Treating Plantar Fasciitis With Graston Technique
Graston Technique For Plantar Fasciitis Heel Pain
Ok let's not talk about the graston technique. Here we have several different options for tools as well as treatment techniques. So I'm gonna start with the gt1 here. The big handlebar like device so essentially with the graston and tools. What you want to do initially is you want to use it to a scan the tissue. To try to find your points of fibrosis meaning areas of scar tissue. Is that might be kind of crunchy relative to areas that don't have any sort of restrictions to them.
So the crunchy areas are essentially areas of scar tissue or areas of you no restriction that need to be worked on. So we'll get it will skin and all the way down through kind of worker tool all the way down the sweeping like motions. Feeling for restrictions ok from proximal to distal from up to down from down up.
This to the proximal same sort of thing ok. Here is there so at the junction very typical the junction of the Achilles and the gas track you find a lot of restrictions through here. So with graston technique you want to get anywhere once you isolate your points of restriction. You want to maybe treat for 30 to 40 60 seconds per lesion. You can do some scoops.
Ok work the whole area Achilles gastrack interface here you can you do some swivels back and forth. ok through you can do some standing here ok. And the more time on this edge of the device the morning to be grabbing a little bit more aggressive versus being flattered this way. So of course the first couple times you do this you're not going to get too crazy. In the amount of them and this should not be a painful you know experience for patients.
And it's going to be mildly sore as you're working the tissue ok and I'm pushing too hard let me know our intention is not to bruise to hear some people get better. They get them more this kind of a few sort of redness is what we're looking for. We're not looking for a lot of blackiness that occurs in here that happens we're probably going a little bit too vigorous. Ok so 30 or 60 seconds per lesion be kind of work our way down through here the. lower Achilles when he gets into this year through here for Achilles problems for plantar fasciitis.
We can actually grab on gt4 and sometimes you just kind of start them in there and just do some real just some sweeps back and forth. Along the hollow ok through here switch same sort of thing I can scan first sweep for treatment second. Okay sweeping motions you're here ok and then and place them down. And then we actually start to incorporate you know some more advanced emotions as well.
We start to use pin and glides so for example we can go back to the cap over here. And look let's just have you up and down with your ankle okay just keep on going just like that. So I can grab that Junction up in here ok and push through okay. That's a little slower ok all of it first and then all the way down push it back up so in it and glide through ok. Pin and glide ok and also to a pin and stretch we just kind of hold that little spot it's from all the way up this way again and then push down.
Through all the way down to get back up. So it's definitely much more of an aggressive treatment grab that tissue little bit more the better with the tool. To get the stretch for the tissue ok. Same sort of thing gt4 on the Achilles so same idea up like that and then back down. then pin and slide all the way through all the way down.
Same idea although not true ok same thing over here okay push grab it and stretch it on through. Slide right through that tissue. Right then when it comes down to getting into the foot you have several nerves that course down through the tarsal tunnel. Through here the medial calcaneal nerve and get entrapped through here. The tubular of course here as well. So getting in and same sort of idea doing sweeps around the tarsal tunnel is always a good idea.
Didn't work all that tissue through here ok scanning trying to find points of restriction. We can start to get in and do you don't pin and glides through here as well. Ok as he's moving his foot back and forth you put it on stretch. And do your sweeps your scoops in here all the way down through. I like to do also is take a belt have you bend your right knee. Stabilize that and a leg. There you can rescue write it in your planner function gt5 many options would be a little bit less invasive because it's more of a concavity vs to teaching for the convexity going to get into the deeper.
A little bit done I guess more sharply in Silicon convexity instead of the concavity ok. So see my idea get in here and you can scan scan for lesions me do partial central and lateral work the system all the way through. That way same sort of idea all the way down this way.
Okay look hey make sure he's not know you know going through too much pain. Here in San Diego said it's all it's a little bit of soreness is ok. But you're not trying to you know get them sweating on the table here so that we can start doing on pin and glide. So I'll same idea loop up and down here then go a little bit slower back up.
Ok include grab and slide ok in it and glide ok the way through a little slower. We'll be up to know all the way down yeah. So just a matter of trying to coordinate this with the patient. And staying thinking back down this way then ok then push up against me get down this way back down issue.
So your options are and unlimited. As far as what you can do for directions and emotions you can actually get in. And you could have done this up into the mcat as well you can start doing these were squirrels. Ok let's aim then get in there you trying to work things in three dimensions. Instead of just up and down you know you can get in there. And start doing this swirling type of motion to find a point restriction. It's not really no releasing like you wanted to get in deeper and do this as well.
Ok all the way through and that's pretty much it so it's a very you know comprehensive approach. To treating you know Kelly's pain plantar fasciitis. You want to treat the calf and Achilles the hollow tarsal tunnel foot. All the way down through the way down to the first them their first ray and that's good thanks.