Post-tensioning steel in concrete seems like a bad idea to me. Creating all kinds of small cracks in the concrete but I suppose with the right concrete and planning it could and does work.
The key is to integrate the concrete and tensioning design so they work together. These are not steel beams that are tensioned, they are elastic super-high-strength tendons that are stretched in (what should be) a controlled manner. A very simple analogy would be the laces on your shoes. The laces and your shoe "structure" work together to support your feet.
