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Dr. Jeffrey Tucker – Chiropractor, Los Angeles

I am a specialist in biohacking, Sports Medicine, Exercise therapy, wellness concepts, diet and nutrition.  I have enhanced training as a hands on (high touch) practitioner and I continue to be an early adopter of advanced technology. I teach other practicing doctors around the world.

Your first office visit with me is about one hour of time together. My follow up visits are at least 30 minutes (with me). You might need 2-6 hours with me but we spread it apart because some people need the time to heal between sessions. I don’t have the time crunch other doctors have.

I embrace the team approach working with your other health care practitioners (trainer, doctors, Pilates, nutritionist, etc.)

I have a full time health coach in the office helping patients with diet if you need that help. We use the ketogenic diet if you need help to lose weight.

I have in the office a certified instructor in the ELDOA method to share with you what postures, poses, and exercises will help you be in better shape as you age.

I am well trained to treat chronic pain. I have laser therapy, pulse wave therapy, lymphatic therapy and PEMF.

I am helpful at decreasing pain, decreasing muscle stiffness, improving your disc hydration, losing weight, helping you get active and stay active,  and improving overall performance.

I want to help people reach their greatest (fullest) potential.

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Pulsed EMF also known as Magnet Therapy for Pelvic Floor Disorders & Chronic Pelvic Pain (CPP)

Almost 50% of women suffer from chronic pelvic floor disorders. Men can experience this too but the percentage is lower. Symptoms include uncontrollable bowel movements, frequent urination, urinary incontinence, pain during sex, low to no orgasms, and loss of pelvic mobility. Mainstream medicine treats this as “normal” aging because it is so common, especially in the 45 year old plus ranges.

If you feel like you need to brace yourself once a sneeze is coming on to avoid embarrassing “accidents” then you probable have weak pelvic floor muscles that can be reawakened. I am all about Biohacking and upgrading one’s quality of living and healthy aging.

Biohacks are things we can do that supports optimal inflammatory response, enhance relaxation, improve sleep quality, improve brain function and improve body structure (fat to lean muscle mass ratios, strength, etc.), increase resiliency, longevity, and decrease chronic pain.

My top biohacks for pelvic pain include:

Laser Therapy. Stem cells are becoming a mainstay treatment for chronic pain and athletic injuries. Laser therapy can be used as a biologic agent to increase stem cells and blood platelets to help manage bony and soft tissue conditions. I especially like laser therapy for those who experience coccyx pain or sacroiliac area pain.

Pulsed EMF (Magnet therapy). Clinical evidence lends support for PEMF. The benefits of ‘Magawaving’ include: it stimulates electrical changes — around and within the cell; Activates and promotes cell regeneration; can alleviate the symptoms of arthritis; improves circulation; can help relieve the symptoms of depression, pelvic floor issues, and it promotes bone healing.

Pulse wave Therapy also known as Shockwave Therapy. Research investigating the role of shockwave therapy for chronic tendon injuries such as Achilles tendon and plantar fasciitis is ongoing and positive. I like seeing the results I get helping break up scar tissue and improve range of motion with my 3 different types of shockwave machines. There is evidence that this is helpful for CPP because of scar tissue build up. I currently use it on patients for this condition.

Diet & Nutrition. We discuss foods that support and nourish your body so that it does its job properly – helping you increase energy, lose weight, reduce nagging and unpleasant symptoms, improve your mood, and have more vitality.

I use ELDOA exercises. This is way beyond Kegel stuff you’ve already learned. These poses will create space in the spine and help you improve your posture and feel better.

Feel free to call my office at 310-444-9393 if you would like to meet and talk face to face.

Please don’t feel like you need to suffer in silence. Let’s try do something about it without risky surgery, effects of medication, and let’s keep it less costly.

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Scoliosis Treatment

Although scoliosis is most commonly asymptomatic in children, the presence of the disease more than triples one’s risk for developing spine pain as an adult.

Curve improvement correction is possible through conservative care, however conservative management of scoliosis can prove challenging, with some cases slowed or even reversed through appropriate management while others progress relentlessly.

In my office we use ELDOA exercises to manage scoliosis.

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Calcific Tendonitis of the Shoulder (Rotator Cuff)

My experience using shockwave for shoulder problems are good outcomes. My patients see pain levels go down, range of motion improves, and activities of daily living (arm reaches, lifting, carrying, and sleeping) gets better. This suggests the treatment is helping and decreases inflammation associated with calcific deposits. I think the individualized protocols I use for treatment such as number of pulses, the variety of applicators I use, frequency of treatment, as well as having the use of 3 different types of pulse therapy machines makes a difference. I can also use Pulse EMF and laser light approaches to help difficult shoulder cases along.

Bannuru et al. (2014) conducted a systematic review (n=28 RCTs/1307 subjects) of the evidence to assess the efficacy of Extracorporeal Shock Wave Therapy (ESWT) in patients with calcific and non-calcific tendinitis. The outcome measures included pain, function and calcification resolution which was evaluated only in calcific tendinitis trials. High-energy Shock Wave Therapy was found to be statistically significantly better than placebo for both pain and function.

In a 2013 systematic review and meta-analysis, Loppolo et al. looked at ESWT compared to sham treatment or placebo for calcific shoulder tendinopathy.  Greater shoulder function and pain improvements were found at 6 months with ESWT over placebo.

Lee et al. (2011) performed a systematic review of RCTs examining the midterm effectiveness of ESWT for calcified rotator cuff tendinitis. The review found consistent evidence of midterm effectiveness of ESWT in reducing pain and improving shoulder function.

Call 310-444-9393 for an appointment. 

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Achilles Tendonitis

I have treated many cases of Achilles tendinopathy (tendonitis) using pulse wave therapy also known as shock wave therapy or extracorporeal shock wave therapy (ESWT).

In 2015, Mani-Babu et al. reported results that there is evidence for short-term improvements in Achilles problems with ESWT.

A 2017 Health Technology Assessment (HTA) review showed efficacy of ESWT for treating Achilles tendinopathy. They showed significant pain improvement while running or playing sports.

For patients with Achilles tendon pain or dysfunction I recommend a trial of therapy. This may involve the use of sound therapy (shock wave, pulse therapy, pulsed EMF, radial therapy) along with light therapy (laser). This is why I call my specialty sound & light therapy. I teach my patients stretches and strengthening exercises for this condition. I also use nutrition and topicals to help patients get out of pain as quickly as possible.  

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Shock wave therapy, Extracorporeal shock wave therapy (ESWT), also referred to as Pulse wave therapy.

Extracorporeal shock wave therapy (ESWT) is also referred to as Pulse wave therapy.

Pulse wave therapy is a noninvasive treatment that that uses the force of a sound wave with the goal of reducing pain and promoting healing of the affected area. The mechanism by which pulse wave therapy achieves a therapeutic intervention is that it may disrupt fibrous tissue allowing for the subsequent promotion of revascularization and healing of tissue. Controlled shock wave therapy may damage cell membranes so that nerve messengers (nociceptors pain receptors) cannot build up a potential to transmit pain signals. It is also thought that the shock waves (pulse waves) will break up fascial adhesions, scar or calcium deposits, loosen tight tissue structures, promote resorption of calcium, thereby decreasing pain and improving function. (Hayes 2016a)

I am the only doctor in Los Angeles with 3 different types of pulse wave therapy machines. This allows me to use the best evidence from each of the devices, plus my 7 years of experience using pulse wave therapy, and patient preferences to provide you with the best care.  

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Dizziness &/or Vertigo

Patients with asymmetric restriction in neck rotation and increased neck muscle tension have a tendency to have dizziness and/or vertigo.  

If you have a history of whiplash, or reduced neck range of motion, or shoulder (trapezius) muscle tension, or neck pain accompanied by headache and dizziness, these problems may result from lifestyle factors, habitual posture and neck muscle imbalance that can be helped by hands-on therapy and use of specific instrument tools that reduce muscle tension and joint dysfunction.

Studies of patients with dizziness suggest that primary anxiety disorders cause dizziness in about 30% of the dizzy population, anxiety and depression may be a result of dizziness as well (Staab JP, et al 2003). The rest may be related to the neck.

Dysfunction of the neck muscles (something you probably feel too) and neck joint dysfunction (something we can determine together) can be detected and treated by a visit with me.  Call 310-444-9393 to schedule.

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Post Concussion Nutrition

Question: Dr. Tucker, what supplements or nutrition do you recommend for someone with post-concussion symptoms?

I recommend the following top 10 supplements & foods:
Fish oils DHA, EPA approximately 3-10 grams per day
Boswellia & Tumeric together
N-Acetyl Cysteine
Magnesium threonate
Branch Chain Amino Acids
Green Tea Resveratrol 
Creatine
Eat plenty of fish, walnuts, flaxseed, dark leafy greens, pumpkin seeds, squash, beans, lentils, avocados

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Pulsed Electro Magnetic Field Therapy (PEMF)

I call PEMF therapy ‘Magnawaving’. PEMF has beneficial clinical evidence for:

  • The healing of non-union bone fractures (bone growth) (1, 2, 3, 4, 5)
  • Cervical fusion patients that are high risk of non-fusion (1,5)
  • The treatment of depression and anxiety (transcranial magnetic therapy) (10)
  • Urinary incontinence and muscle stimulation. In one study, results were evaluated after 3 months. In 10 patients (7 post prostatectomy, 3 cystourethrocele) which were submitted to 18 sessions, twice a week, an improvement of incontinence in 75% of cases with patient compliance and the quality of life up to 100% also improved (11)

PEMF is gaining significant clinical importance and potential especially to someone like myself who is an ‘off label’ practitioner and ‘biohacker’. I’m able to demonstrate improvements (using a four lead body composition device) to my patient’s for hydration (intracellular and extracellular fluids) and the phase angle, which is a measurement of the body’s overall cell membrane health. Achieving proper hydration especially at the intracellular level is vital to good health especially if you are someone making slow progress.  

Can PEMF provide enhanced musculoskeletal healing and overall health (biohacking)? In my experience the answer is yes. Using high intensity pulsing electromagnetic fields safely passes through a cell membrane and ‘shock’ the structures within. PEMF could accelerate all phases of tissue repair, from initial pain and swelling to blood vessel growth, tissue regeneration, and remodeling. (6) The current thinking is that the primary effect of clinically relevant PEMF signals is to increase the rate of production of Nitric Oxide, which can orchestrate an anti-inflammatory response via increased blood and lymph flow (6, 8).

I can direct the PEMF towards ‘spot’ areas of your body to help resolve injuries or other damage, or I can provide ‘broad’ area treatment to improve self-reported psychometric measures of sleep, mood, and quality of life (life satisfaction) without adverse effects. That’s why PEMF sessions are often called “cellular exercise” and is popular among biohackers.

PEMF therapy translates to speeding up of the healing process. For chronic pain patients such as osteoarthritis PEMF stimulates the microenvironment and the after effects of treatment sessions are increased range of motion and decreased pain. PEMF may help alleviate the pain of arthritis, exert anti-inflammatory action and helps in bone remodeling.

I use PEMF to improve tendon to bone healing in rotator cuff repair, Achilles tendon injuries and gluteal tendon tears because it improves microcirculation. After 8 minutes of low intensity PEMF it improves microcirculation – meaning the RBC’s stop sticking together (3,4). PEMF has been used to effect osteoblast proliferation and is used for fractures. For all the above conditions I can blend PEMF, chiropractic care, nutrition, and topical hemp or BioFreeze. (3,4,7)

I look forward to helping you PEMF for urinary incontinence, brain support, insomnia, and even depressive disorders as well as all of the above.  

1. Aaron RK, Ciombor DM, Simon BJ. Treatment of nonunions with electric and electromagnetic fields. Clin Orthop Relat Res 2004;419:21–29.

2. Akai M, Hayashi K. Effect of electrical stimulation on musculoskeletal systems; a meta-analysis of controlled clinical trials. Bioelectromagnetics 2002;23:132–143.

3. Pilla AA. Mechanisms of electrochemical phenomena in tissue growth and repair. Bioelectrochem Bioenerg 1974;1:227–243.

4. Bassett CA, Pawluk RJ, Pilla AA. Acceleration of fracture repair by electromagnetic fields. A surgically noninvasive method. Ann N Y Acad Sci 1974;238:242–262

5. Mammi GI, Rocchi R, Cadossi R, Massari L, Traina GC. The electrical stimulation of tibial osteotomies double-blind study. Clin Orthop Relat Res 1993;288:246–253.

6. Bruckdorfer R. The basics about nitric oxide. Mol Aspects Med 2008;26:3–31.

7. Diniz P, Soejima K, Ito G. Nitric oxide mediates the effects of pulsed electromagnetic field stimulation on the osteoblast proliferation and differentiation. Nitric Oxide 2002;7:18–23.

8. al-Swayeh OA, Clifford RH, del Soldato P, Moore PK. A comparison of the anti-inflammatory and anti-nociceptive activity of nitroaspirin and aspirin. Br J Pharmacol 2000;129:343–350.

9. Aragona SE, Mereghetti G, Lotti J, Vosa A, Lotti T, Canavesi E. Electromagnetic field in control tissue regeneration, pelvic pain, neuro-inflammation and modulation of non-neuronal cells.J Biol Regul Homeost Agents. 2017 APR-JUN;31(2 Suppl. 2):219-225.

10. van Belkum SM, Bosker FJ, Kortekaas R, Beersma DG, Schoevers RA. Treatment of depression with low-strength transcranial pulsed electromagnetic fields: A mechanistic point of view. Neuropsychopharmacol Biol Psychiatry. 2016 Nov 3;71:137-43.

11. Aragona SE, Mereghetti G, Lotti J, Vosa T,  Canavesi E. Electromagnetic field in control tissue regeneration, pelvic pain, neuro-inflammation and modulation of non-neuronal cells. Biol Regul Homeost Agents. 2017 APR-JUN;31(2 Suppl. 2):219-225.

Dr. Jeffrey Tucker is the current president of the ACA Rehab Council.

Contact Dr. Tucker at 310-444-9393

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Shoulder/Neck Pain

Aching and stiffness in the shoulders and neck are an extremely common problem, especially for those involved in desk and computer working. If you feel like you need a daily massage, the real cause tends to be postural. Whilst seated, staring at a screen for hours on end, it is easy to fall into a slumped position, with rounded shoulders and the neck protruding forwards. Assuming this position day-in, day-out can result in shortening of the chest muscles and weakening of the small, postural upper back and neck muscles which work to pull the shoulders back. This results in the larger back and neck muscles such as Trapezius and the Rhomboids working harder and becoming tight and achy. Working on correcting these imbalances, by stretching the chest muscles and building endurance strength in the postural muscles such as the lower Trapz and Serratus Anterior can result in a long-term fix.

I treat neck and shoulder pain with soft tissue therapy, mobilization of the stiff joints, ELDOA exercises, shockwave, laser, and posture training.

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