Category Archives: Scar Tissue Treatment/Adhesions/Contractures

Scar Tissue Treatment/Adhesions/Contractures

Scar Tissue Associated With Breast Augmentation: Astym Treatment Helps Cosmetics

Meet today’s guest blogger:

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 Therapists. He has over 23 years of clinical experience and working with athletes on all levels. Gus has been certified in Astym since 2001. He is also certified in Kinesiology Taping and as an Active Release Technique practitioner for the upper extremity, lower extremity and spine.

In orthopedic settings across the world, Astym treatment has become the prime modality of choice in scar tissue reduction.  Dysfunctional scarring can result in restricted movement, stiffness, and an undesirable appearance.  Astym treatment can help eliminate scar tissue and thereby restore movement, eliminate pain, and deliver a more desirable appearance. Continue reading Scar Tissue Associated With Breast Augmentation: Astym Treatment Helps Cosmetics

IT Band Syndrome: The Solution to a Difficult Problem

Meet today’s Guest Blogger:

 Suzie Freeman, MPT, OCS physical therapist

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 from local universities on a year-round basis. 


So, it’s the New Year, and you have taken up running, or recently increased your mileage.  Things are going great.  Your pants are looser, and you feel on top of the world.  Then, the side of your thigh or the outside of your knee starts hurting.  You have developed IT Band pain. You check the internet, and it is filled with stories of how stubborn IT Band pain is to treat, and how long it takes to recover; that is, if people recover at all.  Things seem pretty dismal.  You pop a few ibuprofens, try some ice, buy some new running shoes… but the IT Band pain just won’t go away.  You see your doctor, try some physical therapy; perhaps orthotics.  Still not better.  You wonder, “Is this the best the medical community can do for me?”

There is a lot of new research being done on this and other chronic problems with soft tissue and tendons.  Your doctor may have called your problem “tendonitis”, which is inflammation of a tendon (the structures that attach muscles to bones).  There are a lot of treatments for inflammation (i.e. ice, anti-inflammatory medication, cortisone shots, or rest).  These treatments may help, but only temporarily.  New research has shown that with many chronic tendonitis and chronic soft tissue cases, the problem does not even involve inflammation at all, and that’s why ant-inflammatory treatments don’t provide long-term relief.  As the machines that visualize the structures of the human body have gotten better, scientists can now see that the painful tendon is actually degenerating.  In a degenerative tendon, healthy tendon cells are replaced by fibrotic (scar) tissue.  Even the blood supply in a degenerative tendon looks different – there are actually areas where the tiny blood vessels are not even attached to the main blood lines.  That means that the blood products necessary for healing are not being delivered to the degenerated areas.  By the time a tendon is degenerative –due to injury or overuse – the body has tried to heal, but has done so in a very inferior way.

The question then becomes:  How do we get the body back on the right track to proper healing?

There is a new treatment available called “Astym”, which is often interpreted as “a stimulation of healing”.  It was developed by physicians, physical therapists, and university researchers who demonstrated that Astym is an effective treatment for resolving chronic tendonitis.  Certified Astym clinicians have been performing this technique around the United States for over 9 years and have been getting outstanding and consistent results.  It has been found that Astym treatment has a success rate of 92% with ITB Syndrome. (Source: Astym Analyst Outcome Report, courtesy of Performance Dynamics).

You can check the Astym website to see if there is a certified clinician in your area.  In the meantime, you can try this stretch to see if you can relieve your symptoms on your own.  Like most stretches, the position should be pain free and held for 30 seconds, and repeated several times throughout the day.

IT Band Stretch

 Effective IT Band Stretch

So, don’t let these chronic problems keep you from your sport or running.  Astym could be just what you need to get you back to doing what you love and into those tight pants again.

Achilles Tendinosis in Elite Runners

Meet today’s guest blogger:

Stephanie Penny, PT, DPT

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.

Elite runners alternate between intensive physical training and recovery to improve performance.  However, many runners fail to maintain a balance between intensity of training and appropriate recovery, resulting in a breakdown of tissue reparative mechanisms which eventually leads to overuse injuries.  Historically, these injuries have been referred to as “tendinitis” or “tendonitis”, words that point to inflammation as the cause of the problem.  Continue reading Achilles Tendinosis in Elite Runners

What is Astym treatment?: Astym Definition, Part II

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.  Continue reading What is Astym treatment?: Astym Definition, Part II

What is Astym treatment?: Astym Definition, Part I

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 tissue turnover, scar tissue resorption, and the regeneration of tendons, muscles and other soft tissue structures. Therapy is typically provided twice weekly for three to four weeks and is done in conjunction with eccentric loading, stretching, and functional exercises. Continue reading What is Astym treatment?: Astym Definition, Part I

Internal Scar Tissue/Adhesions Limit Movement and Cause Pain

Over time, internal scar tissue or adhesions can build up in your joints, muscles, tendons, and soft tissues.  It can be caused by working your body too much, injury (such as sprains, strains and trauma), surgery, disease, or just by moving and not being in absolute perfect physical condition or having perfect “form” when you move.  Stiffness and many of the aches and pains that we have after reaching a “certain age” are due to the build up of internal scar tissue and adhesions.  Astym treatment is effective at reducing or eliminating internal scar tissue or adhesions.

Once the scar tissue and adhesions are reduced or removed, stiffness, and aches and pains often go away.  Astym’s resolution rates (outcomes) for scar tissue and adhesions related pain are impressive.  Click on this link to see how many people resolve their conditions after Astym treatment:  These outcomes were submitted by independent clinicians from all across the country.