Graston Technique®

Click HERE to see a slideshow on how GT® really works!!Graston

Information for Patients:

Originally developed by athletes, the Graston Technique®, is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively breakdown scar tissue and restrictions in the fascia (the tissue that covers and connects all the muscles of your body). The six specially designed stainless steel instruments are utilized to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.


The Graston Technique® instruments, while enhancing the clinician’s ability to detect fascial adhesions and restrictions, have been clinically proven to achieve quicker and better outcomes in treating both acute and chronic conditions.


Graston2Cervical 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 Tendinitis (Shoulder pain)
Patellofemoral Disorders (Knee pain)
Achilles Tendinitis (Ankle pain)
Scar Tissue
Shin Splints
Trigger Finger


Scar tissue limits range of motion, and in many instances, results in pain and prevents our body from functioning the way it did before injury, surgery, etc. When viewed under a microscope, normal tissue has a couple of different looks: 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. When tissue is damaged, it heals in a haphazard pattern--or in the form of scar tissue--that results in a restricted range of motion and, very often, pain.


The GT® instruments are used to comb over the muscles and tissues of the body, causing the stainless steel to vibrate or “catch” in areas of fibrotic tissue. This immediately identifies the areas of restriction and allows for direct patient feedback.


Once the diseased tissue has been identified, the instruments are used to break up the scar tissue so it will be absorbed by the body and new, healthy tissue can take its place.


Graston3It is common to experience minor discomfort during the procedure and sometimes minor bruising/redness afterwards. This is a normal response and part of the healing process, but overall the technique is not considerably painful. It is often described as similar to a deep tissue massage, but in a manner very specific to the involved tissue and area. Patients usually receive two treatments per week over 4 to 5 weeks. Most patients have a positive response by the 3rd to 4th treatment!


Graston Technique® has become recognized as standard protocol in several university and hospital settings, including the prestigious Texas Back Institute. GT® is also being used in industrial settings and by over 160 professional and amateur sports teams, including NFL, NBA, NHL, Major League Baseball teams, as well as Omaha’s own UNO Mavericks! Click here to see a list of all participating sports organizations using the Technique.


Historically, the Graston Technique® has resolved 87% or more of all conditions treated. It is equally effective in restoring function to acute and chronic injuries, and pre and post surgical patients. Click here for research outcomes in 17 of the most commonly treated diagnoses.


Information for Health Care Professionals

Clinical Research Shows that Graston Instrument Assisted Soft Tissue
Mobilization (GIASTM)

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


Graston Technique® is grounded in the works of orthopedist James Cyriax, MD and cross-friction massage. The use of the specially designed instruments and protocol is unique. Only clinicians who have been trained and accredited in the Graston Technique® courses are qualified to obtain the Graston Technique® Instruments and apply the technique to treat patients.


Outcome studies and clinical references are available on the Graston Technique® Website: