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Physical Therapy Services

The Graston Technique®

What is the Graston Technique®?

Graston is a type of IASTM: Instrument to achieve effects and benefits of Soft Tissue Mobilization. Similar techniques include ASTYM ™ (clear plastic), SASTYM (purple ceramic), and Gua Sha (Eastern medicine practice).

It is the use of instruments to help detect and release adhesions, scaring, or restrictions of soft tissue in the body such as muscles, ligaments, tendons, and fascae. The instruments are used to help breakdown these adhesions and redirect tissue healing properly through the inducing of the normal inflammatory process for recovery and remodeling phases of soft tissue healing. It consists of 6 metal instruments specifically designed to contour to the body.

The Graston Technique® incorporates the pillars of Physical Therapy treatment consisting of cardiovascular work, stretching, strength building, manual therapy and icing while allowing an adjunct treatment tool in your rehab plan.

Graston Technique® is used for the following diagnoses:

  1. Tennis elbow
  2. Golfer’s elbow
  3. Rotator cuff tendonitis
  4. Achilles tendonitis
  5. Jumper's knee
  6. Ankle sprains
  7. Scar tissue
  1. Carpal tunnel syndrome
  2. Plantar Faciitis (heel pain)
  3. ITB syndrome (outer hip and thigh pain)
  4. Back and Neck Pain
  5. Knee Sprains
  6. Carpal Tunnel
  7. Thoracic outlet syndrome
  8. Swelling from ankle sprains and knee arthritis
  9. Ulnar nerve entrapment (elbow and wrist)


Prefer 48-72hrs between Graston treatments to allow the induced inflammatory effect to calm down. Usually takes 3-8 treatments of about 8 minutes per body part.

What to expect during the induced inflammatory process associated with Graston Technique®

These occur following the sessions with the initiation of the healing process as we break up the adhesions and scar tissue. These are normal responses which will diminish with time and healing.

  1. Bruising, and petechiae (small red spots)
  2. Spontaneous connective tissue release: scar binding release later in day
  3. Hives: raised swollen and reddened area
  4. Mild Pain / discomfort

Graston Technique® Steps:

  1. Soft tissue warm-up: bike, treadmill, UBE, or modalities
  2. Graston Technique® tools
    1. Initially with the pt stationary
    2. Gradually progressing to limb and muscles movement through functional motions with Graston instrument use
  3. Stretching
  4. Strengthening for endurance: high reps and low weight for collagen formation, then build up strength at 3-6 weeks down the road
  5. Cryotherapy: ice

The Instruments:

Graston Instruments

Clinicians that are Providers of the Graston Technique® at Peak Sports and Spine Lake City (Seattle, WA)

  • Becky Frokan DPT
  • Boyd Bender PT
  • Daniel Neil PT, MS
  • Carrie Morris PT
  • Suzy Powers PT
  • Tom Spencer PTA, AT, C

More information available at

Locations Offered

  • Lake City
    3225 NE 125th St
    Seattle, WA 98125
    ph: (206) 417-1298
    fax: (206) 417-1299

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