Instrument Assisted Soft Tissue Mobilization

PT, OCS, CSCS

The Instrument Assisted Soft Tissue Mobilization technique can be a useful muscle injury repair tool when incorporated into a full treatment plan.

For centuries, the Chinese Gua sha technique has been used to promote healing by scraping muscle tissue to stimulate blood flow. This technique has since been used to help thousands of athletes and weekend warriors recover from strained and pulled muscles, ligaments and tendons. Patients with chronic pain and inflammation have also benefited.

HOW DOES THE INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION TECHNIQUE WORK?

Muscles are comprised of different fibers, and as fibers become tight, they build up toxins. The Instrument Assisted Soft Tissue Mobilization Therapy uses a stainless-steel instrument and special massage method to identify areas of muscle adhesion, or scar-like tissue, that can be improved. 

A healthcare provider uses the instrument and massage in combination to stretch and relax the muscle tissues. This helps increase blood flow and restore movement patterns in injured tissues.

In the clinic, I begin treatment by having patients warm up their soft tissues. They can perform this warm-up with a stationary bike, elliptical machine or simple dynamic movements. Next, I’ll push the tool gently across the injured area using big, broad strokes. The tool helps me sense muscle vibrations and identify specific areas to work on.

I’ve seen patients who have benefited greatly from the technique and have also seen patients who did not. 

HERE ARE THREE REASONS THE TREATMENT CAN FALL SHORT:

• No pain, no gain
  • There will be some discomfort during treatment, but the instrument and massage should not cause intense pain. Some slight bruising may occur. 
  • However, if bruises appear often, the technique is being administered too intensely. The technique does not need to bruise or cause pain to be effective.
• Single treatment
  • While patients will generally feel better after the first treatment, it typically takes three to four treatments before patients will sense lasting relief. 
  • The technique should be used within the course of a full treatment plan, including active stretching, strengthening and dynamic exercise to maximize healing.
• At-home fix
  • Self-treating with the wrong tools and without expert help can cause more harm than good. I have seen patients try to perform a Instrument Assisted Soft Tissue Mobilization-like technique at home using butter knives or wrenches. Unfortunately, they often apply too much pressure or target the wrong areas, making the problem worse. 
  • To progress treatment at home, I may recommend additional exercises using safer tools such as a lacrosse ball or foam roller.