Chiropractic has achieved the “strongest evidence to date” of just how safe and effective chiropractic care really is. If you suffer from back pain, sciatica, nerve injuries, headaches such as migraines, and neck pains, you should see me.
As a chiropractor, I focus on posture, muscle balance, joint motion and nutrition therapy. People come to me for acute and chronic pain. To me an “adjustment” involves hands on therapy, and I may also use laser, muscle pressure point therapy, shockwave therapy, deep muscle stimulation therapy, MagnaWave therapy, lymph therapy, SCENAR, and certainly you will get posture training and exercise recommendations.
Many of my patients also receive “usual medical care” (such as visits to their MDs and physical therapy), but most patients understand the value of having my type of detailed chiropractic therapy as well.
If your goal is to have less pain, then my goal is to help you feel less pain. If your goal is healthy aging, then my goal is healthy aging. If your goal is better posture and more range of motion, then my goal is to help you achieve better posture and more range of motion.
One of the benefits of my type of chiropractic care is that patients experience less ‘pain-related disability,’ meaning that they can go on with their lives without being laid up or limited in any way by their lower back pain.
Chiropractic is “safe” and “effective” treatment.
I can refer you for CT scans and MRIs if we think that is needed, and I’ll help you decide if medications, injections, or surgery may be necessary.
The National Center for Complementary and Integrative Health give a thumbs-up to spinal manipulation for back pain.
Please feel free to call my office at 310-444-9393 for a hands-on session with me!
There is a significant association between neck pain and Temporo-mandibular Dysfunction (TMD) symptoms (Ciancaglini ’99). In fact, 50% of cervical spine cases will have TMD, often as the primary problem (Lewitt).
Since many patients present with both neck and jaw pain, I look closely at both areas. However, I check your posture, the skull bones, pelvis, and feet too. It is a very comprehensive examination…I like looking at details! Many muscles of the neck and jaw can be imbalanced , especially the Digastrics, SCM, upper traps and suboccipitals. I teach my patients how to self stretch and balance these muscles.
Depending on the case I might recommend laser therapy, magnet therapy, deep muscle stimulation therapy and ‘hands on’ therapy.
Take home advice includes eat a soft diet; keep your tongue up, gently resting on the palate and teeth apart as the rest position of the jaw; chew on both sides at the same time or alternate sides; avoid clenching and grinding the teeth, tensing, or gum chewing; avoid excessive or prolonged opening of the mouth; avoid sleeping on the stomach; do a trial of laser therapy for pain control; use heat or ice over tender muscles (discuss with Dr. Tucker which is best for your case); I may recommend a topical cream (Hemp based or other cream).
If you need help with your dentist I am happy to work with them.
Extracorporeal Shockwave therapy (ESWT) or Radial shockwave therapy (RSWT) is believed to cause a cellular response leading to tissue regeneration. I use this therapy for plantar fascia, Achilles tendon, Achilles insertion, 1st metatarsal joint pain, and tibia/shin pain. Many of my patients are recreational to elite athletes.
Patients and I co-create the best treatment plan. Most patients need at least 3-6 ESWT treatments with 7-10 days between treatment sessions. The procedure does not hurt, has little to no adverse side effects, and is less expensive and less invasive than risky injections. To enhance our results we can also use magnet therapy and/or laser therapy.
PEMF stimulates cell metabolism causing a chain of responses in the body that leads to improved health without side effects.
PEMF devices are considered safe and therapeutic.
WHAT IS PEMF & HOW DOES PEMF WORK?
PEMF is used to improve circulation and cell metabolism.
Science has proven that our bodies produce their own magnetic fields. Everything works within the body by electromagnetic exchange. Disruption of electromagnetic energy in cells can cause impaired cell metabolism.
What is PEMF doing?
PEMF penetrates every cell, tissue, organ and even bones to stimulate electrical and chemical processes in the tissues.
We purchased the MAGNA WAVE device so we have choices in delivery.
Osteitis pubis is a painful overuse injury of the pubic symphysis and the surrounding bone area. This is typically found in athletes whose sports involve kicking, rapid accelerations, decelerations, and abrupt directional changes. This is often seen in soccer, rugby, football players, and distance runners with complaints of groin pain.1
Specific complaints include anterior and/or medial groin pain. Some patients also point to the lower abdominal area, adductor muscles, inguinal region, perineal area, and/or scrotal area and describe “pain”. Symptoms can be severe and can limit participation in sports until proper treatment is instituted.
TREATMENT FOR GROIN, HIP, AND PELVIC PAIN
Get a good evaluation by a doctor who understands sports injuries. I treat a lot of persistent groin pain due to chronic repetitive trauma and overuse stress. If it involves the pelvic joints, the muscles, and/or tendons a Chiropractor is a good first choice.
I usually find insertional tendinopathy accompanied with pubic symphysis irritation, so Shockwave is a good first line of therapy. I am the only practitioner we know of who has 3 different types of shockwave machines.
Prolotherapy and Platelet Rich Plasma Therapy may be a useful treatment for this diagnosis as well.2,3 In some cases of advanced deterioration I am hearing players using Stem Cells. We have many patients combining treatments like laser, shockwave, and injections to accelerate healing.
Scholten PM, Massimi S, Dahmen N, Diamond J, Wyss J. Successful treatment of athletic pubalgia in a lacrosse player with ultrasound-guided needle tenotomy and platelet-rich plasma injection: a case report. PM R. 2015 Jan;7(1):79-83. doi: 10.1016/j.pmrj.2014.08.943. Epub 2014 Aug 16.
Beatty T. Groin Pain Osteitis pubis in athletes. Curr Sports Med Rep. 2012 Mar-Apr;11(2):96-8. Groin Pain Osteitis pubis citations
Topol GA, Reeves KD: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. Am J Phys Med Rehabil 2008;87
What do you do if you have continued pain after ROTATOR CUFF SURGERY
Continued shoulder pain even after a surgery for tears does happen. When complaints persist and have become an unresolved shoulder pain, I am called upon to help patients make decisions what to do next. Helping patients learn about the available treatment options and understand their choices is a discussion that needs to take place. When I discuss Rotator cuff surgery I refer to Lädermann A, et al. from the University Hospitals of Geneva. They state that “Tear recurrence can be related to various factors such as:
(1) Inadequate strength of the initial repair construct
(2) Biological failure to heal despite strong initial fixation (hardware and suture) and
(3) inappropriate postoperative rehabilitation causing structural failure of the repair” (1).
We always hope for good outcomes after a surgery but “The results of (rotator cuff) treatment are not as predictable as the patient (family, trainer, coach and doctor) would like to think” says Nickolas G et al. in the Physical Medicine and Rehabilitation Clinics of North America journal.
I talk to patients about the concept of cellular communication and how there could be a breakdown in the local tissue area and even the brain to stimulate proper healing. We have learned that certain therapies such as stem cell injections, shockwave, and laser can seem to jump start a non-healing area within a damaged shoulder or knee joint. The current thinking is that these therapies change the joint environment from non-healing (diseased) to healing by signaling the local native resident healing cells to get ready to rebuild.
How, can I as a Chiropractor change the joint environment from not healing to healing and working better?
By inducing gentle non-painful motion into a poorly functioning joint.
By re-awakening stem cells to change (plasticity) and activate (multipotency – the ability to change/morph into other cell types and multiply). I use shockwave to do this.
Get the surrounding healthy cells to send signals to suppress inflammatory T–cell proliferation (inflammation) and provide an anti-inflammatory effect. I use laser to do this.
Maybe the above 3 points help activate stem cells to express various growth factors – it takes a lot of reawakening of molecules to stimulate local tissue repair. I like the concept of getting cells to communicate directly cell to cell (even to the resident remaining cartilage cells) in the joint. Seol et al did a study to show that stem cell activation regenerated cartilage in knees, why not the shoulders! (3)
Lädermann A, Denard PJ, Burkhart SS. Management of failed rotator cuff repair: a systematic review. Journal of Isakos. 2016;1(1):32-37. doi:10.1136/jisakos-2015-000027.
Nickolas G. Garbis, Edward G. McFarland. Understanding and Evaluating Shoulder Pain in the Throwing Athlete. Physical Medicine and Rehabilitation Clinics of North America, 2014; 25 (4): 735 DOI:10.1016/j.pmr.2014.06.009
Seol D, Zhou C, et al. Characteristics of meniscus progenitor cells migrated from injured meniscus. J Orthop Res. 2016 Nov 3. doi: 10.1002/jor.23472.
Worn discreetly underneath clothing, Unloader Hip gives light compression to the hip and the brace’s rotation control strap rotates the thigh bone to take load off the affected part of the hip joint. With its unique approach, Unloader Hip is an ideal solution for everyday adventures such as shopping, biking and keeping up with the kids.
Before deciding to pick a doctor, I want you to know this about me. My practice is about working together with my patients. I strive to give you what you want: a proper diagnosis that you understand; current and up to date treatment options; appropriate care with recommendations for things you can do at home on your own; make it all convenient and empower you to help you overcome what brings you to see me in the first place. I stay in the forefront of using science and technology.
Dr. Jeffrey Tucker
President of the American Chiropractic Association Rehabilitation Council
Can you stop the pain of diabetic peripheral neuropathy? It is worth doing a trial of laser and vitamin B12. Both are safe and effective treatments.
B12 supplements are known as one of the easiest and safest ways to help relieve this problem – could utilizing laser coupled with supplements increase the results?
Julie Waldfogel, a Johns Hopkins doctor of pharmacy, authored a paper specifically referring to those diabetics who suffer from the excruciating shooting and burning pain of peripheral neuropathy – here’s what we know: The common drugs prescribed for neuropathy come with some serious side effects.
Duloxetene (better known as Cymbalta) also used to treat fibromyalgia, can cause difficulty breathing, swelling of your face, lips, tongue, or throat, anxiety and panic attacks, depression and suicidal thoughts.
Pregabalin, which goes under the brand name Lyrica and is already prescribed for nerve pain from shingles and diabetes, can cause things such as agitation, aggression, and “dangerous impulses.” As if that wasn’t enough, some of the more common side effects are dizziness, blurry vision, weight gain, and swelling of your hands and feet. It has also been linked to the development of blood vessel tumors.
Duloxetene and venlafaxine are said to potentially increase serotonin levels in the blood — something that can be life-threatening.
On the good side, Vitamin B12 is non-toxic, and has been proven to be effective in helping diabetics with this kind of nerve pain. Doctors learn in medical school that a classic symptom of a B12 deficiency is peripheral neuropathy! And guess what has been found to be “unequivocally demonstrated as the prime factor” linked to a B12 deficiency? None other than the popular diabetes medication called metformin.
A study done at Bethesda Diabetes Research Center in the Netherlands, found using metformin could increase the risk of a B12 deficiency by 19 percent. On top of that, around 25 percent of people in the U.S. are deficient in B12, whether they’re diabetic or not.
Another group of drugs draining your B12 are the acid-suppressing meds called proton pump inhibitors (PPI) like Nexium and Prilosec. So, if you have neuropathy please get your B12 levels checked and make sure you don’t have B12 deficiency. If you’ve been on metformin for any length of time, or have been taking one of those PPI drugs, it makes perfect sense to have your B12 levels checked.
And since we know there is plenty of research that laser helps peripheral neuropathy, do a trial of the TheraLase class 3B laser on the feet, legs and lower lumbar spine. It makes sense to take a B12 supplement and try the TheraLase laser!