Graston Technique ®


Click here to read an article on the Graston Technique 

In 2010, Dr. Elizabeth Pagano became certified in the Graston Technique. This remarkable procedure allows her to detect and care for areas of scar tissue or adhesions in muscles, tendons and ligaments that can lead to pain and dysfunction.

In the healing process our body attempts to repair muscles, tendons, and ligaments with scar tissue, much like the scar that forms on the skin when you have scraped or banged your knee.  As you can imagine, that scar tissue is not as strong and flexible as normal, healthy, undamaged tissue.  Over time we can have a build up of this fibrous scar tissue, particularly in the muscles, tendons, and ligaments that get a lot of use.  This can lead to pain and dysfunction because this replacement tissue lacks the strength and flexibility of healthy tissue (in some areas it may even mat down and entrap a nerve). 

The Graston Technique® allows Dr. Elizabeth to better detect and treat these areas because it uses a stainless steel instrument that glides along a patient's muscle, tendons, or ligaments and acts like a scar tissue stethoscope.  When knots or bands of scar tissue are encountered, both the doctor and the patient sense a restriction or a granular feeling.  The instrument can then be used to break up this restriction or adhesion.  Stretching exercises are then used to promote re-alignment of the fibers so that they behave more like normal, healthy tissue. 

The benefit of the Graston Technique® is not only in detection of restrictions or adhesions, but also in the amount of improvement that takes place in a short amount of time.  Unfortunately, the unaided hand is hard pressed to detect and break up as much scar tissue as the stainless steel instruments can. 

When the Graston Technique® is coupled with the necessary strengthening, and stretching exercises, it provides a great aid to the chiropractic adjustment and the patient gets better much quicker and more completely. 

The Graston Technique® is not appropriate for every patient condition.  It is, however, very helpful for people with the most common conditions we treat in this office.  If you have not experienced the Graston Technique® and you still have lingering discomfort or stiffness, please ask us whether you may be helped by this effective new treatment. 

To learn more about the Graston Technique, please visit their website at


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  • "The Chiropractic Café is a very Warm and Friendly environment. As a physician myself, I think Drs. Rick and Elizabeth do a great job explaining their treatments and have extremely good bedside manners. They do a great job creating the doctor/patient relationship which is one of most important parts of any healing modality. I would highly recommend them to all my friends and family!"
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