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Plantar Fasciitis Treatment

Most people can self-diagnose plantar fasciitis, it starts with pain in the heel and foot especially if you participate in high-impact activities like jogging, dancing, or basketball. Other risk factors include having low or high arches, and/or tight calf muscles. Every patient I see with plantar fasciitis has tight calf muscles.

It can often be treated with rest, anti-inflammatory medicine, and icing. I see a lot of stubborn cases. If you have had a steroid injection and it didn’t work keep reading. You may be ready for pulsed shockwave therapy. Here is my top 3 treatments for plantar fasciitis:

1. Dropped arches & Footwear

Plantar fasciitis is common in athletes, particularly in runners or people who recently increased there load i.e. weight lifting increases, increased walking distance, increased running distance, or just increased body weight from pregnancy. The message is check your shoes for good support, consider an insert, and possibly replace your footwear.

Remember I said every plantar fasciitis patient I’ve seen has short tight calf and leg muscles and tendons. This tightness changes the alignment of the foot and ankle, creating a negative chain reaction that can travel as far up as the lower back and even the neck. Come in so I can teach you how to properly stretch the calfs and strengthen your arches on the bottom of your feet.

2. Shockwave For Plantar Fasciitis

Shockwave is a pulse therapy device I use to send strong ultrasound like impulses into the fibrous tissue on the underside of the foot. It has a deep penetration sensation and shockwave therapy is fast becoming the non-invasive, non-drug technique of choice for heel pain caused by plantar fasciitis.

Nothing, not even deep tissue massage is as helpful at loosening the tendons, ligaments, and fascia as the shockwave machines. I have 3 different machines because every patient is different.

People with chronic plantar fasciitis need shockwave therapy to help break up the scar tissue caused by the acute inflammation. Shockwave therapy loosens up the fibrous tissue band, allowing it to return to its natural shape.

I’ll also teach you how to roll a lacrosse ball, tennis ball, or golf ball on the sole of your foot to help roll out the plantar fascia. You will probably learn the latest in correct posture training from my ELDOA therapist as well. I recommend the shockwave for plantar fasciitis at least once a week for 3 sessions and then we re-evaluate. Many patient’s feel relief for plantar fasciitis after the first session.

3. Other Helpful Treatment For The Foot

I have simple stretches, simple strength movements, and a simple flexibility maneuver that’s crucial to gaining back your foot health and relieve pain.

I could post pictures on the internet but my stretches and exercises go along with the shockwave therapy. That’s the recipe!

I may also recommend the VibraGenix plate, Phyto Zol serum, and sports taping on the foot or calf. Each case does need a proper evaluation and personalized treatment plan. Please feel free to call my office at 310-444-9393

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Sound & Light Therapy

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.

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Push-up Exercise & Cardiovascular Disease risk

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.    

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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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