An Introduction

                                                Graston Technique   ®



                                                incorporates the use of
                                                patented stainless-steel
                                                instruments to aid the
                                                clinician in the detection
                                                and treatment of
                                                soft-tissue dysfunction.




              GT Instruments                       How Do the Instruments Work?
                                                   The GT instruments
                                                   detect and amplify soft
                                                   tissue restrictions
                                                   similar to how a
                                                   stethoscope amplifies
                                                   the sound of the
                                                   heartbeat.




                                                                   Treatment
How Are the Instruments Used?
                                                    It is common to experience minor discomfort
Skilled clinicians use the stainless steel          during the procedure and some bruising
instruments to comb over and "catch" on             afterwards. This is a normal response and
fibrotic tissue, which immediately identifies       part of the healing process.
the areas of restriction. Once the tissue has
been identified, the instruments are used to        Patients usually receive two treatments per
break up the scar tissue so it can be               week over 4 to 5 weeks. Most patients have a
absorbed by the body.                               positive response by the 3rd to 4th
                                                    treatment.
The Benefits of GT                                      The Benefits of GT
                       • Separates and breaks
                                                                             • Alters spinal reflux
                         down collagen cross-links
                                                                               activity (facilitated
                         and splays
                                                                               segment)
                       • Stretches connective
                                                                             • Increases the rate and
                         tissue and muscle fibers
                                                                               amount of blood flow to
                       • Increases skin temperature                            and from the area
                       • Facilitates reflex changes                          • Increases cellular activity
                         in the chronic muscle                                 in the region, including
                         holding pattern                                       fibroblasts and mast cells




           The Benefits of GT                                      The Benefits of GT
                       • Increases histamine                                        • Resolves chronic
                         response secondary to                                        conditions thought to
                         mast cell activity                                           be permanent
                       • Decreases overall time of
                         treatment
                                                                                    • Allows patients to
                       • Fosters faster                                               continue to engage in
                         rehabilitation/recovery                                      everyday activities
                       • Reduces need for anti-
                         inflammatory medication




                   Results                                         Clinical Indications
Historically, the                                     • Fascial Syndromes           • Tendinopathies
Graston Technique  ®
                                                        –   Plantar Fasciitis         – Lateral Epicondylosis
has resolved 87% or                                     –   ITB Syndrome              – Medial Epicondylosis
more of all conditions                                  –   Compartment Syndromes     – Supraspinatus
treated. It is equally                                  –   DeQuervains Syndrome        Tendinosis
effective on restoring                                  – Trigger Finger              – Achilles Tendinosis
function to acute and                                                                 – Patellar Tendinosis
chronic injuries, and
                                                      • Myofascial Pain
pre- and post-surgical
                                                        Syndromes
patients.
Clinical Indications                      Relative Contraindications
• Entrapment            • Ligament Pain           ! "#$%&'                 ! </7=9&.&7#
  Syndromes               Syndromes
                                                  ! ()'$*+%#'+             ! 8>?*@8&06&A*>/7=#19&1-%*
  – Ulnar Entrapment      – MCL and LCL Sprains                              ?/+1'2=9/B*
                                                  ! ,-.$&/*./+0)$%1-2$
  – Carpal Tunnel         – Coronary Ligament                              ! "83>*@"9'2$-%*8&4-2$#6*
                                                  ! 3'&4$#$%/
                            Sprains                                          3#-$*>/$.'27&B
  – Thoracic Outlet                               ! 5$1-%2#4)6#$1*
                          – AC Ligament Sprains                            ! 326/$&)'2=#19-&+
                                                    7&.-%#1-2$+
                          – Ankle Sprains                                  ! C$9&#6&.*%62+&.*$2$D
                                                                             C$9&#6&.*%62+&.*$2$D
                                                  ! 89&)7#12-.*#'19'-1-+
• Scar                                                                       %27=6-%#1&.*0'#%1)'&+*
                                                  ! :#'-%2+&*;&-$+
  Tissue/Adhesions        • Edema Reduction                                  @+201*1-++)&*%27=2$&$1B




      Absolute Contraindications                                   Questions?
 •   Open wounds/unhealed suture sites/sutures
                                                            For more information about
 •   Thrombophlebitisa                                        Graston Technique , visit
                                                                                 ®


 •   Uncontrolled hypertension
 •   Inflammatory conditions due to infection
                                                            GrastonTechnique.com
 •   Contagious or infectious skin conditions
 •   Hematoma/Myositis Ossificans
 •   Osteomyelitis
 •   Unstable fractures

Introduction to Graston Technique

  • 1.
    An Introduction Graston Technique ® incorporates the use of patented stainless-steel instruments to aid the clinician in the detection and treatment of soft-tissue dysfunction. GT Instruments How Do the Instruments Work? The GT instruments detect and amplify soft tissue restrictions similar to how a stethoscope amplifies the sound of the heartbeat. Treatment How Are the Instruments Used? It is common to experience minor discomfort Skilled clinicians use the stainless steel during the procedure and some bruising instruments to comb over and "catch" on afterwards. This is a normal response and fibrotic tissue, which immediately identifies part of the healing process. the areas of restriction. Once the tissue has been identified, the instruments are used to Patients usually receive two treatments per break up the scar tissue so it can be week over 4 to 5 weeks. Most patients have a absorbed by the body. positive response by the 3rd to 4th treatment.
  • 2.
    The Benefits ofGT The Benefits of GT • Separates and breaks • Alters spinal reflux down collagen cross-links activity (facilitated and splays segment) • Stretches connective • Increases the rate and tissue and muscle fibers amount of blood flow to • Increases skin temperature and from the area • Facilitates reflex changes • Increases cellular activity in the chronic muscle in the region, including holding pattern fibroblasts and mast cells The Benefits of GT The Benefits of GT • Increases histamine • Resolves chronic response secondary to conditions thought to mast cell activity be permanent • Decreases overall time of treatment • Allows patients to • Fosters faster continue to engage in rehabilitation/recovery everyday activities • Reduces need for anti- inflammatory medication Results Clinical Indications Historically, the • Fascial Syndromes • Tendinopathies Graston Technique ® – Plantar Fasciitis – Lateral Epicondylosis has resolved 87% or – ITB Syndrome – Medial Epicondylosis more of all conditions – Compartment Syndromes – Supraspinatus treated. It is equally – DeQuervains Syndrome Tendinosis effective on restoring – Trigger Finger – Achilles Tendinosis function to acute and – Patellar Tendinosis chronic injuries, and • Myofascial Pain pre- and post-surgical Syndromes patients.
  • 3.
    Clinical Indications Relative Contraindications • Entrapment • Ligament Pain ! "#$%&' ! </7=9&.&7# Syndromes Syndromes ! ()'$*+%#'+ ! 8>?*@8&06&A*>/7=#19&1-%* – Ulnar Entrapment – MCL and LCL Sprains ?/+1'2=9/B* ! ,-.$&/*./+0)$%1-2$ – Carpal Tunnel – Coronary Ligament ! "83>*@"9'2$-%*8&4-2$#6* ! 3'&4$#$%/ Sprains 3#-$*>/$.'27&B – Thoracic Outlet ! 5$1-%2#4)6#$1* – AC Ligament Sprains ! 326/$&)'2=#19-&+ 7&.-%#1-2$+ – Ankle Sprains ! C$9&#6&.*%62+&.*$2$D C$9&#6&.*%62+&.*$2$D ! 89&)7#12-.*#'19'-1-+ • Scar %27=6-%#1&.*0'#%1)'&+* ! :#'-%2+&*;&-$+ Tissue/Adhesions • Edema Reduction @+201*1-++)&*%27=2$&$1B Absolute Contraindications Questions? • Open wounds/unhealed suture sites/sutures For more information about • Thrombophlebitisa Graston Technique , visit ® • Uncontrolled hypertension • Inflammatory conditions due to infection GrastonTechnique.com • Contagious or infectious skin conditions • Hematoma/Myositis Ossificans • Osteomyelitis • Unstable fractures