Astym and Soft Tissue Mobilization are Very Different

Astym and Soft Tissue Mobilization are Very Different

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. 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.

Rather than simply mobilizing tissue (STM), or mechanically breaking apart tissue (instrumented STM or IASTM), Astym treatment activates an underlying physiological response leading to the regeneration of soft tissues.

                                                KEY DIFFERENCES

Astym Treatment

STM and Instrumented STM or IASTM


Regenerates soft tissues



“Releases” or breaks apart tissue


Neural changes: immediate improvement in strength and function that speeds recovery



No neural changes have been noted


Due to the regenerative capabilities of Astym, it has many applications, including

degenerative tendinopathies, dysfunctional scar tissue, degenerated plantar fascia or other soft tissues, pain or dysfunction after surgery or trauma, sprains and strains, and many other soft tissue injuries



Applications limited to cases where

mobilization, loosening or breaking of tissue will resolve the problem


Peer Reviewed Research



Little to no reliable research


Scientifically developed



Trial and error based


Underlying pathology is directly addressed; resolution of conditions is usually long term, with little recurrence



Underlying pathology is not addressed; symptoms sometimes resolve temporarily, but often return


Specific, defined protocols with reliable results


Variable applications with variable results


Astym treatment and its specific protocols have been developed from scientific and clinical research to activate an underlying physiological response leading to the regeneration of soft tissues. The Astym protocols deliver appropriate doses of shear forces and other proper stimulation to the involved tissues that induce physiological changes on a cellular level. It took years of scientific and clinical research to develop and refine these protocols to induce this beneficial physiological response. The regenerative response that Astym treatment induces does not occur with instrumented or manual soft tissue mobilization. Although manual soft tissue mobilization and instrumented soft tissue mobilization can have some real benefits, they do not have the dramatic, regenerative benefits that occur from Astym treatment.

Click this link if you would like additional information on Astym vs. IASTM (Graston, etc.).

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Blended Learning

Online work before live course

8 hours/day for in-person portion

6-10 hours to complete online work

Eligible for up to 29.25 CEUs




1:1 exams with instructors via Zoom

Access for 60 days

Up to 28 hours to complete

Eligible for up to 28 CEUs


The value of the Astym Certification remains the same whether a clinician has been certified through our hybrid learning experience or our online course experience. Both educational opportunities require intensive online training and interactive practical exams with an Astym Certified Instructor.