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East Bay Chiropractic Wellness P.C.

Dr. Martin Marmorale

Why The Graston Technique® Is Great for Treating Tendinopathies

October 16, 2025 by Dr. Martin Marmorale

As we get older, our bodies become less flexible and require more stretching to help compensate for the increased stiffness. This is not just the case for our muscles, but for other soft tissue, including our tendons. Chronic pain at one or more tendons is referred to as tendinopathy.

Tendinopathies can be quite painful. Fortunately, treatments like the Graston Technique® can help people recover faster.

What Is Tendinopathy?

Tendinopathy refers to chronic or recurring tendon pain and dysfunction. It typically falls into one of two categories:

  • Tendinitis: Inflammation caused by overuse or repetitive strain, leading to swelling and tenderness.
  • Tendinosis: A more degenerative condition where collagen in the tendon breaks down, causing stiffness and reduced elasticity.

In many cases, patients may experience both conditions at once, especially if the issue has developed gradually over time.

How Do You Fix Tendinopathy?

This will depend on multiple factors, including the severity and length of time the individual in question has been experiencing tendinopathy. At first, you will often find rest, icing the affected area, and anti-inflammatory medication are recommended in treating tendinopathy in addition to chiropractic care.

Is Muscle Scraping Good for Tendinitis?

In addition to more commonly administered chiropractic care, the Graston Technique® is highly recommended for treating tendinopathies such as tendinitis. This technique requires specialized training and certification, which means it is not offered through most chiropractic offices.

By utilizing specialized stainless steel tools, the administering chiropractor is able to locate the deeply buried scar tissue and adhesions over your affected tendon that are invisible to the naked eye. After it’s located, the tools are then used to break up the adhesions to relieve your pain and restore your range of motion.

The Graston Technique® to treat tendinitis typically requires twice-weekly sessions over the course of about a month. Many patients begin to experience relief within just three to four treatments, depending on the condition’s severity.

East Bay Chiropractic Wellness Can Expedite Your Recovery from Injuries & Tendinitis

At East Bay Chiropractic Wellness P.C., we take a comprehensive approach to treating tendinopathy and chronic tendon pain. Our team provides chiropractic adjustments, massage therapy, stretching and strengthening exercises, and certified Graston Technique® treatments to target the source of your discomfort. Whether you’re dealing with pain in your elbows, shoulders, knees, hips, neck, or back, we’ll work closely with you to improve mobility, reduce inflammation, and accelerate healing. Schedule your appointment today for a full evaluation and let us help you restore comfort and quality of life.

Filed Under: General Chiropractic, Graston

Can Graston Help with Mobility After Joint Replacement Surgery?

September 18, 2025 by Dr. Martin Marmorale

During joint replacement surgery, damaged or worn-out bone and cartilage are replaced with artificial components made of metal and plastic. The goal is to restore mobility and reduce pain. In many cases, patients return home the same day or within a few days of surgery.

But recovery doesn’t stop there. Physical therapy, scar tissue management, and other supportive treatments can significantly impact your outcome. One such treatment is the Graston Technique®.

Is the Graston Technique® Useful After Total Knee Replacement?

Yes, the Graston Technique® can be beneficial after a total knee replacement, once your incision has healed and your doctor or physical therapist clears you to proceed. This soft tissue therapy uses stainless steel instruments to gently break up fascial restrictions and scar tissue in muscles and connective tissue.

After knee replacement, it’s common to experience lingering tightness, swelling, or restricted mobility due to internal scar formation. Graston therapy may help:

  • Improve range of motion
  • Reduce post-operative discomfort
  • Encourage healthy blood flow to the healing area

While Graston is not recommended immediately after surgery, it can be a valuable addition to your recovery regimen when timed appropriately.

How to Reduce Inflammation After Knee Replacement?

Even though inflammation is a normal part of the healing process after total knee replacement, excessive swelling can slow down recovery and limit mobility. Common methods to reduce inflammation include:

  • Rest and elevation
  • Ice therapy
  • Compression garments
  • Walking and light activity (with crutches or a walker)
  • Blood thinners, if prescribed

How Do You Loosen Stiff Knees After Joint Replacement?

Stiffness after knee replacement is one of the more common challenges post-surgery. The most important thing you can do is work with your healthcare team and stick to their plan of physical therapy. It’s important to focus on exercises that help restore movement through stretching, strengthening, and mobility.

Arthrofibrosis, also called stiff-knee syndrome, is a condition that occurs when there is excessive scarring around the knee. Though it can affect any joint, it is most often linked to knee surgeries, like ACL reconstruction or a repetitive injury that can cause scar tissue to build up over a long period of time.

The Graston Technique® may also play a role in reducing muscle tightness and helping to break down internal scarring, also known as adhesions, in the surrounding tissues. Adhesions can limit movement when they form excessively around a joint. These internal scars can’t be eliminated, but therapy can manage the impact they have on a person’s mobility. There is no one-size-fits-all solution for breaking up internal scar tissue after a knee replacement. Recovery is a unique process for each patient and requires a tailored plan. A proper course of care planned out with a healthcare provider is often a mixed course of therapy exercises and manual therapy.

Boost Your Healing with East Bay Chiropractic Wellness

East Bay Chiropractic Wellness has helped many people recover more effectively for more than 35 years. We offer a wide range of holistic chiropractic services, including adjustments, massage therapy, trigger point therapy, kinesiology techniques, and more. We also specialize in the Graston Technique®, which can improve healing time and increase your range of motion after an injury. Contact us today to learn more or to schedule an appointment.

Filed Under: Graston, Knees

Athletes, Elbow Injuries, & The Graston Technique®

August 28, 2025 by Dr. Martin Marmorale

As we age, we have to put more and more effort into getting in and staying in shape. Being able to maintain a baseline of physical fitness throughout our lives is one of the best ways to keep our independence well into our later years, in addition to being good for our overall health. And one of the best ways to keep in shape is by participating in sports. Some sports that people enjoy playing into their senior years include tennis and golf.

While being athletic has many advantages, it doesn’t come without risk of injury. Some of the more common injuries include tennis elbow and golfer’s elbow. Chiropractic care, including the Graston Technique®, can help you recover from these injuries faster.

How Does Graston Aid in Pain Relief?

When many people think of chiropractic treatments, they’re picturing spinal adjustments. While spinal adjustments are an important tool for chiropractors to utilize, it is far from the only one at their disposal. A misaligned spine can create pain not just in your back, but across your body as it impacts your central nervous system.

Another source of pain is soft tissue damage, which is where the Graston Technique® shines. Graston®, utilizing specialized stainless steel tools, targets adhesions and the hidden scar tissue buildup deep under your skin surrounding the affected soft tissue to help you heal faster and experience pain relief sooner.

Can Graston Help Improve Range of Motion?

Another benefit of breaking up adhesions and the buildup of hidden scar tissue is that it helps improve your range of motion in the affected area. Scar tissue is hard and inflexible. Breaking it up around your affected muscles, tendons, and ligaments allows you to move more naturally sooner.

Can Scraping Help Golfer’s Elbow?

Golfer’s elbow is an inflammation of the tendons around the inner elbow. Tennis elbow is similar, but affects the tendons around the outer elbow.

Because tendons are soft tissue, the Graston Technique® is an excellent method to treat both ailments, with many people experiencing some level of pain relief immediately after the technique is administered, depending on the severity of the injury. People also like the Graston Technique® because it can often resolve issues in about a month, which gets you back to playing the sports you love sooner while being less reliant on pain medication or risking surgery.

East Bay Chiropractic Wellness Can Help You Recover from Sports Injuries

Aches and pains related to sports such as tennis and golf can add stress and discomfort to your day-to-day life in addition to putting you at a higher risk of sustaining an injury. For more than 35 years, East Bay Chiropractic Wellness P.C. has been providing a wide range of chiropractic services to locate the stressors within your body and target those areas to alleviate your pain so you can focus more on enjoying your life, including utilizing the Graston Technique®. It’s a technique that was developed by a former athlete with athletes in mind. Schedule your appointment today and start your journey to a more comfortable tomorrow.

Filed Under: Elbows, Graston

5 Tips for Preventing Pain Caused by Surfing

August 14, 2025 by Dr. Martin Marmorale

Summer in New York is the perfect time to enjoy the outdoors, and many of us find ourselves more active during this season than any other. Studies show that activity levels peak in spring and summer, from walking in our communities to participating in sports like surfing. And while staying active is key to a long, healthy life, it doesn’t come without risks.

A 2023 study revealed that over 3.7 million people were treated in emergency departments for sports- and recreation-related injuries. Even more experience mild aches and pains that go untreated. Surfing, in particular, uses muscles we often neglect in daily life, making the risk of injury higher than expected.

Common Injuries Caused by Surfing

Surfing doesn’t just pose a risk of injury from wipeouts; the activity itself can strain your body. Some of the most common surfing-related injuries include:

  • Shoulder impingement
  • Lower back pain
  • Knee injuries
  • Hip flexor strain
  • Cuts and abrasions to the feet and toes

5 Tips to Prevent Surfing Injuries

To minimize injury while surfing, incorporate the following practices into your routine:

  1. Warm up with mobility exercises before entering the water.
  2. Use proper surfing technique to reduce joint and muscle strain.
  3. Stretch and cool down after surfing to aid recovery.
  4. Take regular rest days to allow your body to heal.
  5. Consider soft tissue support treatments, like the Graston Technique®, to manage pain and prevent chronic conditions.

Is Surfing Hard on Your Body?

Yes, surfing is a full-body workout that demands strength, flexibility, balance, and endurance. It places stress on multiple muscle groups, especially the shoulders, knees, core, and back. Consistent surfing in challenging conditions requires proper warm-ups and cool-downs to avoid strain and injury.

How Often Do Surfers Get Injured?

Like any high-impact sport, surfing comes with its share of injuries. Rotator cuff tendonitis is common among surfers due to the repetitive paddling motion. Lower back and knee strains are also prevalent, often linked to soft tissue damage.

One proven method for treating these injuries is the Graston Technique®. This treatment utilizes stainless-steel instruments that comb over the affected areas and pinpoint the location of the scar tissue buildup around the damaged soft tissue. The scar tissue deep under the skin can then be broken up, which alleviates the pain and increases mobility. This allows you to heal faster and get back to your favorite activities, including surfing.

East Bay Chiropractic Wellness Can Assist With Your Recovery from Surfing Injuries

If you love summer activities like surfing, don’t let an injury keep you on the sidelines. At East Bay Chiropractic Wellness, we specialize in the Graston Technique® to relieve pain, reduce inflammation, and restore mobility. Our experienced team has nearly 30 years of expertise helping patients recover from sports injuries and chronic conditions.

Contact us today to discover how chiropractic care can support your active lifestyle and help keep doing what you love, pain-free.

Filed Under: Back, General Chiropractic, Graston, Health & Wellness, Knees, Shoulder

Does the Graston Technique® Work on Tarsal Tunnel Syndrome?

July 31, 2025 by Dr. Martin Marmorale

Tarsal Tunnel Syndrome (TTS) is a condition that affects the tibial nerve, which runs through a narrow passage in your ankle known as the tarsal tunnel. When this nerve becomes compressed or irritated, it can result in symptoms like burning, tingling, and pain on the soles of your feet.

Just as repetitive stress in the hands can lead to carpal tunnel syndrome, repetitive strain in the ankles can cause tarsal tunnel syndrome. Fortunately, both conditions can benefit from treatment using the Graston Technique®.

What Aggravates Tarsal Tunnel Syndrome?

TTS can begin after an injury or develop gradually due to overuse. Activities that irritate or compress the tibial nerve as it passes through the ankle and into the foot can trigger or worsen the condition. Because it’s nearly impossible to completely rest your feet and ankles, tarsal tunnel syndrome may take time to fully heal.

One of the most common setbacks happens when people resume normal activity too soon. Even mild relief can tempt you to jump back into workouts or long walks, which can cause reinjury or aggravate a healing ankle. There are ways to avoid aggravating TTS. To help avoid flare-ups:

  • Give your ankle ample rest between activities.
  • Perform proper stretching before and after exercise.
  • Wear supportive, well-fitted footwear.
  • Consider joint support like nutraMetrix® Prime Joint Support Formula by Isotonix®.

Additionally, factors such as long periods of walking or standing, diabetes, and weak calf muscles can contribute to ongoing or worsening symptoms

What Is the Graston Technique® for Feet?

The Graston Technique℗ is a type of instrument-assisted soft tissue mobilization. It uses a patented stainless-steel tool to gently break up adhesions and scar tissue that restrict mobility and irritate nerves like the tibial nerve.

Clinical research supports its use. According to studies cited by ClinicalTrials.gov,

“Studies have shown that the controlled micro trauma induced through GT increased fibroblasts recruitment and activation in an animal model. Additional studies have shown clinical efficacy using GT for the treatment of carpal tunnel syndrome, lumbar compartment syndrome(7) and trigger thumb(8). Graston instrument has been used for relieving pressure of soft tissue mobilization and release very effectively for years”.

The Graston Technique℗ has been used for years as a means to relieve tarsal tunnel syndrome as well.

Like some forms of trigger-point therapy, the Graston Technique℗ can occasionally feel a bit sore afterward, but that doesn’t last long. For most people, using the Graston Technique℗ on the feet can feel slightly ticklish. In many cases, patients report increased ankle flexibility after just one session.

With the Graston Technique, East Bay Chiropractic Wellness Can Get You Back on Your Feet Faster

Whether it’s from an injury or overuse, tarsal tunnel syndrome can cause significant pain if left untreated. At East Bay Chiropractic Wellness, we use the Graston Technique® to target the root cause of your pain and help you heal faster. Don’t let tibial nerve pain keep you off your feet. Contact us today to schedule an appointment and experience the benefits of the Graston Technique® for foot and ankle pain.

Filed Under: Ankle, Feet, Graston

Why Baseball and Softball Players Love the Graston Technique®

July 17, 2025 by Dr. Martin Marmorale

Baseball has remained America’s favorite pastime, going as far back as the 19th century. Many of us spend countless hours playing softball as kids in school or with our friends.

As we get older, a few go on to play baseball in the major or minor leagues, while many others continue to play softball or baseball with our co-workers, neighbors, and friends as a way to stay both active and social. This is very beneficial to both our mental and physical health, but there are always risks, including injury.

Despite our best efforts, doing all the proper stretches, warm-ups, warm-downs, and wearing all the right equipment, we can still find ourselves with an injury. If we have past injuries, sports-related or not, they can also be aggravated. While chiropractic care is an option, what can the Graston Technique® do specifically for those suffering sports-related injuries?

What Is the Graston Technique® for Athletes?

In a way, the Graston Technique® was always for athletes, as it was developed as a result of a sports injury. The technique’s namesake, David Graston, developed the technique out of frustration with his slow recovery from a sports injury. This led to the creation of specialized tools used to perform a specific, specialized, “scraping” type movement over the affected area that improves mobility when performed by a trained practitioner.

What Does Athletic Scraping Do?

For centuries, traditional Chinese medicine incorporated techniques designed to stimulate blood flow to areas of the body that needed healing to expedite the recovery process. This varies from acupuncture, which stimulates the nerve endings.

The tools designed to perform the “scraping” movement with the Graston Technique® not only stimulate blood flow, but they break up the adhesions built up deep under your skin that affect the injured soft tissues, which could be on your muscles, tendons, and ligaments. By doing so, your mobility in the affected area will increase sooner and with less pain as the restrictive adhesions will be broken up and absorbed back into your body.

The Graston Technique® has been considered so effective by sports professionals that MLB, NBA, and NFL teams utilize it with their players to speed up and improve recovery. Baseball pitchers often use the Graston Technique® to help improve the range of motion in their shoulders.

Athletes Make an Appointment Today

The Graston Technique® can be a life-changing experience for athletes, addressing chronic pain due to overuse injuries and other adjacent sports-related injuries. That said, Graston® can help manage pain for a wide range of people regardless of their involvement in athletics.

For more than 35 years, East Bay Chiropractic Wellness P.C. has been providing a wide range of chiropractic services, including the Graston Technique®, to best fit your needs. We can work with you on pain management and restoring the range of motion through massage, stretching exercises, spinal adjustments, and more. Schedule your appointment today and let us help you find the best holistic treatment for your particular needs.

Filed Under: General Chiropractic, Graston

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