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Instrument assisted soft tissue manipulation, also known as IASTM was made popular by David Graston. IASTM uses a hard-edged instrument made of metal, plastic or ceramic to add shearing stress to soft tissue in order to enhance the body's healing response. The ability to focus mechanical force along a small contact surface to your patients' target tissue, and do so with a relatively high level of comfort for both the patient and treating therapist, is one of the best features of this technique. The average length of time spent performing IASTM is between 5 and 10 minutes, with 1-3 minutes spent on specific lesions in the target tissue.