Graston Technique - Injury Treatment and RehabilitationSimple Technology Improving Injury Treatment & Rehabilitation
 


As published in
BioMechanics
October 2007

MCL injury massage
by Mike Ploski, PT, ATC, OCS
© 2007 BioMechanics


An injury to a medial collateral ligament of the knee rarely requires surgery for a full recovery. Even complete tears will usually heal on their own.  Conservative treatment approaches that use modalities such as ice and electrical stimulation to decrease local pain and inflammation, and therapeutic exercise to restore strength and range of motion to the knee are recommended.  Compression sleeves and supportive braces also can provide extra stability while protecting the healing ligament from harmful stresses.

     Soft-tissue mobilization techniques and cross-friction massage can reduce edema and speed recovery of the injured tissue.  They can both be performed manually or with instruments.

 

     The Graston Technique is a form of manual therapy that uses patented stainless steel instruments to restore soft tissue motion. In studies conducted on rats, the Graston Technique accelerated early ligament healing by stimulating fibroblastic activity. This resulted in the increased production of collagen fibers.

      The procedure was shown to improve the biomechanical properties of ligament healing.  A treated ligament was found to be stronger and stiffer than an untreated one.  Exercise also has been shown to improve collagen synthesis and the tensile strength of the healed medial collateral ligament compared with immobilization.

     
 
A concave Graston instrument contoured to fit the knee allows the clinician to trap edema in a swollen knee, and effectively push fluid out of the area.
    
The small treatment surface on the edge of this Graston tool allows the clinician to perform cross-friction massage over the MCL with much more specificity than using the fingers in the traditional method.  
   

© 2007 BioMechanics