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...
Gus Gutierrez, PT, OCS, FAAOMPT Gus
is an owner of and serves as clinical director of
BRPT-Lake, a multi-clinic private practice located in and around
Baton Rouge, Louisiana, that specializes in the treatment of
orthopedic patients and sports-related injuries. He received
his Orthopedic Certified Specialization distinction in 1994 and
then again in 2004. He is certified as a Level 2 Manual
Therapist and is Fellow of the American Academy of Orthopedic
Manual Physical...
Suzie Freeman, MPT,
OCS Suzie works as a Senior Physical Therapist at California
Rehabilitation and Sports Physical Therapy in Huntington Beach,
California. She earned her Bachelor’s Degree in Kinesiology from
the University of California, Los Angeles, and then moved on to the
University of Southern California for her Masters in Physical
Therapy. Suzie is the Center Coordinator for Clinical
Education, as well as a Clinical Instructor, taking physical
therapy...
Suzie Freeman, MPT, OCS Suzie works as a Senior Physical Therapist at California
Rehabilitation and Sports Physical Therapy in Huntington Beach,
California. She earned her Bachelor’s Degree in Kinesiology from
the University of California, Los Angeles, and then moved on to the
University of Southern California for her Masters in Physical
Therapy. Suzie is the Center Coordinator for Clinical
Education, as well as a Clinical Instructor, taking physical
therapy students...
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 »
Plantar fasciitis causes a great deal of heel pain and
disability among athletes. As a sports medicine doctor, I
have seen thousands of athletes sidelined by plantar
fasciitis. Most patients will respond to standard treatments
for plantar fasciitis, which include:
ASTYM treatment
Autologous Blood Injections/Platelet Rich Plasma Injections
(controversial)
Corticosteroid Injection (controversial due to potential side
effects)
Electrical Stimulation and Iontophoresis Extracorporeal Shockwave...
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...
A controlled clinical trial showing the effectiveness of ASTYM
treatment for tennis elbow was presented at the American
Society for Surgery of the Hand's annual meeting. The
study showed that ASTYM treatment was an effective tennis
elbow therapy by resolving 78.3% of chronic lateral
epicondylitis (tennis elbow) cases. This figure is consistent
with the 80.9% resolution rate for chronic lateral
epicondylitis (tennis elbow) that was contemporaneously
reported in the national outcomes database...
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...
Stephanie practices at Lakeshore Sports Physical Therapy
in Chicago, Illinois. She earned her Doctor of
Physical Therapy degree from Central Michigan University in 2008.
She has a special interest in sports medicine and vestibular
rehabilitation, has completed coursework in manual therapy, and is
a certified ASTYM® provider. Stephanie is an active member of the
American Physical Therapy Association.
Gus Gutierrez, PT, OCS, FAAOMPT Gus
is an owner of and serves as clinical director of
BRPT-Lake, a multi-clinic private practice that specializes in the
treatment of orthopedic patients and sports-related
injuries. He received his Orthopedic Certified Specialization
distinction in 1994 and then again in 2004. He is certified as
a Level 2 Manual Therapist and is Fellow of the American
Academy of Orthopedic Manual Physical Therapists. He has over 23
years of clinical...
Kristy Uddin, OTR/L, ASTYM Provider
Integrated Rehabilitation Group, Inc.
Locations throughout the greater Puget Sound, Washington area
Pacific Avenue Hand Therapy - (425)374-2846
Snohomish Physical Therapy - (360)568-7774
Two of the main tendons to the thumb pass through a tunnel (or
series of pulleys) located on the thumb side of the wrist. Tendons
are rope-like structures that attach muscle to bone. Tendons are
covered by a slippery thin soft-tissue layer, called...Read More »
Because it’s probably tendinosis. Often, chronic
tendonitis (also spelled tendinitis), which lasts more than 6 weeks
is really tendinosis (also spelled tendonosis). The
difference is that acute, short-term tendinitis is thought
to be caused by inflammation, which is an active immune
response of the body to a perceived threat. The acute,
inflammatory tendonitis can be treated and usually resolved within
several weeks by icing the area 3 to 4 times daily for 20-30
minutes, resting, and taking...
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...
Graston® Technique, Sastm, and ASTYM treatment are very
different, but they do share a bit of history.
The history and the research…
Being a former collegiate athlete, I had several nagging
injuries. During my medical training, I made an effort to
seek out possible treatments and therapies for my troublesome knee,
ankle and elbow pain. I tried all treatment options I could
find, but nothing worked. Pursuing medical research was an
avenue to help me figure out why current treatments would not...
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...
The tough band of tissue that connects your heel bone to
your toes is called the plantar fascia. It supports the arch
of your foot, and when it becomes irritated or degenerated, then
you have what is called plantar fasciitis (other names
include: plantar fasciosis, which indicates degeneration, and
plantar fasciopathy, which includes both degeneration and the
inflammation indicated by plantar fasciitis). This condition
affects up to 2 million Americans each year.
Runners or people who are on...
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