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Clinical Applications of the Patented
Graston Instruments

 The Graston Technique® (GT) Instruments, while enhancing the clinician's ability to detect fascial adhesions and restrictions, have been clinically proven to achieve quicker and better outcomes in treating both acute and chronic conditions, including:

Cervical sprain/strain (neck pain)          Lumbar sprain/strain (back pain)       Carpal Tunnel Syndrome (wrist pain)     Plantar Fasciitis (foot pain)       
Lateral Epicondylitis (tennis elbow)        Medial Epicondylitis (golfer's elbow) Rotator Cuff Tendinitis(shoulder pain)   Scar Tissue
Achilles Tendinitis (ankle pain)                Fibromyalgia       
Trigger Finger                                            
Shin Splints                                Patellofemoral Disorders (knee pain)      

Major companies using Graston Technique®
Allison Transmission - Indianapolis, IN
Celine Dion Enterprises - Las Vegas, NV
Community Health Network - Indianapolis, IN
Delta Faucet - Greensburg, IN
Department of National Defence - Ottawa, ON
Disneyland Entertainment Div - Orange, CA
Frito Lay  - Indianapolis, IN
International Truck and Engine - Indpls, IN
James A. Haley VA Med Ctr- Tampa, FL James
J. Peters VA Med Ctr-The Bronx, NY
Naval Medical Center - Portsmouth, VA
Naval Special Warfare Group II - Norfolk, VA
Subaru of Indiana Automotive - Lafayette, IN
SuperValu - Ft. Wayne, IN
Surgical Details - Niles, MI
Toyota - Family Health Ctr- San Antonio, TX
UAW-Ford Physical Rehab Ctr - Indpls, IN
VA Salt Lake City Med Ctr- Salt Lake City

Professional Sports Organizations using Graston Technique®
NBA
Atlanta Hawks        Charlotte Bobcats    Cleveland Cavaliers    Denver Nuggets         Miami Heat             Milwaukee Buck       New York Knicks        Minnesota Timberwolves        Philadelphia 76ers    Utah Jazz                 Washington Wizards

NFL
Atlanta Falcons        Carolina Panthers       Cleveland Browns     Houston Texans        Indianapolis Colts    Jacksonville Jaguars   New England Patriots    New York Giants                      San Francisco 49ers    Tennessee Titans    Washington Redskins

MLB
Chicago White Sox    Cincinnati Reds        Cleveland Indians    Milwaukee Brewers    New York Mets         Seattle Mariners      St. Louis Cardinals


Professional Golf     PGA Tour         Champions Tour 

THE GRASTON TECHNIQUE

A New Way to Decrease Pain and Improve Function

(To view a video demonstration as well as more information, please go to: www.grastontechnique.com

Graston Technique® is a soft tissue diagnostic and therapeutic method that has been used in outpatient clinics since 1993.  A key protocol of the Graston Technique®, Graston Instrument-assisted Soft Tissue Mobilization (GISTM) has only recently been introduced to the chiropractic profession.  Graston instruments - made of stainless steel, specifically designed and developed as an alternative to transverse friction massage - are used as an aid in the diagnosis and treatment of soft tissue dysfunction or pathology. The instruments provide tactile diagnostic feedback to both the doctor and the patient, as the instruments act as a focused extension of the doctor's own hands while reducing wear and tear on the hands.

GISTM research, conducted at Ball Memorial Hospital and Ball State University, includes an in vitro rat tendon injury model showing that GISTM significantly activates fibroblasts to both replicate and synthesize.(1, 2)  Thus, GISTM increases the amount of fibroblasts and the quantity of collagen deposited, which should speed healing of dense connective tissue like tendon and ligament.  The rate of activation is proportional to the force applied to the tendon.(1)

Clinical experience has shown that Graston Technique® is helpful in the management of a large variety of musculoskeletal disorders. These include: carpal tunnel syndrome, cervical pain, de Quervain's syndrome, epicondylitis, fibromyalgia, IT band syndrome, joint sprain, lower back pain, neck pain, muscle strain, painful scar, plantar fasciitis, post fracture pain, and tendonitis.(3-6) A large case series found that Graston Technique® reduces numbness, increases patient functional capabilities both in ADLs, and work related function.(7)

Clinical trials of the effectiveness of Graston Technique® in the treatment of carpal tunnel syndrome, lateral epicondylitis and post-surgical low back pain are underway or have been funded.

Summary
• Graston Technique® is both a diagnostic and therapeutic method
• Stainless steel instruments are used to focus treatment forces and improve diagnostic ability
• Graston Technique® has been effective in the treatment of:  carpal tunnel syndrome, cervical pain, de Quervain's syndrome, epicondylitis, fibromyalgia, IT band syndrome, joint sprain, lower back pain, muscle strain, painful scar, plantar fasciitis, post fracture pain, and tendonitis(7)

1. Gehlsen GM, Ganion LR, Helfst R.  Fibroblast responses to variation in soft tissue mobilization pressure. Med Sci Sports Exerc 1999;31(4):531-5.
2. Davidson C, Ganion L, Gehlsen G, Verhoestra B, Roepke J, Sevier T. Rat tendon morphologic and functional changes resulting from soft tissue mobilization. Medicine and Science in Sports and Exercise 1997;29(3):313-9.
3. Earley BL, Carey MT, Hall A. The Graston Technique of Instrument-assisted Soft Tissue Mobilization. In: AOTA Annual Conference and Exposition; 2000 March 30 - April 2; Seattle, WA; 2000.
4. Sevier TL, Wilson JK. Treating lateral epicondylitis. Sports Med 1999;28(5):375-80.
5      Carey MT, Ploski M, Sweney L. The Graston Technique of Soft Tissue Mobilization. In: APTA Combined Sections Meeting; 1999 February 3-7; Seattle, WA; 1999.
6. Melham TJ, Sevier TL, Malnofski MJ, Wilson JK, Helfst RH, Jr. Chronic ankle pain and fibrosis successfully treated with a new noninvasive augmented soft tissue mobilization technique (ASTM): a case report. Med Sci Sports Exerc 1998;30(6):801-4.
7. Perle SM, Perry DG, Carey MT. Effects of Graston Technique on Soft Tissue Conditions: A Prospective Case Series. In: WFC's 7th Biennial Congress; 2003; Orlando, FL: World Federation of Chiropractic; 2003.