what to expect during and after treatment.
What is Graston Technique?
Graston is a form of IASTM that uses specially designed tools to assist in releasing tight muscles, fascia, tendons, ligaments, and scar tissue. Derived from the cross-friction myofascial release technique, Graston provides a precise, targeted approach to addressing soft tissue restrictions, helping restore mobility and function.
How Does Graston Work?
Graston therapy works by creating a controlled microtrauma to the affected soft tissue, stimulating blood flow and triggering the body’s natural healing response. This promotes:
Breakdown of adhesions and scar tissue
Increased fibroblast activity for tissue remodeling
Collagen and elastin production to improve flexibility and strength
Enhanced joint mobility and overall tissue function
What Can Graston Be Used For?
Graston therapy is versatile and can help with a wide range of musculoskeletal conditions, including:
Lower back strain or sprain
Rotator cuff tendinopathy
Achilles tendinosis
Carpal tunnel syndrome
Cervical sprain/strain
Plantar fasciitis
Shin splints
Tennis and golfer’s elbow
General muscle tightness or strain
Myofascial restrictions
What to Expect Post-Treatment
After a Graston session, some patients may experience:
Redness or mild bruising at the treatment site
Temporary muscle soreness or tenderness
Factors like low iron, high blood pressure, or blood-thinning medications can increase the likelihood of bruising. These reactions are generally temporary and indicate the tissue remodeling process is underway.
Safety Considerations
Graston therapy is generally safe when performed by trained practitioners. Avoid treatment over:
Open wounds or sores
Severe skin conditions
Areas with active infections
Always consult a qualified clinician before starting any new therapy, particularly if you have underlying medical conditions.
Benefits of Graston Technique
Accelerates soft tissue healing
Improves flexibility and range of motion
Reduces muscular tension and adhesions
Supports injury recovery and rehabilitation
Enhances athletic performance
The Momentum Perspective
At Momentum Health & Chiro, our practitioners use Graston therapy as part of a comprehensive treatment plan, combining manual therapy, rehabilitation exercises, and movement strategies to maximize recovery and restore optimal function.
References
Physiopedia. Instrument Assisted Soft Tissue Mobilization. Available at: https://www.physio-pedia.com/Instrument_Assisted_Soft_Tissue_Mobilization
Physiopedia. Deep Friction Massage. Available at: https://www.physio-pedia.com/Deep_Friction_Massage
Cheatham, S. W., Baker, R., Kreiswirth, E. (2019). Instrument assisted soft-tissue mobilization: A commentary on clinical practice guidelines for rehabilitation professionals. International Journal of Sports Physical Therapy, 14(4), 670–676.
Lambert, M., Hitchcock, R., Lavallee, K., Hayford, E., Morazzini, R., Wallace, A., Conroy, D., Cleland, J. (2017). The effects of instrument-assisted soft tissue mobilization compared to other interventions on pain and function: A systematic review. Physical Therapy Reviews, 22(1-2), 76–85.
Fowler, S., Wilson, J. K., Sevier, T. L. (2000). Innovative approach for the treatment of cumulative trauma disorders. Work, 15(1), 9–14.
Wilson, J. K., Sevier, T. L., Helfst, R., Honing, E. W., Thomann, A. (2000). Comparison of rehabilitation methods in the treatment of patellar tendinitis. Journal of Sport Rehabilitation, 9(4), 304–314.
