Graston Technique uses instruments to achieve the effects and benefits of soft tissue mobilization. With Graston, there are six specifically designed stainless steel instruments that a therapist uses to help find and treat soft tissue problems.


It is an evidence-based method of IASTM (Instrument Assisted Soft Tissue Mobilization) used in combination with rehabilitation exercises to improve musculoskeletal function.


You can think of the Graston technique as a deeper and more intense version of manual therapy.


Specially trained physicians use specially designed Graston tools in two ways:


First, locate muscle knots or restrictions. To do this, they run the tools over the skin to feel for fibrous or scar tissue that may cause pain or restrict your movements.


Second, they use the tools to break down that tissue and restore mobility and function.


The general goals of the therapy are to reduce the patient's pain and increase function through a combination of:

When Is Graston a Treatment Option?


Patients with the following diagnoses make excellent candidates for this type of treatment:


  1. Tendinopathies (all the conditions that end in -osis or -itis, such as Achilles tendinitis, medial/lateral epicondylitis, and greater trochanteric bursitis)

  2. Fascial syndromes (such as trigger finger, plantar fasciitis(foot or heel pain), ITB syndrome)

  3. Ligament pain syndromes (such as ankle sprains or other types of sprains)

  4. Edema/swelling reduction

  5. Post-surgical or traumatic scars/adhesions

  6. Entrapment syndromes (carpal/tarsal tunnel, ulnar entrapment, thoracic outlet).


How the Graston Technique Improves Pain Treatments


Adding the Graston Technique to any treatment decreases overall treatment time. It reduces the need for anti-inflammatory medication and enhances rehabilitation. Many patients with chronic conditions show significant improvement. Your provider is trained in how to properly utilize the instrument-assisted soft tissue mobilization.


  • Reduce the stress and strain to the injured areas.

  • Decrease in inflammation.

  • Increase muscle flexibility and strength.

  • Increase blood flow.

  • Break up scar tissue.

  • Promote proper tissue repair.

  • Enhance functional movements.

  • Accelerate fibroblast activity.


Home therapies are recommended to limit further scar tissue formation, encourage proper healing, and speed up recovery. Medical attention and supports may be recommended for specific injuries.


When these treatments are incorporated into a treatment plan patients heal faster and are less likely to have long-term pain or soft tissue fibrosis or scar tissue in the injured muscle. These soft tissue treatments are integrated with therapeutic exercise and flexibility programs.


Graston as plantar fasciitis treatment


Plantar fasciitis can be debilitating. Sharp, stabbing pain underneath the foot, the first few steps are brutal in the morning. It can be a chronic issue that’s really tough to get rid of.


The Graston Therapy is very similar to other plantar fasciitis therapies that work to break down adhesions and improve blood flow to the injured fascia (including some remedies you can do at home).


What the Graston technique offers is highly targeted pressure therapy with specialized instruments. While a roller, golf ball, or mobility ball is very helpful in breaking down adhesions and improving blood flow, some people find additional benefits in targeted massage and pressure given by a doctor who can apply very specific pressure.


Many people report significant foot pain relief in the days and weeks after Graston Therapy as blood flow improves and adhesions and scar tissue break down.


  • Decrease pain. Graston helps to decrease inflammation and promote blood flow. 


  • Acute, Chronic, And/Or Post-surgical Conditions. Great for acute inflammatory conditions (like plantar fasciitis), chronic conditions, and post-surgical conditions that have led to a build-up of scar tissue due to limited motion.


  • Faster Recovery. Because of its effectiveness, Graston leads to accelerated recovery time, along with a minimized amount of treatment time necessary to get the job done.


  • Restore range of motion and normal function. Helps to restore motion and therefore normal function.


The technique has become so widely used, that the type of stainless-steel instrument comes in all shapes and sizes, making it perfect for dealing with all areas of the body – be it the tiny crevices in the wrist, broad muscles of the lower back, or long plane of the Achilles.


Eliminate Achilles Tendonitis Today!


Soft tissue injuries occur whenever force and strain are applied to muscles. Years of lifting, running, jumping, standing, and sports cause scar tissue to develop in muscles which affect performance and leads to foot and Achilles pain.


Graston Technique and A.R.T are more effective when the treatments are combined with stretching and exercises during the visit. The increased strain from exercises and stretching enhances the repair process.


Patients with chronic injuries often have patches of scar tissue altering their muscle activity. This is very common in people with plantar fasciitis, chondromalacia patella, Achilles tendinitis, and IT band syndrome. Years of low-grade repetitive trauma eventually overwhelm the tissue and patches of scar tissue become pain sources. These patches alter normal running gaits, leading to excessive tissue damage.