This form of manual therapy comprises soft tissue mobilization and incorporates the use of stainless-steel instruments. The goal of the therapy is to separate and break down the scar tissue, as well as stretch connective tissue and muscle fibers. This technique is typically extremely effective and results are typically rapid. Most patients report pain reduction and improved function within the first two treatments.

The Graston Technique uses the instruments with a specialized form of massage that is designed to help identify areas of restriction and break up the scar tissue. The concave and convex stainless steel instruments are used to comb over and catch on injured fibrotic tissue. Using a cross-friction massage, which involves brushing or rubbing against the grain of the scar tissue, there is a re-introduction of small amounts of trauma to the affected area. This temporarily causes inflammation in the area, which in turn increases the rate and amount of blood flow in and around the area. This process helps initiate and promote the healing process of the affected soft tissues.
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