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Instrument Assisted Soft Tissue Mobilization

Clinicians at Wenger Physical Therapy have received advanced training in both Augmented Soft Tissue Mobilization (ASTYM) and Graston® techniques.  Augumented soft tissue mobilization techniques effectively treat chronic problems resulting from scarring or fibrosis.  Most treatments ignore soft tissue dysfunctions such as adhesion, scar tissue and inappropriate fibrosis.  These techniques address unhealthy soft tissue through an innovative treatment process.



Conditions that may effectively be treatment with instrument assisted soft tissue mobilization include:

Plantar fasciitis/fasciosis

Carpal tunnel

Golfer’s elbow (medial epicondylitis)

Tennis elbow (lateral epicondylitis)

Hamstring strain

Post-surgical scarring

Achilles tendinitis/tendinosis

de Quervain’s tenosynovitis

Overuse injuries

Trigger finger

Iliotibial band syndrome

Joint contracture

Patellar tendinitis/tendinosis

Shin splints
Any conditions where excessive fibrosis or scarring may have occurred will likely be benefited by these techniques.



The physical therapist with whom you will be working will evaluate your condition; assess mobility, strength, nerve function and tissue quality to determine the appropriate course of care.  The technique itself involves the use of hand held tools, which enhance the technique.


Typically instrument assisted soft tissue mobilization is performed on non-consecutive days, one to two times per week.  A 30-minute treatment session generally involves 15 minutes of treatment and 15 minutes of exercise and reassessment.  Less severe conditions may respond in two to four sessions.  More complex/difficult conditions may require eight to sixteen sessions.


As the tools are applied to your skin, you may note roughness or bumpiness.  Typically, patients report a mild discomfort.  If a sharp pain is reported, treatment is stopped and the condition is reassessed.  Some patients experience tenderness or bruising.  With treatment, the pain will subside and your condition will improve.


To learn more, you may call Wenger Physical Therapy and speak with one of the clinicians.  Information is also available at ASTYM.com or at Graston® Techniques.com