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Hip pain treatment options

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

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Dr. Jeffrey Tucker – Chiropractor, Los Angeles

I am a specialist in biohacking, Sports Medicine, Exercise therapy, wellness concepts, diet and nutrition.  I have enhanced training as a hands on (high touch) practitioner and I continue to be an early adopter of advanced technology. I teach other practicing doctors around the world.

Your first office visit with me is about one hour of time together. My follow up visits are at least 30 minutes (with me). You might need 2-6 hours with me but we spread it apart because some people need the time to heal between sessions. I don’t have the time crunch other doctors have.

I embrace the team approach working with your other health care practitioners (trainer, doctors, Pilates, nutritionist, etc.)

I have a full time health coach in the office helping patients with diet if you need that help. We use the ketogenic diet if you need help to lose weight.

I have in the office a certified instructor in the ELDOA method to share with you what postures, poses, and exercises will help you be in better shape as you age.

I am well trained to treat chronic pain. I have laser therapy, pulse wave therapy, lymphatic therapy and PEMF.

I am helpful at decreasing pain, decreasing muscle stiffness, improving your disc hydration, losing weight, helping you get active and stay active,  and improving overall performance.

I want to help people reach their greatest (fullest) potential.

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Biohacking Los Angeles

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

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From Laser to ELDOA – Los Angeles Sports Medicine

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.

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Sciatica: Steroid injections vs PiezoWave Therapy

If you have nerve inflammation causing pain, discomfort, radiating pain and/or numbness down the leg you will likely be offered a steroid injection. Epidural steroid injections are given to reduce inflammation in the nerves that pass through the spinal canal. Patients are unaware that Piezowave therapy also known as myofascial acoustic compression therapy is another treatment option that is non-invasive and does not have side effects like steroid injections. “Sciatica,” is a common diagnosis that is used to describe injury or compression of the sciatic nerve.

Dr. Alison Stout of the Spine and Musculoskeletal Medicine, Rehabilitation Care Services, Veterans Administration said: “Epidural steroid injection has been used as a treatment for low back pain for over 50 years. In the last 10 to 15 years, there has been a significant increase in (their use) for the treatment of low back pain and radicular pain without clear improvements in outcomes.”

As a chronic pain specialists I see many patients with radiating lower back pain. When I first examine new patients I make sure they have the proper diagnosis. If you really have sciatica Piezowave is an acoustic pulse that penetrates to a depth of .5mm and 3 cm influencing nerve irritation to heal. If epidural steroid injections have failed then I recommend a trial of the safe and effective Piezowave therapy.

Call 310-444-9393 for an appointment

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ELDOA Los Angeles

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.

 

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Chiropractor – Los Angeles

I know that I have the most progressive Chiropractic office in Los Angeles. My office and the equipment I have to offer my patients is unique. The goal of patient care is to help you resolve the issues you present with.  I view the body as a whole, where everything is connected to everything. I am an expert in understanding structural functions of connective tissues and the joints of the body. I examine the soft tissues and joints as elements in various layers of tissues and look to help patients figure out strategies to get better and stay better.

I can expose patients to a large variety of  traditional therapy and the latest technology including Instrument Assisted Soft Tissue Mobilization (IASTM) tools, laser, shockwave, magnet therapy and lymphatic drainage therapy.

As a post graduate instructor I present and teach how I practice treatments for common orthopedic and sports impairments.

I expect treatment outcomes to be better than other practitioners because of the techniques and specialty equipment I use and the relationships I build with my patients. I will explain precautions, contraindications, optimal healing timing of interventions, and safety in using the various interventions I have available to you.

For example, patients like the fact that I can use Negative Pressure Soft Tissue Mobilization (AKA cupping), Deep Muscle Stimulation, and laser, all in one session. These treatments target the anatomy, physiology, and clinical reasoning for your improvements.

If you are experiencing symptoms such as stiffness, sore joints, arthritis like pain, please call 310-444-9393 for an appointment.

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Chiropractor – Brentwood, CA

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!

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Unloader® Hip by Össur

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.

Unloader® Hip by Össur link

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Sports Medicine Chiropractor – Brentwood

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

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