A person receiving a back massage with a metal tool on their upper back and neck, a treatment process used in Gonstead chiropractic.

Instrument-Assisted Soft Tissue Therapy (IASTM)

Instrument-assisted soft tissue therapy—often called IASTM, scraping, or soft tissue tooling—is a technique used to help improve muscle function and movement.

Specialized stainless steel instruments are used to gently glide over the skin and underlying tissues. This helps identify areas of tension and allows the practitioner to address muscle restrictions that may limit proper joint motion.

At Vitality Chiropractic, soft tissue therapy is used as a supportive treatment alongside chiropractic adjustments, helping the body respond more effectively to corrective care.

What Soft Tissue Tooling Can Help With

IASTM therapy may help:

• Reduce muscle tension and adhesions
• Improve blood flow to affected tissues
• Restore normal tissue movement and glide
• Support faster recovery when used appropriately

By improving muscle function and mobility, this therapy can help the body move more naturally and comfortably.

What IASTM Does Not Do

Soft tissue therapy is often misunderstood. It does not:

• “Break up scar tissue”
• Fix the underlying issue by itself
• Replace proper joint correction or rehabilitation

Instead, it works as a supportive therapy when muscles are guarding, compensating, or limiting normal joint motion.

How It Fits Into Chiropractic Care

In many cases, muscle tension develops because joints are not moving properly.

Treatment may involve:

  1. Correcting the joint through chiropractic adjustment

  2. Helping the nervous system relax

  3. Addressing muscle tension when appropriate

  4. Allowing the body to restore normal movement patterns

The goal is not to aggressively treat the tissue but to support the body’s natural healing process.

A More Thoughtful Approach

When used appropriately, soft tissue tooling can be an effective part of a comprehensive chiropractic treatment plan.

At Vitality Chiropractic, therapies are selected carefully based on the patient’s condition and goals for care.

Vitality Chiropractic provides Gonstead chiropractic care and supportive therapies for patients throughout West York, York, Dover, Spring Grove, and York County Pennsylvania.