title: Chronic ankle pain and fibrosis successfully treated with a new noninvasive augmented soft tissue mobilization technique (ASTM): a case report.
abstract: This clinical case report demonstrates the clinical effectiveness of a new form of soft tissue mobilization in the treatment of excessive connective tissue fibrosis (scar tissue) around an athlete's injured ankle. The scar tissue was causing the athlete to have pain with activity, pain on palpation of the ankle, decreased range of motion, and loss of function. Surgery and several months of conventional physical therapy failed to alleviate the athlete's symptoms. As a final resort, augmented soft tissue mobilization (ASTM) was administered. ASTM is an alternative nonsurgical treatment modality that is being researched at Performance Dynamics (Muncip, IN). ASTM is a process that uses ergonomically designed instruments that assist therapists in the rapid localization and effective treatment of areas exhibiting excessive soft tissue fibrosis. This is followed by a stretching and strengthening program. Upon the completion of 6 wk of ASTM therapy, the athlete had no pain and had regained full range of motion and function. This case report is an example of how a noninvasive augmented form of soft tissue mobilization (ASTM) demonstrated impressive clinical results in treating a condition caused by connective tissue fibrosis.
authors.affiliation: Ball Memorial Hospital, Muncie, IN 47304, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Melham
authors.forename: T L
authors.initials: TL
authors.lastname: Sevier
authors.forename: M J
authors.initials: MJ
authors.lastname: Malnofski
authors.forename: J K
authors.initials: JK
authors.lastname: Wilson
authors.forename: R H
authors.initials: RH
authors.lastname: Helfst
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000150:complications / Q000473:pathology / Q000628:therapy*; D002908:Chronic Disease; D005355:Fibrosis; D006801:Humans; D008297:Male; D008405:Massage / Q000379:methods*; D010146:Pain / Q000209:etiology; D059408:Pain Management; D026741:Physical Therapy Modalities / Q000379:methods*; D016059:Range of Motion, Articular; D017695:Soft Tissue Injuries / Q000628:therapy; D014945:Wound Healing