Graston Technique®

Getting you out of pain and keeping you there.

The Graston Technique® incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that affect normal function.

Often used in conjunction with Active Release Technique® (ART), Graston Technique® is a relatively new form of soft tissue mobilization that uses specifically designed stainless steel instruments to help the practitioner identify and break down the scar tissue.

Graston Technique® applied to a patient's shoulder.

Image Credit: GTindy – Own work, CC BY-SA 3.0
https://commons.wikimedia.org/w/index.php?curid=13600509

The Technique

Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers

Increases skin temperature Facilitates reflex changes in the chronic muscle holding pattern

Alters spinal reflux activity (facilitated segment)

Increases the rate and amount of blood flow to and from the area

Increases cellular activity in the region, including fibroblasts and mast cells

Increases histamine response secondary to mast cell activity

Why is scar tissue a problem?

Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.

How is scar tissue different from other tissue?

When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern–or scarring–that results in a restricted range of motion and, very often, pain.

How are the instruments used?

The Graston Technique® instruments are used to enhance the clinician’s ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and “catch” on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.

Is the treatment painful?

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.

What is the frequency of treatment?

Patients usually receive two treatments per week over 4-5 weeks. Most patients have a positive response by the 3rd to 4th treatment.

Are there any benefits to the treatment?

Yes. Most patients are not disabled and continue to perform their regular functions at home or work. Graston Technique® gives back the control that is often lost when injury strikes.

Is Graston Technique® something new?

The concept of cross fiber massage is not new. Graston Technique® is grounded in the works of English orthopedist James Cyriax. The use of our specially designed instruments and protocol is new. Graston Technique® has become standard protocol in universities and hospital-based outpatient facilities, industrial on-site treatment settings such as Indiana University and the University of Michigan. The technique is also being used at industrial settings and by NBA, NHL and Major League Baseball trainers.

What kind of results does Graston Technique® produce?

Historically, the Graston Technique® has resolved 87% or more of all conditions treated. It is equally effective on restoring function to acute and chronic injuries, and pre and post surgical patients.

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