When manipulation doesn’t work anymore for your low back pain many Chiropractors don’t know what else to do. I make sure patients learn how to “stabilize the spine” and strengthen the spine using personalized and customized exercises. I am also teaching patients ELDOA methods that will create more space for the nerves close to the spine. ELDOA poses also help stretch the fascia and muscles close to the spinal vertebrae. This is why I see many patients who have already had physical therapy or chiropractic care from other doctors.
I’m happy to work together to address the cause of your pain – muscle tightness, ligament weakness or laxity, disc injury or you just want healthy aging.
The goal of epidural injections and surgery is to provide pain relief. The goal of shockwave therapy (Zimmer, Storz, Piezowave), Magnet therapy (Magnawave), and laser therapy (TheraLase, LightForce) is to provide a healing environment inside the body leading to pain relief. Epidural injections do not heal a bad back. Shockwave, laser, magnet therapy, exercise and hands-on therapy will help heal a bad back.
Some patients do get epidural steroid injections and find short-term pain relief. Often times this sense of immediate pain relief prevents people from getting the proper treatment for his/her long term back pain care.
A study from Vanderbilt University discusses the use of epidural injection treatments and spinal surgery:
…surgery is superior to epidural steroid injections for improving quality of life and pain, however after a year neither the surgery or the epidural steroid injections significantly helped improve the patient’s disability.(1)
Johns Hopkins School of Medicine, Walter Reed National Military Medical Center, University of Toronto researchers describe:
Epidural steroid injections provide modest pain relief up to 3 months in patients with lumbosacral radicular pain caused by herniated disks, but they have no impact on physical disability or incidence of surgery.(2)
The Chinese University and Prince of Wales Hospital in Hong Kong: …transforaminal epidural steroid injection cannot alter the need for surgery in the long term.(3)
Department of Orthopedic Surgery, Thomas Jefferson University, Rothman Institute:
For some patients epidural steroid injections did not work at all. “Patients with lumbar disc herniation treated with epidural steroid injection had no improvement in short or long-term outcomes compared with patients who were not treated with epidural steroid injection.” (4)
THE PROBLEM you as a patient face: Epidural steroid injections are still one of the most frequently performed low back pain procedures. BUT, epidural steroid injections really should be questioned for lack of effectiveness, and may be dangerous.
Patients need to know that they have alternatives. Rather than exposing patients to risks from injections and dangerous complications, I start low back treatment with non-invasive shockwave, laser, or magnet therapy, combined with skilled hands-on therapy and ELDOA exercise training. (5) Doesn’t this make sense?
Call 310-444-9393 for an appointment
1 Sivaganesan A, Chotai S, Parker SL, McGirt MJ, Devin CJ. 161?Patient-Reported Outcomes After Epidural Steroid Injections vs Surgery for Degenerative Lumbar Disease: A Prospective, Matched Cohort Study. Neurosurgery. 2016 Aug;63 Suppl 1:164-5. doi: 10.1227/01.neu.0000489730.99853.c3.
2. Bhatia A, Flamer D, Shah PS, Cohen SP. Transforaminal Epidural Steroid Injections for Treating Lumbosacral Radicular Pain from Herniated Intervertebral Discs: A Systematic Review and Meta-Analysis. Anesth Analg. 2016 Mar;122(3):857-70. doi: 10.1213/ANE.0000000000001155.
3. Leung SM, et al. Clinical value of transforaminal epidural steroid injection in lumbar radiculopathy. Hong Kong Med J. 2015 Aug 14. doi: 10.12809/hkmj144310. [Epub ahead of print]
4. Radcliff K, Hilibrand A, Lurie JD, Tosteson TD, Delasotta L, Rihn J, Zhao W, Vaccaro A, Albert TJ, Weinstein JN. The Impact of Epidural Steroid Injections on the Outcomes of Patients Treated for Lumbar Disc Herniation: A Subgroup Analysis of the SPORT Trial J Bone Joint Surg Am. 2012 Jun 27. doi: 10.2106/JBJS.K.00341. [Epub ahead of print]
5. Epstein NE The risks of epidural and transforaminal steroid injections in the Spine: Commentary and a comprehensive review of the literature Spine: 2013;3:74-93 6. Stout A. Epidural steroid injections for low back pain. Phys Med Rehabil Clin N Am. 2010 Nov;21(4):825-34.
A new study published by Dedes V et al. called Effectiveness and Safety of Shockwave Therapy in Tendinopathies (Mater Sociomed. 2018 Jun;30(2):131-146. doi: 10.5455/msm.2018.30.141-146) concluded:
“Shockwave therapy significantly reduced the pain that accompanies tendinopathies and improves functionality and quality of life. It might be first choice (for treating tendinopathies) because of its effectiveness and safety.”
People suffering from tendinopathies exhibit reduced mobility due to the pain caused by the movement of the tendons involved. Shockwave therapy is non-invasive, simple, fast and safe for tendon injuries.
Shockwave therapy is especially helpful in the treatment of elbow tendinopathy, Achilles tendinopathy, plantar fasciitis and rotator cuff tendinopathy.
It can help reduce pain, improve function and quality of life.
Call 310-444-9393 for an appointment
From simple sprain/strains to disc bulges to degenerative disc disease – ELDOA is a stretching approach that every person can use. I am studying with the ELDOA experts to learn the latest in these treatments so I can teach my patients the personalized ELDOA exercise poses.
I’ve always encouraged patients to have good posture. I know there are so many other top-of-mind things that usually come before posture, like strength training, osteoporosis prevention, and cardio. All of these things are important, but they tend to overshadow the fact that most people get musculoskeletal pain that is non-traumatic and usually caused by poor posture.
Poor posture is, in fact, the number one killer of a healthy spine. Poor posture is a ‘stress’ to the body and just like ‘stress’ it causes varied symptoms and complications to the whole body. But thanks to the latest in non-surgical techniques like ELDOA, shockwave, magnet therapy and laser, this very common problem also happens to be treatable. I look forward to sharing these methods with you.
Call 310-444-9393 for an appointment.
Better than Active Release Therapy…For many athletes, their journey continues because of some form of massage such as Active Release Therapy also known as ART. Every athlete has individual needs and goals, so their training, musculoskeletal (strength, muscle and joint flexibility), and recovery programs should be customized for them.
Dr. Jeffrey Tucker evaluates each athlete, taking into consideration age, gender, sport and performance goals to help him or her get faster, stronger and stay injury free. In this day and age, it’s a service that has transitioned from luxury to necessity for many athletes.
Tucker’s sports performance programs and recovery programs include laser therapy, shockwave therapy, deep muscle stimulation, magnet therapy, looking at an individual’s lab results, flexibility, stability, eating habits, body composition and lifestyle habits. This is how we help patients reach their goals – increase speed, power, endurance, overall performance, and of course, achieve their medal dreams.
Call 310-444-9393 for your appointment.
If the thought of a potential flare up of chronic pain has you worried, a new service now offered at Dr. Jeffrey Tucker’s office in West Los Angeles might be able to help.
Dr. Tucker notes “As patients have become more educated and empowered, they’ve started to realize a pill isn’t always the solution, and likewise, many physicians realize alternative therapies like magnet therapy can be of great benefit to patients”
In addition to the proven benefits of magnet therapy, including relief from chronic pain, sports injuries, elevated mood and better sleep, magnet therapy is a natural remedy that allows the body to heal itself.
Dr. Tucker has embraced alternative treatment options for sports injuries such as laser therapy, shockwave, SCENAR and deep muscle stimulation. “My mission is to help people live the healthiest lives possible, and that means offering a number of services and treatment options that can help reduce the need for expensive medical care”.
Dr. Jeffrey Tucker is the premier practitioner for the application of shockwave and laser in Los Angeles especially for joint pain. Dr. Tucker is the most extensively trained practitioner, with the most experience, and the only doctor with 3 different shockwave machines and 2 different types of laser available for your specific treatment needs.
If the thought of a potential flare up of chronic pain has you, well, on pins and needles, then shockwave and laser treatments might be able to help.
In addition to the proven benefits of shockwave by itself and laser by itself, Dr. Tucker combines the two modalities for relief from chronic pain, joint pain, osteoarthritis, and tendon pain. Shockwave and laser is a natural remedy that allows the body to heal itself.
Get the skilled care you need by calling 310-444-9393
Shockwave and laser therapy are treatments that come under the term ‘orthopedic regenerative medicine.’
Regenerative medicine uses natural methods to stimulate the body to regenerate its own tissues. Some methods use the patient’s own cells obtained from their own blood using needles and injections. This medical procedure is called platelet-rich plasma (PRP) or stem cell therapy. However, I use safer, no needle, less expensive, easy to administer shockwave and laser modalities rather than injections to stimulate growth factors to help repair the tissues. These modalities have been especially helpful in hip and knee osteoarthritis.
Researchers at the Department of Special Surgical Science, University of Florence found numerous growth factors within blood platelets that have a specific activity on cartilage regeneration. Stimulating growth factors may be what allows the shockwave treatment to be able to significantly reduce pain and improve joint function.1
A typical treatment shockwave and laser is performed once a week for approximately 3-6 weeks.
The treatment goal of using shockwave and laser:
Allow patients to be more active
Decreasing pain often helps improve function
I like to see positive changes within the first 3 to 6 weeks with continued improvement over the next 12 weeks
It makes sense to do a trial of the non-invasive shockwave and laser protocol to improve osteoarthritis of the hip joint prior to injections.
- Civinini R, Nistri L, Martini C, Redl B, Ristori G, Innocenti M. Growth factors in the treatment of early osteoarthritis. Clin Cases Miner Bone Metab. 2013 Jan; 10(1):26-9. doi: 10.11138/ccmbm/2013.10.1.026.
- Sánchez M, Guadilla J, Fiz N, Andia I. Ultrasound-guided platelet-rich plasma injections for the treatment of osteoarthritis of the hip. Rheumatology (Oxford). 2012 Jan;51(1):144-50. Epub 2011 Nov 10
- Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G. Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. Am J Sports Med. 2016 Jan 21. pii: 0363546515620383.
Lymphatic drainage at Dr. Jeffrey Tucker’s office uses the latest technology and takes a whole body approach. The Lymphatic System is one of the most overlooked yet significant systems in the body. The Lymphatic System travels throughout the body to remove waste from every cell while helping to regulate the immune system. It includes a complex network of vessels, ducts, lymph nodes, the spleen, the thymus gland, the adrenal glands, and the tonsils.
The lymphatic vessels act like a giant filter or drainage system for the body that needs to stay moving and clear for it to work properly. Stagnant or sluggish lymph flow leads to waste and toxic build up, weakening immunity and leading to a wide variety of health issues. When your lymph system becomes congested you may notice:
Stiffness, dry skin, water retention, brain fog, stubborn weight gain, chronic sinus congestion, cellulite build up, cold hands and feet.
Dr. Tucker uses the PhysioTouch machine for Lymphatic Drainage. Call 310-444-9393 for more information.
I am a very hands-on practitioner and want to increase your results. If you have lost range of motion, I look to restore motion using negative pressure machines, shockwave, laser tools, MagnaWave and the other high tech tools I have available to help you improve fascial mobility and joint restrictions. I am an expert in neuromuscular re-education.
My passion and expertise is in:
Connective tissue system structure and function; improving movement impairments
Improving healing responses
Connective tissues and trigger point therapy
Instrument Assisted Soft Tissue Mobilization techniques and applications
Neuromuscular re-education principles
ELDOA exercise programs are taught to every patient.