Category Archives: Shoulder pain

Shoulder pain

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.

 

 

Astym Therapy is Great For Me

Astym therapy is great for me because it has been used on my shoulder and both knees. It helps with the scar tissue in healing and helps to get my muscles back in order. My Therapist Mona is a Great Person and helps me a lot. I can’t give her any gift, as it is not allowed but she is the #1 in my book.

Mary A Jackson
Treating Clinic: OSF Center for Health  111 Spring Street
Streator, IL, 61364 Website: www.osfhealthcare.org

ASTYM THERAPY WORKS! It helped my chronic shoulder pain

I’m 81 years old. have had chronic shoulder pain for two years. Tried regular PT for two months which helped somewhat, but pain still persisted. Affected my conducting of a 55 piece concert band on Sanibel Island and my golf swing! Apex called me to try Astym therapy as they had just been certified to use it. Just finished 8 sessions and can honestly say range of motion is better, strength is better, and pain is much less although not completely gone. Would recommend Astym therapy to anyone as a non-invasive procedure to try.

Mike Lamade
Treating Clinic:  Apex Physical Therapy, The Shoppes at Beachwalk
15751 San Carlos Boulevard, Suite 4
Fort Myers, FL 33908 Phone: 239-337-2739
Website: www.apexptflorida.com

My Astym Story: Astym therapy helped my shoulder pain when nothing else would work

I hurt my shoulder 2 1/2 years ago. I have gone to chiropractors, massage therapists, my regular Dr., & several sessions of regular physical therapists and nothing has seemed to work. I was referred to try Astym therapy from my regular therapist and I figured it wasn’t going to hurt to try it. After about 2 months of twice a week my shoulder is feeling much better.

SHARON HIGDEM
Treating Clinic: Altru Rehabilitation Center
1300 South Columbia Road Grand Forks, ND 58201
Phone: 701-780-2315 Website: www.altru.org

Astym therapy made a huge difference my shoulder pain

After my double mastectomy I had frozen shoulder and had to have surgery. After surgery I had several weeks of therapy and was still in a lot of pain. Ela, my physical therapist, started astym therapy on my shoulder. After 4 treatments I have went from being in severe pain to being released with very little pain. What a huge difference!

Cindy Bryant
Treating Clinic:  Carolina Orthopaedic & Sports Medicine Center
2345 Court Drive, Gastonia, NC 28054                                                            Phone: (704) 865-0077 Website: www.carolinaorthopaedic.com

Astym therapy was a big help with my Frozen Shoulder

I stepped on a very old rusty nail on Grand Turk in August. Upon returning I visited the local urgent care facility for a tetanus shot. I am not big on immunizations but being I had been in a foreign country I felt it necessary. I feel like I did all of my normal activities even though I experienced prolonged shoulder pain for approx. 6 weeks until it got to where I limited mobility of my shoulder joint. I visited CO and was diagnosed with frozen shoulder. I worked with Ella in PT for approx. 2 months . I really liked the Astym therapy vs the other manipulation procedures. I am not quite back to where I need to be but have been released to manage the exercise and wear a brace at home. Thanks Ella!!!

Bonnie Bosch
Treating Clinic: Carolina Orthopaedic & Sports Medicine Center
2345 Court Drive, Gastonia, NC 28054 Phone: (704) 865-0077 Website: www.carolinaorthopaedic.com 

Love it! Astym therapy helped me after surgery.

This is the third time astym therapy has helped me, twice on two different knee replacements and one on rotator cuff surgery . I really like it! It made a difference in my recovery .

Teresa Mathis
Treating Clinic: Carolina Orthopaedic & Sports Medicine Center
2345 Court Drive, Gastonia, NC 28054 Phone: (704) 865-0077 Website: www.carolinaorthopaedic.com

Astym therapy made a huge difference in my recovery from shoulder surgery

I had surgery on my shoulder in October of 2016 due to tearing my labrum working out. The procedure included cutting and reattaching my bicep tendon and cleaning up my labrum. During my recovery as i began using my arm more I kept having sharp pains in my shoulder. After I informed my Physical Therapist about these pains she began performing Astym therapy on my shoulder. Within two weeks I could tell a huge difference.

Garrett Lewis
Treating Clinic: Carolina Orthopaedic & Sports Medicine Center
Physical Therapy & Rehab, 2345 Court Drive
Gastonia, NC 28054 Phone: 704-865-0077
Website: www.carolinaorthopaedic.com

Chronic shoulder pain finally gets relief with Astym therapy

I had always suffered from chronic pain in my shoulders, neck and traps since the beginning of high school. I had gone to the doctor and people always told me it was just due to stress. It wasn’t until our family car got T-boned and I ended up requiring physical therapy that I realized there was actually something I could do to help these muscle pains. After three months of therapy with Astym treatment my general pain that had always stayed at an 8 on a 10 point scale lowered to a three at best. My quality of life has improved so much since starting therapy.

Michelle Blanco
Treating Clinic: Carolina Orthopaedic & Sports Medicine Center
Physical Therapy & Rehab, 2345 Court Drive
Gastonia, NC 28054 Phone: 704-865-0077
Website: www.carolinaorthopaedic.com

Hey My Shoulder Won’t Move? Astym therapy helped me!

I have never had an injury or joint issue that required physical therapy so this was an entirely new experience for me. I was constantly in pain. I could barely move my shoulder or raise my arm the limited range of motion and the pain was getting worse. After my second or third physical therapy appointment I was beginning to understand how complex the issue was with the supporting muscles. At that 3rd appointment was when I had the first Astym treatment, it was good timing because I was desperate and would have let them do anything but also felt confident and in good hands. It is deeply uncomfortable but truly was the most beneficial part of the therapy. I understood the relationship of the tight and underdeveloped muscles contributing to the immobility of my shoulder. After the Astym treatment I experienced less pain in my shoulder so I could really take advantage of my home exercises with less difficulty it was pretty significant right from the first treatment. I began to understand the target results of the Astym therapy so I got acclimated to the treatment quickly the short duration of pain (some bruising) outweighed the measurable improvement in my shoulder. I have worked hard with flexibility and strengthening exercises but without the added benefit of Astym therapy I may not have had the same results.

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