At the time of this article, over 16,000 clinicians worldwide have been trained in providing Graston Technique manual therapy.

Most of the providers of this therapy are chiropractors, osteopathic physicians, physical and occupational therapists, and athletic trainers. Training is also available to medical doctors, registered nurses and licensed massage therapists.

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    Graston Technique Training

    Fairly extensive training is required to use the technique. Graston Technique training consists of 2 modules:

    • Module 1 is a 12-hour course that teaches a global approach to using the instruments. It also covers research articles, indications, contraindications, the 7 strokes used with the instruments and several hours of hands-on utilization of the instruments.

    Module 2 is an advanced 14-hour course that is more condition specific. The clinician is introduced to adding motion during treatment and how to utilize the instruments for nerve flossing as described by Shacklock and Butler.


    The Graston Technique is part of the advanced degree curriculum of many respected universities and colleges. Many professional sports organizations, including U.S. Olympic teams, use the technique in the care of their athletes. 1 "Who Uses Graston Technique," Graston Technique®, accessed 5/10/13.

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    Dr. Thomas Hyde is a chiropractor who retired with more than 30 years of experience treating spine pain and soft tissue disorders in athletes and active patients.