The concept of cross fiber massage is not new. Graston Technique is grounded in the works of Dr. James Cyriax, an English orthopedic surgeon. The use of our specially designed instruments and protocol is new. Graston Technique has become standard protocol in universities and hospital-based outpatient facilities as well as industrial on-site treatment settings such as Indiana University and the University of Michigan. The technique is also being used at industrial settings and by NBA, NHL, NFL and Major League Baseball trainers.