Updated Tissue Provocation Therapies ∞

Updated my article about Tissue Provocation Therapies in Musculoskeletal Medicine. The update was inspired by a new article by Leonard Van Gelder, a “huge proponent” of Instrument Assisted Soft Tissue Mobilization (IASTM, like Graston). It’s a decent critical review of IASTM, with some fairly harsh words, but it also rests on a foundation of classic error: certainty that a treatment really works. It doesn’t take much reading at TestingTreatments.org (see previous post) to realize that it’s actually impossible to know if a something works based on clinical observations alone. Repeat after me:

“I will not claim to know what treatments really work for pain before they are properly tested.”

“I will not claim to know what treatments really work for pain before they are properly tested.”

“I will not claim to know what treatments really work for pain before they are properly tested.”