Instrument-Assisted Soft Tissue Mobilisation

Written By Jamie Richards

What is IASTM?

IASTM is a hands-on therapy using specially designed tools (usually stainless steel) to treat muscle and soft tissue injuries. It helps identify and break down scar tissue and fascial restrictions, promoting healing.

How Does It Work?

  • Microtrauma is intentionally caused using tools to stimulate the body’s healing response.

  • This encourages collagen regeneration, scar tissue breakdown, and better tissue alignment.

  • It improves blood flow, pain relief, and range of motion.

Conditions Treated

IASTM is commonly used for:

  • Tendonitis (e.g., patellar, Achilles, rotator cuff)

  • Muscle strains and sprains

  • Plantar fasciitis

  • Neck and back pain

  • Carpal tunnel syndrome

  • Post-surgical scars and more

Who Should Avoid It?

Contraindications (should not be used if):

  • Open wounds or unhealed fractures

  • Blood disorders (e.g., hemophilia)

  • Severe infections or cancer

  • Uncontrolled high blood pressure

Precautions (use with care if):

  • On blood thinners

  • Varicose veins, burns, or during pregnancy

  • Acute inflammation or chronic illness (like RA)

How IASTM Helps

At a Cellular Level:

  • Increases fibroblast activity (these cells repair soft tissues)

  • Boosts collagen production

  • Enhances neural and blood flow response

Clinically:

  • Improves mobility and strength

  • Reduces pain and scar tissue

  • Aids in quicker rehab for athletes and post-injury patients

Benefits for Therapists

  • Reduces hand strain and injury

  • Enhances detection of tissue problems via vibrations from tools

Instruments Used

Brands include Graston®, HawkGrips®, RockTape®, and others. Tools vary in material (steel, jade, plastic) but all aim to achieve similar outcomes.

How is IASTM Applied?

6-Step Treatment Approach:

  1. Assessment

  2. Warm-up (light exercise)

  3. IASTM treatment

  4. Stretching

  5. Strengthening exercises

  6. Cold therapy

Conclusion

IASTM is a safe, evidence-based therapy that supports soft tissue healing. When combined with exercise and movement, it significantly boosts recovery and function for a wide range of conditions.

Let me know if you’d like this in poster format or need a version tailored for clients or athletes.

Jamie Richards
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