One such treatment ismassageand myofascial release of tissues, or a hands-on soft tissue technique.
Commonly known as the Graston technique, it is a specialized, myofascial release and massage technique.
This is thought to reduce pain and improve movement.
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Massage and Myofascial Release
Some physical therapists include massage in their rehab programs.
These soft tissue restrictions can limit yourrange of motion (ROM)and may trigger pain.
Myofascial release with IASTM may be one way your PT treats these restrictions.
And many patients confirm the benefits of myofascial release and massage as a treatment for their pain.
Since then, with input from researchers and clinicians, it has grown in popularity.
Physical therapists may use different types of tools to perform IASTM.
Many of these blades, scrapers, and sharp, pointy objects look scary.
This tool is gently (or vigorously) scraped and rubbed over the skin.
These areas will feel crumbly or craggy as the tool passes over them.
So what happens as your PT uses the IASTM tool to scrape at fascial restrictions?
The body then works to reabsorb the excess scar tissue that is causing the restriction.
The PT can then stretch adhesions of scar tissue to help improve overall pain-free mobility.
When IASTM Is Used
IASTM treatment is not for every patient and circumstance.
They will then rub an ergonomically shaped metal tool over your skin.
The PT should start gently, exploring the area around your injury with the IASTM tool.
During this time, you will likely feel gentle scraping sensations.
And you may feel a slight gravelly sensation as the tool passes over tight areas of the fascia.
During the session, you may feel some discomfort.
Be sure to tell your PT if you cannot tolerate the discomfort.
Your therapist should stop performing IASTM if it is too uncomfortable or you tell them to stop.
After the treatment, the affected skin will probably be red.
In some cases, slight bruising may occur, especially if the IASTM treatment was performed vigorously.
This can help keep scar tissue or fascia restrictions from reforming.
Recap
You will be aware that the IASTM treatment is taking place.
At first, you will likely feel gentle scraping sensations.
Then you may feel a slight gravelly sensation as the tool passes over tight areas of your fascia.
Many studies about IASTM are case reports of one specific patient or studies done on non-human tendons and fascia.
Is it supported by rigorous scientific research?
Are there alternatives to treatments that may be more beneficial or safer?
The IASTM technique did provide greater improvements in disability when compared to hands-on myofascial techniques.
All groups improved over time, and no significant negative events occurred.
So will IASTM work for you?
Maybe, maybe not.
And if you have any questions about IASTMor any other treatmentask your physical therapist.
Summary
Instrument-assisted, soft tissue mobilization (IASTM) is commonly known as the Graston technique.
It’s a myofascial release and massage technique used during physical therapy.
To perform IASTM, physical therapists use a metal or plastic tool to provide soft tissue massage and mobilization.
The tool is gently (or vigorously) scraped and rubbed over the skin.
The technique carries some risks, but the benefits may outweigh them.
A Word From Verywell
The prospect of being pain-free can make anyone giddy with relief.
If it’s possible for you to, talk to people who have undergone the treatment.
They can provide detail to enhance what a healthcare provider and physical therapist can tell you.
2014;27(4):475-80. doi:10.3233/BMR-140468.
2017;13(1):12-22. doi:10.12965/jer.1732824.412.
Doctoral dissertation, California State University, Fresno.
