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Dr. Jeffrey Tucker | (310) 473-2911 | 11600 Wilshire Blvd. Suite 412 | Los Angeles | CA | 90025
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I’ve been taking glucosamine and chondroitin for a year and I don’t see any changes in my knee, back & hip pain. Do you recommend any other supplements for my joint pain?
If you have been taking at least 1500 mg per day of those supplements, it’s time for a change. I’ve had good results with clients using UltraInflamX Plus 360 by Metagenics. They use 2 scoops twice daily in a shake. I also use EPA-DHA 720 by Metagenics. I dose them high, often at 3-6 grams daily. In addition, I see good results with Kaprex by Metagenics. The dose is usually 2 gel caps in the morning and 2 at night.
Order at www.DrJeffreyTucker.meta-ehealth.com
This is the list of nutrients that are known to be related to Alzheimers Disease:
Research has linked all of these nutrients to Alzheimer’s risk. Subjects in the studies were either at higher AD risk because nutrient levels were too low (as in the case of DHA –-an omega-3 fatty acid), or subjects were at lower risk because nutrient levels were very high (as with vitamins B3, C and E).
In addition, following a strict Mediterranean diet helps prevent dementia as well as silent strokes that damage the brain without causing symptoms.
Eat well. Get regular exercise. Preventing Alzheimer’s might not be as simple as that, but it’s a perfect place to start.
I recommend EPA-DHA 720 omega 3 fish oils by Metagenics. Order at www.DrJeffreyTucker.meta-ehealth.com The important thing is the dose. Email me off list for the dose.
When I ask you to perform a squat, I get so much information about the way you move and walk. The info in the chart below explains some of that. The strength and function of the gluteal muscles is probably the most important active muscle in the achievement of efficient walking or running. One of our major treatment goals is to improve your gait.
The deep-lying glut med muscle is normally associated with movement, and it’s key role in running is to act as a stabilising force, to slow the downward drive of the pelvis on the opposite side during stance phase. I see all kinds of adaptations & compensations for weak gluteus medius muscles.
How clients cheat to compensate for weak buttocks
| Adaptations | Areas at risk of structural overload |
| 1. Excessive lateral pelvic tilt (Trendelenburg) | Lumbar spine, sacroiliac joint (SIJ), greater trochanter bursa, insertion of muscle on greater trochanter, overactivity of piriformis and tensor fascia lata (TFL) |
| 2. Medial knee drift | Lateral tibiofemoral compartment (via compression), patellofemoral joint, patella tendon and fat pad, pes anserinus, iliotibial band (ITB) |
| 3. Lateral knee drift | Medial tibiofemoral compartment (via compression), ITB, posterolateral compartment, popliteus |
| 4. Same-sided shift of trunk (lateral flexion of trunk) | Lumbar spine (increased disc and facet joint compression), SIJ (increased shear) |
I gave you the “clam” maneuver to improve your glute medius:
Here it is: In side-lying, both hips are flexed to 30 degrees with knees bent and hips and feet stacked in line. You have to open the top knee while keeping heels together, and most importantly, holding the pelvis completely still (one on top of the other). Don’t let your pelvis rotate – if it does like when we were together in the office, it means you are not able to isolate the muscle and you are trying to recruit (‘cheate’) with the TFL muscle.
Gluten is a toxin to some people, and they feel better after a few months of going gluten free. If you are sensitive, gluten can raise your TPO antibodies (causing Hashimotos thyroid disease). Gluten is basically a food additive, and most people associate gluten with Celiac disease (an autoimmune condition) and with IBS (irritable bowel syndrome) or Crohn’s, colitis and other digestive disorders.
Gluten doesn’t have to upset your stomach, sometimes it just damages your brain and central nervous system and you have no GI symptoms at all. Other common symptoms associated with gluten sensitivity:
Depression. Brain fog - it can cause cerebral hypoperfusion (lowered blood flow to the brain). Confusion. Lethargy. Mood problems. Some people that think they have neuropathies related to multiple sclerosis or Parkinsons, or ALS, and all these may actually be gluten intolerance. Weight gain. Gas. Bloating. Lack of energy. Headaches.
Going gluten-free can cure a person of many problems. I expect you to do well as long as you use the UltraInflamX 360 & LactoFlamX with the food plan I layed out. Don’t forget to order UltraInflamX 360 & LactoFlamX from www.DrJeffreyTucker.meta-ehealth.com
de Almeida BS, Sabatino JH, Giraldo PC.
Department of Gynecology, UNICAMP (The State University of Campinas), Campinas, SP, Brazil. bertasna@yahoo.com.br
OBJECTIVE: Spinal manipulation with high-velocity and low-amplitude (HVLA) manipulation is frequently used for the treatment of lumbopelvic pain; however, the effect on the pelvic floor has been poorly studied in the past. The objective of this study was to quantify the intravaginal pressure (IVP) and the basal perineal tonus (BPT), measured in terms of pressure, before and after the HVLA manipulation in patients without neuromuscular and skeletal dysfunctions.
METHODS: In this experimental, noncontrolled, nonrandomized study, IVP was obtained through a perineometer introduced into the volunteers’ vagina while in dorsal horizontal decubitus. Forty young, healthy university volunteer women with no history of vaginal delivery participated. All voluntary contractions of the perineal muscles were measured in 3 different ways: phasic perineal contraction (PPC), tonic perineal contraction, and perineal contraction associated to accessory muscles. New pressure measurements were obtained immediately after the HVLA manipulation on the volunteers’ sacrum. The pressures were registered and transcribed directly to a personal computer with specific software.
RESULTS: The average IVPs obtained in millimeters of mercury before and after the HVLA manipulation were 56.01 (+/-25.54) and 64.65 (+/-25.63) for PPC, 445.90 (+/-186.84) and 483.14 (+/-175.29) for tonic perineal contraction, and 65.62 (+/-26.56) and 69.37 (+/-25.26) for perineal contraction associated to accessory muscles, respectively. There was significant statistical variation only for PPC (P = .0020) values. The BPT increased regardless of the type of contraction (P < .05).
CONCLUSION: High-velocity and low-amplitude manipulation of the sacrum was associated with an increase of PPC and of BPT in women who had no associated osteoarticular diseases. These preliminary discoveries could be helpful in the future study of the treatment of women with perineal hypotony. (c) 2010 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.
Are there supplements that can help your body utilise more fat for fuel? The answer is yes. This certainly helps as part of a weight management plan. My job is to help you find the best ‘fat burning’ supplement.
Taking a fat-burning product without first having in place a properly structured exercise program that includes plenty of aerobic exercise, and a well-balanced eating plan is a complete waste of time. That’s because the effect of even the best of these formulations is relatively small compared to exercise and diet; moreover, some of the commonly used ingredients in these products only exert any (small) effect when combined with exercise.
Ingredients that may be useful include:
Ingredients for which evidence is either lacking, very patchy, or which should be avoided for other reasons include:
I recommend:
UltraMeal Rice or UltraMeal Whey (Metagenics) shakes – 2 scoops twice daily
Ultra CLA (Metagenics) – 2 soft gels daily
Green Tea 600 (Xymogen)- 1-2 capsules daily
Protein Fusion or UltraMeal Bars are excellent snacks as well.
Absolutely, positively. yes! A weak core makes you susceptible to lower back pain, poor posture and a whole host of muscle injuries. Strong core muscles provide the brace of support needed to help prevent such pain and injury.
Andrew van Rensberg states:
“By strengthening the core trunk muscles, we are, in effect, improving the efficiency with which sporting movements are carried out. Up to a 10% increase in efficiency has been noted in top swimmers. A 10% improvement in an elite athlete is a massive achievement – one that could take years of strength training and technique modification to achieve.
And all this can be achieved by a process as simple as allowing the correct muscles to carry out the correct tasks, without compensation.”
I teach core training as part of my rehab protocols.
The benefits of core training include •Better posture •More control •Improved, more powerful performance •Injury prevention and rehabilitation •Increased protection and “bracing” for your back •A more stable center of gravity •A more stable platform for sports movements
The first kettlebell maneuver I teach my clients is the swing. It is the most common kettlebell exercise. The swing should be viewed as the foundation exercise and I like to see clients master the swing before other kettlebell exercises are introduced.
Once clients can perform the 2-handed swing, this is a typical progression I teach my clients in the office:
One-Arm Swing. Grasp the handle with one hand in overhand grip with slight elbow bend. Position feet slightly wider than hip width, and assume athletic stance. Upper body should be upright, with chest lifted and shoulder blades retracted. Free arm should be out to side of body. Rotate body slightly, allowing kettlebell to hang between legs. Initiate swing by rocking hips (versus using shoulders to lift bell). Raise bell upward with momentum, and give forceful hip thrust at top of movement. Bell should go no higher than eye level, with bell pointed away from body at end of arm. Allow gravity to bring bell downward in controlled manner. Keep spine at neutral, rather than rounded, at bottom of movement. Perform 10 repetitions in each hand.
One-Arm Alternating Swing. Repeat steps above (one-arm swing), but switch to other hand at top of movement. Perform 10 repetitions in each hand.
Around-the-Body Pass (at waist level). Grasp handle with both hands in overhand grip with slight elbow bend. Position feet slightly wider than hip width apart, and assume athletic stance. Upper body should be upright, with chest lifted and shoulder blades retracted. Release one hand from bell, allowing opposite hand to bring bell behind body. Free hand should grasp bell at back of body and complete the rotation. Grasp kettlebell firmly to avoid dropping it. After 10 repetitions in one direction, repeat 10 reps in the opposite direction.
Figure Eight (between the legs). Grasp handle with right hand in overhand grip with slight elbow bend. Position feet slightly wider than hip width apart, and assume athletic stance. Upper body should be upright, with chest lifted and shoulder blades retracted. Left arm should be out to side and ready to accept kettlebell. Begin movement by handing bell from right hand to left hand through legs from front of body to back. Left hand then brings bell around from back of body to front of body. Continue this figure-eight pattern by passing bell through legs again from left hand to right hand. After desired number of repetitions, repeat in opposite direction.
These exercises provide a good cardio and fat-loss workout, creating a great foundation for other exercises. After a full-body warm-up, perform each exercise for approximately 30 seconds or 10 reps. Do one exercise after another and rest at the end. Repeat the circuit 2 or 3 times depending on your condition and the amount of time you have to train.
For a one-on-one in-depth kettlebell session, please call my office at 310-473-2911.