Break Up Muscle Restrictions and Scar Tissue With Graston Technique



A muscle with restriction as a result of adhesion or scar tissue that has been laid down during injury or overuse can become very problematic. Think of the muscle as a rubber band. Much like a rubber band, a muscle must be able to stretch and shorten at will. Then think of adhesion and scar tissue as  knots that have been tied in the runner band. The rubber band is not able to stretch nearly as much with knots tied in it, compared to stretching a rubber with no knots. Our muscles, tendons, ligaments, and fascia work in the exact same way. If these structures are restricted due to adhesion, they’re simply not going to work properly. Compensations and poor biomechanics take form which then makes us more susceptible to injury or re-injury.

A new technique using of specially designed stainless steel tools is changing the way clinicians treat these soft tissue dysfunction. Graston Technique is a form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break up adhesion that has developed from the overused and injured soft tissue. The technique allows the clinician to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

Originally developed by athletes, Graston Technique is an interdisciplinary treatment used by more than 9,000 clinicians worldwide—including physical and occupational therapists, hand therapists, chiropractors, and athletic trainers.

Graston Technique is utilized at some 830 outpatient facilities and industrial on-sites, by more than 160 professional and amateur sports organizations, and is part of the curriculum at 38 respected colleges and universities throughout the united States.

The following conditions respond very well to Graston Technique:

-Fascial Adhesions / Scar Tissue
-Nerve Entrapments
-Muscle Strains (Acute or Chronic)
-Iliotibial Band (ITB) Irritation / Syndrome
-Anterior / Posterior Tibial Stress Syndrome (Shin Splints)
-Runner’s Knee / Patellar Tendinopathy
-Achilles Tendinosis
-Plantar Fasciitis
-Snapping Hip Syndromes
-Post-Ankle Sprain Muscle Dysfunction
-Post-Surgical Scar Tissue
-Superior Tibiofibular Joint Fixation

For more information on Graston Technique, contact Dr. Kyle Bowling of Kentucky Sports Chiropractic at (502) 594-8326 or email at

My Injury Prevention Series with Team in Training and The Courier Journal







Over the past month I’ve had the great joy and opportunity to work with Jessie Halladay during her training for the Dublin, Ireland Marathon on October 31. Jessie is a reporter for the Courier Journal and runs with Team in Training. Team in Training is a wonderful endurance training program that works to raise money to support the mission of The Leukemia & Lymphoma Society to find a cure for blood cancers by funding research and to provide important patient services and patient aid to blood cancer patients and their families.

Jessie has been blogging about her training and invited me to take part in a series of interviews on some of the most important aspects of injury prevention for the runner. I’ve linked all of the interviews below, check them out!

1) Importance of Proper Footwear

2) Running on Different Surfaces to Prevent Injury

3) Specific Stretching to Avoid Injury

4) Specific Strengthening to Prevent Injury

5) Gait Analysis for Efficient Running

For more information on Team in Training, visit their website Here.

Gait Analysis Lab Is Up and Running! (pun intended)

I’ve recently implemented a small gait analysis lab into Kentucky Sports Chiropractic. As I stated in a previous post, determining what kind of gait you have is imperative for successful injury prevention. Using a treadmill, specific lighting, and a high speed camera allows us to film a runner’s gait, then watch in ultra slow motion for asymmetry and/or biomechanical deficiencies while running.

To test out the new office addition, I decided to use myself as a guinea pig considering I have a significant history of overuse injuries in my left leg. The results were pretty surprising to me. Watch the initial video below and see if you can pick out what’s going on in my gait.

Pay close attention to the angle of my waist line when each leg strikes the ground. You’ll notice that when my right leg hits, my waist line and hips are completely level, this is optimal. However when my left leg strikes the ground, my waistline and hip slope down towards my right side. This is a classic example of having weak abductor muscles. For the runner, abductor muscles (specifically the gluteus medius) work to stabilize the hips and evenly distribute stress and impact throughout our lower extremities when striking the ground. If the hip stabilizers are weak and/or not functioning correctly (like with me!),   an overuse injury will inevitably occur as a result of the lack of stability.

To correct this, I’ve started a specific exercise regimen that targets core stability and hip abductors. We’ll reassess my gait in a few weeks to see the improvements.

Kentucky Sports Chiropractic’s New Location

I’m very proud and excited to announce the new location of Kentucky Sports Chiropractic. We’re now located in the Highlands, at 2010 Cherokee Pkwy Suite # 3, Louisville, KY 40204. This move accommodates the primary goal of KSC which is to be a leading provider in the Louisville and Southern Indiana areas of evidence-based chiropractic, soft tissue mobilization, rehabilitation and patient education to eliminate symptoms, restore full function, and promote a healthy lifestyle.  Stop by the office anytime or to learn more about the treatment we provide, visit our website here.


What’s the blue tape?

One of the primary goals at Kentucky Sports Chiropractic is to not only get you better, but enable you to continue your active lifestyle WHILE getting better. One of the tools we use to help you do this is called Kinesio tape. You may remember our last summer Olympics where athletes in several sports wore the weird looking tape on their shoulders and knees. This was Kinesio tape.

Kinesio Taping gives support and stability to your joints and muscles without affecting circulation and range of motion. It is also used for Preventive Maintenance, Edema, and to treat pain.

Kinesio Taping is a technique based on the body’s own natural healing process. This Kinesio Taping exhibits its efficacy through the activation of neurological and circulatory systems. This method basically stems from the science of Kinesiology, hence the name “Kinesio”. Muscles are not only attributed to the movements of the body but also control the circulation of venous and lymph flows, body temperature, etc. Therefore, the failure of the muscles to function properly induces various kinds of symptoms.

The Kinesio Taping Method is applied over muscles to reduce pain and inflammation, relax overused tired muscles, and to support muscles in movement on a 24hr/day basis. It is non-restrictive type of taping which allows for full range of motion.

In contrast, traditional sports’ taping is wrapped around a joint strictly for stabilization and support during a sporting event obstructing the flow of bodily fluids as an UNDESIRABLE side-effect.

Dana, DCCF’s writer in residence blogs about her experience with Kinesio tape here.


Training for the Triple Crown or Mini? Make a foam roller or “The Stick” your best friend to avoid injury.

With the Louisville Triple Crown running series and Mini-marathon upon us, the very common overuse injuries that runners  experience are starting to rear their ugly heads. I’ve been seeing a lot of shin splints, plantar fasciitis, IT band syndrome, patellofemoral pain (runner’s knee), and lower extremity muscle strains lately. What a lot of people don’t know is that these injuries can be prevented in a few simple ways.

First, let’s go over the anatomy of what’s going on when we have these issues. Overused muscles are the culprit for a lot of these conditions. A muscle becomes overused in three ways:

-Acute injuries (pulls, tears, collisions, etc.)

– Accumulation of small tears (micro-trauma)

– Not getting enough oxygen (hypoxia)

So now the question is: “How do I keep these things from occurring?” One major key to this answer is to make a foam roller or “The Stick” part of your everyday warm-up and cool-down routine.

The foam roller (pictured above on the left) is a form of myofascial release that increases blood flow and oxygen to the treated area which will prepare the muscle for activity. Post-run, rolling will help flush out any inflammation that has occurred during activity and prevent adhesion or scar tissue from forming on overused tissue.

“The Stick” (pictured above on the right) works similarly to the foam roller and might be a little easier for transport and on-the-go treatment.

Taking 5 or 10 minutes a day to roll or stick your muscles will go a long way in preventing these very common overuse injuries.

If you have any questions, feel free to post them in the comment section.


Dana’s 2nd blog post about Kentucky Sports Chiropractic

Dana McMahan, the Derby City CrossFit “writer in residence” has been hard at work transforming herself into a power lifter over the past few months. Under the guidance of the CrossFit coaches, she’s improved leaps and bounds and is preparing for her first weight lifting competition in two weeks.

I’ve had the privilege of working with Dana to improve and maintain both muscle and joint mobility that is necessary for optimal performance.

Read her 2nd blog post about her experience at Kentucky Sports Chiropractic here: The Pain That’s Worth It. (By Dana McMahan)