Painkillers, anti-inflammatory drugs, surgery, physical therapy, glucosamine, chondroitin, stem cell injections etc. I think there is a better way to repair damaged joints, injured ligaments, and painful muscles.
Regenerative medicine is here and IT DOES NOT HAVE TO BE EXPENSIVE AND INVASIVE. My tools include soothing laser light therapy, pulse sound wave or shockwave therapy, pulsed EMF, Vibragenix vibration/sound therapy, lymphatic system therapy, ELDOA training, and peptide therapy. These therapies don’t just mask symptoms; it fixes the problem for good.
Sound & light therapy is a combination of therapies that
speed up your body’s own healing mechanisms.
Cardiovascular disease (CVD) remains the leading cause of
death worldwide. In a 2019 study by Yang, MD et al. they studied male
firefighters aged 21 to 66 years old and followed them up for 10 years. The
average age of the men was 39.6 years old. The participants able to complete
more than 40 push-ups were associated with a significant reduction (lower risk
of CVD events) in incident cardiovascular disease compared with those
completing fewer than 10 push-ups.
CONCLUSIONS: Participants able to complete more than 40 push-ups had a 96% reduction in CVD events compared with those completing fewer than 10 push-ups. Complete at least 40 push-ups and know you are in the lower incidence group of CVD events. Make it a health priority to complete at least 40 push-ups in a row and never lose the ability as you age.
This test is a simple, needs no equipment, no cost, takes 2 minutes and is very easily understood. Make push-ups part of your healthspan program.
If you are like me and curious to know what else to do to maintain good health and pain free, call my office for an appointment at 310-444-9393.
Almost 50% of women suffer from chronic pelvic floor
disorders. Men can experience this too but the percentage is lower. Symptoms
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.
free to call my office at 310-444-9393 if you would like to meet and talk 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.
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.
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.
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.
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.
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.
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
Branch Chain Amino Acids
Green Tea Resveratrol
Eat plenty of fish, walnuts, flaxseed, dark leafy greens, pumpkin seeds, squash, beans, lentils, avocados
I call PEMF therapy ‘Magnawaving’. PEMF has beneficial clinical evidence for:
healing of non-union bone fractures (bone growth) (1, 2, 3, 4, 5)
fusion patients that are high risk of non-fusion (1,5)
treatment of depression and anxiety (transcranial magnetic therapy) (10)
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)
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.
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.
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)
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
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.
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.
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.
Tucker is the current president of the ACA Rehab Council.
Tucker at 310-444-9393