Chiropractic

Graston

Graston Technique@ is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation. The Graston Technique@ (GT) Instruments, while enhancing the clinician's ability to detect adhesions and restrictions, have been clinically proven to achieve quicker and better outcomes 111 treating both acute and chronic conditions, including:

Cervical sprain/strain (neck pain)
Lumbar sprain/strain (back pain)
Carpal Tunnel Syndrome (wrist pain)
Plantar Fasciitis (foot pain)
Lateral Epicondylitis (tennis elbow)
Medial Epicondylitis (golfer's elbow)
Rotator Cuff Tendinosis (shoulder pain)
Patellofemoral Disorders (knee pan)
Achilles Tendinosis (ankle pain)
Fibromyalgia
Scar Tissue
Trigger Finger
Shin Splints
Benefits to Patients
Decreases overall time of treatment
Fosters faster rehabilitation/recovery
Reduces need for anti-inflammatory medication
Resolves chronic conditions thought to be permanent
Benefits to Employers and the Healthcare Industry
Allows patients to remain on the job
Reduces the need for splints, braces and job-site modifications
Contributes to reduction of labor and healthcare costs, direct and indirect

Graston FAQ

What is the Graston Technique?
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. The Technique:

Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers
Increases skin temperature
Facilitates reflex changes 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 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 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.

Is Graston Technique used alone?
No. Whether the injury is work or non-work related, the Graston Technique@ protocol is the same. Our protocol includes a brief warm-up exercise, Graston Technique@ treatment, followed by stretching, strengthening and ice.

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.

Will treatments affect my everyday activities?
Most patients are not disabled and continue to perform their regular functions at home or work.

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 our 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 trainers.

What kind of results does Graston Technique produce?
Historically, the Graston Technique@ has had positive outcomes in 75—90 percent of all conditions treated. It is equally effective in restoring function to acute and chronic Injuries, and pre- and postsurgical patients. Click here for Outcome Summary Data of the 17 most common diagnoses.

Can anyone obtain the instruments?
Only clinicians who have been trained and accredited in the Graston Technique Basic course are qualified to obtain the Graston Technique@ instruments and apply the technique to treat patients. The course is offered either on-site or at trainings offered throughout the year at a variety of locations.