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Breaking Down Scar Tissue: What Is The Graston Technique?

A chiropractor using the graston technique

For many people, pain doesn’t come from a recent injury. It comes from something old. A strain that never fully healed. A surgery from years ago. A muscle that still feels tight no matter how much it gets stretched or massaged.

If you have tried traditional massage but still deal with stiffness or lingering discomfort, there may be a deeper issue involved. In many cases, massage is not enough for old injuries because scar tissue has formed beneath the surface. This is where the Graston Technique can help.

Why Old Injuries Are Hard To Fix

A lady holding her back in pain

When the body heals after an injury, it lays down scar tissue as part of the repair process. This is normal and necessary. The problem is that scar tissue doesn’t behave like healthy muscle or connective tissue. Scar tissue can:

  • Limit normal movement
  • Reduce flexibility
  • Create chronic tightness
  • Pull on the surrounding structures
  • Contribute to recurring pain

Over time, these restrictions can change how you move, often without you realizing it. Stretching and massage may provide temporary relief, but they often can’t reach deeper, stubborn tissue adhesions.

What Is The Graston Technique?

The Graston Technique is a form of instrument-assisted massage that uses specially designed stainless steel tools to address scar tissue and soft tissue restrictions.

Instead of relying only on hands, the provider uses these tools to gently scan and treat areas of dysfunction. The tools help detect and break down scar tissue and adhesions that may be limiting movement or causing discomfort.

Graston Technique therapy is commonly used alongside chiropractic care, rehabilitation exercises, and movement therapy as part of a comprehensive treatment plan.

How Instrument Assisted Massage Works

Dr Shaun giving a consultation to a patient

The stainless steel instruments used in the Graston Technique allow for more precise pressure than hands alone. As the tool glides over the skin, it helps identify areas where tissue is restricted or not moving properly.

Treatment works by:

  • Breaking down scar tissue and adhesions
  • Stimulating blood flow to the area
  • Encouraging tissue remodeling
  • Supporting the body’s natural healing response

This process helps replace unhealthy tissue patterns with healthier, more functional movement over time.

What Conditions Can Benefit From Graston Technique?

Scar tissue treatment is often helpful for conditions that involve repetitive strain, old injuries, or post-surgical healing. In our office, the Graston Technique is commonly used for:

  • Tendon and ligament injuries
  • Chronic muscle tightness
  • Plantar fasciitis
  • Tennis or golfer’s elbow
  • Shoulder and rotator cuff issues
  • Knee pain
  • Old sports injuries that never fully resolved

It can be especially useful for patients who feel stuck after trying other conservative treatments.

Why Massage Alone Is Not Always Enough

Dr. Shaun adjusting patient's neck.

Traditional massage focuses on relaxing muscles and improving circulation. While that can feel good and provide relief, it may not fully address deeper scar tissue that has formed over time.

Scar tissue tends to be dense and disorganized. It often requires targeted, consistent pressure to change. Instrument-assisted massage allows for that precision while still staying within a non-invasive, conservative care approach.

Many patients notice that the Graston Technique reaches areas that standard massage never seems to affect.

What A Graston Technique Session Feels Like

A Graston session is typically brief and focused. The provider applies the instruments to the affected area using controlled pressure. Sensations vary, but most patients describe it as firm pressure rather than pain.

Some redness or mild soreness can occur after treatment. This is a normal response and usually fades within a day or two. Sessions are often combined with stretching or corrective exercises to reinforce improved movement.

Treatment plans are personalized based on injury history, tissue quality, and individual goals.

Supporting Long-Term Tissue Health

Breaking down scar tissue is only part of the process. Once restrictions are reduced, it is important to support proper movement and healing. That is why Graston Technique therapy is often paired with:

  • Chiropractic adjustments
  • Mobility work
  • Strengthening exercises
  • Posture and movement guidance

This combination helps prevent scar tissue from reforming and supports long-term improvement rather than short-term relief.

A Tool-Based Approach For Active Hawaii Patients

Living an active lifestyle in Hawaii means your body takes on a lot of wear over time. Surfing, hiking, lifting, and daily activity all add up. Old injuries shouldn’t hold you back from what you enjoy.

The Graston Technique offers a specialized, tool-based option for patients who need more than traditional hands-on care. Addressing the underlying tissue restrictions helps restore movement and reduce recurring discomfort.If you have an old injury that still feels tight, restricted, or painful, scar tissue may be part of the problem. Our team is happy to explain how the Graston Technique works and whether it fits your needs. Scheduling an appointment is a great way to explore specialized care designed to help your body move better.

Tyler Kimura
Dr. Shawn is absolutely amazing. Being an athlete himself, we can relate to my past sports injuries and how they are still affecting me. I can feel the difference when I take a break from seeing him so his treatments seem to be effective. Regular adjustments keep the pain to a minimum and often times completely gone. I highly recommend Elite Chiropractic. Thanks Doc.
Dan Ihara
When I’m on island, I go every week to Dr. Shaun and allows me to live an active life at the age of 60 without any pain while surfing daily. So happy to have found him years ago
Tiana Tori
Dr.Shaun Ohira is amazing. He is very caring and able to pin point exactly where you need adjustments. I feel confident in his hands. The office is in a great location and clean. Staff is lovely. Highly recommend. A+++
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Breaking Down Scar Tissue: What Is The Graston Technique?
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