Instrument-assisted therapy in Crows Nest: Graston-style IASTM and Activator adjusting.

At a glance

• IASTM (the approach behind the Graston Technique) uses smooth metal tools over muscle and tendon. It may improve range of motion in the short term, with limited and mixed evidence for pain.¹²
• The Activator is a spring-loaded tool that delivers a light, fast impulse to a joint as an alternative to a manual adjustment.³
• Neither is a stand-alone fix. Both are used alongside exercise and load advice.

What is IASTM or the Graston Technique?

Instrument-assisted soft tissue mobilisation uses shaped, smooth-edged tools moved across the skin over tight or sore muscle and tendon. Graston is one trademarked system; the tools and methods are similar across brands.

Does Graston or IASTM work?

A systematic review found IASTM may improve range of motion and possibly pain in the short term, but studies were small and varied, so firm conclusions could not be made.¹ A later meta-analysis found IASTM was not clearly better than other treatments for pain and function in musculoskeletal conditions.²

The IASTM article goes into detail. In short, I use it when it helps you move better and get on with your exercises.

What is an Activator adjustment?

The Activator is a handheld instrument that delivers a quick, low-force impulse to a joint. It suits people who prefer not to have a manual thrust, or where a lighter touch fits better.

Does Activator chiropractic work?

A systematic review found the Activator gave similar short-term outcomes to manual adjustment for some low back pain, but the overall evidence base was small and of limited quality.³

Is instrument-assisted therapy safe?

IASTM can leave redness, tenderness or light bruising for a day or two. I avoid it over broken skin, varicose veins, recent fractures, or if you take blood thinners or have a bleeding condition. Activator adjusting is low force; temporary soreness is the most common effect.

What happens in a session?

• Assessment first, then a clear explanation of what I suggest and why.
• IASTM for a few minutes over the area, and/or Activator adjusting to stiff joints.
• Movement and strength exercises straight after to use the change.

Where do you work, and who do you see?

Chiro Central is inside PT Central at 455 Pacific Hwy, Crows Nest, and sees people from St Leonards, North Sydney, Cammeray, Wollstonecraft and Waverton.

Summary

Instrument-assisted techniques are useful options with modest evidence, best used inside an active plan. Book online or call +61 451 226 451.

This page is general information, not individual medical advice.

References

• Cheatham SW, Lee M, Cain M, Baker R. The efficacy of instrument assisted soft tissue mobilization: a systematic review. J Can Chiropr Assoc. 2016;60(3):200-211.
• Nazari G, Bobos P, MacDermid JC, Birmingham T. The effectiveness of instrument-assisted soft tissue mobilization in athletes, participants without extremity or spinal conditions, and individuals with upper extremity, lower extremity, and spinal conditions: a systematic review. Arch Phys Med Rehabil. 2019;100(9):1726-1751.
• Huggins T, Boras AL, Gleberzon BJ, et al. Clinical effectiveness of the activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. J Can Chiropr Assoc. 2012;56(1):49-57.