What is "Scraping?"

Scraping (aka Instrument-Assisted Soft Tissue Mobilization (IASTM) and the Graston Technique) is a form of manual therapy used in physical therapy to treat soft tissue injuries and dysfunctions. It involves using specialized tools made from materials like stainless steel, plastic, or ceramic to apply targeted pressure to muscles, tendons, and fascia to break down scar tissue, reduce muscle tension, and promote healing.

How Scraping Works:

The therapist uses these instruments to apply controlled microtrauma to the soft tissues, which:

• Stimulates a localized inflammatory response.
• Increases blood flow to the area.
• Promotes the body’s natural healing process by triggering tissue remodeling and regeneration.

Common Tools Used:

Scraping tools come in various shapes and sizes to adapt to different areas of the body. Examples include:

• Graston Tools: Popular in scraping treatments with contoured edges to fit different parts of the body.
• Plastic or Ceramic Tools: Lightweight and versatile, often used in softer treatments.

Common Conditions Treated with Scraping:

• Tendinitis (e.g., Achilles tendinitis, tennis elbow)
• Plantar fasciitis
• Carpal tunnel syndrome
• Muscle strains and ligament sprains
• Scar tissue and fascial adhesions
• IT band syndrome
• Shin splints
• Rotator cuff injuries
• Chronic low back pain
• & more

Benefits of Scraping in Physical Therapy:

1. Improved Tissue Mobility:

   • Breaks down scar tissue and adhesions that restrict movement and cause pain.

2. Pain Relief:

   • By releasing tension in muscles and improving blood circulation, scraping can reduce pain in injured areas.

3. Enhanced Healing:

   • Promotes tissue regeneration by stimulating blood flow, which brings essential nutrients to the affected area.

4. Faster Recovery:

   • Speeds up recovery times for both acute and chronic conditions by improving tissue mobility and reducing inflammation.

5. Increased Range of Motion:

   • Mobilizing tight muscles and soft tissues can lead to improved flexibility and range of motion, which is crucial for athletes and those recovering from injury.

6. Targeted Treatment:

   • The use of instruments allows for more precise pressure application, making it easier to target specific areas of tension or dysfunction.

7. Non-Invasive Alternative:

   • Scraping offers a non-surgical, drug-free option for treating soft tissue injuries.

8. Decreased Need for Pain Medication:

   • Patients may experience relief without the need for pain medications or anti-inflammatories, making it a safer long-term option for pain management.

Is Scraping Painful?:

Scraping can cause some discomfort or mild pain during and after treatment, but it is generally well-tolerated by most patients. The level of discomfort depends on several factors, such as the condition being treated, the intensity of the therapy, and the patient's pain tolerance.

Here's what to expect:

1. During Treatment:

   • Mild to Moderate Discomfort: Patients may feel pressure and discomfort as the therapist uses the tools to break down scar tissue and adhesions. This discomfort is similar to a deep tissue massage and varies from person to person.
   • Scraping Sensation: The tools glide over the skin, producing a scraping or brushing sensation. In areas where scar tissue or adhesions are present, patients may feel more pronounced discomfort as the tools target those spots.

2. After Treatment:

   • Soreness: It's common to experience mild soreness or bruising in the treated area, similar to post-massage soreness. This typically lasts for a day or two and is a normal part of the healing process.
   • Redness or Light Bruising: The friction created by the instruments can cause temporary redness or light bruising, particularly in areas with restricted tissues. This is generally mild and resolves within a few days.

How Therapists Manage Discomfort:

• Customized Pressure: Therapists adjust the pressure based on your tolerance. If you experience significant discomfort, the therapist will ease the intensity of the treatment.
• Gradual Progress: Scraping treatments are often part of a progressive plan. Therapists may start with lighter pressure and gradually increase the intensity as the tissues begin to heal and adapt.

Benefits Outweigh the Discomfort:

While scraping may cause some temporary discomfort, many patients find the benefits, such as improved mobility, pain relief, and faster recovery, outweigh the short-term pain. The discomfort is typically a sign that the treatment is working to break down restrictions and promote healing.

If you're ever concerned about the pain level during a scraping session, it's important to communicate with your therapist so they can adjust the treatment accordingly.

Conclusion:

Scraping is an effective, evidence-based technique in physical therapy that enhances healing and recovery. Its benefits, such as improving mobility, reducing pain, and promoting faster recovery, make it an excellent option for a wide range of musculoskeletal conditions.

Bowman Physical Therapy is here to introduce you to the healing capabilities of scraping! All of our therapists at both locations are ready to get you started on this specialized treatment. 

Call us today at your location of choice to make an appointment! OR request an appointment from our website. 

River Oaks: 832-409-6390

Friendswood: 281-482-7380