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FAQs about The Graston Technique®

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What Is The Graston Technique®

This remarkable procedure allows us to detect and treat areas of "scar tissue" or adhesions in muscles, tendons and ligaments that can reduce our range of motion and cause pain.

In the healing process, our body attempts to repair those areas by creating "scar tissue," much like the scar that forms on the skin when you have scraped or banged your knee.

In time, we can have a build up of this fibrous scar tissue, particularly in the muscles, tendons and ligaments that get a lot of use. This can lead to pain and dysfunction because this replacement tissue lacks the strength and flexibility of healthy tissue (in some areas it may even mat down and entrap a nerve).

The Graston Technique® allows us to better detect and treat these areas because it uses a stainless steel instrument that glides along a patient’s muscle, tendons or ligaments, with the right amount of pressure to detect just where the scar tissue or restrictions are located.

How is scar tissue different from other tissue?

Normal tissue can vary from dense, regular elongated fibers running in the same direction, such as tendons and ligaments or it can be dense, irregular and loose with fibers running in multiple directions. In either case, 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 associated with movement.

How Does the Graston Technique Work?

When these knots or bands of scar tissue are encountered, both the clinician and the patient sense a restriction, almost like a speed bump or a granular feeling. The instrument can then be used to "break up" this restriction or adhesion. Stretching exercises are used to promote re-alignment of the fibers into the normal pattern of healthy tissue.

How are the instruments used?

Trained practitioners 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.

Is Graston Technique® used alone?

 The protocol includes a brief warm-up exercise, Graston Technique® treatment, followed by stretching, strengthening and ice. Other therapies such as chiropractic may be used in an overall program to get you back to full health.

How often should the treatments be done?

Patients usually receive two treatments per week over 4-5 weeks. Most patients have a positive response by the 3rd to 4th treatment. In most cases, there is no "downtime" and you can continue to perform your 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 Dr. James Cyriax, an English orthopedic surgeon. The use of the specially designed instruments and protocol is new.

Graston Technique® has become standard protocol in universities and hospital-based outpatient facilities as well as 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 organizations.

What kind of results does Graston Technique® produce?

Graston Technique® has been shown to improve or resolve 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.

Can anyone obtain the instruments?

Only clinicians who have been trained and accredited in the Graston Technique® are qualified to obtain the Graston Technique® instruments and apply the technique to treat patients.