Question
Dear Dr. Botnick,  Are you familiar with the Graston Technique of soft tissue mobilization for breaking down scar tissue?  I ask because I am considering going to see a certified practitioner for a problem I have, and would like to learn a bit more about it before I make an appointment so that I can go in well informed.  I have what I strongly suspect is a small mass of scar tissue in my lower back - the result of a neglected, years old injury (it's in the soft tissue a couple of inches away from the spine, not the spine).  Anyway, I take much better care of my back now (now that I am older and wiser) and I have sought relief from the mild (but persistent and chronic) discomfort through the practice of yoga, regular stretching, and even through regular massage sessions, to break up the small mass, but while these efforts have helped, they have not totally fixed the problem.  If you are familiar with the Graston Technique, does this sound like an issue that might benefit from the technique?  Even if you are not familiar with the technique, have any thoughts or suggestions?
Thank you in advance for your time and expertise!
Jen Hanis

Answer
Yes I am somewhat familiar with the Graston technique.  Chiropractors have made two valuable contributions to the treatment of chronic scar tissue and muscular trigger points by developing Active Release Technique (ART) and Graston Technique.  ART was developed first and involved a chiropractor applying pressure over a scar with his hand while pulling the muscle under it.  This method proved to be very hard work on the chiropractor and led to the development of Graston which made the work easier by using metal tools to apply the pressure.

You'll have to be careful regarding the chiropractor's recommendations.  Most chiropractors believe they can treat nonexistant subluxations.  Be sure to refuse any recommendations for manipulative therapy for any "subluxations" they claim to have found, this is a scam.  Both Graston and Active Release have directories on their websites where you might be able to find a physical therapist who does the method.  I'd prefer you see a PT over a chiropractor because they are science based and more trustworthy.

But overall I think Graston is a great idea.

ajb