Do All Meniscus Tears Need Surgery?
Research by Horga, et al (1) suggests the answer is no! Using the latest (and most powerful) MRI scanners Horga’s team found abnormalies in 97% of the non-painful knees. Thirty percent (30%) had meniscus tears, cartilage and bone marrow lesions at the knee cap area (patellofemoral). About 1/3 of the knees had severe cartilage lesions. Tendon damage was detected in about 1 in 5 patients.
Remember, these were patients who had NO knee pain. Hence if so many patients have big problems on their knee MRI’s and have no pain, why are we so many people getting knee meniscus surgery for tears?
One answer is that they have not tried alternative therapies like Shockwave Therapy.
Extracorporeal Shock Wave Therapy (ESWT) stimulates newblood vessel growth.
ESWT faster return to competition and athletic activity.
ESWT is a safe and effective non-invasive outpatient procedure.
(1) Horga LM, Hirschmann AC, Henckel J, Fotiadou A, Di Laura A, Torlasco C, D’Silva A, Sharma S, Moon JC, Hart AJ. Prevalence of abnormal findings in 230 knees of asymptomatic adults using 3.0 T MRI. Skeletal Radiol. 2020 Feb 14. doi: 10.1007/s00256-020-03394-z.
After the age of 50, about half of women will have a fracture related to osteoporosis in their remaining lifetime. But there is hope without drugs. Lowering inflammatory signaling in the bone improves bone strength and lowers bone loss.
There are specific supplements, diet choices, and exercises that can be personalized for each person to help decrease inflammation. Many patients have reported to me over the years and I have seen improvement in bone density using a few specific supplements. I’ve also seen patients improve bone density using vibration plate therapy. That’s one of the reasons I got the VibraGenix vibration plate with sound frequencies for my patients. I’m happy to help you create a personalized supplement program, eating plan, exercise plan, and to make available the innovative technology by VibraGenix.
Here’s some of the reasons I’m such a proponent of shockwave:
Shockwave therapy initiates the cell regeneration processes. This means it enhances the
• Stimulation of microcirculation (blood, lymph) and metabolism
(nitric oxide, vasodilation, reduction of oxidative stress). These are processes you want from your immune system. Do this through foods, supplements, shockwave therapy, and lymph therapy such as LymphaTouch machines.
• Release of Nitric oxide also called NO or eNOS. I’m sure you are hearing about Nitric oxide. Insufficient nitric oxide due to genetic variations may lead to compensatory inflammatory immune responses, as well as a reduced capacity to stop viral replication. In fact, nitric oxide has been shown to inhibit the SARS virus, the coronavirus predecessor. Therefore, consider nitrate-rich vegetables like raw beets and arugula, or take clinically proven nitrate supplements.
• Antibacterial and anti-inflammatory effect.
• Release of growth factors (e.g. VEGF).
• Stimulation of stem cells, i.e. cell proliferation, transport and
differentiation (skin rejuvenation, tissue regeneration).
Other possible Indications:
• Ulcers (arterial ulcers, venous ulcers, diabetic foot ulcers,
• Non-healing wounds
• Postsurgical wounds
Benefits of Shockwave:
• Non-invasive therapy
• Negligible side effects
• No local anesthesia required
• Outpatient treatment
• Long-lasting effects
Call Dr. Jeffrey Tucker at 310-444-9393
We are learning more about our body and its natural defenses as a result of the coronavirus. People are becoming more interested in taking better care of themselves through natural and alternative therapies. As part of the body’s natural immune function, we can all appreciate the healing benefits of the lymphatic system. The lymph system, which is the bodies second circulatory system consist of a connecting network of tissues and organs that helps to deliver nutrients and filter out water, bacteria, waste products and other debris of cell metabolism.
Your body has the amazing natural ability to combat disease and heal itself. Whether it’s a fast-paced, stressed-out life style, not enough good quality sleep, or poor diet choices, it’s these day-to-day lifestyles that can interfere with the lymphatic system and immune process. Stress, lack of movement, poor diet, and lack of sleep can cause stagnation and a lack of circulation for proper bodily function, resulting in susceptibility to poor health.
Causes of a slow lymph system
•High Stress Levels
•Pulmonary Chronic Issues
•Conventional Cancer Treatments
•Lack of Physical activity
Unfortunately, unlike your veins, the lymph system is not a closed system and has no central pump like your heart, to support its cleansing. So, Lymph massage without the use of the hands, also known as PhysioTouch Lymph Drainage Therapy is fast becoming the treatment of choice. It’s a very relaxing treatment; it is vital to maintain wellness and overall good health, and it’s even used as a beauty treatment.
PhysioTouch Lymph Drainage is a specific immune lymphatic treatment which includes gentle pulling pressure and pumping with a device to remove waste from the body. This treatment is a stand- alone therapy for everyone interested in preventing illness and keeping the immune system running smooth. It is extremely beneficial for those who have swelling in the body from sports injuries, damaged or blocked vessels in the lymph system following surgery, fibromyalgia, arthritis, congestion, and post cancer treatment.
PhysioTouch Lymph Drainage is also known for its beauty
benefits. It clears and brightens skin by promoting circulation which calms
inflammation, reduces swelling, aids in collagen production and improves
The following doctors offer the PhysioTouch Lymph Drainage
Dr. Jeffrey Tucker
11620 Wilshire Blvd.
Los Angeles, CA 90025
Dear Valued Patients,
I am currently going into the office to see patients. The office has reduced hours so please call 310-444-9393 for an appointment. Even though some of you are working from home and practicing social distancing, you can call me anytime if you need to stay connected and informed for diet and suggestions. I am here for you with alternative therapy resources.
Specific therapies I can do in the office that will
help the immune system:
Laser therapy, Shockwave therapy, PEMF, LymphaTouch cupping, and the Vibragenix vibration plate all increase lymphatic drainage, the activity of neutrophils, macrophages, fibroblasts, and the metabolism of damaged or defective cells.
We are maintaining business (reduced) hours to provide these therapies.
I frequently see patients with Thoracic outlet syndrome (TOS) especially after motor vehicle accidents, bike injuries, or scooter fall injuries.
Thoracic outlet syndrome is felt as numbness, tingling, pain, or decreased circulation in the shoulders, arms, or hands. The thoracic outlet is a bottle-neck where an important bundle of nerves and blood vessels travels between the head and arm. The space is narrow and injury to the neck can cause inflammation of the muscles in the area which can compress the nerves and result in symptoms. Because the neck is complex, it can be tricky to pinpointing the exact source of your pain. Other conditions can mimic the symptoms of thoracic outlet syndrome.
If you have symptoms of thoracic outlet syndrome after an injury, I have very good results using shockwave therapy, laser therapy, gentle exercises and my hands-on approach to the soft tissues in and around the neck. Every patient gets a personalized treatment plan. Call 310-444-9393 for an appointment.
Here’s one research article behind the treatment for patients with heel pain due to chronic plantar fasciitis.
*Gollwitzer, H. et al. Clinically relevant effectiveness of focused Extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015 May 6;97(9):701-8. doi: 10.2106/JBJS.M.01331.
The objective of the present study was to test whether focused Extracorporeal shock wave therapy is effective in relieving chronic heel pain diagnosed as plantar fasciitis. Two hundred and forty-six patients (98.4%) were available for intention-to-treat analysis at the twelve-week follow-up. There was a significant difference (p = 0.0027, one-sided) in the reduction of heel pain in the Extracorporeal shock wave therapy group (69.2%) compared with the placebo therapy group (34.5%). Extracorporeal shock wave therapy was also significantly superior to the placebo therapy for the Roles and Maudsley score (p = 0.0006, one-sided).
Urinary incontinence is common especially in women who have had babies, weakened core muscles, and damage to the pelvic floor. Men with a hernia, or prior hernia surgery are susceptible too. Working out the pelvic floor muscles is part of the recovery fix for leaky bladder or urinary incontinence. But how do you make these muscles stronger?
treatment I’ve seen work the best so far is the Pulsed Electro Magnetic Frequency
or PEMF. It seems to work better than what the physical therapist are doing to
try and activate the pelvic floor muscles by hand. The goal of the PEMF
treatment for urinary incontinence is to contract and relax the small pelvic
floor muscles AND increase the micro-circulation. The PEMF machine feels good
when it’s on you, and you get to enjoy just sitting still and relaxing.
far I have been able to get patients to go for long walks or short jogs without
leakage, play catch with their kids without pain in the pelvis area again, and have
less embarrassment from the whole thing.
No one should have to miss out on life because of urinary incontinence! Try strengthening your pelvic floor muscles
with the PEMF.
does shockwave therapy work?
Shockwave therapy is an
in-office procedure that focuses low intensity pulses (waves) at the soft
tissues to treat injured tendons, scar tissue formation, ligament and cartilage
damage, and tight- stiff joints and muscle tissue. Shockwave treatments are
performed by Dr. Jeffrey Tucker, and the course of therapy usually requires a
trial of 3 sessions and up to 6-12 office visits. Shockwave therapy treatments create
stresses to the soft tissues (muscles, tendons, ligaments, lymph, and blood vessels)
and bone that promote physiological processes meant to regenerate blood vessels
and improve circulation – a process known as neovascularization. Increased
circulation (blood and oxygen) allows for the natural exchange of blood flow
with new cell formation.
expect at your visit.
Dr. Jeffrey Tucker is the
only Los Angeles practitioner with 3 different (Piezo-wave, Storz, Zimmer) pulse
wave machines using this technology. Some machines are better than others
because of the hand held applicator sizes and choices it provides me and my
patients to deliver the shock wave. I can better target the areas that bother
you. Prior to commencing treatment, an ultrasound gel is applied to the
treatment area. During treatment, shockwaves will be directed to various areas
around the target site of pain or dysfunction as well as near-by fascial
connections. While patients may experience a slight tingling, they should not
be uncomfortable or experience pain. Typically, the entire treatment session
will last about 25-30 minutes. Understanding your chief complaint and
performing a proper history and examination helps determine the number of
recommended treatments you would need. This number may be adjusted based on
results. Because this is a non-invasive procedure, patients will not require
anesthesia. You may return to normal activities such as going right back to
work, to the gym, walking, etc. right after a pulse wave treatment.
shockwave therapy right for me?
Pulse wave (Shockwave)
therapy is one of the best treatment options used for treating tendons,
decreased blood flow, and fascia (scar tissue) dysfunction. A thorough
assessment of the your overall health, past history related to sports injuries,
car accidents, falls, diet, and lifestyle will be considered prior to
treatment. Discussion will also cover treatment options that you have tried and
what worked and did not work.
If you would like to learn
more about the benefits of pulse wave therapy (shockwave therapy), contact Dr.
Jeffrey Tucker at 310-444-9393 to schedule a consultation. I am located in the
west Los Angeles, Brentwood area.
Regenerative medicine is the process of replacing or
regenerating cells and tissues to restore normal function and reduce pain.
I use alternative (non-injection) regenerative therapies in
Shockwave irritant therapy is an excellent alternative to injection therapy without the injection.
Shockwave therapy also known as pulse wave therapy causes inflammation. This will kick-start regeneration by stimulating the body to send in macrophages, which are cells that trigger the healing response. Shockwave therapy is an irritant therapy especially good for muscle, tendon and joint pain including chronic neck and back pain, rotator cuff injuries, Achilles tendon problems and plantar fasciitis.
Peptides used to be only administered by getting expensive shots (injections) that have to be given into your muscles. I use Peptides in pill form. Peptides decrease inflammation and pain which helps cartilage heal, and decreases tissue breakdown. I have seen good results with Peptides for my patients with osteoarthritis (OA) and degenerative disc disease (DDD). It really helps reduce gut inflammation too. Peptides break larger molecules into smaller units. The ones I use are specific messengers for painful inflammation of the spine, cartilage and gut.
Light Therapy/Laser Therapy
Laser light therapy results in cell signaling and mitochondrial recruitment and is another non-invasive regenerative therapy. Laser light initiates the healing response, repairing damaged tissue by stimulating new, healthy tissue cells. I have 4 light therapy devices in my office so that I can provide a broad spectrum of light wave therapy. The use of light therapy into an injured area is safer than injecting fluids into the body.
PEMF stands for ‘peripheral
PEMF stimulates the microcirculation. It’s one of my most
impressive non-injection therapies. Increasing microcirculation improves
lubrication. PEMF has FDA approval for urinary incontinence because it also
stimulates the pelvic floor muscles.