Graston · IASTM
Soft tissue mobilisation
IASTM stands for “instrument-assisted soft tissue mobilisation”. Graston Technique is one of the branded systems used within the IASTM approach. Special instruments, usually made of stainless steel, are applied to the soft tissues over the skin in a controlled way.
The method can be used as an adjunct technique in some muscle–tendon problems, movement restrictions and soft tissue sensitivity, with the aim of reducing pain and supporting movement tolerance and range of motion. “Breaking down adhesions” in the tissue, or directly releasing them, is not a mechanism that has been conclusively demonstrated.
As the physiotherapist uses the instrument in different directions and with different pressures, they consider the tactile feedback from the tissue together with the patient's symptoms and movement findings. The sensation from the instrument is not used on its own as a test that identifies diseased tissue or an “adhesion”.
During treatment there may be a sensation of pressure and friction. Afterwards, temporary redness or mild tenderness may occur. Causing noticeable bruising is not the aim of the treatment; if excessive tenderness or bruising develops, the dose and suitability of the treatment are reassessed.
IASTM is generally used as a support alongside an exercise and loading programme. It is not applied to areas with open wounds, active skin infection or significant tissue damage. Conditions such as taking blood thinners or a tendency to bleed must be assessed before treatment.
Who provides it
Cem Yazgan, Yıldız Cöcen Y., Görkem Paşa