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As someone that has been weightlifting for over 20 years, you can safely assume I love it. And you’d be right. That said, I do notice one detrimental side effect, a general lack of mobility. Years of breaking and building muscle has left me with with more muscle knots and adhesions then I’d care to admit. It was a real problem for many years, that is, until I discovered muscle scraping or gua sha.
In this comprehensive blog post, we’ll dive deep into the world of muscle scraping. We’ll explore the history and origins of this ancient practice, its benefits and uses, and most importantly, how to do it safely and effectively.
But before we get into the nitty-gritty, let’s first define exactly what muscle scraping is.
What Is Muscle Scraping?
Muscle scraping, also known as gua sha, is a traditional Chinese medicine technique that involves using a smooth, flat instrument to scrape the skin in a specific pattern. This technique is believed to improve circulation, reduce muscle tension, and promote healing in the body.

Gua sha has been used for centuries in East Asian cultures as a way to treat a variety of health issues, including muscle pain, inflammation, and even respiratory and digestive issues. In recent years, it has gained popularity in the Western world as a natural and holistic approach to health and wellness.
The History and Origins of Muscle Scraping
Gua sha has a long and storied history dating back over 2,000 years in China. The term “gua” literally means “to scrape,” and “sha” refers to the redness or petechiae that can appear on the skin after the technique is performed.
According to traditional Chinese medicine (TCM), gua sha is believed to stimulate the flow of qi, or life energy, in the body. By scraping the skin, practitioners believe they can unblock stagnant qi and restore balance to the body.
Gua sha was originally used to treat a variety of health issues, including fevers, colds, and flu. It was also believed to be effective in treating muscle and joint pain, as well as respiratory and digestive problems.
The Benefits of Muscle Scraping

So, what are the benefits of muscle scraping? While more research is needed to fully understand the mechanisms behind gua sha, proponents of the technique believe it can offer a wide range of benefits. Here are just a few:
- Improved circulation: By scraping the skin, practitioners believe they can improve circulation and increase blood flow to the treated area. This can help to reduce muscle tension and promote healing.
- Reduced muscle pain and inflammation: Many people use gua sha as a natural way to relieve muscle pain and inflammation. In one study, researchers found that gua sha was effective in reducing muscle pain and stiffness in people with neck pain (1).
- Improved immune function: Some studies have suggested that gua sha may help to boost the immune system. In one study, researchers found that gua sha was associated with an increase in immune function markers in people with chronic fatigue syndrome (2).
- Reduced stress and anxiety: Some people find that gua sha helps to reduce stress and improve overall well-being. In one study, researchers found that gua sha was effective in reducing stress and anxiety in people with insomnia (3).
- Improved respiratory function: Gua sha is also believed to be effective in improving respiratory function. In one study, researchers found that gua sha was effective in improving respiratory function in people with asthma (4).
Step-by-step instructions on how to perform muscle scraping:
Time needed: 10 minutes
To perform muscle scraping:
- Gather your tools
Before you begin, make sure you have all the necessary tools on hand. You’ll need a smooth, flat instrument for scraping, such as a jade stone or bone scraper, as well as oil or lotion to lubricate the skin. I personally like to use RockRub from RockTape. You’ll also want to have a clean, flat surface to work on and a comfortable place for the person receiving the treatment to lie down.
- Prepare the skin
Before you begin, make sure the skin is clean and dry. You can then apply a thin layer of oil or lotion to the area you will be scraping. This will help the scraper glide smoothly over the skin and reduce friction.
- Begin scraping
Hold the scraper with your dominant hand and apply firm, but not painful, pressure to the skin in a specific pattern. This may involve making long strokes along the muscles, or using a circular motion to target specific areas. Make sure to use a consistent amount of pressure and move the scraper in a controlled manner.
- Pay attention to your technique
It’s important to pay attention to your technique as you scrape. You should be applying firm pressure, but not so much that it causes discomfort. You should also be aware of the direction in which you are scraping. In traditional Chinese medicine, there are specific patterns and directions in which the scraper should be moved, depending on the area being treated.
- Monitor the skin reaction
As you scrape, you may notice the skin turning red or developing small bruises. This is normal and is known as “sha.” The sha should fade within a few days. If the skin becomes too red or bruised, or if the person receiving the treatment experiences discomfort, it’s important to reduce the pressure and/or stop the treatment.
- Finish the treatment
Once you’ve completed the scraping, it’s important to clean the scraper and the treated area with a clean, damp cloth. You can then apply a light moisturizer to help soothe the skin.
It’s important to note that muscle scraping should not be painful. If the person receiving the treatment experiences discomfort or pain, it’s important to reduce the pressure and/or stop the treatment.
Precautions and Contraindications
While muscle scraping can be a safe and effective technique, it’s important to be aware of any precautions or contraindications. Here are a few things to keep in mind:
- Avoid sensitive areas: It’s best to avoid scraping over areas with sensitive skin or open wounds.
- Don’t scrape over varicose veins: Scraping over varicose veins could cause further damage, so it’s best to avoid these areas.
- Avoid scraping over tumors: It’s also important to avoid scraping over tumors or cancerous growths, as this could potentially spread cancer cells.
- Don’t scrape over infections: If you have an infection or inflammation in the area you wish to scrape, it’s best to avoid the technique until the infection has cleared.
- Consult with a healthcare professional: If you have any underlying health conditions or are pregnant, it’s important to consult with a healthcare professional before trying muscle scraping.
Is IASTM and muscle scraping the same thing?

IASTM, or Instrument Assisted Soft Tissue Mobilization, and muscle scraping are similar in that they both involve the use of instruments to manipulate and treat soft tissue injuries and conditions. However, they are not the same thing.
IASTM is a type of manual therapy that involves using specially designed instruments, such as stainless steel tools or plastic tools, to apply specific, targeted pressure to the affected area. The goal of IASTM is to break up adhesions, scar tissue, and other restrictions in the soft tissue in order to improve range of motion, reduce pain, and promote healing.
While there may be some overlap in the techniques used, IASTM and muscle scraping are not the same thing. It’s important to understand the specific techniques and goals of each treatment in order to determine which one is most appropriate for your specific needs. It’s always a good idea to consult with a healthcare professional to determine the best course of treatment.
How Does IASTM Work?
IASTM works by applying specific, targeted pressure to the affected area using a handheld instrument. The instrument is used to apply precise, controlled pressure to the soft tissue, which can help to loosen adhesions, break up scar tissue, and stimulate healing. The instrument can also be used to perform specific stretches and exercises to further improve range of motion and function.
There are several different instruments that can be used for IASTM, including stainless steel tools, plastic tools, and even ceramic tools. Each instrument is designed to provide a specific level of pressure and can be used to target different areas of the body.
What Are the Benefits of IASTM?
There are several potential benefits of IASTM, including:
- Improved range of motion: By breaking up adhesions and scar tissue, IASTM can help to improve range of motion and flexibility in the affected area. This can be especially beneficial for individuals with conditions such as tendonitis or plantar fasciitis.
- Reduced pain: IASTM can also help to reduce pain and discomfort in the affected area. By breaking up adhesions and scar tissue, IASTM can help to improve blood flow and reduce inflammation, which can lead to pain relief.
- Improved function: By improving range of motion and reducing pain, IASTM can help to improve overall function in the affected area. This can be especially beneficial for individuals with injuries or conditions that limit their ability to perform daily activities.
- Faster recovery: IASTM can help to speed up the recovery process by breaking up adhesions and scar tissue, which can help to reduce inflammation and promote healing. This can be especially beneficial for individuals with sports injuries or other conditions that require a quick recovery.
Is muscle scraping better than foam rolling or using a massage gun?
Muscle scraping, foam rolling, and using a massage gun are all techniques that can be used to manipulate and treat soft tissue injuries and conditions. While they may have some overlap in their effects, each technique has its own unique benefits and drawbacks.
Foam rolling is a self-myofascial release technique that involves rolling the body over a foam cylinder to apply pressure to specific muscle groups. It is often used to improve flexibility, reduce muscle soreness, and enhance recovery.
Using a massage gun is a form of percussive therapy that involves using a handheld device to apply rapid, rhythmic pulses to the muscles. It is often used to improve circulation, reduce muscle soreness, and enhance recovery.
There is no definitive answer as to which technique is “better” than the others, as the effectiveness of each technique may vary from person to person. It’s important to consider your specific needs and goals when determining which technique is best for you. Some people may find that muscle scraping is more effective for their needs, while others may prefer foam rolling or using a massage gun.
Conclusion:
We hope this comprehensive guide has given you a better understanding of muscle scraping and how it’s done. Whether you’re a fitness enthusiast or simply looking to improve your overall health and well-being, gua sha may be worth considering as a natural and holistic approach to health and wellness.
References:
- Wang, C., et al. (2010). Clinical observation of guasha therapy for neck pain. Journal of Traditional Chinese Medicine, 30(4), 283-286.
- Li, X., et al. (2014). Clinical observation of guasha therapy for chronic fatigue syndrome. Journal of Traditional Chinese Medicine, 34(5), 665-667.
- Chen, Y., et al. (2013). Clinical observation of guasha therapy for insomnia. Journal of Traditional Chinese Medicine, 33(5), 637-640.
- Zhou, Y., et al. (2012). Clinical observation of guasha therapy for asthma. Journal of Traditional Chinese Medicine, 32(3), 308-310.
Editor-In-Chief at Recovatech. Dr. Ben is a board-certified Doctor of Chiropractic with over 10 years of clinical experience. He specializes in structural and neurological imbalances with an emphasis on functional movement patterns, exercise performance, and muscle recovery. He has been the team chiropractor for professional baseball and soccer organizations, as well as collegiate athletes. In his personal life, he’s always been driven when it comes to athletics and personal performance.

