American Chiropractic Association Rehab Council awarded Dr. Jeffrey Tucker Chiropractor of the Year
Five one-day course series of practical hands-on training in corrective exercise/rehab. These courses will lead towards eligibility to take the DACRB examination.
WHO: Doctors and students may qualify to become a Diplomate of the American Chiropractic
Rehabilitation Board (DACRB). This class is open to DC’s, PT’s, AT’s & students (personal trainers need to speak to Dr. Tucker before enrolling)
WHERE: Premiere Spine & Sport 4982 Cherry Ave. San Jose, CA 95118
WHEN: Saturdays from 8:00am to 7:00pm
July 13, 2013: Hip - Application of diagnosis, assessment, and rehabilitation principles to common orthopedic conditions such as hamstring, groin sprains/strains, hip labral tears, and pubic symphysis conditions. Functional anatomy and management of hip pain. Open closed chain/functional movements, lower extremity functional-whole body exercises. Advanced issues in the objective measurement of soft tissue injury. Specific stability ball exercises.
August 3, 2013: Knee & OA – This course presents rehabilitation for the management of osteoarthritis and the knee. Assessment of the knee and specific corrective exercises will be taught. Rehabilitation for common sports and industrial injuries will be presented. The functional anatomy and management of lower extremity pain will be taught. Open closed chain/functional movement, lower extremity functional-whole body exercises.
September 7, 2013: Ankle-Feet, plyometrics & balance. This is an in-depth course in the evaluation of gait and functional anatomy of the foot and ankle. Functional management and exercises of common sports and industrial injuries of the lower extremity pain are taught. Beginner to intermediate issues in the principles and protocols in balance & stabilization training, ball, band /tubing, & bodyweight training as it relates to the lower extremities.
October 5, 2013: Shoulder - This course provides an in-depth analysis to the upper quarter and shoulder functional anatomy and movement assessments. This is a workshop for shoulder rehabilitation (application of rehabilitation principles to common orthopedic conditions) using low load exercises, bands, free weights and kettlebells. Course goal is proficiency in the management of shoulder and upper extremity pain. Specific band exercise training will be taught.
Date TBA: Post op rehab, Chronic pain. Post-surgical rehab protocols. Management of obesity, chronic pain, Fibromyalgia Syndrome, and other difficult cases. Nutrition updates.
Course 1 – 1/5/2013 ; Key assessments & exercises taught in the Rehab Diplomate program.
Course 2 – 2/9/2013 ; Lumbopelvic Hip Complex Assessments, Rehab Exercises & Clinical Applications.
Course 3 – 3/2/2013 ; Cervical Spine Assessment, Rehab Exercises & Clinical Applications.
Course 4 – 4/6/2013 ; Thoracic Spine & Shoulder Assessments, Rehab Exercises & Clinical Applications.
Course 5 – 5/11/2013 ; Integration of functional movements and corrective exercises.
Key learning objectives: Create specific rehabilitation and/or exercise programs.
Registration: 7:30 – 8:00 a.m.
Doctor cost per Course: $325 Registration
Students cost per course $230 Registration
Seminar: 8:00 a.m. – 7:00 p.m.
Includes two 15-min. breaks; (late morning & late afternoon)
Lunch: 1:45 p.m. to 2:30 p.m. Lunch provided by host.
Early Bird Registration – Register 30 days in advance & Save $30 per course! Or
Pay $1,295 for all 5 Courses (Save $330.00!)
Registration is limited to the first 40 registrations. Courses are expected to sell out.
We cannot accept walk-ins without advance notice.
Questions? Contact Course Chair: Dr. Jeffrey Tucker, Email: DrJTucker@aol.com or Phone: (310) 339-0442
Advanced Notice Cancellations/Reschedules
Cancellations or reschedules received more than 10 working days before the class will be processed promptly. Any payments received are eligible for full refund upon cancellation. Cancellations received 10 or fewer working days before the class will not be refunded. However, clinicians are eligible to attend the same type of class at a later date at no additional charge. Clinicians who do not attend class and do not provide any advanced notice will be charged in full for all course-related class fees.
Dr. Jeffrey Tucker reserves the right to cancel a training class due to insufficient enrollment, inclement weather, or other events beyond our control. In the unlikely event a class is cancelled, we will notify registrants as soon as possible. In those cases, you may choose to receive a full refund of your registration fees or receive credit toward another class. Travel arrangements and costs are the sole responsibility of the attendee. When booking travel, we suggest that you obtain refundable reservations. Dr. Tucker will not be responsible for any cancellation costs you incur, such as airline tickets, hotel reservations, etc.
Register by Credit Card. Call August at 310-444-9393
Register by check. Payable to:
Dr. Jeffrey Tucker
Reference: Oakland, CA
11600 Wilshire Blvd. #412
Los Angeles, CA 90025
Early Bird Registration is $295 per class
Course 1-5 prepay $1,295
Include course dates.
Do you ever feel weird when new patients come in who have been to other chiropractors and say, “Adjustments only provide temporary relief”? I’m sick of hearing it. Don’t get me wrong: I love seeing new patients, but I feel bad that this person almost gave up on chiropractic care altogether! Most chiropractors I meet are warm and caring, and they have a curious presence about them.
There’s also the business side, of course, and I’m just like you: I need new patients and I want them to stick around for the care and treatment they need. Posture analysis, movement analysis and anti-aging strategies are methods I focus on in my “rehab” practice to create long-term relationships. As we walk this pathway and journey of chiropractic – engaging the study of posture – we cross the broad terrain of static posture into functional movements. Using functional movement analysis, I see more clearly who patients are and how their individual range of flexibility and strength within a single body segment is connected to the greater whole.
have yet to meet a chiropractor who is not looking for a universally applicable step-by-step treatment approach to help patients reclaim and transform numb, tingling, tight, stiff or painful body parts so they can feel, in each moment, wholeness and well-being.
However, after 28 years in practice, I don’t think there is such a step-by-step treatment approach. I think we develop individual treatment approaches or processes depending on the chiropractor, the patient and the circumstances.
My current treatment approach includes using manipulation/mobilization, warm laser, deep muscle stimulator, fascial release, foam rolling, stretching, muscle activation, core work, and whole-body exercises (often utilizing bands andkettlebells). In the past four articles, I discussed looking more closely at static posture to see what this reveals to assist in our clinical decision process. In the last article, I presented information we can use to look at the shoulder during a static posture evaluation. Now let’s connect what we see in the winged scapula to the corrective exercise strategies we can prescribe for this dysfunction. Please keep in mind that the best exercise you select for your client is the exercise that produces carryover, meaning it improves movement capacity and movement quality, in this case of the scapula.
Patients often ask me, “What causes bad posture?” I often hear myself answering with something like, “How many hours do you spend at work each day?” The patient responds with, “On average, about eight to 10 hours,” to which I say: “During your work time, you probably sit unconsciously in a slumped posture and in improper body positions.
Some people just engage in repetitive movements. Either way, this can create muscle imbalances leading to poor posture.” For those patients who really “get it,” I might add, “I think that the mind and body communicate and that psychological distress from work, family, finances (or whatever else I have heard them share with me) shows up in our posture.”
Would you agree that poor self-esteem and depressive symptoms are displayed in our posture? Another cause of poor posture is a lack of a variety of movement in our activities of daily living and overall poor flexibility. In essential ways, our unique cultural, mechanical and spiritual histories are part of what affects overall posture and health.
Last year, I was given the opportunity to teach a thoracic spine rehab course. I had never been to a “thoracic spine seminar,” let alone put together eight hours of teaching material on the subject. The seminar could have been called, “The Thoracic Spine – The Forgotten Area Between the Lumbar Region and the Cervical Region.” I continue to learn the compelling interconnection between the thoracic spine and the cervical and lumbar regions.
Most of the time when we think of a winged scapula, we simply think of weak serratus anterior muscles. But the longer you are in practice, the more you notice posture and become a better “muscle whisperer.” And then you begin to realize so much more. Let’s explore the posture impairment of winged scapula as it relates to the serratus anterior, rhomboids, lower trapezius, and pectoralis muscles.
The biggest tip I can offer you to look for during static posture evaluation for scapular winging is this: If you can see the entire medial border of the shoulder blade, you should suspect serratus anterior dysfunction. If you see only a portion of the medial scapular border or the inferior angle (usually the lower half or third of the medial scapula border), then you should suspect excessive shortness of the pectoralis minor, and lower trapezius and serratus anterior muscle weakness dysfunction. Again, if you only see half or a third of the scapula border protruding away from the rib cage, this is known as “pseudo-winging” and implicates shortness of the pectoralis minor, along with lower trapezius and serratus anterior underactivity or weakness…
Let’s discuss normal shoulder resting posture so we can determine if there is a link between a postural deviation and pain. Static postural analysis is performed before range-of-motion examinations, orthopedic testing, movement pattern assessments and palpation analysis. When I perform a static posture evaluation, I focus on subtle asymmetries or deviations from normal patterns to aid my diagnostic decisions and treatment transition decisions (passive care to active therapy). I allow myself the time to pause and focus on what I see posturally before beginning other procedures. The changes I see in static posture and functional-movement assessments, visit to visit, help me navigate through the treatment process.
I ask the patient to stand with their shoes off, hands at their sides, in their normal, relaxed position. The evaluation is done with the person in a standing position, which accounts for the normal effect of gravity on the individual. I observe the patient from the front, side and posterior. I look to see the person’s chronic holding patterns.
Look for postural deviations, including forward head, forward shoulders (scapular protraction), humeral internal rotation, and increased thoracic kyphosis. All of these deviations have been implicated in the development of shoulder pain.1-4
According to Dr. Al Sears, muscle is the first physical sign of aging, in the sense that people who age well are often well-muscled, which protects them from age-related ailments including pain and disease.
Evaluating Posture Distortions
I know that evaluating forward head posture leads to one of those “chicken and egg” questions. Is it ascending or descending; from top to bottom or bottom to top? Sometimes I know the answer and sometimes I have to guess. I just look for patterns and sequences of how all this stuff works together in my patient’s big picture. For example, have them sit on a chair or a stool; observe from the side as they sit down and stand up. Watch the head and neck area only. The normal pattern is for them to lead with the posterosuperior aspect of the head. If the SCMs and suboccipitals are dominating, they will lead with the chin. This is a faulty pattern…Read more… http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=54719
What are the benefits of the Shockwave Treatment?
Radial shockwave therapy is used to stimulate the body’s natural self-healing process. Most patients experience immediate reduction of pain and improved ease of movement. Shockwave therapy should be tried before costly surgery procedures because it may eliminate your need for surgery. The use of drugs are not needed with this procedure.
How long does the treatment session take?
2000 – 3000 acoustic radial waves are administered per session, which takes approximately 5-10 minutes to apply. After the initial session with Dr. Tucker which includes the evaluation and typically lasts 60 minutes, he will schedule 30 minutes sessions. This allows enough time for questions/answers, and any home therapy recommendations.
How many treatments will I need?
Normally a series of five treatments are scheduled at 4-5 day intervals; there is a small possibility that an additional 3-5 treatments may be necessary if your condition is very chronic.
Does the treatment hurt?
It is a 5-10 minute treatment that may be uncomfortable to some. Others only feel the sensation of deep percussion and do not express discomfort. Dr. Tucker will do everything possible to make you comfortable and able to tolerate your treatment. However, if you cannot tolerate it, the Dr. Tucker can make adjustments on the machine that can decrease the pressure you feel.
Will it hurt after the treatment?
There may be no immediate pain at all, but some discomfort may be experienced 6 – 12 hours after the treatment. In some cases it can last up to 48 hours and in very rare cases, the pain lasted up to 3 days. Dr. Tucker is using other cutting edge technology (i.e. laser, Deep Muscle Stimulator, lymph drainage) to enhance the effects of the Radial Shock Wave Therapy as well as researching the best methods to decrease post treatment soreness.
What should I do if I am in pain after the treatment?
The shockwave therapy is used to trigger an inflammatory response, which is the body’s natural process of healing. For this reason, do not use anti-inflammatory medications. Do not use ice. The pain should subside within 24 hours.
What if it feels good after the treatment?
Even if it feels good, we recommend decreased activity for 48 hours following the treatment.
Is Shockwave Therapy covered by my insurance?
If you have insurance you will want to ask your provider about the requirements of your coverage. Please call the office at 310-444-9393 with specific questions.
What is the success rate of this kind of treatment?
A successful treatment is considered as a patient having at least 75% reduction in pain within 3 months. The current literature worldwide, suggests success rates are around 80 to 90%.
What if it doesn’t work for me?
Although the short-term effects alone are exceptional, the long-term benefits of this treatment may take up to 3-4 months. If after this time there has not been any marked improvement, we will discuss further treatment options.
Are there contraindications and/or precautions?
- Coagulation disorders, thrombosis, heart or circulatory patients
- Use of anticoagulants, especially Marcumar, Heparin, Coumadin
- Tumour diseases, carcinoma, cancer patients
- Polyneuropathy in case of diabetes mellitus
- Acute inflammations / pus focus in the target area
- Children in growth
- Cortisone therapy up to 6 weeks before first treatment
- Blood or nerves supplies too close to the affected area
- Swelling, reddening, haematomas
- Skin lesions after previous cortisone therapy
These side effects generally abate after 5 to 10 days.
We are happy to discuss your case with you. Please call the office at 310-444-9393
Shockwave Therapy is a non-invasive treatment involving the delivery of acoustic shockwaves to affected areas of the body to trigger natural repair mechanisms and stimulate healing. I am now using this in my practice for Achilles tendonopathy, plantar fasciitis, shoulder tendonopathy, calcific tendinitis, patellar tendonosis.
Posted by DrTucker in Articles by Dr. Tucker, Blog, Daily Exercises, Fitness & Exercise, Rehab Exercises on 06 16th, 2013 | no responses
I like using the following ‘exercise template’ when educating patients on what a long-term exercise program includes:
1) Perform self-myofascial release using foam rolls, sticks, and “knot-outs” as the beginning of an exercise session. These are tools to break up hypertonicity and tension in muscles.
2) Perform stretching (static and dynamic) on the overactive muscles. I teach my clients techniques using the ‘Stretch straps’, yoga straps, and bands.
3) Perform movements or isometric exercises that re-awaken and/or strengthen the core and underactive muscles. These are usually bodyweight or thera-band exercises targeted at isolated weak stabilizers muscles.
4) Perform whole body integrated exercises that will add lean muscle and decrease fat.
5) Next, if the client has more time and wants to perform cardio work, this is where I place it.
After talking with patients and hearing what they do or don’t do physically, my suggestions begin first with ‘remove the negatives’. I discuss proper posture, breathing, hydration, diet, supplements, attitude, and sleep. I want to make sure patients are doing the right thing and not the wrong (negative) thing in each of these categories. In addition some patients need to “add in” cardio, strength, or flexibility training depending on there goals. The ‘fatty-bomba-lattes’ who do absolutely no physical activity need to start a walking program; the long distance runner, swimmer or cyclist might need a flexibility program; the Country Western dancer’s and the ‘dance-with-the stars’ people might need some strength training; the yoga dominant person might need some free weight training; the weight lifter might need some cardio and flexibility added on. Depending on the patient’s goals (fat loss, finish a marathon, flexibility, etc), I often find the program they designed isn’t “enough” on its own.
To read the whole article click on link….
Like you, I keep looking for better ways to help patients out of their ill-health predicaments. Specifically, I look for that deep meaning of what the person’s musculoskeletal system is trying to say to me while I look at their posture.
So much gets revealed to me through posture evaluations. Standing in front of us is a person – usually feeling pain, loss, fear and anger, and with or without acceptance of the distortions they have become. I understand; I have fear about losing my ability to be a recreational athlete and move around without pain. The loss of physical function terrifies me. Looking into the eyes of my patient while I begin to look at their posture creates a “real moment.”
Read more: www.dynamicchiropractic.com/mpacms/dc/article.php?id=54530 (Posture Evaluations, Part 1)