Book an appointment using Safe Rehaab Gachibowli Physiotherapy

 

IASTM Technique is an innovative technique that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

Instrument Assisted Soft Tissue Mobilisation or Simply IASTM is a new range of tool which enables clinicians to efficiently locate and treat individuals diagnosed with soft tissue dysfunction. The technique itself is said to be a modern evolution from Traditional Chinese Medicine called GuaSha.However GuaSha was not used to treat Musculoskeletal conditions but was traditionally applied along meridiens to move the bad chi out through the skin.IASTM is a is a procedure that is rapidly growing in popularity due to its effectiveness and efficiency while remaining non-invasive,with its own indications and limitations.

 

Characteristics of Instruments
• Curvilinear edge combined with their concave/convex shapes
• Detection through resonation
• Less tissue compression
• Stethoscope analogy

 

Benefits

For the patient:
• Decreases overall time of treatment
• Fosters faster rehabilitation/recovery
• Reduces need for anti-inflammatory medication
• Resolves chronic conditions thought to be permanent

For employers and the Ministry of Health:
• Allows patients to remain on the job
• Reduces the need for splints, braces and job-site modifications
• Contributes to reduction of labor and healthcare costs

 

Clinical Applications
The IASTM Instrument, while enhancing the clinician's ability to detect fascialadhesions and restrictions, has been clinically proven to achieve quicker and better outcomes in treating both acute and chronic conditions, including:

 

  • Cervical sprain/strain
  •  Lumbar sprain/strain
  • Carpal Tunnel Syndrome
  • Plantar Fasciitis
  • Lateral Epicondylitis (tennis elbow)
  • Medial Epicondylitis (golfer's elbow)
  •  Rotator Cuff Tendinosis
  •  Patellofemoral Disorders
  • Achilles Tendinosis
  • Shin Splints
  •  Scar Tissue
  • Trigger Finger
  • Medial Epicondylitis, Lateral Epicondylitis
  • Carpal Tunnel Syndrome
  • Neck Pain
  • Tibialis Posterior Tendinitis
  • Heel Pain /Achilles Tendinitis
  • DeQuervain's Syndrome
  • Post-Surgical and Traumatic Scars
  • Myofascial Pain and Restrictions
  • Musculoskeletal Imbalances
  • Chronic Joint Swelling Associated with Sprains/Strains
  • Ligament Sprains
  • Muscle Strains
  • Non-Acute Bursitis
  • RSD (Reflex Sympathetic Dystrophy)
  • Back Pain
  • Trigger Finger
  • Hip Pain (Replacements)
  • IT Band Syndrome
  • Shin Splints
  • Chronic Ankle Sprains
  • Acute Ankle Sprains (Advanced Technique)
  • Scars (Surgical, Traumatic)

 

IASTM is performed with ergonomically designed instruments that detect and treat fascial restrictions, encourage rapid localization and effectively treat areas exhibiting soft tissue fibrosis, chronic inflammation, or degeneration. As in any Manual therapy treatment ,supplementation with exercises and additional modalities e.g. joint mobilization designed to correct biomechanical deficiencies by addressing musculoskeletal strength and muscle imbalances throughout the entire kinetic chain should be used in conjunction with IASTM.

How does it work?

Instruments effectively break down fascial restrictions and scar tissue. The ergonomic design of these instruments provides the clinician with the ability to locate restrictions and allows the clinician to treat the affected area with the appropriate amount of pressure.


The introduction of controlled microtrauma to affected soft tissue structure causes the stimulation of a local inflammatory response. Microtrauma initiates reabsorption of inappropriate fibrosis or excessive scar tissue and facilitates a cascade of healing activities resulting in remodeling of affected soft tissue structures. Adhesions within the soft tissue which may have developed as a result of surgery, immobilization, repeated strain or other mechanisms, are broken down allowing full functional restoration to occur.


Indications

  • Limited motion
  • pain during motion
  • motor control issues
  • Muscle recruitment issues

 

Contraindications

  • Compromised tissue integrity (open wound, infection, tumor)
  • Active implants (pacemaker, internal defibrillator, picc/pump lines)
  • DVT
  • Cervical carotid sinus

 


 

2. Clinical Benefits
Studies have also showed clinical benefits of IASTM showing improvements in range of motion,strength and pain perception following treatment. Melham et al found that IASTM significantly improved range of motion in a college football player following 7 weeks of IASTM and physical therapy.Melham et al. found that scar tissue surrounding the lateral malleolus was reduced and remodeled structurally following IASTM application. Wilson et al found improvement in pain reduction and impairment scale  at 6 & 12 weeks following IASTM application for patellar tendonitis.