Graston Technique®

Dr. Grozalis is certified in Graston Technique. http://www.grastontechnique.com/

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What is the Graston Technique®?
A. The Graston Technique® incorporates a patented   form of instrument-assisted soft tissue mobilization that enables clinicians   to effectively detect and treat scar tissue and restrictions that affect   normal function.The Technique:

  • Separates and breaks down collagen cross-links, and splays and stretches connective tissue and        muscle fibers
  • Increases skin temperature
  • Facilitates reflex changes in the chronic muscle holding pattern
  • Alters spinal reflux activity (facilitated segment)
  • Increases the rate and amount of blood flow to and from the area
  • Increases cellular activity in the region, including fibroblasts and mast cells
  • Increases histamine response secondary to mast cell activity       
Why is scar tissue a problem?
A. Scar tissue limits range of motion, and in   many instances causes pain, which prevents the patient from functioning as he   or she did before the injury.

How is scar tissue   different from other tissue?
A. When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers   running in the same direction, such as tendons and ligaments; or dense,   irregular and loose with fibers running in multiple directions. In either   instance, when tissue is damaged it will heal in a haphazard pattern–or   scarring–that results in a restricted range of motion and, very often, pain.

How are the   instruments used?
A. The Graston Technique® instruments are used to enhance the clinician’s ability to   detect adhesions, scar tissue or restrictions in the affected areas. Skilled   clinicians use the stainless steel instruments to comb over and   “catch” on fibrotic tissue, which immediately identifies the areas   of restriction. Once the tissue has been identified, the instruments are used   to break up the scar tissue so it can be absorbed by the body.

Is the treatment   painful?
A. It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.
Is Graston Technique® used alone?
A. No. Whether the injury is work or non-work   related, the Graston Technique® protocol is the same.   Our protocol includes a brief warm-up exercise, Graston Technique® treatment, followed by stretching, strengthening and ice.

What is the   frequency of treatment?
A. Patients usually receive two treatments per   week over 4-5 weeks. Most patients have a positive response by the 3rd to 4th   treatment.

Will treatments   affect my everyday activities?
A. Most patients are not disabled and continue to   perform their regular functions at home or work.

Is Graston Technique® something new?
A. The concept of cross fiber massage is not new.   Graston Technique® is grounded in the works of Dr. James Cyriax,   an English orthopedic surgeon. The use of our specially designed instruments   and protocol is new.Graston Technique® has become standard protocol in universities   and hospital-based outpatient facilities as well as industrial on-site   treatment settings such as Indiana University and the University of Michigan.   The technique is also being used at industrial settings and by NBA, NHL, NFL   and Major League Baseball trainers.
What kind of results   does Graston Technique® produce?
A. Historically, the Graston Technique® has had positive outcomes in 75–90 percent of all conditions   treated. It is equally effective in restoring function to acute and chronic   injuries, and pre- and postsurgical patients. See chart below for Outcome Summary Data of the 17 most common diagnoses.

Can anyone obtain   the instruments?
A. Only clinicians who have been trained and accredited in the Graston Technique® Basic course are qualified to obtain the Graston Technique® instruments and apply   the technique to treat patients. The course is offered either on-site or at   trainings offered throughout the year at a variety of locations.

Injury

Average
# of Treatments

Complete
100%

Excellent
90%+

Good
80%+

Fair
70%+

Unchanged
less than 70%

Success Rate

 Achilles Tendinitis

8

4

73

15

0

8

92

 Ankle Sprain

8

6

52

24

6

12

82

 Plantar Fasciitis

7

2

44

24

11

19

70

 Patella Femoral Syndrome

11

5

42

24

24

5

71

 Cervical Pain

11

4

49

29

13

5

82

 Low Back Pain

11

8

44

35

6

7

87

 Fibromyalgia

10

6

31

44

6

13

81

 Hip Pain

9

8

30

50

4

8

88

 Hamstring Strain

8

12

58

12

12

6

82

 ITB Tendinitis

7

0

64

18

9

9

82

 Lat Epicondylitis

10

15

44

31

4

6

90

 Med Epicondylitis

8

13

27

20

7

33

60

 Rotator Cuff Tendinitis

9

14

40

38

3

5

92

 Adhesive Capsulitis

15

0

18

55

18

9

73

 Carpal Tunnel Syndrome

8

5

60

21

9

5

86

 Wrist Tendinitis

7

13

46

33

4

4

92

 Scar Pain

9

0

46

8

38

8

54

 * = Median # of treatments
Success Rate: Percentage of Resolution     equates to attaining the patient/clinician goals of
               1) increase in function
               2) decrease in pain.