Plantar Fasciitis, Achilles Tendonitis: A Patient Talks About a Treatment That Works.

Few things are more frustrating than having chronic plantar fasciitis and Achilles tendonitis (also spelled Achilles tendinitis).  Here is the story of one patient who suffered from Achilles tendon pain and plantar fasciitis, and tried multiple treatments before she finally got better with Astym at KORT physical therapy.

Lori Childs talks about Astym therapy at KORT

As an Achilles tendonitis treatment, Astym improves 94.7% of Achilles tendinitis (tendonitis), or Achilles tendinopathy cases.  Astym also resolves plantar fasciitis well, with 91.9% of plantar fasciitis or plantar fasciopathy cases improving after Astym treatment.   Chronic tendonitis can affect many areas of the body.  To view the resolution rates (outcomes) of Astym on particular types of chronic tendonitis/tendinosis, click here:  http://astym.com/upload/pdf/Astym%20Outcome%20Reports.pdf

Plantar Fasciitis: The Three Best, Most Effective Stretches for Athletes. Inside Tips From a Sports Medicine MD.

Plantar fasciitis causes a great deal of heel pain and disability among athletes.  As a sports medicine doctor, I have seen thousands of athletes sidelined by plantar fasciitis.  Most patients who receive Astym therapy respond favorably, and their plantar fasciitis resolves.  To find out if Astym therapy is right for you, please locate a provider near you, and schedule an appointment to be evaluated.

However, there are some athletes who struggle with relapse or their condition becomes chronic, or long term.  Some sports physicians and medical researchers suspect that a portion of these recalcitrant patients are not stretching properly, and that may be a factor in their failure to recover from plantar fasciitis.

Here are some stretches that may help you recover from plantar fasciitis:

Best plantar fasciitis stretch

Stretch #1:  Gastroc  Stretch: foot flat on the floor, knee straight, lean forward with your other foot extended in front of you, but keep most of your weight on your back foot until you comfortably feel the stretch in the back of your calf (gastroc muscle and Achilles tendon).

Stretch #2:  Soleus Stretch:  foot flat on the floor, KNEE BENT, lean forward on the other foot that is extended in front of you, but keep most of your weight on your back foot until you comfortably feel the stretch in the back of your calf (by bending your knee, you relax the gastroc muscle, which allows you to focus the stretch on the soleus muscle and the Achilles tendon).

Best plantar fasciitis stretch

Best Plantar Fasciitis StretchStretch #3:  Flexor Hallicus Longus (FHL) Stretch:  Often, plantar fasciitis sufferers will do some version of stretches #1 and #2 above, but fail to do this last stretch.  This stretch can often be the key in helping patients recover from plantar fasciitis.  Use a stair step or a wall to aid you in this stretch.  Stretch your toes up vertically using the wall or stair step and, keeping your heel on the floor, bend you knee slightly and push foward gently, until you comfortably feel the stretch in the bottom of your foot, the inside part of your ankle, and up the back of your calf.

As with any rehabilitation method, you should talk with your doctor prior to doing any stretching activity or other type of treatment.  In the cases of chronic plantar fasciitis,  experienced sports doctors often recommend that these stretches be done 2 times a day, with each stretch performed 3 times per session, and held for 40-60 seconds if a patient’s condition comfortably allows for this.

Botox® for Tennis Elbow?

Sounds strange to some people, but these injections are being tried to relieve tennis elbow pain, and with some success.  As a sports physician, I have seen many patients with tennis elbow.  I also do medical research, and as a result, I was invited to perform a review of a proposed article for a professional journal on botulinum toxin (Botox® is a trade name for botulinum toxin A) in the treatment of tennis elbow (lateral epicondylitis).  Continue reading Botox® for Tennis Elbow?

Research on Astym: Summary of Astym Treatment’s Evidence Base

At its core, Astym treatment was developed from solid basic science research to stimulate regeneration at a cellular level.  Following that, there were a number of case studies published and then a randomized controlled clinical trial on patellar tendinopathy.  A large randomized controlled clinical trial on lateral epicondylosis was awarded a platform presentation at the American Society for Surgery of the Hand’s national meeting, and is now being submitted for publication Continue reading Research on Astym: Summary of Astym Treatment’s Evidence Base

Achilles Tendinosis in Elite Runners

Meet today’s guest blogger:

Stephanie Penny, PT, DPT

Stephanie practices at Lakeshore Sports Physical Therapy in Chicago, Illinois. She earned her Doctor of Physical Therapy degree from Central Michigan University in 2008. She has a special interest in sports medicine and vestibular rehabilitation, has completed coursework in manual therapy, and is a certified Astym® provider. Stephanie is an active member of the American Physical Therapy Association.

Elite runners alternate between intensive physical training and recovery to improve performance.  However, many runners fail to maintain a balance between intensity of training and appropriate recovery, resulting in a breakdown of tissue reparative mechanisms which eventually leads to overuse injuries.  Historically, these injuries have been referred to as “tendinitis” or “tendonitis”, words that point to inflammation as the cause of the problem.  Continue reading Achilles Tendinosis in Elite Runners

Rib pain: The buck can stop here.

Meet today’s guest blogger:

Gus Gutierrez, PT, OCS, FAAOMPT
Gus is an owner of and serves as clinical director of BRPT-Lake, a multi-clinic private practice that specializes in the treatment of orthopedic patients and sports-related injuries. He received his Orthopedic Certified Specialization distinction in 1994 and then again in 2004. He is certified as a Level 2 Manual Therapist and is Fellow of the American Academy of Orthopedic Manual Physical Therapists. He has over 23 years of clinical experience and working with athletes on all levels. Gus has been certified in Astym since 2001.  He is also certified in Kinesiology Taping and as an Active Release Technique practitioner for the upper extremity, lower extremity and spine.

Often times patients who develop rib pain with no known etiology (cause) are processed through the medical system undergoing countless medical diagnostic tests and consultations.  Physical therapy needs to be part of the assessment team to determine whether treatment for soft tissue and joint restrictions can be helpful.  Often time these patients respond very quickly to manual therapy techniques including joint manipulation, mobilizations and Astym for the intercostal soft tissues. Continue reading Rib pain: The buck can stop here.

What is De Quervain’s Tenosynovitis?

Meet today’s guest blogger:

Kristy Uddin, OTR/L, Astym Provider
Integrated Rehabilitation Group, Inc.
Locations throughout the greater Puget Sound, Washington area
Pacific Avenue Hand Therapy – (425)374-2846
Snohomish Physical Therapy – (360)568-7774

Two of the main tendons to the thumb pass through a tunnel (or series of pulleys) located on the thumb side of the wrist. Tendons are rope-like structures that attach muscle to bone. Tendons are covered by a slippery thin soft-tissue layer, called synovium. This layer allows the tendons to slide easily through the tunnel. Any swelling of the tendons located near these nerves can put pressure on the nerves. This can cause wrist pain or numbness in the fingers.

Continue reading What is De Quervain’s Tenosynovitis?

Tendonitis: Why Won’t It Go Away?

Because it’s probably tendinosis.  Often, chronic tendonitis (also spelled tendinitis), which lasts more than 6 weeks is really tendinosis (also spelled tendonosis).  The difference is that acute, short-term tendinitis is thought to be caused by inflammation, which is an active immune response of the body to a perceived threat.  The acute, inflammatory tendonitis can be treated and usually resolved 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. Continue reading Tendonitis: Why Won’t It Go Away?

What is Astym treatment?: Astym Definition, Part III

Scientific studies have shown an increase in fibroblast recruitment and fibroblast activation with Astym treatment, which reveal the body’s underlying physiological response to Astym.  These studies highlight the regenerative mechanism of Astym treatment and help us understand how Astym treatment results in the regeneration of soft tissues. There also appears to be a neurological component to the Astym treatment process as evidenced by immediate changes in pain perception (often pain is immediately reduced) and strength measures (strength often immediately increases) following treatment. Continue reading What is Astym treatment?: Astym Definition, Part III

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

Restore – Revitalize – Recover