![]() | The Graston Technique and ASTYM - Alternative Treatment of Injuries The goals of these treatments are to reduce the need for splints, braces, and anti-inflammatory medications while allowing the patient to continue in their activity of choice during treatment. |
Sam Schimelpfenig, MD
Member AMSSM
Imagine you have just suffered from an acute injury that threatens to derail your carefully planned training schedule. Or you are battling an old injury that does not seem to be responding well to the usual treatment strategies. Tests have been performed to rule out a surgical fix, so what else is there?
The Graston Technique®, researched at Ball Memorial Hospital and Ball State University in Indiana, was originally conceived by an athlete who was frustrated with his rehabilitation progress following surgery and conventional therapy for a knee injury. Today, there are thousands of providers, including athletic trainers, chiropractors and therapists, who use the Graston Technique® effectively to treat athletes of all abilities, including the collegiate and professional levels.
The Graston Technique® is designed to break up adhesions that are formed between scar tissue and other tissues in the body, especially the fascia which surrounds muscles and tendons. These adhesions are commonly the result of an injury, either acute or chronic, but can also be seen following surgical procedures. As the provider rubs the area with specially designed stainless steel instruments, these adhesions can be felt and gradually released to provide relief for the patient’s complaints and restore normal physiologic function.
A similar treatment option is ASTYM, which is another non-invasive technique for treating acute and chronic injuries. Like the Graston Technique®, it is designed to break up scar tissue as well as promote proper healing after an injury, the main difference being the shape of the instruments used. A period of stretching and strengthening is recommended by the provider following the initial sessions to help restore normal strength and function.
The goals of these two forms of treatment are to reduce the need for splints, braces, and anti-inflammatory medications as well as to allow the patient to continue to engage in their activity of choice while undergoing treatment. This is different from traditional therapy, which often requires a period of avoidance of certain activities while undergoing treatment.
There is support in the medical literature for both of these options, although there are not many randomized controlled trials which are the best way to compare a method of treatment to traditional techniques. Animal models have shown support for the theory of how the Graston Technique® works, and there are also reports of the effectiveness of this treatment strategy for various injuries including tennis elbow, overuse injuries, and trigger thumbs. Similar articles exist in many peer-reviewed journals that support use of the ASTYM technique for treatment of different injuries. Whether either technique is superior to traditional therapy has not been conclusively studied, but they both represent a different approach to the treatment of injuries.
For more information and a list of providers in your area, see the following websites: www.grastontechnique.com and www.astym.com.

