Category Archives: Hamstring strain

Hamstring Strain

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.

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

A Miracle: chronic hamstring problem cured with Astym therapy

I had a chronic hamstring pull for over 25 years. As a runner, it was extremely difficult to run with any regularity. I visited a sports medicine physician and he recommended Astym therapy. I had six treatments and my chronic hamstring problem disappeared. This was three years ago and I’ve had no recurrence of any hamstring problem.

Henry Runner, Boca Raton Florida
Clinic: Center for Physical Therapy and Exercise, Poway, California,  Website:  Arch Health Partners

Hamstring Strain and Injury: Advice From The Experts, Part I

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 Hamstring Strain and Injury: Advice From The Experts, Part I

Hamstring Strain and Injury: Advice From The Experts, Part II

Meet today’s guest bloggers:

Dr. Terry Gebhardt, PT, DPT

Dr. Terry Gebhardt, PT, DPT
Dr. Gebhardt completed his Master of Physical Therapy at the U.S. Army-Baylor University Graduate Program in 1998. During Dr. Gebhardt’s 7 years of physical therapy practice in the Army he specialized in treating a broad range of musculoskeletal injuries. He has worked extensively with injury prevention initiatives and has been a leader in the development of training programs designed to maximize fitness while preventing injury. Dr. Gebhardt relocated to Colorado in 2004 to complete his Doctorate of Physical Therapy degree and Fellowship in Manual Therapy at Regis University. His areas of clinical expertise and interest include spine and sports rehabilitation where he incorporates his passion for fitness with physical therapy. Continue reading Hamstring Strain and Injury: Advice From The Experts, Part II