Phase 2: Manipulation Using Tools
Using Tools for Myofascial Release
If range of motion is restricted as a result of muscular or soft tissue dysfunction, the stretching techniques and electrical modalities listed on the previous pages are often used. In addition, myofascial release techniques including instrument assisted soft-tissue mobilization like the Graston technique or SASTM method, active release therapy, spray and stretch, trigger point release and massage therapy are used.
The Graston Technique (see photos) and SASTM Method are licensed techniques that utilize patented instruments to reduce adhesions and improve function.
Gua Sha
The traditional Physical Therapy approaches are strikingly similar to gua sha, a myofascial release technique used in China for thousands of years. There are different sizes and shapes of tools to conform to every body part.
The practitioner scrapes the tools across the skin with a lubricant similar to the way a TCM practitioner administers gua sha. The instruments are designed to provide “feedback” to the practitioner as to the condition of the tissues as the treatment is being administered. The result is decreased pain and adhesions, increased range of motion and function, and decreased swelling. Like gua sha, the patient can experience local bruising or redness as a byproduct of treatment.