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IASTM is applied using instruments that are typically made of stainless steel with beveled edges and contours that can conform to different body anatomical locations and allows for a more targeted form of deep tissue therapy. Adhesions in soft tissue often develop as a result of surgery, immobilization, repeated strain or other mechanisms. By utilizing these tools, we are able to inflict controlled microtrauma to affected soft tissue structures, causing 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.