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Graston Technique® | Scar Tissue Therapy

Scar Tissue Fibers

Why is scar tissue a problem?

Scar tissue limits range of motion due its negative impact on sensory motor firing rates and frequencies. Abnormal sensory inputs perpetuate a dysfunctional cycle of nervous system sensitization, pain and dysfunctional movement/motor output. GT offers a positive method of manual therapy that interrupts and breaks this cycle of pain and dysfunctional movement.

How is scar tissue different from other tissue?

When viewed under a microscope, normal tissue can be organized in a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense and loose, irregular with fibers running in multiple directions. In either instance, when tissue is damaged, it will often heal in a fibrotic, haphazard manner and may appear radio-dense under diagnostic ultrasound. The tissue may show thickening, irregular organization or less precise margins as compared to non-injured tissues, which results in a restricted range of motion and, very often, pain and functional limitations.

Scar Tissue Formation and Removal

What is the Graston Technique?

Graston Technique® (GT) is a unique, evidence-based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively and efficiently address soft tissue lesions and fascial restrictions resulting in improved patient outcomes. GT uses specially designed stainless steel instruments with unique treatment edges and angles to deliver an effective means of manual therapy. The use of GT instruments, when combined with appropriate therapeutic exercise, leads to the restoration of pain-free movement and function. The instruments also are used diagnostically to assess the kinetic chain, in an efficient manner using the principles of regional interdependence.

Is Graston Technique® an Evidenced-Based Form of Manual Therapy?

Empirical and anecdotal evidence exists for the following physiological effects of GT:

Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers.

Facilitates reflex changes in the chronic muscle holding pattern. (inhibition of abnormal tone/guarding leading to pain reduction via improved sensory input)

Alters/inhibits spinal reflex activity. (facilitated segment)

Increases the rate and amount of blood flow to and from the area. (angiogenesis vs. immediate local increases in blood flow)

Increases cellular activity in the region, including fibroblasts and mast cells.

Increases histamine response secondary to mast cell activity.

Is Graston Technique® Treatment Painful?

GT is not designed to be painful or cause excessive bruising. Occasionally, as with any form of manual therapy and depending on the patient's condition, minor discomfort during the procedure and some bruising afterward may be experienced. GT clinicians are trained to recognize these symptoms and adjust treatment intensity to minimize their occurrence, while realizing the benefits of the technique. GT does not need to be considered "painful" to be effective. Please inform your clinician if you are experiencing discomfort anytime during treatment.

Clinical Applications

Here is list of some of the most common conditions treated with Graston Technique® therapy.

Ankle Pain (Achilles Tendinosis/itis)

Wrist Pain (Carpal Tunnel Syndrome)

Neck Pain (Cervical Sprain/Strain)


Hamstring Injuries

Hip Pain

IT Band (Iliotibial Band)

Tennis Elbow (Lateral Epicondylosis/itis)

Back Pain (Lumbar Sprain/Strain)

Golfer's Elbow (Medial Epicondylosis/itis)

Knee Pain (Patellofemoral Disorders)

Heel Pain (Plantar Fasciitis)

Shoulder Pain (Rotator Cuff Tendinosis/itis)

Women's Health (Post-Mastectomy and Caesarean Scarring)

Schedule your Patient Pre-Screening today! Call 305-432-1911

Questions or Comments

Miami Spine Center

15680 SW 88th St. #201
Miami, FL. 33196

Call 305-432-1911