Graston Technique® FAQ

  1. What is the Graston Technique®?

The Graston Technique® is a method of using stainless steel instruments to detect and treat soft tissue problems. These instruments enable clinicians to feel abnormal tissue and manipulate it more precisely. The treatment frequency varies: twice a week for inflammatory conditions and daily for non-inflammatory ones. This technique can help with various soft tissue injuries and arthritic joints1.

  1. How does the Graston Technique® work?

The technique involves using specialized steel instruments to break up scar tissue and improve mobility. Clinicians scan the tissue for points of fibrosis and apply different types of strokes and motions with the tools. Incorporating movement and stretching enhances the effect. Specific areas treated include the gastroc, Achilles tendon, tarsal tunnel, and plantar fascia2.

  1. Is the Graston Technique® useful?

Yes, the Graston Technique® has been inspiring, educational, and beneficial to hundreds of patients. Clinicians who have incorporated it into their practice report positive outcomes. Participants in training sessions are enthusiastic about its effectiveness3.

  1. Are there any potential side effects?

While the Graston Technique® can be effective, it’s essential to note that individual experiences may vary. Some patients have reported discomfort or sensitivity after treatment. If you’re considering this technique, consult with a properly trained clinician to ensure safe and effective application1.

  1. How can I find a qualified practitioner?

To find a qualified practitioner, look for clinicians who have undergone proper training in the Graston Technique®. Be cautious of practitioners who may falsely advertise their services as Graston Technique® without proper training. Contact the official Graston Technique® education company for recommendations and verify credentials1.


Certainly! Let’s enhance the FAQ section to focus on Graston Technique® products available on their website. Here are some additional frequently asked questions related to their products:


Graston Technique® Product FAQ

  1. What types of products can I find on the Graston Technique® website?

The Graston Technique® Shop offers a range of products designed to enhance soft tissue therapy and improve patient outcomes. These include:

Graston Technique Instruments: An all-encompassing toolkit fine-tuned for practitioners. Each instrument is meticulously crafted to target various anatomical areas, offering unparalleled precision in soft tissue manipulation1.

Graston Emollients: These specialized emollients are used during treatment sessions to facilitate instrument movement and enhance patient comfort.

Graston Accessories: Additional tools and accessories that complement the Graston Technique® instruments.

GTU Educational Shorts: Short video modules that provide valuable insights into the technique, its application, and best practices.


  1. Are there training options for using Graston Technique® products?

Absolutely! Graston Technique® University (GTU) offers comprehensive training programs for clinicians. These include:

Essential Training:

Essential Self-Paced Training: Learn at your own pace through online modules.

Essential Live Online Training: Participate in live virtual sessions.

Essential Hybrid In-Person Training: Combine online and in-person learning.

Advanced Training:

Advanced Self-Paced Training: Dive deeper into technique nuances.

Advanced Live Virtual Training: Interactive virtual sessions.

Advanced Live In-Person Training: Hands-on training with experts.

GTS Certification: Achieve certification as a Graston Technique Specialist.


  1. How can I access the Graston Technique® products and training?

Visit the Graston Technique® Shop to explore the entire range of products. For training options, see GTU’s offerings on their website. Remember, becoming part of the Graston Technique® community means staying at the forefront of soft tissue therapy and advancing your skills as a clinician2.


Graston Technique® Emollient FAQ

  1. What are the different types of Graston Technique® emollients?

The Graston Technique® Shop offers a variety of emollients designed to enhance your soft tissue therapy experience. Here are the key emollient options:

Graston® Technique Vitamin E Enriched Emollient (4 oz.):

This official emollient of Graston Technique® therapy consists of a rich blend of Vitamin E, pure coconut oil, and a light vanilla fragrance.

The formula remains consistent during Instrument-Assisted Soft Tissue Mobilization (IASTM) treatments.

Clinicians appreciate its superior glide, requiring fewer applications, and it’s completely washable1.

Graston® Technique CBD Emollient (4 oz.):

Step into a world of enhanced soft tissue therapy with this meticulously crafted emollient.

Infused with the highest-quality cannabidiol (CBD), it offers calming and anti-inflammatory properties.

Each 4 oz. jar is an opportunity to provide your patients with a treatment experience they’ll rave about2.

Graston® Technique Arnica-Infused Emollient (4 oz.):

NEW PRODUCT! This emollient combines the familiar Graston® Soft Tissue Mobilization formula with the natural anti-inflammatory properties of Arnica.

Arnica Montana flower extract is renowned for its pain-relieving qualities, making this emollient extraordinary for reducing discomfort during treatments3.

  1. How do I choose the right emollient for my practice?

Selecting the ideal emollient depends on your treatment goals and patient preferences. Consider factors such as glide, fragrance, and any specific therapeutic benefits you seek. Whether you opt for the Vitamin E Enriched, CBD-infused, or Arnica-Infused emollient, each one contributes to an exceptional Graston Technique® session.

  1. Where can I find these Graston Technique® emollients?

Visit the Graston Technique® Emollients page to explore the entire range of products. Elevate your soft tissue therapy practice with these specialized emollients and provide your patients with top-notch care4.


What are emollients, and how do they work?

Emollients are ingredients in skin care products that soothe dryness or irritation. They form a protective film on your skin’s outer layer, helping to relieve symptoms of conditions like eczema and psoriasis.

What’s the difference between emollient and moisturizer?

An emollient softens the skin, while a moisturizer contains other ingredients that help bring water into your skin1.

What types of emollients are there?

There are two main types:

Occlusives: These form a thick, greasy coating on your skin and help it retain existing moisture. Examples include petroleum jelly, mineral oil, and lanolin.

Humectants: These attract and bind water to your skin, increasing its moisture. Examples include glycerin and hyaluronic acid1.

Which skin conditions can emollients treat?

Emollients can help with dryness, cracking, or scaling due to dermatitis, eczema, psoriasis, cancer treatment, cold weather, diabetes, frequent hand washing, and exposure to chemicals1.

How should I use emollients?

Apply emollients to damp skin for better absorption. Take a warm bath or shower, gently pat dry, and then apply the emollient1.

Can I use emollients with prescription creams?

Follow your healthcare provider’s instructions. You may need to apply prescription medications before using emollients1.

Are there risks to long-term use of emollients?

While emollients are generally safe, consult your doctor if you have concerns about long-term use1.

What precautions should I take when using emollients?

Avoid using heavy, oil-rich emollients if you have naturally very oily skin to prevent clogged pores and breakouts2.

What is the regular price of the Vitamin E Enriched Emollient (4 oz.)?

The regular price for one jar of Vitamin E Enriched Emollient is $22.99.

What are the pricing options for the Vitamin E Enriched Emollient (4 oz.)?

You can purchase:

1 jar for $22.99

6 jars for $99.99

12 jars for $159.99.

What is the price of the CBD Emollient (4 oz.)?

The CBD Emollient is priced at $39.99 for one jar.

What are the available quantities for the CBD Emollient (4 oz.)?

You can choose from:

1 jar for $39.99

6 jars for $224.99

3 jars for $116.00.

How much does the Arnica-Infused Emollient (4 oz.) cost?

The Arnica-Infused Emollient is available for $29.99 per jar.

What are the pricing options for the Arnica-Infused Emollient (4 oz.)?

You can purchase:

1 jar for $29.99

6 jars for $119.99

12 jars for $209.99.

Are these emollients categorized under “Graston Emollient”?

Yes, all these emollients fall under the category of “Graston Emollient”.

Graston Technique® Instrument FAQ

What conditions can be treated with the Graston Technique®?

GT-trained clinicians use GT instruments to effectively address soft tissue lesions and fascial restrictions while treating acute and chronic conditions. Some examples include:

Achilles Tendinitis/osis (ankle pain)

Carpal Tunnel Syndrome (wrist pain)

Cervicothoracic Sprain/Strain (neck and upper back pain)1.

Is Graston Technique® an Evidence-Based Form of Manual Therapy?

Empirical and anecdotal evidence supports the physiological effects of GT, including:

Separating and breaking down collagen cross-links

Stretching connective tissue and muscle fibers

Facilitating reflex changes in chronic muscle holding patterns1.

Can anyone obtain the instruments?

Only clinicians who have completed the Graston Technique® Basic course are qualified to obtain the Graston Technique® instruments and apply the technique to treat patients2.

Am I required to purchase instruments to attend Essential training?

No, you are not required to purchase instruments for Essential training. GT supplies the instruments for Essential and Advanced in-person, hybrid, and live online training events.

However, having Graston Technique Instruments is essential if you plan to become a GT Provider after training2.

Do you have payment plans available?

Yes, Graston Technique, LLC offers flexible financing plans to make instrument acquisition more accessible for clinicians3.

What type of instruments are used in the Graston Technique?

The Graston Technique uses a set of stainless steel instruments. These handheld instruments have rounded angles and curves, each with a treatment edge. Some are convex, others concave, and some have a single or double bevel4.

How effective is Graston Technique® in restoring function?

Historically, the Graston Technique® has had positive outcomes in 75-90% of all conditions treated. It is equally effective in restoring function to acute and chronic injuries, pre- and post-surgical patients, and maintaining optimal range of motion1.

Will GT treatments affect my everyday activities?

Patients beyond the acute stages of inflammation and repair are encouraged to resume a pain-free level of activity with modifications determined by their GT-trained health professional1.

Why is scar tissue a problem?

Scar tissue limits range of motion due to its negative impact on sensory motor firing rates and frequencies. GT offers a positive method of managing scar tissue1.

Is Graston Technique® something new?

The concept of cross-fiber massage is not new. Graston Technique® is grounded in the works of Dr. James Cyriax, a British orthopedic surgeon1.

How do Graston Technique Instruments differ from traditional manual therapy?

Graston Technique Instruments provide clinicians with a unique tactile experience. Their hypersmooth design allows practitioners to feel abnormalities and dysfunction in connective tissue more effectively. Unlike traditional manual therapy, these instruments enhance the natural manual ability to receive immediate feedback during treatment1.

What types of ailments can Graston Technique Instruments address?

Graston Technique Instruments are versatile and can treat a wide range of conditions, including:

Chronic and acute injuries

Edema (swelling)

Motor control issues1.

Why are Graston Technique Instruments made of die-casted stainless steel?

Using stainless steel ensures durability and precision. These instruments maintain their shape and smoothness over time, allowing clinicians to perform effective treatments1.

How can Graston Technique Instruments be used with Electrical Stimulation (E-Stim)?

Graston Technique Instruments are conductive, which means they can be used alongside E-Stim for pain modulation. This combination enhances therapeutic outcomes1.

What is the significance of Graston Technique’s 14 unique treatment strokes?

Clinicians can choose various treatment strokes based on the patient’s condition and tissue response. These strokes allow precise targeting of affected areas, promoting tissue remodeling and healing1.

Is there a specific protocol for using Graston Technique Instruments?

Yes, Graston Technique follows a unique protocol that includes active exercise to complement instrument-assisted soft tissue mobilization. This comprehensive approach optimizes patient outcomes1.

How can I improve my practice with Graston Technique Instruments?

By incorporating these instruments into your treatment approach, you can elevate your clinical practice. Take advantage of the limited-time offer and experience the difference firsthand1.

Remember that only clinicians who have completed the Graston Technique® Basic course are eligible to procure the Graston Technique® instruments and utilize the technique for patient care1. Feel free to explore more details on the Graston Technique Instruments page! 🌟🔧

Graston Technique® Essential Training?AQ

What is Essential Training?

Essential Training is a foundational course in Graston Technique® therapy. It introduces clinicians and students to IASTM using specially designed stainless steel instruments. The focus is on treating scar tissue, fascial restrictions, and optimizing range of motion1.

What does Essential Training cover?

The course covers:

Safe application of Graston Technique® using each GT Instrument.

Integration of Graston Technique® into patient care, including documentation and billing.

Indications and contraindications for Graston Technique® therapy.

Common responses to GT treatment (both positive and adverse).

Designing treatment plans for spine and extremities using GT therapy1.

What are the benefits of Essential Self-Paced Training?

Essential Self-Paced Training offers unparalleled flexibility:

Train at your own pace from anywhere with internet access.

Save on travel expenses.

Access the same outstanding treatment protocol as in-person training.

Receive Graston instruments and training materials at your doorstep.

Enjoy an extended 60-day window to complete your online training1.

What about Live Virtual Training?

Live Virtual Training includes a 3-hour self-paced pre-course followed by group video teleconference sessions hosted by a GT trainer. It combines flexibility with interactive learning1.

How does Hybrid In-Person Training work?

Hybrid Training begins with a 3-hour self-paced pre-course. It is followed by a 9-hour, one-day in-person group training held at regional locations. This format provides a blend of online and hands-on learning1.

Who can take Essential Training?

Essential Training participants must be fully licensed professionals with a well-developed understanding of the human neuromusculoskeletal system. Prior experience with manual therapy and soft tissue mobilization techniques is helpful1.

What should I wear while exercising?

Proper dress is required for the lab setting with hands-on instrument instruction. Loose-fitting athletic shorts (not spandex) are recommended. Women should wear a top that exposes the scapula for proper access during treatment1.

Remember, Graston Technique® training equips you with evidence-based skills to enhance patient outcomes. Explore the Essential Training page for details and register today! 🌟🔧

What is the Essential Self-Paced Training?

A comprehensive program for clinicians to learn Graston Technique at their own pace, including all necessary training, instruments, and resources to become a fully certified GTS Clinician.

What does the Full Self-Paced GT Clinician Journey include?

It encompasses Essential Training, an Instrument Set, Advanced Training, Updates & Revisions Courses, GTS Credential, a 6-Pack Emollient, Carrying Case, and 1 Year Preferred Provider status.

How much does the Full Self-Paced GT Clinician Journey cost?

The package is offered at $3,499, providing savings of $813 off the list price of $4,312.

Is there a payment plan for the Full Self-Paced GT Clinician Journey?

Yes, there’s an option to set up a payment plan for the full list price.

What is included in the Beginner Set?

The Beginner Set includes Essential Training, an Instrument Set, with the option to access Advanced Training, Updates & Revisions Courses, GTS Credential, a 6-Pack Emollient, Carrying Case, and 1 Year Preferred Provider status.

How much does the Beginner Set cost?

Priced at $2,545, offering a savings of $500 off the list price of $3,045.

Can I save money by paying upfront for the Beginner Set?

Yes, paying upfront for the Beginner Set saves you $500.

What are the benefits of becoming a GTS Certified Clinician?

Gaining a GTS Credential demonstrates advanced proficiency in the Graston Technique, enhancing your clinical skills and marketability.

What support is provided after completing the Essential Self-Paced Training?

Participants receive updates and revisions courses, a 6-pack of emollient for practice, and a carrying case for their instruments.

How can I become a Preferred Provider after completing the training?

Completing either training package grants 1 Year Preferred Provider status, offering additional benefits and recognition in the GT community.

Essential Live In-Person Training 

What is the Essential Live In-Person Training?

A comprehensive, hands-on training session for learning the Graston Technique under the guidance of Instructor Reena Pathak.

What packages are available for this training?

Three packages: Full GT Clinician Journey, Beginner Set, and The Minimalist.

What does the Full GT Clinician Journey include?

Includes Essential Training, Instrument Set, Advanced Training, and more, aimed at fully certifying participants as GTS Clinicians for $3,499.

What is included in the Beginner Set?

Offers Essential Training and Instrument Set among other features, designed to get clinicians started on practicing GT on patients for $2,545.

What is offered in The Minimalist package?

Focuses solely on the training aspect for those new to GT, priced at $650.

Can I receive a refund if I cancel my registration?

Full refunds are provided within 72 hours of purchase, with options to transfer fees or apply towards products after this period.

What differentiates Essential Live In-Person Training from other formats?

This format provides direct, hands-on experience with live guidance and the opportunity for immediate feedback.

How can I become a fully certified GTS Clinician?

Completing the Full GT Clinician Journey, which includes comprehensive training and resources.

Are there payment plans for training packages?

The information suggests upfront payment for the listed prices, with substantial savings offered.

What additional resources are in these packages?

Beyond training, packages include an Instrument Set, Advanced Training, GTS Credential, and more, enhancing the learning experience and professional practice.

How long does the Essential Live In-Person Training last?

Specific details such as the duration are tailored to ensure comprehensive coverage of the Graston Technique, usually spanning over a few days.

What are the prerequisites for participating in the Essential Live In-Person Training?

While the provided details don’t specify, typically, such training is designed for healthcare professionals or students in related fields.

Is the Essential Training recognized for Continuing Education Credits?

Many professional training programs, including GT, offer CE credits, but participants should verify specific accreditation.

What is the advantage of choosing the Full GT Clinician Journey over other packages?

It’s the most comprehensive, offering full certification, tools, and ongoing resources for a professional advantage.


When is the Essential Live Online Training scheduled?

Scheduled for Saturday, February 24 – 25, 2024.

What packages are available for the Essential Live Online Training?

Three packages: Full GT Clinician Journey, Beginner Set, and The Minimalist.

How much does the Full GT Clinician Journey cost?

Offered at $3,499, a saving from the list price of $4,312.

What is included in the Beginner Set, and how much does it cost?

Priced at $2,545, it includes Essential Training, an Instrument Set, and more, designed for new practitioners.

What does The Minimalist package offer?

Focused on training only, priced at $650, ideal for those starting with GT.

Is there a refund policy for the Essential Live Online Training?

Yes, full refunds within 72 hours of purchase, with options for training fee transfers to future classes or products within 12 months.

Can I pay for the training packages in full upfront?

Yes, both the Full GT Clinician Journey and Beginner Set offer upfront payment options for savings.

What does the Full GT Clinician Journey include?

It’s comprehensive, including Essential and Advanced Training, instruments, updated courses, and more for full certification.

Who is the Essential Live Online Training designed for?

Clinicians and students looking to learn or enhance their skills in GT, offering flexibility to suit different learning paths and budgets.


What packages are available for the Essential Live Online Training?

Three packages: Full GT Clinician Journey, Beginner Set, and The Minimalist.

What’s included in the Full GT Clinician Journey package?

Essential Training, Instrument Set, Advanced Training, Updates & Revisions Courses, GTS Credential, 6-Pack Emollient, Carrying Case, and 1 Year Preferred Provider, for $3,499.

What does the Beginner Set offer?

A comprehensive start with Essential Training, Instrument Set, and additional benefits for $2,545.

What is The Minimalist package?

A training-only option for $650, ideal for those new to the Graston Technique.

Can I get a refund if I cancel my registration?

Full refunds are available within 72 hours of purchase. Beyond that, fees can be transferred to another class or applied towards products.

How does the Essential Live Online Training differ from self-paced or in-person training?

It offers real-time instruction and interaction over a scheduled weekend, providing a structured yet flexible learning environment.

What are the benefits of becoming a fully certified GTS Clinician?

Certification enhances clinical skills, marketability, and access to a network of GT practitioners.

Is there a payment plan for any of the packages?

The details provided suggest upfront payment for the listed prices, with significant savings on the list prices.

How can I ensure I get the most out of the Essential Live Online Training?

Engage actively during the live sessions, practice with the provided instruments, and utilize the resources and support offered through the training package.


New Emollient FAQs

Why do we have new emollients?

Clinicians have been asking for a lighter, more consistent feel, and a fresh fragrance. After eight months of research and personal trials by a respected group of clinicians, we have created a new formula, designed exclusively for GT clinicians, that glides better and lasts longer.

The improved formula contains Vitamin E and coconut oil.  

Ingredients: mineral oil, cera alba (beeswax), tocopheryl acetate (Vitamin E), caprylic/capric triglycerides (derived from coconut oil), fragrance (vanilla bean)


Feels smoother

Requires fewer applications

Completely washable

White/slightly yellow in color

More natural


4-oz. standard jar

2-oz. travel jar (excellent for air travel and on the athletic field)


Special Intro Offer now through October 1:

*Buy 6 4-oz. Jars, Get 2 Free

Plus a complimentary 2-oz. jar $60  


*Buy a Case of 12 4-oz. Jars, Get 4 Free 

Plus two complimentary 2-oz. jars $108


*Buy 2 2-oz Jars $10

Regular price $6.75 per jar


*Ends 10/1/12. Cannot be combined with other discounts. Limit 2 per customer.

Regular Pricing:

Emollient: 4-oz Jar $10

Emollient: 4-oz Jar, Case of 12  $108

Emollient: Second Case (4 oz Jars)  $97.20

Emollient: ½ Case (6/4-oz. Jars) includes 4 Free Jars $60*

Emollient: ¼ Case (3/4-oz. Jars) Includes 2 Free Jars $30*

*Only available when purchasing first set of instruments

Emollient: 2-oz Jar $6.75

Emollient: 2-oz Jars, Case of 12 $73.00

Emollient: Second Case of 12  $65.70

Emollient: 2-oz Jars, Case of 16  $95.00

Emollient: Second Case of 16  $85.50

Can I purchase the old formula?

Yes, but only until supplies last.


How can I tell if I got the new emollient or old emollient in my recent order?

The new emollient has “Now With Vitamin E” at the top left of the label.

May I return the prior emollient for the new formula?

No, generally speaking. The prior emollient may only be returned if there is determined to be a quality issue germane to that formula. And, to date we have not experienced any issues.


Handling, storage and disposal

Product should be stored at room temperature for maximum shelf life. Keep containers closed after use. Empty containers should be recycled.

Can I order the new emollient online?


Is there an MSDS sheet for the new emollient?

Yes, it’s on the S drive.  Look for S:/MSDS sheets/NEW Emollient (Available Upon Request.) 


Please note the request in the call log.  

Subject Line: Website inquiry – MSDS

Note: Clinician requested emollient MSDS sheet.


Common FAO’s / Objectives

This will be used for training purposes.


I already know & trust my hands for manual therapy

Suggested answer:  “As you should.  Our technique is based on the fact that you are still the clinician. The instruments do nothing on their own.  However, the resonance of the instruments provides a way for you to detect adhesions that you cannot feel with bare hands or fingers.  The instruments also allow you to more efficiently, and more consistently, cover a larger surface area than you can with your fingers.  Further, if you trust your hands, you’ll want to take care of them.  The instruments significantly lessen the stress on your hands and can easily extend your career. 

Modern technology, instruments have allowed us to be better clinicians.  Like, for instance the use of Stethoscopes to hear a heartbeat better

Suggested follow-up answer:  “Initial research determined that Our specific alloy steel provided the best resonance

Example:  think of a tuning fork – these are made from stainless steel for a reason

You are still the clinician.  However, you will be a more efficient and more effective clinician when your skills are combined with Graston Technique® and GT instruments.”


I don’t need to be trained; I’ll know how to use instruments

Suggested answer:  “We firmly believe that using these types of instruments without proper training introduces an element of risk to both patient and clinician.  If you are not willing to be trained, do not use instruments.”

With now over 24,500GT trained clinicians providing overwhelming positive feedback, we know the technique works.  As our training courses evolve, we use these industry best practices and the latest research to constantly improve our courses. We will tell you how 20 years of experience will improve your clinical patient outcomes.


Can I just use the 3-piece set?

Suggested answer:  “The 3-piece Starter Set was designed as a lower cost alternative for students who completed our course within a university curriculum.  It was also designed for the clinic with multiple trained clinicians as a supplement to a full 6-piece set.”

Suggested follow-up answer:  “Yes – you can perform all 14 strokes with our 3-piece starter sets – just may not be as efficient with certain body parts.  GT starter set comes with Instruments 2, 3, and 4 and is designed for you to complete the set over time.”  


Why is your product so expensive?

Where did you hear that?


Suggested answer:  “Compared to what?  Becoming a GT Provider is an investment in your career, not much different than your college education and the treatment tables you use in your clinic, and we believe an investment in GT has tremendous value.  Becoming a GT provider means developing a partnership with a company that:

Provides training courses that are considered the “gold standard” in the industry.

Provides instruments that are specifically designed for our technique and will last a lifetime.

Provides a commitment to updating our education every 1-2 years.

Provides additional continuing education through partnerships with on-line curriculums.

Supports on-going research

Provides tremendous marketing resources to help you grow your business (not for ATCs)

Provides you with industry-leading brand recognition

You are purchasing the ability to call yourself a GT Provider and all that this distinction represents!


Let’s dispel the myths:

Our -Basic Training course is $650.00 and provides 12 CEU credits and a valuable, marketable skill.

Combined with our training, the full 6-piece set of instruments costs $1,795.00.  The instruments will never break and will last a life-time.  If they ever get dinged or scuffed, we can refurbish them to their original finish.

This investment, over a 20 year career, provides tremendous value.

This investment will provide more value and will last longer than almost anything in your clinic (treatment table, laser machine, etc.)

Again, expensive compared to what?

Who else is committed to your entire career by providing constant updates to education offerings based on research, supplemental continuing education courses and comprehensive marketing assistance.

Yes, becoming a GT Provider is an investment. We do not apologize for the level of investment, since we firmly believe the value received far outweighs the costs.

We are looking for GT Providers who are “Serious About Their Craft” 

Specific value items

Research/history, 24,500 clinicians experience & feedback

Learning various techniques to; Diagnosis & Assess patients, Patient Prevention, Maintenance or Rehabilitation therapy, Quality of instrument – investment grade casting and professionally hand finished.

Surgical grade materials

Research determined this grade of stainless steel provides the best resonance

“density-tuning fork” “stethoscope” enhance feedback

Obviously never break – lifelong instruments

With purchase you attain free advertising – “Locate a Provider” and Preferred Provider programs

Provides Research portal to clinical, articles and white papers

Access to GT network (24,500+ clinicians)


I heard GT has ongoing costs each year, what and why?

What makes you say that?

Where did you hear that?

We don’t have any mandatory costs each year to remain a GT Provider

We do have a Preferred Provider program giving you the ability to list your clinic on our Find a Provider section of our website and over $15,000 of marketing resources.  This marketing program currently costs just $75.00 per year, per facility, and the 1st year is free. If you wish to continue your education, we offer our Advanced Training-Advance Training Course, which will designate you as GT Certified.  However, this course is optional and not required. 


I’ve heard its $6,000

Where did you hear that?

Why do you think that?

Are you saying that is for training, instruments or both?


Why does your product cause bruising?  

Suggested answer:  “That may have been true 15 years ago when the clinical research at the time suggested “more pressure is better”.  However, more current research has debunked that premise and we can achieve results without heavy pressure.  If the technique is applied properly, as we currently teach it, bruising rarely occurs.  I would point out that this is a significant difference between us and our competitors – our technique and our training evolves with current research and industry best practices.” 

Capillary walls in dysfunctional tissue are fragile.  Any manual treatment to this type of tissue has the potential to cause bruising.  An untrained individual can inadvertently release soft tissue restrictions by applying long, indiscriminate, deeply penetrating strokes, which may be more apt to cause bruising. Examination and treatment strokes using GT instruments must be precise, discriminate and applied with attendant finesse to avoid bruising and damage to healthy tissue. (Thus the rationale for proper education)


I hear it’s uncomfortable and painful?

When treating an injury, some level of discomfort is inevitable, just as it would be if treating with your hands.  However, many patients report that the level of discomfort is actually less when using GT instruments, as the treatment edges are more precise than the clinician’s finger tips, and less pressure can be applied.  

GT clinicians are trained to recognize these symptoms and adjust treatment intensity to minimize their occurrence, while realizing the benefits of the technique. GT does not need to be considered “painful” to be effective


Why do you need to be trained/certified to buy your instruments?

Suggested answer:  “Again, “We firmly believe that using these types of instruments without proper training introduces an element of risk to both patient and clinician.  If you are not willing to be trained, do not use instruments.”

As with any modality, you will achieve the best results by utilizing a properly researched technique. If considering one of our competitors, please ask them to describe their specific technique.  GT’s focus is on the proper technique.  At GT the technique actually came first.  The instruments followed and were developed to help perform and implement the technique. 

24,500+ current GT clinicians tell us “your clinical outcomes improve, hence referrals/repeat business increases. Beyond the training, knowledge and lab work, you will also receive 14 CEU’s for the  course and 12 CEU’s for our Advanced Training course


I’ve heard you need continuing training?  Lose certification

Where did you hear that?

Why do you think that?

Could you be associating that with Astym?

Are you referring to our  training or both  and Advanced Training course training?

We obviously, as you would agree, need to keep up our knowledge and techniques, so additional training is important. But, for now, it is strictly optional with GT.


Why does GT have two courses? 

The -Basic Training course is our basic training to introduce clinicians to Graston Technique®, its clinical applications, physiological effects/benefits and potential contraindications.  There is simply too much content for one course.

Our Advanced Training-Advanced Training course is meant for those who have utilized Graston Technique and are ready to expand the use of the technique to include treating with motion .  establishes guidelines for Graston Technique® and the basic framework for static stroke applications. Advanced Training introduces load, movement and adds five new treatment strokes and new procedures for assessing musculoskeletal dysfunction while introducing the principles of regional interdependence and 3-D kinetic chain myofascial applications. 


Why do I have to go to both trainings?

The Advanced Training-Advanced Training course is optional.  However, only those who complete the Advanced Training course are considered GT Certified and can utilize that designation for marketing purposes. 


How many CEU credit hours do you provide?

Essential  course: 12 CEU’s     

Advanced Advanced Training course: 14 CEU’s      

50 different GT-University Webinar courses ranging from .50 to 1.0 CEU’s each 

plus MedBridge courses


I heard your instruments are slippery?

Where did you hear that?

Which instrument are you referring to?  

Maybe using too much emollient?

Maybe not using Graston’s emollient?

Are you gripping GT instruments properly?

Suggested answer:  “There is only one place you could have heard this, as one of our competitors has made this their #1 central theme of their existence and their primary marketing campaign.  This competitor based their entire existence on a 15 second clip on one of our videos from 10 years ago, where our instructor said “in very rare instances, if the instruments become slippery, please make sure you clean the instruments or, if you choose, you can wear gloves”. In the 22 years of our company’s history, we have yet to receive a complaint that our instruments are slippery.  This issue is simply a marketing hook by a competitor – nothing else.”

However, by design, GT emollient isn’t absorbed into the skin like other company emollients or lotions.  Its purpose is to reduce friction.  Therefore, it is important to use the proper amount and make sure hands and instruments are cleaned properly.  


If you are a certified personal trainer with a state license and pass the BOC, are you then qualified to use the Graston Technique®?


Personal trainers with no other credentials (physical therapist, chiropractor, MD, etc.) cannot participate and use the Graston Technique®, regardless of their licensure.


As a massage therapist, can you do Graston Technique® working under a chiropractor or athletic trainer?


A massage therapist cannot utilize the Graston Technique® in his/her practice even if working under the license of a chiropractor because massage therapists at this time are not allowed to participate in the GT training. Practice acts regarding athletic trainers vary state to state, but I do not believe that athletic trainers can allow massage therapists to work under their ATC licenses, performing duties related to their roles as athletic trainers.


Currently, because of the wide variations in educational training for massage therapists and because massage therapist programs lack uniform accreditation standards and content in evaluation and diagnosis, as I stated earlier, the Graston Technique® is not available for massage therapists, per company policy. 


Can RMTs become certified in Graston Technique®? On the website there is a list of professionals who are eligible, and RMTs are not there. What is the reason for this? I work with a few who are very interested.


Thank you for your inquiry. By RMT, I am assuming that you mean registered massage therapist? I will say that our policy concerning massage therapists is an often debated topic and I cannot absolutely exclude the possibility that it may change. Currently, however, Graston Technique® does not allow massage therapists to participate in our training for several reasons. As I speak today, there is no standard accreditation process or standard for massage therapy education that is mandatory. Unfortunately, what this means is that the education and background for a practicing massage therapist can vary significantly. The accreditation process offered by COMTA is voluntary and has not been embraced by all institutions offering massage therapy training in this country.


The Graston Technique® emphasizes accurate evaluation, diagnostic and treatment planning skills. These complex skills are not typically mastered in a massage therapy curriculum. I currently teach in a COMTA-accredited, college-based massage therapy program, and our curriculum does not adequately cover these important aspects of the Graston Technique® in the way that a physical therapy, chiropractic, athletic training or occupational therapy curriculum does.


There are a number of extremely skilled and knowledgeable massage therapists who have voluntarily taken steps to expand their entry-level education in treating soft tissue lesions. We have discussed the fact that our exclusion of massage therapists prevents these individuals from using the Graston Technique®. We have established this policy, however, to assure patient safety and so that we continue to adhere to the rigorous standards that we have established for the Graston Technique®. 


What is the Graston Technique®?   

Graston Technique® is a unique, evidence-based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively and efficiently address soft tissue lesions and fascial restrictions resulting in improved patient outcomes.

GT uses specially-designed stainless steel instruments with unique treatment edges and angles to deliver an effective means of manual therapy. The use of the GT instruments, when combined with appropriate therapeutic exercise, leads to the restoration of pain-free movement and function. The instruments also are used diagnostically to assess the kinetic chain, in an efficient manner using the principles of regional interdependence.


The Graston Technique Is An Evidenced-Based Form of Manual Therapy:

Empirical and anecdotal evidence exists for the following physiological effects of the GT:

Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers

Facilitates reflex changes in the chronic muscle holding pattern (inhibition of abnormal tone/guarding leading to pain reduction via improved sensory input)

Alters/inhibits spinal reflex activity (facilitated segment)

Increases the rate and amount of blood flow to and from the area (angiogenesis vs. immediate local increases in blood flow)

Increases cellular activity in the region, including fibroblasts and mast cells

Increases histamine response secondary to mast cell activity.

Interested parties should visit for a complete listing of empirical evidence of GT effectiveness.


Why is scar tissue a problem?     

Scar tissue limits range of motion due its negative impact on sensory motor firing rates and frequencies. Abnormal sensory inputs perpetuate a dysfunctional cycle of nervous system sensitization, pain and dysfunctional movement/motor output.  GT offers a positive method of manual therapy that interrupts and breaks this cycle of pain and dysfunctional movement.


How is scar tissue different from other tissue?     

When viewed under a microscope, normal tissue can be organized in a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense and loose, irregular with fibers running in multiple directions. In either instance, when tissue is damaged, it will often heal in a fibrotic, haphazard manner and may appear radio-dense under diagnostic ultrasound. The tissue may show thickening, irregular organization or less precise margins as compared to non-injured tissues, which results in a restricted range of motion and, very often, pain and functional limitations.


How are the Graston Technique® instruments used?     

The GT instruments are used to enhance the clinician’s ability to detect soft tissue lesions, scar tissue/fibrosis or restrictions in the affected areas as determined from a comprehensive examination of movement and function. 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 address and treat the abnormal tissue. When GT is combined with appropriate therapeutic exercises and activities, pain free function is often restored.



Is Graston Technique® treatment painful?     

GT is not designed to be painful or cause excessive bruising. Remember, pain alters motor control! Occasionally, minor discomfort during the procedure and some bruising afterwards may be experienced. GT clinicians are trained to recognize these symptoms and adjust treatment intensity to minimize their occurrence, while realizing the benefits of the technique. GT does not need to be considered “painful” to be effective. Please inform your clinician when you are experiencing discomfort anytime during treatment.


Is Graston Technique® used alone?     

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 (only when subacute inflammation is of concern).


What is the frequency of Graston Technique® treatment?     

Patients usually receive 1-2 GT treatments per week over 4-5 weeks. Most patients have a positive response by the 3rd to 4th treatment. The average number of GT sessions per episode of care averages between 6-12 for more chronic conditions.


Will Graston Technique® treatments affect my everyday activities?     

Patients that have progressed beyond the acute stages of inflammation and repair are often encouraged to resume a pain free level of activity and exercise with the modifications that are determined by their GT-trained health professional. GT is designed to be implemented with appropriate therapeutic exercises and activities to achieve an ideal outcome.


Is Graston Technique® something new?     

The cross fiber massage concept is not new. Graston Technique® is grounded in the works of Dr. James Cyriax, a British orthopedic surgeon. The use of our specially designed instruments and protocol have been used since 1994.

Graston Technique® has become standard protocol in universities and hospital-based outpatient facilities. The technique is also used at industrial settings and by NBA, NHL, NFL and Major League Baseball trainers.


What results does Graston Technique® produce?     

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.


Can anyone obtain the instruments?     

GT training is multi-disciplinary and is available to the following licensed professionals:

Physical Therapist/Physiotherapist/Physical Therapist Assistants who work under/with GT trained Physical Therapists.

Occupational Therapist/Occupational Therapist Assistants who work under/with GT trained Occupational Therapists


Certified Athletic Trainer (Licensed Athletic Trainers in some states)

Medical Physician




Selected Canadian Registered Massage Therapists

Board Certified and Licensed Naturopaths

Board Certified and Licensed Acupuncturists

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. 


How do I find a clinician in my area that can provide the Graston Technique®?     

Use the Locate a Provider section on


What conditions can be treated with the Graston Technique®?

Achilles Tendinitis/osis (ankle pain)

Carpal Tunnel Syndrome (wrist pain)

Cervicothoracic Sprain/Strain (neck pain)


Lateral Epicondylitis/osis (tennis elbow)

Lumbosacral Sprain/Strain (back pain) 

Medial Epicondylitis/osis (golfer’s elbow) 

Myofascial Pain Syndromes

Patellofemoral Disorders (knee pain) 

Plantar Fasciitis/osis (foot pain) 

Post surgeries such as joint replacements, RTC repairs (once post-surgical protocol allows for soft tissue mobilization/manual therapy)

Rotator Cuff Tendinitis/osis (shoulder pain) 

Scar Tissue/post-surgical scars (once completely closed)

Patients demonstrating central and/or peripheral sensitization (only used in light stroking/brushing mode to desensitize)

Shin Splints

Trigger Finger 

Women’s Health (post-mastectomy and Cesarean scarring)


GT can be used to treat any movement system dysfunction that has been determined to have a soft tissue component.


My son had a stroke 3 years ago at age 23. He has dystonia/spasticity in his left arm and leg/foot. I am currently seeing a chiropractor and asked him if he knew anything that may help my son’s condition. He suggested I ask about the Graston Technique. Has there been success treating this type of condition?


Although there have not been any studies regarding the treatment of dystonia with Graston Technique, there have been some reports by clinicians that they have treated patients who have dystonia and have been able to provide a degree of success. It may well be worth a clinical trial of 3-4 treatments to determine if it may be of some value to your son. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


I have trigger thumb that clicks when I flex it and have bad pain in all

thumb joints; I previously had OA with basal thumb pain. Can this help prior to



I would suggest that you could be an excellent candidate for a Graston Technique clinical trial. After an appropriate history and exam, 2-3 treatments would determine if continuing care would be appropriate. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


I have chronic (7 years), painful stiffness and swelling from hand

surgery. Any help possible?


Pursuant to a good case history and examination, you could be considered as an excellent candidate for a clinical trial of GT. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


How long can one receive the treatments? Is there a limit to how much this can be done to your fascia?


Under normal circumstances the patient should achieve a good clinical outcome within 7-10 treatments. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


I have fibromyalgia resulting in cystic-type lumps in legs and arms—very painful. Would these tools help break them?


There is some possibility that the technique may be of benefit to you. I would suggest that you consult with one of the GT clinicians to make a determination as to the appropriateness of care. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


Do you treat patients with chronic fatigue syndrome and fibromyalgia using the Graston Technique?


Thank you for your interest in Graston Technique. I would consider GT to be an inappropriate treatment for chronic fatigue syndrome. Fibromyalgia may respond well to GT and would be a good consideration for a clinical trial. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


If there are minor varicose veins present, is this a concern before using the GT tools? Further, is there any suggested or required advice prior to or post GT therapy relating to the same?


A thorough history and examination will determine whether the technique is appropriate. As in all medical procedures, informed consent should be part of the patient process.


How does the resulting scarring of the capillaries figure into the positive outcome of GT therapy? 


Scar tissue as it separates from healthy tissue is poorly vascularized. Capillaries that have infiltrated the scar may rupture.This may cause some bruising and within 48-72 hours the exudates are absorbed by the body. Using ice and stretching protocols will lead to new tissue formation and physiological function.


What exactly does GT therapy do? (Please spare me the application techniques and outcome benefits, I’m looking specifically for what is occurring in the tissues.)


Please refer to the GT website:


There are quite a few publications regarding GT. I’ve not read one, but I’d like to not have to read through volumes of material to get my questions or concerns addressed. Is there a resource to post questions to, that may cite specific articles to find the answers?

— Richard E. Vincent, DC


I was told about GT and was wondering if it is effective on achilles enthesopathy. My podiatrist mentioned that he doubted it would be, due to the bone spur that develops at the bottom of the heel. Any information you could give me would be helpful.


Based upon my experience I am inclined to believe that your problem is Achilles tendinopathy. If that is the case, you should be considered as an excellent candidate for Graston Technique (GT). An evaluation by a trained GT clinician is in order. . [Insert Locate A Provider link?]

— Richard E. Vincent, DC


Has the Graston Technique ever been used to break up pelvic scar tissue that is blocking lymph flow in a lymphedema patient?


The Technique is very effective in dealing with dysfunction often associated with post-surgical scarring. If the pelvic scar tissue you reference is playing a role in your complaint, then a clinical trial would be in order. A trained GT clinician could make that determination. [Locate A Provider link?]

— Richard E. Vincent, DC


Is this technique used for heel spurs?


Thank you for your interest in Graston Technique. The technique can be very effective in treating those soft tissue symptoms associated with calcaneal (heel) spurring. 

— Richard E. Vincent, DC


I have a jaw joint injury due to long-term TMD. Can this procedure help with this?


Thank you for your inquiry regarding Graston Technique. GT can be an effective treatment for TMJ dysfunction. I would suggest you consult a GT clinician for an evaluation. 

— Richard E. Vincent, DC


My son fell a year ago and has multiple screws and plates in his ankle after a trimalleolar fracture. Will the Graston Technique help? If so, how? He still suffers from discoloration, swelling, and walks with a limp.


Thank you for your inquiry regarding Graston Technique (GT). If your son’s dysfunction is related to post-surgical scarring and soft tissue adhesions, he could be a good candidate for GT. That can best be determined by a good history and examination.

— Richard E. Vincent, DC


I am trying to determine if the Graston Technique is a possible solution for me and my medical condition. I have a problem called plantar fibroma, a growth in the center of the arch of both my feet. I have been treating this with cortisone shots but would like to not use drugs to cure myself. Other sufferers have had the fibromas cut out of their feet, only to have a high recurrence rate, and then a more aggressive nodule. I did some Google research and found someone who used the Graston Technique to help reduce the size of their fibromas. I am just wondering if you have any information about anyone else using this technique for reducing the size of these awful fibromas.


Thank you for your interest in Graston Technique (GT). I would suggest you consider a clinical trial of GT for the treatment of plantar fibroma. A clinical trial may consist of 3-5 treatments. . [Insert Locate A Provider link?]

— Richard E. Vincent, DC


There seems to be little research or information on what is happening to a paraplegic’s body after trauma. My 63-year-old friend broke his back after a fall in 2001. The injury was T5-6. This is a brilliant man who, unfortunately, is not well-off financially and his care (in a nursing home) is being paid for under Medicaid, which drastically limits what can and cannot be done. 


I have not found anything online (and “normal” doctors are useless as they receive no training and little exposure to paraplegic problems). He has what he calls extreme discomfort at times. He is a vegetarian (30+ years) and the nursing home diet is, IMO, awful. He is convinced that diet is part of the problem and in my limited reading so far, maybe your system could benefit him and improve his quality of life. Unable to actually feel what is happening below his point of injury, perhaps the pain and discomfort he is experiencing is coming from many myofascial problems that he cannot easily detect himself.


I am unaware of clinical situations, such as that of your friend, where GT has been a successful mode of treatment. I wish I could tell you otherwise.

— Richard E. Vincent, DC


Does this technique reduce back pain? What is the success rate?


There are multiple causes for back pain. Graston Technique can be effective in its treatment but that can only be determined by an appropriate case history and examination performed by a qualified clinician. [Insert Locate A Provider link?]

— Richard E. Vincent, DC


About three years ago I had two surgeries on the same foot for a condition called 

Morton’s neuroma. Since then I have experienced numerous issues with my foot and toes. Is it possible that I could have scar tissue at the incision site 

that is causing the issues of pain under my toes, swelling of the ankle as well 

as weakness in the ankle and foot in general? 


Without having access to your history and examination findings it would be difficult to give you a definitive answer. With that said, I believe that you would be a good candidate for a clinical trial of Graston Technique. It is quite possible that your current symptoms may be a long-standing post surgical effect. I suggest you find a clinician from our website in your area. . [Insert Locate A Provider link?]

— Richard E. Vincent, DC


I have a question about a patient I’m seeing. I applied Graston Technique to her IT bands (B) and she was bruised pretty good for a week. Today there is very mild bruising left after 1.5 weeks. She initially said she did not bruise easily during preliminary questioning. When asking her again last week, she did bring up that she is a carrier for hemophilia. She does not have hemophilia. She reports that she does have her factor VII monitored and she is considered normal. She reports that there is no concern with any massage technique with her. We also did GT on her calf with no bruising at all. I am assuming that she is probably okay for continued treatment since her factor VII is considered normal and she is just a carrier and does not have hemophilia. But, any info you can give me would be greatly appreciated. 


If the ITB complaint may have been chronic in nature, bruising could well be considered a physiological response to treatment. The fact that the factor Vlll is monitored and considered to be normal would not deter me from treating the patient as long as the GT protocols are adhered to.

— Richard E. Vincent, DC


I have a question in regards to a patient that was referred to me for Graston Technique for B anterior tibs. He does have a history of CML (chronic myelogenous leukemia). Is it okay to do GT on this individual?


I would suggest Dr Cunniff not treat the patient with GT. We do not have enough data that would support rendering treatment for a patient with CML.

— Richard E. Vincent, DC


I have a 7-year-old patient who is recovering from an elbow fracture. He has finished PT and still has pain and decreased ROM. Are there any special considerations for doing GT on him?


I would need to have significantly more information before rendering an opinion. When and what was the mechanism of injury? What kind of fracture was there? At what point in history did you first see the patient? What were your clinical findings and how many times have you seen the child? What did PT management do? 

— Richard E. Vincent, DC


I have a patient that I worked on twice and had an unbelievable response, but then he went away on a business trip. A week later he came back and the area is 95% better subjectively, but he still has a yellowing discoloration. He feels great, has almost full elbow (triceps) extension which had been lost for 3 months, and is ready to go back to the gym. Did I go too hard to have the yellowing a week after my last treatment?


You should not have concern regarding tissue discoloration. It is a normal reaction to treatment. It is important that the patient is informed about tissue reactivity before starting treatment.

— Richard E. Vincent, DC


Can GT do anything to reduce cellulite?


There is no current research on using Graston Technique in cellulite management. GT is not a recommended therapy. 

— Richard E. Vincent, DC


I’m a new grad PT researching possible therapies for my family member with Dupuytren’s contracture. The Graston Technique lists this contracture in the list of conditions that might be treated with GT. However, the OT I spoke with (certified in GT) told me she uses GT only in post surgery patients with Dupuytren’s contracture (as there is a big difference between scar tissue — post surgery—and inflamed tissue caused by Dupuytren’s contracture). Could you please clarify. Is it OK to try GT in some cases of Dupuytren’s contracture before the surgery? 


I would not hesitate to treat a pre-surgical case of Dupuytren’s Contracture. A clinical trial of 3-4 treatments will determine whether continued care would be appropriate. Please remember this is based on proper history and examination. 

— Richard E. Vincent, DC


I have been asked to treat surgical scars on the hands of a 7-year-old child. He had multiple surgeries for burns. His surgeon is giving me the green light. Any suggestions or helpful insights?


I would encourage you to start gently, first scanning all facets of the scars. I would first treat around the periphery of the scar, slowly moving toward the surgical scar itself making an attempt to stroke as close to the scar as possible to break down any adhesions that may exist. Remember the stretching protocols.

— Richard E. Vincent, DC


I have a question in regards to if anyone has any experience with a patient’s post-op fasciotomy for compartment syndrome. I currently have a 15-year-old with B LE fasciotomies and we are working on scar tissue mobility post-op. She is 6 weeks post-op. Is Graston Technique indicated in this situation? Has anyone had experience with this? 


I do not have any fasciotomy post-op data. Considering the circumstance and beneficial outcomes with other post-surgical scarring, I would consider a clinical trial and would recommend that it be done in collaboration with the surgeon who performed the fasciotomies.

— Richard E. Vincent, DC


Is GT appropriate for spinal stenosis?


GT would not be considered appropriate in clinical management of spinal stenosis.

— Richard E. Vincent, DC


Any suggestions for specific areas to use the tools on a patient with severe thoracic outlet syndrome (TOS)?


If you follow appropriate protocols you should be able to accomplish a good clinical outcome. Please see the Module 1 manual as a guide for your treatment. You may also want to refer to the PowerPoint notes that were given to you. 


I note that you have not taken Module 2 of GT. By doing so, the experience will enhance your procedural understanding and functional approach to diagnosis and treatment. 

— Richard E. Vincent, DC


I am curious to know the reasons for the relative pregnancy contraindications. I can speculate, but was looking for more solid information, possibly research information.


At the present time we do not have any research information relative to GT and pregnancy. We view treating a pregnant patient as a mild precautionary flashing yellow light. It is rare, but there are cases where the patient may be in the third trimester of pregnancy with significant varicosities where GT around the site may be a contraindication. Treatment that may involve the pelvic floor could be considered a relative contraindication. The decision to treat should always rest with the clinical judgment of the practitioner.

— Richard E. Vincent, DC


I’m a massage therapist, and retired PE teacher. I have severe rotator cuff 

pain that may be a partial tear. The MRI was inconclusive. I also play accordion 

professionally, and need to continue to play. I talked to Warren Hammer about 

cross-fiber massage, and, he, in turn, suggested the GT method of kinesiology taping. The pain is severe when I play the accordion, and is worse 

at night. I have to do something other than surgery if possible. Any info would be GREATLY appreciated.


Since the MRI was inconclusive, I would suggest that a clinical trial of GT would be most appropriate. The trial should be 3-5 treatments. If there is evidence of objective/ subjective improvement, continuation of care should follow.

— Richard E. Vincent, DC


Do you take into consideration a person’s emotional state when deciding if Graston will have a successful outcome? I have one patient who responded poorly to treatment of plantar fasciitis, which I have had tremendous success treating.


The emotional state of a patient is always an integral part of those considerations the clinician must give to care management. If the emotional state is a barrier, then the clinician must be aware of it and take whatever action steps are appropriate to deal with it. Although GT may well be the appropriate venue for care and if the patient does not cooperate and participate in their recovery, the outcome will be less than satisfactory. 

— Richard E. Vincent, DC


My chiropractor just introduced me to the GT for the injury to my upper back muscle. I expected him to do the adjustments, but he mostly uses the GT for my injury. My concern is that I am bruising very badly and it hurts considerably when he is using the technique. Is this normal?


Thank you for your inquiry. It is not unusual for a patient to have mild bruising following initial treatment. The same could be said for discomfort, but should never be beyond a tolerable level. Prior to consenting to treatment you should have been informed of the potential for bruising. I must assure you that the bruising is normal and generally resolves itself within 48-72 hours.

— Richard E. Vincent, DC


I have been debating about learning Graston Technique. One question I have is whether GT has been proven to be effective for postnatal stretch marks. I have 

asked a couple of my instructors and they were not sure. Do you have any 

information on that subject?


There are no studies that would indicate that Graston Technique is an appropriate modality for the treatment of “dermal stretch marks.” I would suggest you consider taking Module 1 while you are still a student at NUHS. The technique has great potential for chiropractic practice.

— Richard E. Vincent, DC


I currently use GT and have for 1.5 years now. I had a patient today

who returned after 4 treatments with a “rash” response without pain or

itching across the treatment area. It is not petechiae or bruising, nor

is it over the entire body or entire treatment area. Do you have any

ideas of what it could be? I am at a loss and unsure if I should pursue

further treatment.


It would be important to determine the following:

Are you using the GT emollient? If not, what agent do you use?

Are you cleansing the patient’s skin post treatment? If so, what agent do you use? 

Are you cleaning the instruments after each use? What cleansing agent are you using?

If you are not using the GT emollient, the tissue response may be related to the product that you use. We have not had any queries of this nature from clinicians using our emollient. Does the patient have any concurrent systemic problems?

— Richard E. Vincent, DC


Is GT appropriate for ankylosing spondylitis?


I would only consider GT a potential means of palliation. I would accept the patient for a clinical trial of the most dysfunctional area. 2-3 visits will determine the value.

— Richard E. Vincent, DC


Refresher Pre-Course Reading Assignment Questions:

1).  In the Systematic Review by Chetham et al, all qualified studies were:

  1. Case Reports

INCORRECT:  Case Reports were excluded from this review

  1. Case Series

INCORRECT:  Case Series were excluded from this review

  1. Randomized Control Trials

CORRECT:  In this review, all qualified studies were RCT’s.

  1. Animal Studies

INCORRECT:  Animal Studies were excluded from this review


2).  Which of the following statements are true?

  1. All qualified studies scored a 7 or lower on the PEDro scale, which is lower than the reported mean Pedro scores of musculoskeletal studies.

INCORRECT:  All qualified studies scored 7 or higher, which is higher than the reported mean score of 5.08 for musculoskeletal studies.

  1. All qualified studies scored a 7 or higher on the PEDro scale, which is higher than the reported mean Pedro scores of musculoskeletal studies.

CORRECT:  All qualified studies scored 7 or higher, which is higher than the reported mean score of 5.08 for musculoskeletal studies.

  1. All qualified studies scored a 7 or higher on the PEDro scale, which is lower than the reported mean Pedro scores of musculoskeletal studies.

INCORRECT:  All qualified studies scored 7 or higher, which is higher than the reported mean score of 5.08 for musculoskeletal studies.

  1. All qualified studies scored a 7 or lower on the PEDro scale, which is higher than the reported mean Pedro scores of musculoskeletal studies.

INCORRECT:  All qualified studies scored 7 or higher, which is higher than the reported mean score of 5.08 for musculoskeletal studies.


3).  Of the 7 studies reviewed, how many reported using Graston Technique®?

  1. 1

INCORRECT:  6 of the 7 studies reported using Graston Technique; however, the treatment protocol varied.

  1. 5

INCORRECT:  6 of the 7 studies reported using Graston Technique; however, the treatment protocol varied.

  1. 6

CORRECT:  6 of the 7 studies reported using Graston Technique; however, the treatment protocol varied.

  1. 7

INCORRECT:  6 of the 7 studies reported using Graston Technique; however, the treatment protocol varied.


4).  Of the studies reviewed, how many followed the recommended Graston Technique® protocol which includes examination, warm-up, IASTM treatment with GT instruments, stretching and strengthening?

  1. 0

INCORRECT:  Only one study followed the recommended GT protocol.

  1. 1

CORRECT:  Only one study followed the recommended GT protocol.

  1. 5

INCORRECT:  Only one study followed the recommended GT protocol.

  1. 6

INCORRECT:  Only one study followed the recommended GT protocol.


5).  Which of the following statements are correct?

  1. The varied protocols make it difficult to determine the effectiveness of GT when the specified GT protocol is not followed.

INCORRECT:  All of the above statements are correct.

  1. One limitation of this study was the exclusion of lower level evidence.

INCORRECT:  All of the above statements are correct.

  1. The best evidence for the Graston Technique® is the RCT by Burke et al., which followed the complete GT protocol.

INCORRECT:  All of the above statements are correct.

  1. All of the above.

CORRECT:  All of the above statements are correct.