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Graston technique and instrument-assisted soft tissue mobilization (IASTM)

By Dr. Jeremiah Carlson, chiropractic physician · Jacksonville, FL · Reviewed Nov 2026

Short answer: Graston is a form of instrument-assisted soft tissue mobilization (IASTM): Dr. Carlson uses smooth stainless-steel tools to work over tight or tender muscle and connective tissue. A 2016 systematic review found it may help with pain and range of motion in some conditions, but the evidence is limited and mixed, so we pair it with exercise.

What it may help

  • Tight neck, upper-back, and shoulder muscles
  • Low-back, hip, and hamstring tightness
  • Tendon and soft-tissue overuse problems, as part of a rehab plan

What the research says

Cheatham et al. (2016) reviewed the trials and found IASTM may improve short-term range of motion and pain for some conditions, but studies were few, small, and inconsistent. It’s a tool, not a cure, and it works best combined with chiropractic physiotherapy and corrective exercise.

What to expect

Pressure ranges from light to firm. Mild redness and soreness for a day or two is common; some people bruise. Tell us if you take blood thinners or bruise easily.

Questions people ask

Does Graston hurt?

It can feel intense on tight spots. We adjust the pressure to you.

Will I bruise?

Some people get mild redness or small bruises that fade in a few days.

Is Graston the same as massage?

It’s a targeted soft-tissue technique using instruments, usually short and focused on one area, done as part of your chiropractic visit.

Want Dr. Carlson to take a look?

Call our Southside clinic or request a call back. If you were in a car crash, take the 60-second check first.

Sources