INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION (IASTM)

At Therapy X in South Granville, Vancouver, we're dedicated to providing innovative therapies to help you recover from injury, alleviate pain, and optimize performance. At our multidisciplinary healthcare clinic, we pride ourselves on offering an extensive array of specialized services. Among these, Instrument Assisted Soft Tissue Mobilization (IASTM) will be the focus of this blog. We'll explore what IASTM is, how it works, its benefits, and what to expect during a session. If you're interested in learning more about our other services, click here.

What is Instrument Assisted Soft Tissue Mobilization (IASTM)?

IASTM is a popular hands-on treatment technique for myofascial restrictions performed by a skilled clinician. With the use of specially designed instruments, IASTM creates a mobilizing effect on scar tissue and adhesions in the soft tissue. By applying controlled microtrauma to the affected area, IASTM stimulates a natural healing response in the body, encouraging tissue regeneration and repair. This technique is particularly effective for treating conditions like tendonitis, plantar fasciitis, carpal tunnel syndrome, and chronic pain.

There are a number of different tools and techniques available such as the Graston® technique, HawkGrips®, and Astym®, just to name a few. IASTM was originally derived from the Cyriax cross-friction massage developed by Dr. James Cyriax who was known as the father of orthopedic medicine. Looking back, IASTM is thought to be the modern evolution from Gua Sha, a Traditional Chinese Medicine technique.

How Do Soft Tissue Restrictions Occur?

  • Post-op
  • Overuse (running, throwing, repeated motions at work, prolonged postures such as sitting at a desk)
  • Lack of use (prolonged splinting/bracing)
  • Injuries (ligament, meniscal, and muscle tears)

How Does IASTM work?

Firm pressure is applied using a tool to glide across the tissue. A lubricant (typically lotion) is used to allow the tools to glide freely across the skin. The design of these instruments allows therapists to locate restrictions and treat the affected area with the appropriate amount of pressure.

The instruments work to comb through soft tissue restrictions and scar tissue, producing microtrauma to the affected tissue. The introduction of controlled microtrauma to affected soft tissue structure stimulates a local inflammatory response which initiates reabsorption of unhealthy tissue such as fibrosis and excessive scar tissue. This ultimately promotes healing activities resulting in tissue remodeling and the production of healthy tissue. Adhesions and restrictions within soft tissue which may have developed as a result of surgery, immobilization, overuse or other mechanisms, are broken down to restore function.

Benefits of IASTM

  • ↑ Blood flow
  • ↓ Tissue viscosity
  • Myofascial release
  • Interruption of pain receptors
  • Improvement of underlying tissue
  • ↓ Pain
  • Improve function
  • ↑ Range of motion
  • ↓ Muscle tightness and restrictions
  • ↓ Healing time

Conditions that will benefit from IASTM

  • Plantar fasciitis
  • Achilles tendinopathy
  • Tendonitis/Tendinosis (Achilles, Epicondylitis, Patellar, Rotator Cuff)
  • Carpal Tunnel Syndrome
  • IT Band syndrome
  • Trigger Finger
  • Neck pain
  • Back pain
  • Sprains
  • Muscle strains
  • ITB (IT Band) Syndrome
  • Myofascial restrictions
  • Post-op scarring
  • Post-mastectomy scarring
  • Cesarean scarring

This list includes conditions we most commonly treat using IASTM, but is by no means an exhaustive list. Wondering if Instrument Assisted Soft Tissue Mobilization can be of help with your condition? Contact us for more information or, book online for an assessment with one of our experienced therapists at our Vancouver location. We look forward to meeting you!

With care,

Therapy X Collective