Category Archives: Achilles Tendonitis

Achilles Tendonitis

Tendonitis: Why Won’t It Go Away?

Because it could be tendinosis.  Often, chronic tendonitis (also spelled tendinitis), lasting more than 6 weeks is really tendinosis (also spelled tendonosis).  The difference is that acute, short-term tendinitis is thought to be caused by mostly by inflammation, which is an active immune response of the body to a perceived threat.  The acute, inflammatory tendonitis usually resolves 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.  It is important to consult your physician for advice on your particular situation.

Chronic tendonitis is often defined by the tendon pain lasting more than 6 weeks, and the condition is referred to as tendinosis.  Tendinosis is thought to be 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 is regenerative soft tissue therapy which successfully resolves many difficult conditions.  To see how Astym therapy works on different diagnosis of tendinitis/tendinosis, take a look at this Outcomes Data from thousands of Astym therapy patients.  If you would like to find a certified Astym therapy provider to see if Astym therapy would be right for you, use this Find a Provider directory.

Astym therapy made my Achilles tendon stronger and better

I had pulled my tendon in my Achilles learning a try out dance at a dance convention. I went to an emergency room and got a boot, and then a week later I danced in a competition and made it worse. When I went back home I went to Carolina Orthopaedic. That’s when I got more X-rays and got physical therapy. I went from having a pulled tendon that hurt really bad to a ankle that feels way better and way stronger thanks to Astym treatment

Jayla Lowery
Treating clinic:  Carolina Orthopaedic & Sports Medicine Center
Physical Therapy & Rehab
2345 Court Drive
Gastonia, NC 28054  Website:http://www.carolinaorthopaedic.com/

Astym Therapy Works for Me!

I have had 4 foot surgeries in the past 5 years. I had 2 Achilles tendon surgeries and 2 bunionectomies. I had never heard of Astym therapy until then. After the surgeries I couldn’t move my feet at all. I never thought I would be able to go up or downstairs again. I had regular physical therapy but it just wasn’t working so that’s when they decided to do Astym therapy. I couldn’t believe the difference it made and how fast it was. I didn’t understand why she had me put on shorts since it was my foot that was being treated. When she started running the instrument down my leg I could honestly hear the scar tissue breaking up. It was unbelievable!!! I didn’t realize that i could build up scar tissue all the way up my leg when it was my foot that had the actual scar. Anyway, after 4 To 6 weeks of Astym treatments I was walking and even going up and down stairs like I did before I had the surgery. The same thing went for my big toes after the bunionectomies. I couldn’t move my big toe at all. It wouldn’t bend up or down until I had the Astym treatments. Now, I have movement and you can’t even see the scar. I tell everyone that asks me about my surgeries that I wouldn’t be like I am now had it not been for the Astym treatments. My husband who doesn’t believe in physical threrapy is now a believer. He saw how bad my feet were after the surgeries and how they are now. I go to the gym and walk my neighborhood like I never had surgery at all. And, I owe it all to my surgeon, physical therapist and Astym!!! Thank you for giving me my life back.

Angela Tuttle
Treating Clinic:  Carolina Orthopaedic & Sports Medicine Center
Physical Therapy & Rehab
2345 Court Drive
Gastonia, NC 28054  Website: http://www.carolinaorthopaedic.com/

 

Achilles Tendonitis: painful but Astym therapy worked

I had Astym therapy done on both legs for Achilles tendonitis. I can deal with a lot of pain but enduring this treatment was a struggle for me. I had to grit my teeth to keep from crying out. I’m glad I didn’t stop the therapist. By the next day, I noticed a major improvement! That really amazed me! I had minimal bruising.

Kathie Eichelberger
Treating Clinic: Athletico Physical Therapy
1704 Eastland Drive Unit 15
Bloomington, IL 61704 Phone: 309-664-7766
Website: www.athletico.com

5 weeks until Ironman! Astym therapy fixed my Achilles strain.

I had just 5 weeks until my Ironman race, when I strained my Achilles to the point that I could not run at all without severe pain. A good friend recommended Athletico and Astym treatment. I completed 4 weeks of physical therapy with Astym treatments 2-3 times a week. I completed my Ironman with zero pain in my Achilles and would highly recommend the Astym treatment.

Rick Swaro
Treating Clinic:  Athletico Physical Therapy-Powell
3967 Presidential Parkway Suite C
Powell, OH 43065 Phone: 614-791-0700
Website: www.athletico.com

Nothing Short of A Miracle: Astym therapy helped my foot pain

Difficulty and pain with ambulation had been becoming worse for me over a period of a few years, and was limiting normal daily activities. It was determined that this difficulty stemmed, in great part, from plantar fasciitis, peroneal tendonitis, over-pronation, and strained Achilles tendon in the right foot/ankle. Stretching exercises, elastic support socks, and use of an arch support did not address the issue long-term.

Following my request for a physical therapy consult for more specific exercises, the therapist evaluation covered multiple exercises for me to perform. The evaluation also included a discussion about Astym therapy. I have been so very thankful and grateful ever since! It was amazing to me that after just one Astym treatment I noted some improvement with decreased pain. Subsequent treatment resulted in not only further pain control, but also in increased functionality of my foot. My over-pronation was completely gone, my arch was improved to normal, the Achilles was no longer tight… I was thrilled!

Maintaining functionality and independence as much as possible is so very important to me, and with this exposure to Astym therapy, I have that.

Barbara Lentman
Treating Clinic: OSF Center for Health-Streator
111 Spring Street, Streator, IL 61364
Phone: 815-673-4549 Website: www.osfhealthcare.org

Astym therapy really helped my heel pain and Achilles tendon

When I came to Diamond PT I had a lot of pain in the left Achilles tendon. The determination of tightness in the interior calf & thigh was the driving force behind the pain. The use of Astym therapy really helped the pain in my heel. I found that if felt best the day or two after Astym treatment & the therapy days without Astym treatment didn’t seem to provide as much relief or as long of relief. I can walk at a faster pace now than before, have less pain throughout the day.

Anita Johnson
Treating Clinic: Diamond Physical Therapy & Rehabilitation, Inc.
1140 East Algonquin Road, Algonquin, IL 60102
Phone: 847-854-0196  Website: www.dptrehab.com

Bye Bye Foot Pain, Thank You Astym Therapy

I have had difficulty and pain with walking/running for few years, and it got to the point where it was stopping me from doing my normal daily activities. After numerous doctor visits, and various treatments I still did not have the relief or answer to my problems. My foot pain stemmed from plantar fasciitis, tendonitis, over-pronation, and an old Achilles tendon injury I had suffered in my left foot/ankle. After finding what was causing me so much pain I directed my attention to stretching exercises, elastic support socks, and use of an arch support did not give me the relief I was searching for.
After going back to the doctor and expressing my frustrations, I was recommended to follow up with a physical therapist to consult and design a more specific exercise program. While at TOPS the evaluation covered multiple exercises for me to perform, that we much more advanced than what I had done prior. Dr. Brannon also included talked and introduced me to Astym therapy. I have been so very thankful and grateful ever since! It was amazing to me that after just one Astym treatment I noted the improvement I was searching for. I experienced a decrease in pain. After multiple treatments, I had finally gained control of my pain. But, through this I also discovered that I had a major increased functionality of my foot. Thank you TOPS for all you have done for me and getting me back even better!

Fran Brannon
Treating Clinic: TOPS Physical Therapy 5353 North 16th Street
Suite 120 Phoenix, AZ 85016
Phone: 602-526-0037  Website: topsphysicaltherapy.com

Treating Tennis Injuries and Tendinopathy: Advice From an Expert

By:  Lisa Chase, PT, OMPT

Tennis elbow, plantar fasciitis and rotator cuff tendinopathy are common injuries that can plague a tennis player. The last thing an athlete wants to hear is, “You must rest and stop playing tennis.”  Soft tissue injuries can be painful, limiting conditions that are slow to heal, which is particularly challenging to a tennis player who wants to get back in the game.

Many athletes seek advice from primary care and sports medicine physicians when they have tendon pain and then are often offered anti-inflammatories, injections, and told to rest.  Typically, this common regimen only offers temporary relief and may not be the best method to heal a tendinopathy. Astym therapy targets the underlying cause of many soft tissue problems, rather than just trying to relieve symptoms.  It is unmatched in its ability to resolve tendinopathies, and often works even after other approaches fail.

WHAT IS THE DIFFERENCE BETWEEN TENDINOPATHY, TENDINITIS AND TENDINOSIS?

The word “tendinopathy” actually means “disease of a tendon,” and is a broader term for two conditions known as “tendinosis,” or degenerative tendinopathy, and “tendinitis,” or acute, inflammatory tendinopathy. Although “tendonitis” is used often, most cases of tendinopathy are not associated with significant inflammation and thus don’t respond well to anti-inflammatory medications.

WHAT CAUSES TENDINOPATHY?

Tendinopathy can be caused by overuse or improper loading of the muscle-tendon unit. It can also be caused by degeneration of soft tissues due to injury, age or other reasons. Repetitive strain on a tendon may cause tiny tears that accumulate over time. These tears may result in pain and can eventually change the structure of the tendon resulting in acute inflammation and/or degeneration that can lead to pain, tissue adhesions, movement impairment and eventually loss of function.

HOW PHYSICAL THERAPISTS HELP HEAL TENDINOPATHY

ADDRESS THE CAUSE

  • Astym therapy addresses the underlying cause of tendinopathy and other soft tissue problems by engaging the body to regenerate healthy soft tissues (muscles, tendons, etc.), and eliminating unwanted scar tissue that may be causing pain or movement restrictions.
  • Correct poor footwear
  • Assess or change equipment, for example choosing a racquet with a larger sweet spot will help reduce load on the arm.
  • Correct stroke mechanics, for example bending knees at least 10 degrees during the service motion will lessen the load on the shoulders and elbows.
  • Identify proper training loads and recovery to avoid overuse injuries.
  • Incorporate proper warm-up or cool-down for tennis.
  • Develop a balanced training program for tennis to include stretching, strengthening, speed, core stability, agility, balance and coordination.

WHY ASTYM THERAPY IS SO SUCCESSFUL

Astym therapy, evidenced to engage the regenerative mechanisms of the body and promote the healing of soft tissues, has repeatedly been shown safe and effective in controlled clinical trials, clinical study, and large population outcomes data.  A new approach to soft tissue treatment, Astym therapy resulted from a large, groundbreaking research endeavor supported by major hospitals and universities.  It is used in settings ranging from therapy clinics to hospitals to industrial rehabilitation to elite/professional athletics, and has been proven to be more effective than other available treatments.

Astym-certification is advanced training and not everyone is qualified to perform this higher level of care.  In order to become Astym-certified, a clinician must undergo intensive training and testing.  Doctors often prescribe Astym therapy for their patients because it is safe, high quality care that has been proven to be effective.  To find or confirm a clinician is certified in Astym therapy, visit the Find a Provider section of the Astym therapy website.

Lisa Chase

Lisa Chase, PT, OMPT, Astym Cert is an internationally recognized physical therapist, educator, lecturer and published author with specialty in rehabilitation and wellness. She received her Bachelor’s Degree in Physical Therapy from the University of Pittsburgh in 1991, a postgraduate certification in advanced orthopedic manual therapy in 1995. She is Polestar Pilates trained, Certified Kinesio Tape Practitioner, Certified MELT Instructor as well as Astym Certified.  She currently runs her own practice Back 2 Normal Physical Therapy, Inc. where she provides expertise in integrative physical therapy with particular interest in comprehensive and holistic manual physical therapy treatments and prevention of spine, sports and orthopedic injuries.

Lisa has worked one-on-one with world-class athletes, coaches, medical and fitness specialists around the world to help prevent injuries, decrease recovery time and optimize performance. She has brought her expertise to WTA Tour (Professional Women’s Tennis Association), ATP Tour (Professional Men’s Tennis Association) AVP U.S. Pro Beach Volleyball, LPGA, Major League Baseball, the English Premier Soccer League and covered the 2004 Olympics in Athens Greece.

Lisa lectures nationally and has been an Adjunct Clinical Professor at Michigan State University, in the College of Osteopathic Medicine, since 1998 and Assistant Instructor for SFMA and FMS Systems since 2010. She is a published author of several books on aquatic rehabilitation and published coauthor in the British Journal of Sports Medicine. Lisa is also the founder and co-owner Rehab Links, a unique exercise software for medical, health and fitness professionals.

 

 

What is Astym treatment?

Astym treatment is a physical therapy treatment that regenerates healthy soft tissues (muscles, tendons, etc.), and eliminates or reduces unwanted scar tissue that may be causing pain or movement restrictions.

Astym treatment is highly effective for restoring movement and reducing pain from soft tissue injury/dysfunction, and Astym even works when other approaches routinely fail.  One of the main reasons for this is that Astym was designed to target the underlying cause of many soft tissue problems, rather than just trying to relieve symptoms.  Here are some of the diagnoses where patients have demonstrated excellent clinical results when treated with Astym:

• Lateral epicondylosis, chronic lateral epicondylitis
• Carpal tunnel syndrome
• DeQuervain’s tenosynovitis
• Wrist sprain
• Plantar fasciopathy/heel pain/chronic plantar fasciitis
• Achilles tendinosis and chronic achilles tendinitis
• Shin splints
• Patellar tendinosis, chronic patellar tendinitis/tendonitis (jumper’s knee)
• IT band syndrome
• Chronic hamstring strain
• Joint contractures
• Overuse injuries
• Pain or loss of motion & function following surgery, trauma or overuse injury

Here is a full listing of diagnoses that have been monitored and the outcomes (treatment results) tracked.

Astym treatment is non-invasive, which means there are no injections or incisions.  Instruments are applied topically (on top of the skin) to locate dysfunctional (unhealthy) tissue, and to transfer mild to moderate pressure to the underlying soft tissue structures.   Astym treatment stimulates tissue turnover, scar tissue resorption, and the regeneration of tendons, muscles and other soft tissue structures.

Astym treatment  is typically provided twice weekly for four to five weeks (about 9 total treatment sessions) and is done in conjunction with eccentric loading, stretching, and functional exercises. Unlike other treatments, Astym encourages patients to active, workers to stay on the job, and athletes to stay in their sport during treatment. The Astym process actually makes the tissues of the body stronger, and allows a patient’s body to become adapted to greater stress without injury.  Patients are very satisfied  and enthused with the results they see from Astym

Astym is used in settings ranging from therapy clinics to hospitals to industrial rehabilitation to elite/professional athletics. This highly-effective, proven treatment helps countless patients every day. Astym is scientifically based and supported by clinical research and extensive outcomes.