Treatments

The Graston Technique: What It Is, How It Works, and Who Needs It

Instrument-assisted soft tissue mobilization sounds intimidating. But for patients with scar tissue, tendinopathy, or fascial restrictions, it can be transformative.

By Zach Mayfield, LMT··7 min read

When patients first hear about the Graston Technique, they're often skeptical. Metal instruments pressed against the skin? It sounds uncomfortable — and honestly, it can be. But for the right conditions, it's one of the most effective tools we have.

What Is the Graston Technique?

The Graston Technique is a form of instrument-assisted soft tissue mobilization (IASTM). It uses specially designed stainless steel instruments to detect and treat areas of scar tissue, fascial restrictions, and chronic inflammation in soft tissue.

How It Works

The instruments allow therapists to feel subtle changes in tissue texture — adhesions, fibrosis, and restrictions that hands alone might miss. By applying controlled microtrauma to the affected area, the technique stimulates a healing response that breaks down scar tissue and promotes the formation of healthy collagen fibers.

Who Benefits Most

Graston is particularly effective for:

  • Plantar fasciitis and Achilles tendinopathy
  • IT band syndrome and patellar tendinopathy
  • Rotator cuff injuries and frozen shoulder
  • Post-surgical scar tissue
  • Carpal tunnel syndrome
  • Chronic neck and back pain with fascial involvement

If you've tried conventional massage and physical therapy without lasting results, Graston may be the missing piece of your recovery.

Related Services

Graston Technique →
Instrument-assisted soft tissue mobilization for scar tissue and tendinopathy
Soft Tissue Therapy →
Comprehensive manual therapy for musculoskeletal conditions
Physical Therapy →
Evidence-based physical therapy for pain, injury, and recovery

Frequently Asked Questions

Does the Graston Technique hurt?+
Graston can cause some discomfort, especially over areas with scar tissue or chronic inflammation. Most patients describe it as intense but productive. Mild bruising is normal and expected. The discomfort typically decreases significantly after the first 2–3 sessions.
How many Graston sessions do I need?+
Most conditions respond within 6–10 sessions. Acute conditions may resolve faster; chronic scar tissue may require more. Your therapist will assess progress at each visit and adjust accordingly.
What conditions does Graston treat?+
Graston is effective for plantar fasciitis, Achilles tendinopathy, IT band syndrome, rotator cuff injuries, frozen shoulder, post-surgical scar tissue, carpal tunnel syndrome, and chronic neck and back pain with fascial involvement.
Is Graston the same as IASTM?+
Graston is a specific brand of instrument-assisted soft tissue mobilization (IASTM). IASTM is the broader category. Graston uses proprietary stainless steel instruments and a specific treatment protocol developed through clinical research.

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