Instrument assisted soft tissue manipulation (IASTM)

Improve and remodel scar tissue, restore mobility, and reduce pain with targeted, hands-on instrument therapy.

Instrument assisted soft tissue manipulation
Chiropractor in Oregon City

Restore Mobility and Relieve Pain with IASTM

Unlike general massage or manual therapy, IASTM provides a level of precision that’s ideal for targeting problem areas—especially in dense or stubborn tissue. It helps reduce pain, improve flexibility, and restore normal movement patterns by freeing up restricted tissue.

At Function Performance, we often incorporate IASTM into treatment plans for clients recovering from repetitive stress injuries (like tennis elbow or plantar fasciitis), surgery, trauma, or chronic muscle tightness. It’s also a powerful tool for athletes and active individuals looking to improve performance and stay injury-free.

The treatment is generally well tolerated, though you may experience mild redness or tenderness after a session—both signs that your body is starting to heal and restore function.

As always, we don’t use IASTM in isolation. It’s part of a broader, integrated approach that may include corrective exercise, chiropractic care, rehab, or massage—depending on your unique needs.

If you’re dealing with stubborn tightness, old injuries, or limitations that haven’t responded to other treatments, IASTM may be the missing link in your recovery.

Advanced Recovery Through Precision Tools

Traditional massage can only go so far. We use specialized medical-grade instruments to identify and treat deep-seated soft tissue restrictions, helping you move better and recover faster from stubborn injuries.
  • What Is IASTM?

    Instrument-Assisted Soft Tissue Mobilization, or IASTM, uses specially designed stainless steel tools to detect and treat soft tissue restrictions, chronic fibrosis, and fascial dysfunction. The instruments amplify feedback through the tissue, allowing the provider to locate areas of restriction that are difficult to identify by hand alone, then deliver precise therapeutic input directly to the problem area.

    At Function Performance Sport Chiropractic in Oregon City, IASTM is one of several manual therapy tools we use to resolve stubborn soft tissue conditions. It is particularly valuable for cases that have stalled in a chronic, fibrotic state and have not responded to stretching, rest, or general massage.

    How It Works

    The instruments are used with targeted strokes across the affected tissue. This produces several therapeutic effects:

    • A controlled, localized inflammatory response that restarts healing in stalled tissue
    • Mechanical breakdown of fibrotic adhesions and disorganized scar tissue
    • Stimulation of collagen remodeling, converting scar tissue into functional tissue
    • Improved circulation to the treated area
    • Reduced pain and improved range of motion

    The result is real, measurable change at the tissue level, not just a temporary feeling of looseness.

    Who Benefits Most

    IASTM is especially effective for:

    Chronic tendinopathies. Achilles tendinopathy, patellar tendonitis, tennis elbow, golfer’s elbow, and rotator cuff conditions that have become degenerative rather than inflammatory.

    Post-injury and post-surgical scar tissue. Restrictions from ACL or rotator cuff surgery, meniscus repair, or any injury that left scar tissue affecting movement or causing pain.

    Fascial restrictions. IT band syndrome, plantar fascia problems, thoracolumbar fascia restrictions, and other conditions where fascial tissue has become dense and restricted.

    Mobility deficits with a soft tissue component. Hip, knee, and ankle restrictions where joint work alone has not fully resolved the problem.

    Return-to-sport recovery. Athletes working back from extended rest, injury, or surgery often benefit from IASTM to prepare tissue for full loading.

    Other common issues IASTM is used to treat:

    • Chronic muscle tightness and adhesions
    • Tendonitis and overuse injuries
    • Scar tissue buildup
    • Myofascial restrictions
    • Post-surgical or trauma recovery
    • Limited joint mobility and stiffness
    • Sports injuries and repetitive strain

    What to Expect

    An IASTM session typically includes evaluation, treatment, and integration with movement or exercise. You will feel a scraping sensation as the instruments work across the tissue. It is often most intense over areas of significant restriction and eases as the session progresses.

    Some mild bruising or redness can occur where adhesions were significant. This is a normal tissue response and resolves in a few days. Most patients feel better almost immediately and notice continued improvement over the following 24 to 48 hours as the tissue remodels.

    Integrated Into Your Plan

    IASTM is never used in isolation. We combine it with manual therapy, corrective exercise, and progressive loading so the tissue that heals is strong and resilient, not just less painful. Restoring tissue sliding is the first step. Building tissue capacity is what makes the change last.

    Book your performance evaluation today and find out whether IASTM is the right addition to your plan.

  • Schedule An Appointment

    What we Can Treat with
    Instrument assisted soft tissue manipulation (IASTM)

    Restore your mobility and find lasting relief. Instrument assisted soft tissue manipulation (IASTM) is a proven solution for managing the following conditions:

    Rotator Cuff and Labral Tears

    Partial rotator cuff and labral tears often resolve through integrated conservative care, without the risks and downtime of surgery.

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    Rotator Cuff Strains, Tendonitis, and Impingement

    Rotator cuff strains, tendonitis, and subacromial impingement treated through precision manual therapy, progressive rehab, and targeted modalities.

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    Tennis Elbow and Golfer’s Elbow

    Lateral and medial epicondylitis, the most common causes of chronic elbow pain, resolved through integrated tendinopathy care that gets results.

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    Hip flexor tendonitis

    Front-of-hip pain and chronic tightness from hip flexor overuse or tendinopathy, resolved with integrated manual therapy and progressive loading.

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    Hip Pain, Gluteal Tendonitis, and Hip Flexor Strains

    Hip pain from gluteal tendinopathy, hip flexor strains, or deep hip dysfunction, treated through comprehensive kinetic-chain care.

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    Jumper’s Knee

    Patellar tendon pain in jumping and cutting athletes, treated with precision loading, shockwave therapy, and sport-specific rehab.

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    Patellar Tendonitis

    Chronic patellar tendon pain resolved through progressive tendon loading, focused shockwave therapy, and full-chain assessment and rehab.

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    Plantar fasciitis

    Classic heel pain and plantar fascia issues resolved through focused shockwave therapy, manual therapy, and progressive tissue loading.

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    Achilles Tendonitis

    Achilles tendinopathy and chronic heel cord pain resolved through focused shockwave therapy, progressive loading, and full-chain rehab.

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    Break Through Stiffness and Scar Tissue

    Get relief from deep restrictions and restore your full range of motion—faster.

    Why Instrument Assisted Soft Tissue Manipulation Works

    IASTM targets deep tissue restrictions to relieve pain, improve mobility, and support faster, longer-lasting recovery.

    Targets Deep Restrictions

    Reaches soft tissue adhesions and tension that hands alone may not access.

    Accelerates Tissue Healing

    Promotes circulation, cellular regeneration, and faster recovery from injury.

    Reduces Chronic Muscle Tightness

    Releases stubborn tension and helps prevent future flare-ups.

    Enhances Mobility and Flexibility

    Frees restricted fascia and improves joint movement and tissue glide.

    Used by Athletes and Rehab Pros

    Commonly used by sports medicine experts for performance and injury prevention.

    Integrated With Your Care Plan

    Paired with rehab, stretching, or chiropractic for long-lasting results.

    Feel the Difference When Your Tissue Moves Freely Again

    Say goodbye to knots, scar tissue, and stiffness—schedule your IASTM session today.

    Schedule An Appointment

    Common Questions About Instrument assisted soft tissue manipulation (IASTM)

    Some pressure or mild discomfort is normal, especially in tight or restricted areas—but treatment is always adjusted to your tolerance. You may have seen or heard of intense sessions resulting in pain and bruising some providers. We find we can get great results without significant pain and bruising.

    You may feel a little sore or notice redness where the tool was applied—this is part of the healing response and usually fades quickly.

    IASTM uses tools to provide more targeted pressure and precision, helping address deeper restrictions more effectively.

    It depends on your condition and goals, but many people notice improvement within just a few sessions.

    Absolutely. It’s often most effective when paired with other manual therapy techniques of Active release technique, pin and stretch, rehab exercises, Chiropractic manipulation, Laser therapy, and Shockwave therapy as part of a full recovery plan.

    Our Practitioners

    Certifications and Therapy

    Our team has several certifications including:
  • ART
    Active Release Technique (ART)
  • Certified Strength and Conditioning Specialist (CSCS)
  • ACBSP
    Diplomate of the American Chiropractic Board of Sports Physicians (DACBSP)
  • Doctor of Chiropractic (DC)
  • FMS certified
    Functional Movement Screen Certified
  • Graston certification
  • lightforce
    Lightforce Therapy
  • Masters of Science in Sports Medicine
  • NormaTec
    Normatec
  • McKenzie
    Physical Rehabilitation
  • Why Choose Function Performance?

    At Function Performance, massage therapy is part of an integrated treatment model designed to get results. When you choose us, you get:
    • Expert Tool-Based Treatment

      Our providers are trained in IASTM techniques for safe, effective results.

    • Not Just a One-Off Fix

      IASTM is one part of a comprehensive strategy to support long-term function and relief.

    • Customized for Your Condition

      Every session is tailored to your goals, pain points, and movement needs.

    • Trusted by Athletes and Active Adults

      From runners to weekend warriors, we help people move better, faster.

    We don’t do cookie-cutter massage. We tailor everything to you.

    Schedule An Appointment
    Get the perfomance results you are looking for today.