Research on Astym: Summary of Astym Treatment’s Evidence Base

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.  Continue reading Research on Astym: Summary of Astym Treatment’s Evidence Base

Achilles Tendinosis in Elite Runners

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 Continue reading Achilles Tendinosis in Elite Runners

Rib Pain: The buck can stop here.

Often times patients who develop rib pain with no known etiology (cause) are processed through the medical system undergoing countless medical diagnostic tests and consultations.  Physical therapy needs to be part of the assessment team to determine whether treatment for soft tissue and joint restrictions can be helpful.  Often time these patients respond very quickly to manual therapy techniques including joint manipulation, mobilizations and Astym for the intercostal soft tissues. Continue reading Rib Pain: The buck can stop here.

What is De Quervain’s Tenosynovitis?

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 synovium. This layer allows the tendons to slide easily through the tunnel. Any swelling of the tendons located near these nerves can put pressure on the nerves. This can cause wrist pain or Continue reading What is De Quervain’s Tenosynovitis?

Tendonitis: Why Won’t It Go Away?

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 over-the-counter or prescription strength anti-inflammatory medication, such as ibuprofen.

Chronic tendonitis is usually defined by the tendon pain lasting more than 6 weeks, and the condition is more accurately referred to as tendinosis.  Tendinosis is mainly caused by degeneration of the tendon.  In order to effectively treat and resolve tendinosis, you must stimulate regeneration of the affected tendon.  There are very few approaches that do this.  Astym treatment has been used successfully for years and is the most established treatment to stimulate regeneration of a tendon and other soft tissues.  To view the resolution rates (outcomes) of Astym on particular types of tendonitis/tendinosis, click here:  http://www.astym.com/Content/documents/ASTYM%20Outcome%20Report.pdf

What is Astym treatment?: Astym Definition, Part III

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 immediately reduced) and strength measures (strength often immediately increases) following treatment.

At its core, Astym treatment was developed from basic science research to stimulate a regenerative response at a cellular level.  Following that, there were a number of case studies published and then a randomized clinical trial on patellar tendinopathy.  A large randomized clinical trial on lateral epicondylosis was then awarded a platform presentation at the American Society for Surgery of the Hand’s national meeting.

In addition to ongoing clinical and scientific research, the Astym program also emphasizes the collection of practical information.  Astym treatment has put major effort into developing a reliable national outcomes collection system and database, where clinicians from all across the country independently enter data to create a national bank of dependable outcomes data.  These outcomes (treatment results) show the percentage of people with each condition that resolve (get better).  Not only does this provide a good real-world evidence base for Astym treatment, it also allows patients and health care providers to know how many treatments it should take to resolve a certain condition, and what percentage of those cases should resolve.  For instance, for a patient with plantar fasciitis, you can predict that in 10 therapy visits, 91.8% of patients will be improved or much improved.  To see a full listing of diagnoses and outcomes, click here:  http://www.astym.com/Content/documents/ASTYM%20Outcome%20Report.pdf

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

Heel Pain: Most Common Cause is Plantar Fasciitis

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. Continue reading Heel Pain: Most Common Cause is Plantar Fasciitis

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 Continue reading Internal Scar Tissue/Adhesions Limit Movement and Cause Pain

Restore – Revitalize – Recover