GRASTON

Graston is a form of Instrument Assisted Soft Tissue Mobilization (IASTM) used to treat myofascial restrictions in the body


What is Instrument Assisted Soft Tissue Mobilization (IASTM)?


IASTM is a hands-on treatment technique for myofascial restrictions performed by a skilled therapist (typically a physical therapist or a chiropractor). With the use of specially designed instruments, IASTM creates a mobilizing effect on scar tissue and adhesions in the soft tissue. There are a number of different tools and techniques available such as the Graston® technique, HawkGrips®, and Astym®, just to name a few .


IASTM was originally derived from the Cyriax cross-friction massage developed by Dr. James Cyriax who was known as the father of orthopaedic medicine. Looking back, IASTM is thought to be the modern evolution from Gua Sha, a Traditional Chinese Medicine technique.



How Do Soft Tissue Restrictions Occur?

  • Post-op
  • Overuse (running, throwing, repeated motions at work, prolonged postures such as sitting at a desk)
  • Lack of use/immobility (prolonged splinting/bracing)
  • Injuries (ligament, meniscal, and muscle tears)


Adhesions and restrictions within the soft tissue are broken down to restore function



How Does Graston work?


Firm pressure is applied using a tool to glide across the tissue. A lubricant (typically lotion) is used to allow the tools to glide freely across the skin. The design of these instruments allows therapists to locate restrictions and treat the affected area with the appropriate amount of pressure.


The instruments work to comb through soft tissue restrictions and scar tissue, producing microtrauma to the affected tissue. The introduction of controlled microtrauma to affected soft tissue structure stimulates a local inflammatory response which initiates reabsorption of unhealthy tissue such as fibrosis and excessive scar tissue. This ultimately promotes healing activities resulting in tissue remodeling and the production of healthy tissue. Adhesions and restrictions within soft tissue which may have developed as a result of surgery, immobilization, overuse or other mechanisms, are broken down to restore function.



Benefits of Graston

  • ↑ Blood flow
  • ↓ Tissue viscosity
  • Myofascial release
  • Interruption of pain receptors
  • Improvement of underlying tissue
  • ↓ Pain
  • Improve function
  • ↑ Range of motion
  • ↓ Muscle tightness and restrictions


Conditions that will benefit from Graston

  • Plantar fasciitis
  • Achilles tendinopathy
  • Tendonitis/Tendinosis (Achilles, Epicondylitis, Patellar, Rotator Cuff)
  • Carpal Tunnel Syndrome
  • IT Band syndrome
  • Trigger Finger
  • Neck pain
  • Back pain
  • Sprains
  • Muscle strains
  • ITB (IT Band) Syndrome
  • Myofascial restrictions
  • Post-op scarring
  • Post-mastectomy scarring
  • Cesarean scarring


This list includes conditions we most commonly treat using Graston/IASTM, but is by no means an exhaustive list. Wondering if Graston can be of help with your condition? Contact us for more information or come in for an assessment with one of our experienced therapists at our Vancouver location. We look forward to meeting you!



With care,

Therapy X Collective