Instrument Assisted 
Soft Tissue Mobilization

soft tissue mobilization

Sound Assisted Soft Tissue Mobilization are instruments that effectively break down fascial restrictions and scar tissue. The ergonomic design of these instruments provides the clinician with the ability to locate restrictions through sound waves. This allows the clinician to treat the affected area with the appropriate amount of pressure, due to square surface concept.

The introduction of controlled microtrauma to affected soft tissue structure causes the stimulation of a local inflammatory response. Microtrauma initiates reabsorption of inappropriate fibrosis or excessive scar tissue and facilitates a cascade of healing activities resulting in remodeling of affected soft tissue structures. Adhesions within the soft tissue which may have developed as a result of surgery, immobilization, repeated strain or other mechanisms, are broken down allowing full functional restoration to occur.


The Gavilan Treatment is a system created by Tecnica Gavilan, Inc. It works across all three planes of the body utilizing a system of:

  • Manual Therapy

  • Therapeutic Modalities

  • Functional Treatment

The system uses three tools to help Dr. Nissim, work his way down the path of patient healing through the stimulation of the soft tissue and facilitation of the components of fitness. This treatment creates a directed rehabilitation approach and enhances overall athletic performance. Dr. Nissim’s goal is to get you off the table and back on the court, field or rink as soon as possible.

The Gavilan Treatment uses instruments created by Tecnica Gavilan to improve the restoration and healing of soft tissue pathologies. These specialized instruments can spot soft tissue restrictions that alter the musculo-skeletal system. Addressing these restrictions will decrease pain, increase range of motion and enhance athletic performance.


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We strive to provide complete care for our patients. Learn more about all the services we provide.

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Read some of the testimonials sent in by our fantastic patients

Instrument Assisted Soft Tissue Mobilization (IASTM) has found success treating the following pathologies:

  • Scar Tissue

  • Adhesions

  • Muscle Strains

  • Ankle Sprains

  • Plantar Fasciitis

  • Tendonopathies:

  • Achilles Tendon

  • Patellar Tendon

  • Illiotibial Tract

  • Rotator Cuff

  • Biceps Tendon

  • Hamstring Tendons

  • Runner’s Knee

  • Jumper’s Knee

  • Tennis Elbow

  • Golfer’s Elbow

  • Baseball Shoulder

  • Swimmer’s Shoulder

  • Adhesive Capsulitis

  • Carpal Tunnel Syndrome

  • Myofascial Syndrome

  • Back & Neck Pain

Benefits of Instrument Assisted Soft Tissue Mobilization Treatment

Whether the patient is a middle-aged man who hurt his back playing golf or a world-class athlete, the results are extremely positive. The following benefits have been documented:

  • Increased motion with decreased pain

  • Rehabilitation and recovery time is shortened

  • Strength returns earlier

  • Increased flexibility

  • Facilitates power and strength

  • Enhances performance

  • Conditioning may continue

Dr. Roy Nissim is one of less than 25 practitioners utilizing this treatment.

Come see why it has been so successful and how it can help you.