Kris Korsan, PTA (left) has been a physical
therapy assistant for 20 years, and co-owns City Center
Rehabilitation, a private orthopedic and sports medicine clinic in
Peru, Illinois.
Tracy Daugherty, M.S., ATC, PTA (right) has
been a certified athletic trainer for 14 years and a physical
therapy assistant for four years. Ms. Daugherty works with
Ms. Korsan at City Center Rehabilitation in Peru, Illinois.
Chronic Tennis Elbow That Would Not Improve With...
Soft
tissue mobilization (STM) is a very broad term. It can include
all types of manipulating or “mobilizing” soft tissue in an effort
to decrease pain and improve movement. Recently, tools have
been added to soft tissue mobilization which is called IASTM or
Instrument Assisted Soft Tissue Mobilization (Graston, St3 Fuzion,
etc. are brands of IASTM). The goal of instrumented STMs, or IASTM,
is clear and simple: to mechanically break apart
adhesions.
Noel Tenoso, PT, DPT, OCS practices in the Portland, Oregon area and
owns 2 clinics, Advance Sports & Spine Therapy. He has
certifications in manual therapy and Mechanical Diagnostic Therapy
with the McKenzie Institute. Both clinics have met the criteria of
being certified McKenzie Clinics. He has been certified with ASTYM
since 2005.
Pain
in the front of the knee is very common in many
types of sports that are associated with quick stops, starts,
changes in...
You need to first determine the underlying cause of your tendon
pain. Is your tendonitis (also called tendinitis) caused by
inflammation? If so, then it is the kind of tendinopathy that
the healthcare system is best at resolving in short order.
The traditional treatments for inflammatory tendonitis are rest
(which can include bracing), ice, and anti-inflammatory medicines,
such as ibuprofen. Once these treatments are applied,
inflammatory tendonitis should resolve within 6 weeks.
Few things are more frustrating than having chronic plantar
fasciitis and Achilles tendonitis (also spelled Achilles
tendinitis). Here is the story of one patient who suffered
from Achilles tendon pain and plantar fasciitis, and tried
multiple treatments before she finally got better with ASTYM
at KORT physical therapy:
As an Achilles tendonitis treatment,
ASTYM improves 94.7% of Achilles tendinitis
(tendonitis), or Achilles tendinopathy cases. ASTYM
also resolves plantar fasciitis well, with...Read More »
Sounds strange to some people, but these injections are being
tried to relieve tennis elbow pain, and with some success. As
a sports physician, I have seen many patients with tennis
elbow. I also do medical research, and as a result, I was
invited to perform a review of a proposed article for a
professional journal on botulinum toxin (Botox® is a trade name for
botulinum toxin A) in the treatment of tennis elbow (lateral
epicondylitis). This type of review is part of the peer
review process...
At its core, ASTYM treatment was developed from solid basic
science research to stimulate regeneration at a cellular
level. Following that, there were a number of case studies
published and then a randomized controlled clinical trial on
patellar tendinopathy. A large randomized controlled clinical
trial on lateral epicondylosis was awarded a platform presentation
at the American Society for Surgery of the Hand’s national meeting,
and is now being submitted for publication (for more information...
There is a significant difference between ASTYM treatment and
instrument assisted soft tissue mobilization (IASTM) techniques,
such as Graston®, Sastm and other tooled friction massage.
Although ASTYM treatment evolved from research on manual
therapies, including friction massage, it is very
different than friction massage, and its variation, tooled
friction massage. Tooled friction massage is often referred to as
instrument assisted soft tissue mobilization or IASTM, and is also
referred to by...
Scientific studies have shown an increase in fibroblast
recruitment and fibroblast activation with ASTYM treatment,
which reveal the body’s underlying physiological response to
ASTYM. These studies highlight the regenerative
mechanism of ASTYM treatment and help us understand how
ASTYM treatment results in the regeneration of soft tissues. There
also appears to be a neurological component to the ASTYM treatment
process as evidenced by immediate changes in pain perception (often
pain is...
ASTYM treatment is effective in resolving many soft tissue
problems, including chronic tendinopathies, tendon
pain, tendon injury, stiffness, restricted movement, limited
function and other conditions associated with adhesions or scar
tissue that can occur after trauma or surgical intervention. It is
also quite effective on sprains, strains, and other acute and
sub-acute soft tissue injuries.
ASTYM treatment often works even when other approaches
fail. One of the main reasons for this is that...Read More »
ASTYM treatment is a regenerative therapy provided
by specially trained (and certified) physical and occupational
therapists. Instruments are applied topically (on top of the
skin) to locate dysfunctional (unhealthy) soft tissue, and to
transfer pressure and shear forces to the underlying soft tissue
structures. The protocols, the force, and direction of the
treatment induce a healing/regenerative response in tendons,
muscles, and other soft tissue structures. ASTYM treatment
stimulates...
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