Prestressed concrete uses high-strength steel tendons to place concrete in compression before loading. This counters the tensile stresses from loads and allows for longer spans and lighter structures. There are two main methods: pretensioning, where tendons are tensioned before concrete is poured, and post-tensioning, where tendons are tensioned after concrete cures. Prestressed concrete has advantages like reduced cracking, increased load capacity, and smaller deflections under loads.