Category Archives: Golfer’s Elbow (medial epicondylitis)

Golfer’s Elbow (medial epicondylitis)

Astym therapy helped my forearm tightness and golfers elbow

I received Astym therapy for my forearm tightness and golfers elbow. I no longer having aching in my forearms after two treatments of Astym therapy. I also had a flair up for golfers elbow and received Astym therapy for that and it was gone in two days. I would definitely recommend this treatment to people around me.

Danielle Kienzle
Treating Clinic: Momentum Physical Therapy
548 Running West Drive, Gillette, WY 82718
Phone: 307-696-6045 Website: www.momentumwy.com

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.

Tendonosis of the elbow: Astym therapy gave me results when nothing else would work!

After two months of trying to heal my extremely painful elbows on my own, i was diagnosised by my physician with tendonosis. I had stopped working out with a personal trainer. I also stopped my yoga practice that my husband and I had been doing regularly for many months. The doctor said it was a very lengthy healing process, because tendons have little blood flow, which is what is needed to heal. I tried several different things to heal my degenerating elbows including self physical therapy excerises, taping, bracing, acupunture and injections. None of those gave me the results i received with Astym therapy. I am still healing, but I am anxiously excited with my results. My left elbow is mostly healed and my right is getting there. I truly apprecitate Heidi, my therapist. She encourages continuing the treatment and it is working. Thank you.

Machelle Timmermans
Treating Clinic: Heidi Carstensen, DPT, SERC of Liberty
1512 NE 96th Street, Suite A
Liberty, MO 64068
Phone: 816-792-0775  Website:  www.serctherapy.com

Astym therapy resolved my tendonitis- From a PT

As any physical therapist will tell you dealing with tendonitis problems is sometimes a hit and miss project. Typical treatments are 50% successful. I was suffering from bilateral lateral and medial epicondylitis and as a manual therapist it was very difficult and frustrating. I had tried a number of apporaches without success. My sister told me about the Astym program. I investigated it and then I took the course and certified in Astym therapy. It was somewhat difficult to treat myself but as I am a solo practitioner it was my only option. I was able to resolve my tendonitis issues on both arms and get back to an active life style. I have now performed literally thousands of Astym treatments with a much better success ratio than with the standard tendonitis and soft tissue treatment approaches.

Frank Romney
Northern Physical Therapy Services                                                                 1221 East 5800 South
South Ogden, UT 84405
Phone: 801-476-200

Tennis Elbow and Golfer’s Elbow: Advice from the Experts

Tennis Elbow and Golfer’s Elbow:  Advice from the Experts

As summer gets into full swing, many of you may be returning to the golf course and tennis courts for the first time since last season.  Hopefully, the winter layoff didn’t hurt your game too much!  Tennis and golf are known to place increased stress on the elbow and lead to irritation of the tendons around the elbow.  These conditions are commonly called “tennis elbow” and “golfer’s elbow”.  A gradual increase in your activity level and a focus on proper technique can help prevent these injuries from occurring.  Proper warm up and stretching the forearm muscles also help with prevention and can be a great place to start treatment if you do begin to have pain.  Rest, ice, and an anti-inflammatory medication help reduce symptoms in the early stages of an injury, but have limited effectiveness as the injury progresses.

It was previously thought that the pain associated with chronic tendon pain or “chronic tendonitis” such as tennis elbow, was due to inflammation.  However, recent research has shown the tendon to have very little, if any inflammation.  Instead, repetitive stress on the tendon causes an over development of scar tissue which effectively weakens the tendon.  This is important when we consider the best treatment approach.  While rest, ice, and anti-inflammatory medication may initially reduce the pain, they don’t necessarily address the root cause of the injury.  The most effective treatment will help stimulate the tendon to remodel itself and get stronger.  A type of strengthening exercise called eccentric exercise has been shown to be very effective at stimulating tendons to remodel and become stronger leading to a reduction in pain.  Eccentric exercise involves slowly lowering a weight against resistance so that the muscle is engaged while it is lengthening. Your physical therapist can show you how to perform these exercises.  Recently, a specific physical therapy approach called Astym (www.Astym.com) has been found to reduce or eliminate any scar tissue that has resulted from the chronic irritation of the tendon and also help stimulate the regeneration and remodeling of the tendon.

In addition to treating the tendon directly, it is also important to consider other factors that may be contributing to the tendon pain.  Two common factors include tightness or “trigger points” in the forearm muscles and stiffness in the joints of the neck and arm.  The forearm tightness can be addressed with stretching, massage, and trigger point dry needling, while the elbow joint pain can be treated with “hands on” treatment called manipulation.  Additionally, recent clinical trials have shown that treatment of the neck with gentle mobilization or manipulation can reduce the pain associated with tennis elbow.  Treating the upper back and neck can relieve tension on the nerves that go to the elbow thereby helping reduce pain.

Corticosteroid injections are also commonly given for tennis elbow.  However, a recent study compared the effectiveness of a steroid injection, physical therapy, and a “wait and see” approach.  Physical therapy treatment included the eccentric exercise and elbow mobilization mentioned previously.  The results showed individuals who got the steroid injection did only slightly better than the other two groups during the first 6 weeks.  However, after one year, the group that got the steroid injection had a higher recurrence rate of tennis elbow than either of the other two groups.  Those who received the cortisone injection did even worse than the “wait and see” group who had no interventions after one year.  Although an injection may provide short term relief, it may do more harm than good long term.

So if you or someone you know is suffering from elbow pain whether it is from tennis, golf, or gardening, remember a comprehensive treatment approach will give you  the best chance of getting back to the activities you love quickly and prevent them from returning.

Dr. Tim Flynn and Dr. Terry Gebhardt are physical therapists and owners of Colorado Physical Therapy Specialists in Fort Collins, Colorado, the website of their practice is www.colpts.com.

 

Meet today’s guest bloggers:

Dr. Timothy W. Flynn, PT, PhD

Dr. Timothy W. Flynn, PT, PhD
Dr. Flynn is board certified in Orthopaedic Physical Therapy (OCS), a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT), and a frequent research presenter at state, national, and international meetings. Dr. Flynn is widely published including 5 textbooks, 6 book chapters, over 50 peer-reviewed manuscripts on orthopaedics, biomechanics, and manual therapy issues. He was the editor and author of The Thoracic Spine and Ribcage – Musculoskeletal Evaluation & Treatment and The Users’ Guides to the Musculoskeletal Examination, and the author of 3 educational CD-ROMs on Orthopaedic Manual Physical Therapy. Dr. Flynn has received numerous research grants. Awards include the James A. Gould Excellence in Teaching Orthopaedic Physical Therapy, the Steven J. Rose Excellence in Research (twice), the AAOMPT Outstanding Research Award (twice), and the Distinguished Alumnus- Marquette University Program in Physical Therapy. Dr. Flynn continues to maintain an active research agenda in the areas of spinal and extremity manipulation, low back disorders, characterization of spinal instability, and the development of clinical prediction rules. Continue reading Tennis Elbow and Golfer’s Elbow: Advice from the Experts