Almost 50% of women suffer from chronic pelvic floor
disorders. Men can experience this too but the percentage is lower. Symptoms
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.
free to call my office at 310-444-9393 if you would like to meet and talk 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.
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.
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.
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.
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.
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.
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
Branch Chain Amino Acids
Green Tea Resveratrol
Eat plenty of fish, walnuts, flaxseed, dark leafy greens, pumpkin seeds, squash, beans, lentils, avocados
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.
“Its poor dietary advice that’s contributed to making my generation overweight” says Dr. Jeffrey Tucker.
“With my Ideal Nutrition & Weight Loss program we teach you to understand what’s a good protein, a good fat, and a good carbs. Our goal is to help you lose weight and get healthy right now!”
You’ll learn to eat foods that help you lose weight and lower your risk of heart disease, stroke and type 2 diabetes.
Everyone is finally talking about the real cause of obesity and heart disease and other undesirable aging consequences i.e. dementia, Alzheimer’s disease, memory loss. The primary culprit is chronic inflammation. And that inflammation is triggered, in part, by consuming not the hamburger… but the bun, the French fries and all the other processed foods loaded with refined carbohydrates.
We recommend you do these 3 things to help get started:
- Stop worrying…call the office and learn about fat metabolism, and how to eat more of the ideal foods, such as vegetables and very little refined carbs and sugar.
- Do whatever it takes to cut down the stress in your life. It’s known that stress can raise levels of the hormone cortisol, which, in turn, creates inflammation and weight gain. You’ll see that having a weight loss coach to talk to really does decrease stress.
- Make walking a part of your daily routine, trying to get at least 20 minutes a day.
Jim Nicastro is the weight loss coach working with Dr. Jeffrey Tucker. They will help you get the right weight loss advice, which is built on the groundwork of the most beneficial components of the Ketogenic diet — something that includes lots of good fats, proteins and very little carbs.
Call for an appointment 310-444-9393
Contact the office at 310-444-9393.
Both Shockwave and laser help damaged disc and bulges by:
• Stimulating stem cells to inhibit disc degeneration and disc herniation. It’s a pretty complex interplay between the stem cells and the immune system cells but the result can be disc tissue regeneration.
• Light and sound therapy may promote regeneration of the outer tissue of the disc and help contain and lessen the bulge (scar tissue formation).
• Light and sound therapy may increase the number of stem cells and other healing white blood cells to the area which brings more oxygen to the damaged disc and accelerates healing by reversing the low-oxygen (degenerative or dying) environment in the spine. Everything heals better and faster with increased oxygen.
• Sound and light therapy reduces and prevents herniation by suppressing the non-healing inflammation.
Cunha C, Almeida CR, Almeida MI, Silva AM, Molinos M, Lamas S, Pereira CL, Teixeira GQ, Monteiro AT, Santos SG, Gonçalves RM, Barbosa MA. Systemic Delivery of Bone Marrow Mesenchymal Stem Cells for In Situ Intervertebral Disc Regeneration. Stem Cells Transl Med. 2016 Oct 11. pii: sctm.2016-0033.