Instrument-Assisted Soft Tissue Mobilisation (IASTM)
Instrument-assisted soft tissue mobilisation treatment is an advanced manual therapy technique used by osteopaths to address soft tissue dysfunction, reduce pain, and restore optimal movement. Below, you’ll find an educational overview designed to introduce you to IASTM and explain why it’s becoming increasingly popular in clinical practice.
Firstly, IASTM (instrument-assisted soft tissue mobilisation) involves using specially designed tools—often made of stainless steel—to apply controlled pressure along muscles, tendons, ligaments, and fascia. Moreover, these instruments allow practitioners to precisely pinpoint areas of tissue restriction and adhesions, which can be challenging to detect with hands alone.
Biomechanically, IASTM works by producing a targeted micro-trauma response in the treated tissues. Consequently, this controlled stimulus encourages the body’s natural healing cascade:
Enhanced blood flow: Increased circulation delivers nutrients and oxygen to repair areas more effectively.
Collagen remodelling: Stimulates fibroblast activity, promoting healthy re-alignment of collagen fibres.
Neurological effects: Activates mechanoreceptors, reducing pain through gate-control mechanisms.
Therefore, patients often notice an improvement in range of motion and a decrease in discomfort after just a few sessions. In addition, research has shown that instrument-assisted soft tissue mobilisation treatment can significantly improve outcomes in conditions like chronic tendinopathy and myofascial pain syndromes.
Graston Tools®:
Characterised by ergonomic handles and varying edge profiles for both broad strokes and precise work.
ASTYM Instruments:
Feature rounded contours that glide smoothly over body surfaces, ideal for larger muscle groups.
Stainless Steel IASTM Devices:
Customisable shapes to suit different anatomical regions, from the neck to the lower limbs.
Ceramic or Polymer Tools:
Occasionally used for clients with metal sensitivities, though less common.
While traditional soft tissue work—such as deep friction massage and myofascial release—relies solely on the therapist’s hands, incorporating instruments offers key advantages:
Greater precision: Tools focus pressure exactly where it’s needed, whereas hands can fatigue or lose sensitivity.
Improved efficiency: Sessions can be shorter yet more effective since instruments break down adhesions faster.
Reduced practitioner strain: Minimises hand and wrist fatigue for the clinician over a busy workday.
However, it’s worth noting that combining manual and instrument-assisted techniques often produces the best overall results. Therefore, many osteopaths integrate IASTM alongside traditional methods for a truly comprehensive approach to soft tissue care.
At MHV Clinic, we prioritise patient safety and adhere strictly to industry guidelines. Our osteopathic services are delivered by fully accredited practitioners who focus on evidence-informed care. In line with ASA recommendations, we will discuss treatment options, expected outcomes, and any risks before proceeding. Ultimately, our goal is to support your journey toward pain-free movement and improved quality of life.
Health Insurance Coverage
Most major health insurance providers cover our services. Payments are made at the time of treatment, and we provide invoices for reimbursement. Please check with your insurer for details.