The goal for patients is to increase movement and pain reduction.
Since ‘no one size fits all’ I offer several forms of treatment that may be helpful. Having the ability to use and combine multiple modalities is providing very positive results in terms of increased movement and pain reduction versus single modalities alone.
An advanced modality that is getting a lot of attention is shockwave. This provides peak pressures that are 1000 times greater than a biphasic ultrasound wave. Shockwave increases local blood flow, increases cellular activity, has an analgesic effect on nerves, and can breakdown calcific deposits (primarily, but not exclusively in tendons).
Laser is another treatment device that can target tissues to impact mitochondrial activity. Laser can be used on nerves, tendons, muscles, ligaments, joint capsules, bone, and wounds.
Pulsed Electromagnetic Field Therapy (PEMF) (MagnaWave) has had FDA approval for muscle stimulation since 1998. PEMF is just gaining popularity as ‘nutritional therapy’ to the cells. It increases nitric oxide levels (same thing Viagra does) and has microcirculation enhancement.
Summary: Combining these 3 modalities along with my hands-on therapy is allowing my patients to feel more supple and experience less pain.
Techniques to relax the suboccipital muscles can be beneficial in treating headaches and tension headaches and in improving mobility of the cervical vertebrae. The benefit can be increased by using the following treatments and modalities that I offer:
Hands on therapy to stretch and deeply massage the muscles
Laser therapy to increase blood flow to the base of the skull
Pulse wave therapy to promote blood flow and break up scar tissue in the lower neck and upper back that can contribute to headaches
Deep Muscle Stimulation to increase blood flow and oxygen along the muscles of the spine
These methods are safe and easy to apply in the office. It’s also important to discuss proper nutrition and help patients figure some gentle exercise routines to perform to release tension in the body.
Feel free to call me at 310-444-9393 if you have questions or would like an appointment.
Pulse wave therapy (Storz, MiracleWave, Zimmer, Piezowave) delivered around painful joints like the hips can start the healing process and create an environment in the cells to decrease pain in degenerated hips.
Pulse wave therapy stimulates stem cells to promote osteogenesis (bone growth) and angiogenesis (blood vessel formation). In clinical studies, groups treated with stem cells show significant improvements in patient reported outcomes (1,2)
My purpose in using non-invasive therapies such as shockwave (pulse wave therapy) for hip disease, is to stimulate stem cells that can repair bone damage in the surrounding hip tissue. We are seeing satisfactory results (decreased pain, increased walking distance) in the majority of our patients using shockwave, laser and PEMF therapy.
This treatment of hip pain related to osteoarthritis is safe and cost-effective.
- Houdek MT, Wyles CC, Martin JR, Sierra RJ. Stem cell treatment for avascular necrosis of the femoral head: current perspectives. Stem Cells Cloning. 2014 Apr 9;7:65-70. eCollection 2014.
- Hernigou P, Beaujean F. Treatment of osteonecrosis with autologous bone marrow grafting. Clinical Orthopaedics and Related Research®. 2002 Dec 1;405:14-23.
- Rodriguez-Fontan F, Piuzzi NS, Kraeutler MJ, Pascual-Garrido C. Early Clinical Outcomes of Intraarticular Injections of Bone Marrow Aspirate Concentrate for the Treatment of Early Osteoarthritis of the Hip and Knee: A Cohort Study. PM&R. 2018 May 29.
Patients often come see me to get second or third opinions about hip pain. They may have been told by another doctor that they need injections or hip replacement surgery. They tell me that there orthopedic surgeon said “it’s the only way” or “I have bone on bone rubbing.” Nobody wants a surgery that they are unsure of having. The risks, the time out of work and play… I get it!
In the Journal of Medical Internet Research they say (1) “Despite the availability of evidence?based guidelines for conservative treatment of osteoarthritis, management of degenerated joints is often confined to the use of painkillers and waiting for eventual total joint replacement.” There are many treatment options available to you before surgery and we should not just wait it out. If injections or surgery is right for you, I am the first person to suggest it. BUT, I still like to offer non-invasive therapies along with education and possible gentle exercise to do (2).
STEM CELL stimulation is OPTION
If you are middle age or older and enjoying good health but diagnosed with osteoarthritis (degenerative hip disease) in your hip(s) using x-rays or MRI and experience pain, discomfort, and/or stiffness, you will want to examine all treatment options.
Pulse Wave Therapy (Storz, MiracleWave, PiezoWave) is effective to stimulate STEM CELLS
Laser Therapy (Class 3B, Class 4) is effective in treating hip osteoarthritis pain
PEMF (MagnaWave) is also helpful in cell regeneration and decreasing pain
The combination of the above is helping many patients take surgery and injections off the table.
To schedule an office visit call 310-444-9393
The office of Dr. Jeffrey Tucker is offering ELDOA sessions with Max Karish. Max is a Certified ELDOA Trainer, and California Certified Massage Therapist. Max has tremendous personal experience with ELDOA and is now helping our patient’s feel more mobile!
The ELDOA are postural exercises developed by French osteopath Guy Voyer, designed to increase the space between specific joints. As we increase this space, we increase circulation, relieve pressure, reduce pain, improve joint mechanics, improve posture, and improve muscle tone.
Max offers an easy learning approach, hands-on step-by-step demonstrations and detailed explanation of the ELDOA postures.
We invite you to come and try this helpful technique at the office of Dr. Jeffrey Tucker.
Call (310)-444-9393 to book an appointment!
ELDOA is a personalized movement program designed to provide “space” between the vertebrae. ELDOA is very practical and easy to learn.
ELDOA gives you skills for spinal care, pain relief, and posture improvement.
ELDOA distinguishes itself from other exercises like Pilates, Egosque, and yoga.
Dr. Jeffrey Tucker is now offering one-on-one private sessions for ELDOA.
For an in-depth ELDOA session provided by Max Karish (certified ELDOA instructor) call the office at 310-444-9393.
1. Biohacking is using science for personal optimization. I help patients focus on body, mind, sleep, diet, stress, environment, longevity. I use technology for better health and performance.
Whatever your condition, pathology or body region, a little improvement in your movement, diet and relaxation helps achieve a variety of outcomes. I specialize in pain management, performance enhancement, healthy aging, and poor posture risk reduction.
2. I welcome a multi-disciplinary approach and sharing of information from all health fields. The ‘move better’ or ‘movement’ message is part of our office philosophy.
3. I use current research, information from lectures I go to, clinicians I meet and talk to, and top coaches. I combine evidence based practices, patient experiences, cutting edge research, and knowledge from other practitioners.
4. My line up of biohacking tools includes –
Laser, shockwave, lymphatic therapy, deep muscle stimulator, fascial tools, SCENAR, Magnet therapy (Magnawave), VR glasses, light therapy.
5. We include ELDOA movement and exercise as our movement biohack. This has had a huge positive impact on osteoarthritis, disc related pain, flexibility, and posture.
6. We offer the ketogenic fat loss program which is a well respected health plan and biohack delivered by your personal health coach.
7. The ability to check your range of motion and regain lost range of motion is healthy aging. I teach movement as a skill-set that all patients can use. I help improve motor learning.
8. Do we believe you can improve your posture? Will better posture improve your performance? Between my hands on therapy, the tools, and ELDOA the answer is yes!
The benefits of this assessment and program has stood the test of time. Movement, diet, and spirit are at the heart of a healthy aging process and messaging.
Call 310-444-9393 for an appointment
The pelvic floor is the layer of muscle at the base of the pelvis. One in every four women has pelvic floor issues. A common cause of pelvic issues is carrying a heavy load during pregnancy, hours of laboring and pushing. Aging alone can contribute to pelvic floor problems. Most women I see with pelvic floor issues are over age 40 but more and more, younger women are talking about it. It’s not unusual for women to have the problem for a long time.
Incontinence is one of the most common complaints and can be related to giving birth. Even women who have never been pregnant or given birth can become incontinent. This may be related to the amount of sitting we are doing. Urinary incontinence can be termed ‘stress incontinence’ when coughing, sneezing, or exercise cause urine to leak out. ‘Urgency incontinence’ is when you need to go to the bathroom right away because the bladder contracts inappropriately and needs relaxation. Obesity is a risk factor for incontinence. Another problem is prolapse, which is when organs in the pelvis – such as the uterus or bladder droop or bulge out of place into the vagina.
Some women seek the help of a gynecologist, urologist, gastroenterologist, physical therapist or a colorectal specialist but few think of a chiropractor for a pelvic floor condition.
Current non-invasive treatments:
Strengthening the muscles in the pelvic floor can help.
Some doctors will recommend implanting a sling to support the urethra, the channel through which urine flows out.
Urgency incontinence may be helped by behavioral therapy, medications and/or natural phytonutrients. Some women have opted for botox injections to help relax an overactive bladder. This may last six to nine months and then recur.
I remember one of my first female patients when I was a student in the clinic had a ‘pessary’. These are still used today.
Soft tissue therapy and manipulation help the nerves that control bowel and bladder function.
If you have continued pain in the pelvis ask your chiropractor to help you figure out where it is coming from i.e. bladder, bowel, spinal misalignments, pelvic floor muscles or nerves.
You may consider Chiropractic to help muscle and bone problems, soft tissue therapy can help soften scar tissue, and a skilled practitioner will know how to help you strengthen pelvis floor muscles. Losing weight (in my office we use the ketogenic diet) is an important self care piece of the puzzle, along with exercises that strengthen the core and pelvis muscles, (Pilates type exercises are helpful) and, Peripheral Electro Magnetic Frequency (PEMF). PEMF helps stimulate pelvic floor muscles and can help decrease inflammation around nerves that may be irritated in the pelvic floor area.
Aging is not optional. Most of my practice is dealing with musculoskeletal pain, some patients need and want the rehab to performance model, but the majority want the rehab to stay healthy concept.
Personal wellbeing and maintaining it as you age is one of the top issues of the day. A new phase for this is biohacking. As my patients have aged with me, they have learned what I learn and we want to stay ahead of health issues and prepare ahead for the next health chapters of life. We have all seen that nothing stops good intentions, a positive mindset, and a healthy training program like an injury or illness. If you can’t even get started working out, or continue working out/training with pain, how can you fully stay healthy. The 65-and-older set will soon outnumber children younger than 5.
I talk to patients about the concept of the Wellness Wheel, concepts put together from multiple sources like Ben Greenfield, Dave Asprey, Dr. David Perlmutter, and others. The conversation is about diet, exercise, sleep, cardiovascular health, digestion, hormones, brain health, stress and inflammation, detoxification (lymphatics), esthetics, and longevity. A patient gets a check mark ? if they are doing something to provide this whole-health approach to prevent disease and injury.
Call 310-444-9393 if you like this model of care
I frequently go to seminars where I teach and where I am also a student. I look for new tools and techniques that will help my patients and enhance my practice. I strive to help my patients feel their best.
Although there are hundreds of musculoskeletal techniques to consider specializing in, I am a specialist in these 11 techniques. Each year I would pick at least one technique protocol or method that I wanted to learn and bring to my practice and become an expert in. I have been in active practice for over 35 years. These are my specialties:
Laser therapy: The use of laser therapy improves healing. It can be used to increase blood flow and oxygen to the tissue, relax tight muscles, and decrease pain. I can deliver laser with two systems – one called a class 4 laser and the other a class 3B medical device.
Fascial and Stretching: I’ve mastered the art of various types of hands on stretching protocols used by sports medicine specialist and pro-athletes. More people are aware of the benefits of stretching, but don’t know when or how to apply stretching.
Deep Tissue Massage: This technique involves a heavier touch that uses tools to release restrictions and scar tissue in and along the joints and spinal segments. I use this technique to address chronic pain in the soft tissues.
Cupping: I have a very unique machine called the PhysioTouch that creates suction and negative pressure. This helps soften tight muscles, tone attachments, loosen adhesions, lift connective tissue, hydrate and increase blood flow to body tissues, and drain excess fluids and toxins by opening lymphatic pathways.
Deep Muscle Stimulator (DMS): This vibration/percussion machine is used to increase blood flow and oxygen to the tissues. This restores muscular balance. Hospitals in China offer this therapy as a way to help patients relax, heal and improve sports performance. This is my patients most popular tool to stimulate blood flow, relax the muscles, reduce stiffness, and increase mobility.
Instrument Assisted Soft Tissue Mobilization (IASTM): This is also known as scraping. I use these tools to decrease scar tissue, improve fascial adhesions and increase ranges of motion. It fits in well with movement therapy. I have a set of GRASTON and FAKTR tools.
Shockwave Therapies: These are pain-relief tools that emit acoustic waves that are especially helpful for tendon injuries. This is also known as EPAT or ESWT and can be used in combination with massage therapy to address pain, injury, scar tissue and cellulite. The effectiveness of shockwave, laser, and DMS massage combined is a valuable combination that helps patients leave a session more limber and relaxed.
Transverse Friction Technique: The application of transverse friction massage techniques is an advanced skill for breaking up scar tissue also known as fibrosis. This also helps loosen tight and stiff joints.
Myofascial Release: A method of affecting connective tissue by applying pressure in the direction of fascial resistance. Insights and studies into the nature of fascia are showing that everything under the skin is connected.
ELDOA: Using knowledge of various approaches, a French Osteopath applied clinical reasoning skills to determine how to address decreased disc space and train practitioners how to isolate postures and positions that you hold for one minute that help unload specific spinal segments.
Taping: The practice of applying sports tape to the skin to provide a gentle increase in the microcirculation can help ease muscular tension, improve blood and lymphatic circulation, and extend the benefits of treatment beyond the end of the session. Taping is effective for both sports-minded and mobility-impaired patients.