Graston Technique


Graston Technique is an instrument assisted soft tissue mobilization that uses patented, stainless steel instruments to examine and release scar tissue, adhesions and fascial restrictions. The six stainless steel instruments used in Graston Technique are each uniquely designed to access and treat all parts of the human body. They act like a stethoscope for the hands in feeling for scar tissue and adhesions. Once found, the instruments provide a mechanical advantage for treating the soft tissue.

Research conducted by Graston Technique® trained clinicians at Ball Memorial Hospital and Ball State University, Muncie, Indiana, found that the controlled micro trauma induced through Graston Technique® protocol, increased the amount of fibroblasts to the treated area. That amount of inflammation to the scar tissue helps initiate the healing cascade. The structure of the tissue is rearranged, and damaged tissue is replaced by new tissue. Ice is then applied to reduce the pain and exercise is implemented to increase function and range of motion.

Other clinical studies continue to document the success of Graston Technique®, generally achieving better outcomes when compared to traditional therapies, and resolving injuries that have failed to respond to other therapies.

The following diagnoses have been shown to respond well to Graston Technique:

Medial Epicondylitis/osis (golfer’s elbow)
Lateral Epicondylitis/osis (tennis elbow)
Carpal tunnel Syndrome
Neck and Back Pain
Plantar Fasciitis / Heel pain
Rotator Cuff Tendinitis/osis
Patellar Tendinitis/osis
Tibialis Posterior Tendinitis/osis
DeQuervain’s Syndrome
Post-Surgical and Traumatic Scars
Myofascial Pain and Restrictions
Chronic and Acute Sprain/Strains
Non-Acute Bursitis
RSD (Reflex Sympathetic Dystropy
IT Band Syndrome
Wrist Tendinitis/osis
Reduced range of motion due to Scar Tissue
Achilles Tendinitis/osis


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.

How often do I need treatment?

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

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 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.

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.