Instrument-Assisted Soft Tissue Mobilization: The Art of Scraping

You might have heard it called Gua Sha, graston technique, or simply "scraping," but instrument-assisted soft tissue mobilization (IASTM) is one of the most effective yet misunderstood techniques we offer at Rehab Associates. Despite its somewhat intimidating name, this therapy provides remarkable relief for many common musculoskeletal problems.

What Is Scraping Therapy?

Scraping therapy involves using specially designed tools with smooth edges to stroke or "scrape" along the surface of the skin in targeted areas. Our physical therapists at Rehab Associates use various tools made from stainless steel, jade, or other materials, each designed for specific tissues and body regions.

"The technique looks simple, but there's actually quite a bit of skill involved," notes our senior physical therapist. "We're feeling for restrictions in the tissue—areas where the fascia may be adhered or muscles aren't gliding properly—and using the tools to help release those restrictions."

The Science Behind Scraping

When we apply these tools to your skin and underlying tissues, several beneficial processes are triggered:

• Breaking up scar tissue: The tools help break down restrictive adhesions and scar tissue that can form after injury

• Stimulating blood flow: The controlled microtrauma increases circulation to promote healing

• Reducing inflammation: Proper technique helps flush inflammatory mediators from the area

• Promoting tissue remodeling: The mechanical stimulation encourages proper tissue alignment as it heals

• Releasing fascial restrictions: Tightness in the connective tissue can be effectively addressed

The result? Improved mobility, decreased pain, and better tissue quality in the treated area.

What To Expect During Treatment

If scraping therapy is right for you, here's what you can anticipate during your session at Rehab Associates:

We'll begin with a thorough evaluation to identify problematic areas. Then, we'll apply a small amount of lubricant to your skin to allow the tool to glide smoothly. Using varying pressure and angles, we'll stroke the tool across target areas in specific patterns.

The sensation ranges from barely noticeable to moderately intense, depending on the area being treated and the level of restriction present. Many patients describe it as a "good hurt"—the kind of discomfort that feels productive. Communication is key, and our therapists always ensure your comfort throughout the session.

After treatment, the area may appear slightly reddened—this is normal and indicates increased blood flow. This redness typically fades within 24-48 hours.

Who Benefits From Scraping Therapy?

At Rehab Associates, we've found scraping therapy particularly effective for:

• Chronic tendinopathies (like tennis elbow or Achilles tendinitis)

• Post-surgical scar tissue

• Plantar fasciitis

• IT band syndrome

• Neck and back pain

• Repetitive strain injuries

• Muscle strains and tears during the healing phase

Try Scraping Therapy at Rehab Associates

With direct access to physical therapy approved in Ohio, you can experience the benefits of scraping therapy without needing a physician referral first. Our physical therapists at Rehab Associates have received specialized training in various scraping techniques, ensuring you receive the most effective and appropriate treatment for your condition.

If you're dealing with a stubborn injury or chronic pain that hasn't responded to traditional approaches, scraping therapy might be the solution you've been looking for.

Start with a free phone consult and learn whether this technique could help you get back to doing what you love, pain-free.

Prefer a complimentary in-person consultation? Contact our Newark-Heath office or our Dresden office. We're always happy to help!