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View Full Version : Patellar Tendonitis and ASTYM


Tyson Wright
09-21-2011, 11:24 AM
Went to a PT today and they said they would like to use ASTYM on my tendonitis. Anyone have a good or bad experience with this technique? Thanks.

Donald Lee
09-21-2011, 01:30 PM
I'm going to preface my comments by saying I have not received ASTYM.

Receiving ASTYM is probably better than receiving no soft tissue work. It looks eerily similar to Graston Technique, but with less pressure. This may or not be controversial, but I believe PTs aren't very good at soft tissue work. They just don't receive enough training in it. Massage therapists are trained to feel with their fingers, hands, forearms, elbow, etc. PTs who use tools in their soft tissue work do not have a good sense of what's going on underneath their tools. Many massage therapists also have no idea how much pressure to apply either, so it's hit or miss depending on the training and skill of the massage therapist.

If I were you, I'd prefer to go to a good manual therapist trained in orthopedic or myofascial massage. But, ASTYM is probably fine; it's just not as good as what you can get. If you do go with ASTYM, don't be surprised if it hurts.

Tyson Wright
09-21-2011, 02:03 PM
Thanks for the information. Exactly what I was looking for. I also found it interesting that they were recommending Kinesiology Tape.

Steven Low
09-22-2011, 05:44 AM
If tape helps the pain and allows you do be active, that's fine.

ASTYM is a good if it can be applied correctly, but can it like Donald outlines?

I prefer to go along the lines of acute or chronic based standard treatment to see if that helps, especially if there is losses of range of motion or strength and improper mechanics and see if that works first.

http://www.eatmoveimprove.com/2009/08/on-tendonitis/

Tyson Wright
09-24-2011, 04:41 PM
I went through my first round of astym. Overall not painful except for 1 specific tendon he worked on. I also have been wearing kinesiology tape and have stretched 4x per day focusing on hips and quads. I was able to squat heavy without pain today. Good experience so far. I've also teed up a deep tissue massage. I'll continue to update for those interested.