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Portland Chiropractor - Graston Technique news video

Brad Farra - Saturday, October 30, 2010

I thought I would share this news video from California highlighting Graston Technique.  I use this technique and other chiropractic care to treat sports injuries in my Northwest Portland Chiropractic office.

Portland Chiropractor - Graston Technique

Brad Farra - Sunday, May 30, 2010

As a Sports Chiropractor in Portland there is a great demand to have an effective soft tissue therapy.  A sports physician must be able to treat muscle, tendon, ligament, scar tissue, fascia, and other soft tissues.  Many of you know I have been using Graston Technique to effectively treat different soft tissue injuries.  Graston is extremely effective with running, cycling, swimming, and other sports injuries.  Here is some specific information about Graston Technique.

Graston Technique® is an interdisciplinary treatment used by more than 7,500 clinicians worldwide—including athletic trainers, chiropractors, hand therapists, occupational and physical therapists.

GT is utilized at some 825 out-patient facilities and industrial on-sites, by more than 125 professional and amateur sports organizations, and is part of the curriculum at 32 respected colleges and universities.

The Graston Technique®, originally developed by athletes, is changing the way clinicians — including athletic trainers, chiropractors, physical therapists, occupational therapists — and patients view treatment of acute and chronic soft tissue injuries.

Graston Technique® is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The Technique utilizes specially designed stainless steel instruments  to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

The curvilinear edge of the patented Graston Technique® Instruments combines with their concave/convex shapes to mold the instruments to various contours of the body. This design allows for ease of treatment, minimal stress to the clinician's hands, and maximum tissue penetration.

The Graston Technique® Instruments, much like a tuning fork, resonate in the clinician's hands allowing the clinician to isolate adhesions and restrictions, and treat them very precisely. Since the metal surface of the instruments does not compress as do the fat pads of the finger, deeper restrictions can be accessed and treated. When explaining the properties of the instruments, we often use the analogy of a stethoscope. Just as a stethoscope amplifies what the human ear can hear, so do the instruments increase significantly what the human hands can feel.

Graston Technique® offers many advantages and benefits.

For the clinician:
  •   Provides improved diagnostic treatment
  •   Detects major and minor fibrotic changes
  •   Reduces manual stress; provides hand and joint conservation
  •   Increases patient satisfaction by achieving notably better outcomes

For the patient:
  •   Decreases overall time of treatment
  •   Fosters faster rehabilitation/recovery
  •   Reduces need for anti-inflammatory medication
  •   Resolves chronic conditions thought to be permanent

For employers and the healthcare industry:
  •   Allows patients to remain on the job
  •   Reduces the need for splints, braces and job-site modifications
  •   Contributes to reduction of labor and healthcare costs, direct and indirect

Clinical Applications of the Patented GT Instruments

The Graston Technique® (GT) 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:

Cervical sprain/strain (neck pain)
Lumbar sprain/strain (back pain)
Carpal Tunnel Syndrome (wrist pain)
Plantar Fasciitis (foot pain)
Lateral Epicondylitis (tennis elbow) Medial Epicondylitis (golfer's elbow)
Rotator Cuff Tendinitis (shoulder pain) Patellofemoral Disorders (knee pain)
Achilles Tendinitis (ankle pain)
Scar Tissue
Trigger Finger
Shin Splints

Portland Chiropractor - Tennis Elbow

Brad Farra - Tuesday, January 12, 2010

Tennis Elbow

Last spring I wrote a blog on Tennis elbow.  I thought it was time to re-post and update some information.  As a Sports Chiropractor in Portland Oregon I treat a lot of sports and extremity injuries and tennis elbow is very common.  Tennis elbow has also been called carpenters elbow and is referred to by health care professionals as lateral epicondylitis. All of the activities associated with tennis elbow include some type of hand use. Tennis players are only responsible for a small percentage of these injuries. In addition to the activities listed above there are many other possible causes including: computer terminal use, plumbing, carpentry, bowling, and too many others to list.  Tennis elbow is a repetitive use injury, not caused by a single traumatic event.

Tennis elbow usually comes on slowly with pain in the outside (lateral side) of the elbow. Sometimes the condition will go away on its own by removing the offensive activity, but it usually requires treatment for full recovery and avoidance of flare ups. Current research provides evidence that this is not an inflammatory condition, but more of a chronic degenerative condition; this explains why cortisone shots and anti-inflammatory drugs are ineffective for this condition. It should also be mentioned that cortisone shots have been shown to weaken tendons and connective tissues and should not be injected directly into a tendon.  Treatment should always begin with conservative measures. Tennis elbow is at times slow to respond to treatment, but rarely needs more invasive treatments like surgery. Conservative therapy usually includes modification or elimination of the offensive activity; for example a tennis player may need to take a break from tennis, limit the backhand swing, or at a very minimum use the two handed backhand and improve technique. In office treatment consists of soft tissue therapy, elbow joint manipulation, and ultrasound. An extremely effective type of soft tissue manipulation for tennis elbow is Graston Technique (www.grastontechnique.com). It is important to begin rehabilitation exercises including stretching and strengthening as soon as you have your elbow condition diagnosed. In less than 5% of cases surgery is needed where conservative therapy has failed. Surgery for tennis elbow is 80-90% effective.

If you did acquire your tennis elbow with your powerful backhand a few tips might be helpful if you are unwilling to take a break from tennis and you want to continue playing while receiving treatment: change your racket (avoid high string tension), get in a long warm up, use a larger hand grip, avoid Kevlar string, use string dampers, counter weight handle of racket (retrofit handle), use a brace (counter force strap), play on slow surfaces with new and dry balls.

If you are like most people and have acquired a nasty case of tennis elbow from too much computer use.  Have someone work with you on your work station ergonomics and posture.

If you are seeking treatment for this condition go to www.drbradfarra.com for information about scheduling.

I hope you find this information helpful and as always if you have any questions please don't hesitate to contact me. drfarra@drbradfarra.com

Graston Technique

Brad Farra - Thursday, November 05, 2009

More than 115 professional and amateur sports organizations, some 600 out-patient facilities and more than 6,000 clinicians around the country offer not only the original, but the finest instrument-assisted soft tissue treatment technology available. GT is part of the curriculum in 29 university and collegiate institutions.

I use Graston Technique in my practice for many different types of soft tissue injuries, it's an amazing and effective therapy.

Graston Technique is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The Technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

Research has found that the controlled micro trauma induced through Graston Technique protocol, increased the amount of fibroblasts to the treated area. That amount of inflammation to the scar tissue helps initiate the healing cascade. The structure of the tissue is rearranged, and damaged tissue is replaced by new tissue. Ice is then applied to reduce the pain and exercise is implemented to increase function and range of motion.

Other clinical studies continue to document the success of Graston Technique®, generally achieving better outcomes when compared to traditional therapies, and resolving injuries that have failed to respond to other therapies.

Graston Technique decreases overall treatment time, fosters faster rehabilitation, reduces need for anti-inflammatory medication, resolves chronic conditions thought to be permanent, and allows the patient to engage in normal everyday activity or sport.