Post by stephen23235 on Jun 21, 2017 14:28:22 GMT -6
I have a female friend who is 50 and goes for Graston from some personal trainer guy at our health club. I guess he bought the kit and took the class. When she is finished her legs are all bruised up and the bruising is severe. she says the method hurts a lot but the bruises don't hurt and in a few days she feels great even though she is all bruised up. Her chiropractor told her the bruising is normal depending on who is doing the Graston technique. I've been looking up bruising as an issue and from what I read, if a bruise is deep enough into a muscle the bruising can cause calcification in the muscle. The solution to calcification is surgery. Does the Graston Technique go deep enough into the muscle to create such a problem? Can a bad "provider" of the technique go deep enough on an unsuspecting client to bruise the muscle? Many of the people that go for this (runners and triathletes) go all of the time - they consider it like a sports massage. I've had deep tissue sports massages by a licensed masseuse and they can tell by feel and my screams when they've gone too far.
I just question what happens from the bruising that some people experience and wonder if anyone has looked at it - especially if the person goes too deep. Thanks
Post by Andrew Hutchinson, DPT, SCS on Jun 25, 2017 11:30:34 GMT -6
The bruising in the skin is often an accepted tissue response with a variety of manual techniques including soft tissue/myofascial manipulation by a clinician's hands or instrument-assisted soft tissue manipulation/mobilization (Astym, dry needling, Graston, etc). Typically, a calcification of the muscle is caused due to a traumatic event and requires a significant amount of force (i.e. direct strike to the quadriceps in a sport). This calcification is known as myositis ossificans and surgery may be a treatment option, as well as conservative therapy to address restrictions (loss of ROM, decrease flexibility, pain, etc). I'm not aware of any cases where the force of an actual technique (Graston, manual massage, etc) has caused a calcification within the muscle and Graston/soft tissue techniques is recommended as a treatment option in some of the literature. Oftentimes, it is the patient/client that can provide the best feedback to the clinician regarding their tolerance of the technique. Even if some bruising is occurring, the subjective symptoms can relay the patient response and it seems your friend is progressing with her treatment based on her report of "feels great" several days after.
Post by stephen23235 on Jun 27, 2017 7:01:39 GMT -6
Hi. I'm not aware of any legitimate scientific literature on the Graston technique. Everything I've read is produced by the company. That's why I posted on this board. I can't imagine letting anyone deliberatetly bruise me up and down my body and I can't figure out why that is a "good" thing. People that spend a lot of money on a treatment always say they feel good. I think Graston has more of a placebo effect than a real science effect. It seems to me that there needs to be some real science involved and things like bruising need to be further examined.