Dr. Elizabeth Pagano has completed the Graston Technique® Module 1 Basic Training (12-hour training course) as well as the Graston Technique® Module 2 Advanced Training (14-hour training course).

Basic Training offers participants a comprehensive overview of the GT treatment approach with extensive laboratory practice.  The Advanced Training program includes lecture and laboratory applications of the technique in the diagnosis, treatment, and rehabilitation of soft-tissue injuries of the upper and lower extremities as well as the spine. The course incorporates the use of weight, resistance, and motion in treatment.

The instrument-assisted soft tissue treatment brings pain relief and improved function to patients who have been injured during their activities.

The technique uses specially designed stainless steel instruments to detect and treat areas exhibiting scar tissue or chronic inflammation.

Clinicians use the instruments with varying shapes to comb over and "catch" on fibrotic tissue, which immediately identifies areas of restriction. Once the tissue has been identified, the instruments break up scar tissue so the body can absorb it.

The Technique reduces pain and increases range of motion. It also:

· Improves diagnostic treatment

· Increases patient satisfaction by achieving notably better outcomes

· Speeds rehabilitation and recovery

      · Reduces the need for anti-inflammatory medication

      · Allows the patient to continue to engage in everyday activities.

The instruments are not meant to replace a clinician's hands, but to complement them.

More than 7,500 leading health care providers, more than 30 colleges and universities, major corporations and more than 125 professional/amateur sports organizations in the U.S. and around the world currently use Graston Technique®. Trainers and clinicians at these organizations are treating elite athletes, patients and employees every day to get them injury free to function at the highest level.

The technique provides patients with a new option in the treatment of musculoskeletal complaints. For further information contact Dr. Pagano at (919) 845-5553.

Chiropractic Café

8321 Six Forks Rd, Suite 101

Raleigh, NC  27615

For more information, go to GrastonTechnique.com.

The Graston Technique® instruments, while enhancing the clinician's ability to detect fascial adhesions and restrictions, have been clinically proven to achieve quicker and better outcomes in treating both acute and chronic conditions, including:

Achilles Tendinitis/osis (ankle pain)

Carpal Tunnel Syndrome (wrist pain)

Cervical Sprain/Strain (neck pain)


Lateral Epicondylitis/osis (tennis elbow)

Lumbar Sprain/Strain (back pain)

Medial Epicondylitis/osis (golfer's elbow)

Patellofemoral Disorders (knee pain)

Plantar Fasciitis/osis (foot pain)

Rotator Cuff Tendinitis/osis (shoulder pain)

Scar Tissue

Shin Splints

Trigger Finger

Women's Health (post-mastectomy and Caesarean scarring)


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Office Hours

Our Regular Schedule

Raleigh Office


7:45 am-12:00 pm

12:00 pm-3:00 pm


7:45 am-11:15 am

2:00 pm-6:00 pm


7:45 am-11:15 am

2:00 pm-6:00 pm


7:45 am-12:00 pm

12:00 pm-6:00 pm








Reviews By Our Satisfied Patients

  • "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!"
    Jennifer - Raleigh, NC