Manual Therapy - Graston Technique

Graston Technique® is an interdisciplinary treatment used by more than 3000 clinicians—including athletic trainers, chiropractors, hand therapists, occupational and physical therapists. GT is utilized at some 450 out-patient facilities and industrial on-sites, by more than 60 professional and amateur sports organizations, and is part of the curriculum at 15 respected colleges and universities.

The Graston Technique® incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that affect normal function.

The Technique:
  • 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
  • Increases histamine response secondary to mast cell activity
  • For the clinician:
    1. Provides improved diagnostic treatment
    2. Detects major and minor fibrotic changes
    3. Reduces manual stress; provides hand and joint conservation
    4. Increases patient satisfaction by achieving notably better outcomes
    5. Expands business and revenue opportunities

  • For the patient:
    1. Decreases overall time of treatment
    2. Fosters faster rehabilitation/recovery
    3. Reduces need for anti-inflammatory medication
    4. Resolves chronic conditions thought to be permanent
    5. Continues to engage in everyday activities

  • For employers and the healthcare industry:
    1. Allows patients to remain on the job
    2. Reduces the need for splints, braces and job-site modifications
    3. Contributes to reduction of labor and healthcare costs, direct and indirect


Manual Therapy techniques are utilized by physical therapists to assist in diagnosing joint restrictions and soft tissue dysfunction which impair function.  These hands-on techniques are used to improve both active and passive ROM due to acute and chronic pain syndromes.  Rehabilitation research has demonstrated that outcomes from orthopedic conditions resolve more completely when exercise is supported with manual therapy strategies.