How Does It Work?
IASTM/Graston Technique is a form of manual therapy that uses specialized stainless steel or plastic instruments with beveled edges to detect and treat soft tissue adhesions and restrictions.
The therapist uses these tools to scan and identify areas of fascial restrictions, fibrotic tissue, and scar tissue that may be causing pain and limiting mobility.
When these problem areas are detected, the therapist applies controlled pressure through the instruments to gently break down these adhesions, increase blood flow to the area, and stimulate a healing response in the tissue.
The micro-trauma created by this technique initiates a local inflammatory response, bringing increased blood flow and cellular activity to the area, which accelerates the healing process.
Types/Variations We Offer
Steel instrument technique (traditional Graston Technique®)
Plastic/resin instrument protocols
Fascial scraping with different edge intensities
Combined IASTM with cupping or other soft tissue methods
Conditions Treated
Advantages & Expected Benefits
Breaks down scar tissue and fascial restrictions
Increases blood flow and nutrient delivery to affected areas
Reduces pain and improves range of motion
Accelerates rehabilitation and recovery
Addresses long-standing chronic conditions that haven't responded to other treatments
Can be more precise than manual techniques alone
May reduce need for anti-inflammatory medication
Potential Risks & Short-term Side Effects
Temporary bruising and soreness after treatment (usually subsides within 24-48 hours)
Temporary redness or skin irritation at treatment site
Slight discomfort during the procedure (though intensity can be adjusted)
Contra-Indications / Precautions
This treatment may not be suitable for individuals with:
- •Acute inflammatory conditions
- •Unhealed or open wounds in the treatment area
- •Skin infections or dermatological conditions
- •Certain vascular conditions and varicose veins
- •Uncontrolled diabetes
- •Cancer in the treatment area
- •Use of blood thinners (requires modified technique)
What to Expect in a Session
Initial assessment to determine if IASTM/Graston is appropriate for your condition
Brief warm-up of the affected area (may include heat application or light exercise)
Application of emollient to reduce friction between the instrument and skin
Scanning phase where therapist assesses for restricted areas using the instruments
Treatment phase with appropriate pressure applied to problematic tissues
Follow-up exercises or stretches to maintain tissue mobility
Sessions typically last 10-15 minutes for the IASTM component, within a standard physiotherapy session
Treatment is reviewed as you go and continued only while it is helping, rather than booked as a fixed course
Evidence & Clinical Guidelines
Frequently Asked Questions
Is IASTM/Graston Technique painful?
The treatment can cause some discomfort, but it shouldn't be excessively painful. Your therapist will adjust the pressure based on your feedback and comfort level. Some areas may be more sensitive than others, and mild discomfort is often an indication that the treatment is addressing problematic tissue.
What should I expect after treatment?
After IASTM, it's normal to experience some redness in the treated area, mild bruising, and temporary soreness for 24-48 hours. These are all signs of increased blood flow and the healing response. Your therapist will give you specific post-treatment instructions, which may include ice application, stretching, or modified activities.
How long will treatment take?
It depends on your condition, its severity, and how long you have had it. You pay per visit: there is no package to buy and no minimum number of visits. Chronic conditions typically require more sessions than acute injuries. Your therapist will develop a personalized treatment plan and adjust it based on your progress.
Can I combine IASTM with other physiotherapy treatments?
Yes, IASTM/Graston Technique is often most effective when combined with other physiotherapy interventions like therapeutic exercise, stretching, joint mobilization, and modalities. Your comprehensive treatment plan will likely include multiple approaches to address all aspects of your condition.
Will I need to do anything between sessions?
Yes, your therapist will likely prescribe specific exercises, stretches, or self-care activities to maintain the mobility gains achieved during treatment. Consistency with your home program is crucial for optimal and lasting results.
Need More Information?
Our expert physiotherapists are here to answer any questions you may have about IASTM / Graston Technique.
Medically Reviewed
This content was reviewed for medical accuracy by Dr. Surabhi Bansal, BPT, MPT (Ortho) with 14+ years of clinical experience.
At Modern Physio, all medical content undergoes a thorough review process to ensure accuracy and alignment with current physiotherapy standards. Our content is created to educate and should not replace professional medical advice. Learn more about our review process.