Manual Physical Therapy

What is the ASTYM System?

The ASTYM system is a therapy approach which provides patients relief from a number of injuries and disorders. This treatment is effective for new injuries as well as persistent, nagging injuries. One of the most exciting aspects of the treatment is that significant improvement often occurs even in cases where other treatments have failed. The success of the System is documented for a wide variety of diagnoses and can be viewed on the ASTYM website.

Is This New?

The ASTYM system is well established clinically and through research. It has been used by rehabilitation professionals in clinical settings since 1996, and results of the treatment have been consistently tracked since that time. The data from this tracking confirms the remarkable results of this treatment. The ASTYM system was developed and researched under the direction of Thomas Sevier, MD, an athlete and specialist in musculoskeletal medicine.

How Does it Work?

The ASTYM system focuses on repairing the normal soft tissues of the body (muscles, tendons, ligaments, etc.) and correcting abnormal soft tissue (scar tissue and other inappropriate fibrosis) which may interfere with movement and cause pain. Many people develop abnormal soft tissue from injuries, surgery, and repeated or “overuse” activities (which often occur in factory work, clerical jobs and sports).

Who Provides the ASTYM Treatment?

The ASTYM system is available from certified rehabilitation professionals around the country. These include physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, and athletic trainers. Each clinician certified in the ASTYM system has undergone intensive training in this therapy approach. This training combined with the clinician’s other education and healthcare expertise provides the ideal opportunity for the patient to achieve maximum benefit from the System.

What is the Treatment Like?

A clinician certified to perform the ASTYM system evaluates each patient and determines whether the treatment is appropriate. During treatment the clinician uses the ASTYM instruments to treat not only the painful area but other areas that may contribute to the problem. The treatment is non-invasive, which means that the instruments are only used on the skin to affect the underlying soft tissue. During treatment, the patient feels the abnormal “bumpy” or “rough” tissue as the instruments glide over the skin, and notices the “smoothing out” effect over the course of the treatment as the abnormal tissue is eliminated. Patients occasionally experience some bruising in connection with the treatment which is visible evidence that the body is addressing the problem areas. Each patient also receives a custom-designed stretching and exercise program to help rebuild better tissue for his or her specific problem. Patients are typically seen for 7-11 visits, and many patients are excited to find they experience a significant change in their symptoms within the first four visits.

Which Diagnoses Respond Well to the ASTYM System?

Patients who are experiencing pain, loss of motion and/or loss of function following surgery, injury, cumulative trauma disorders and chronic irritation/tendinitis often benefit from the ASTYM System. Some of the clinical diagnoses which have responded well to this treatment are:

  • Post-injury scar tissue
  • Post-surgical scar tissue
  • Trigger finger
  • Carpal tunnel syndrome
  • Lateral epicondylitis (tennis elbow)
  • Medial epicondylitis (golfer’s elbow)
  • DeQuervain’s tenosynovitis
  • Wrist sprains
  • Shoulder pain
  • Plantar fasciitis and heel pain
  • Chronic ankle sprains
  • Achilles tendinitis
  • Shin splints
  • Anterior knee pain
  • Patellar tendinitis
  • Hamstring strains
  • IT band syndrome
  • Hip pain/trochanteric bursitis
  • SI and low back pain
  • Most forms of chronic tendinopathies
  • Post-operative scar tissue
  • Soft issue changes associated with degenerative arthritis

Physician Information

What is the ASTYM system?

The ASTYM system is an evidence-based rehabilitation process designed to effectively treat chronic tendon disorders, scar tissue and fibrosis. The goal of the ASTYM treatment is to stimulate the body’s healing response, resulting in the resorption and remodeling of scar tissue and the regeneration of degenerative tendons. This effective therapy incorporates a customized program of stretching and exercise, which positively influences the alignment of the new collagen.

How can the ASTYM treatment benefit my patients?

The ASTYM system optimizes your patients’ ability to regain function and return to normal, active lifestyles.   The system offers many benefits:

  • Resolves tough, chronic conditions, even where other treatments have failed
  • Rapidly resolves pain and increases functional ability (in just 4- 5 weeks)
  • Delivers long-term results
  • Encourages patients to stay active in their work, sport or activity
  • Offers positive and predictable results, supported by outcomes
  • Evidence-based process that is supported by extensive research

Diagnoses that respond well to the ASTYM treatment:

  • Post-surgical scarring
  • Post-traumatic scarring
  • Lateral epicondylosis
  • Medial epicondylosis
  • Carpal tunnel syndrome
  • DeQuervain’s tenosynovitis
  • Rotator cuff tendinopathy
  • Plantar fasciopathy
  • Chronic ankle sprains
  • Achilles tendinopathy
  • Shin splints
  • Anterior knee pain
  • Patellar tendinopathy
  • Hamstring strains
  • IT band syndrome
  • Hip pain/trochanteric bursitis
  • SI/low back pain
  • Most chronic tendinopathies

 How effective is the ASTYM system?

Clinical outcomes from across the country indicate that 88% of all patients treated with the ASTYM system achieve improved function and decreased pain; even if the condition is chronic and previous treatment has been unsuccessful.

What should I tell the patients?

Patients should be informed that they will be receiving a treatment that will help stimulate a healing response rather than just treat their symptoms.  They may experience some soreness and/or mild bruising following treatments initially; however, this rapidly improves as the healing progresses. Patients are expected to carry out simple stretching exercises at home, and their compliance is essential for maximizing treatment results.