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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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Treatments For Pain – West Los Angeles

The combination of laser and shockwave dampens inflammation that causes pain. Dr. Tucker uses current research that confirms the medical merit of these modalities to enhance treatment results, accelerate healing, repair and rebuild tendons, muscles, and ligaments.

Laser activates an anti-inflammatory pathway and shockwave signals cells to promote healing. “We are the only office that has two types of lasers and three different types of shockwave devices – combining these modalities with soft tissue therapy provides the ‘entourage’ effect.” Laser is light therapy and shockwave is stimulating cell therapy. These are efficient treatments to reduce pain, reduce inflammation, and promote healing. We are tapping into neurotransmitters found in nerve fibers, mitochondria, and cell membranes that cover the walls of cells.

These treatments are non-invasive – that means no shots or needles. The combination of laser and shockwave activates anti-inflammatory pathways and provides the signals (messages) that mediate a response transmitted to the damaged area via nerve functions of healing cells. Laser and shockwave can be used with other physical therapy treatments or as a first line of therapy for a vast range of musculoskeletal injuries including, plantar fasciitis, shoulder and hip tendon injuries, scar tissue formation, disc and joint pain. Call 310-444-9393 for an appointment to experience shockwave and laser.

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Virtual Reality – Pain Relief Treatment

Dr. Tucker is the first Chiropractor in the Country to use Virtual Reality (VR) as a therapeutic experience for his patients. VR offers relaxation experiences that are effective for reducing pain and anxiety. He incorporates this technology for breathing exercises, muscle tension, and general stress and fatigue. The in office approach provides visual cues that keep patients highly engaged in the virtual world for pain management. VR can be used for acute and chronic pain patients. Come and try the VR experience for managing your pain. Call 310-444-9393 for an appointment.

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Solving the Difficult Forward Head Posture Case (Part 2) By Jeffrey Tucker, DC, DACRB

Solving the Difficult Forward Head Posture Case (Part 2) By Jeffrey Tucker, DC, DACRB

Continuing our discussion from part 1 of this article [March 2018] on assessing more challenging causes of forward head posture, check the pelvis for asymmetrical quadratus lumborum (QL) and lats. The lats connect to the pelvis and the shoulder. Tight lats can cause forward shoulder syndrome and decrease shoulder motion just to keep the pelvis in check. Breathing by using the accessory muscles can cause the QL and other muscles that depress the rib cage to be overactive Continue reading

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Black Box warnings – be aware

“Black box” warnings are issued by the FDA when a drug causes life-threatening complications.

The FDA uses this warning when it’s necessary to “call attention to serious or life-threatening risks.” To a layman, it means these drugs are potentially the most harmful of all drugs issued.

Most drugs are slapped with black box warnings after they are already on the market. There are black box warnings on drugs as common as Xanax and Adderall. These are pills prescribed to millions of Americans every year. And the warnings aren’t innocuous. The black box warning for Adderall, for example, states “increased risk of sudden death and cardiovascular events”.

The risks for black box drugs that aren’t as common can be even more extreme. An anticoagulant drug called Xarelto has been tied to severe internal bleeding incidents, and it doesn’t have an antidote! This means that if an unfortunate patient has an internal bleeding incident while taking the drug (even as prescribed), they will likely bleed to death because there is no counter-drug to reverse the effects.

Whether you’re taking a black box drug or not, you probably want to know the best ways to stay safe from such harmful side effects.

The best way, even though it’s a cliché, is to become your own doctor and advocate. Most doctors in the U.S. have very limited time with each patient, which logically infers that they’re less likely to do extensive research on each individual patient’s needs and issues. You should read through all the documentation that comes with prescriptions you’re written, and come with a list of succinct questions to ask your doctor or pharmacist when you have an appointment. It’s also a good idea to do your own research using free resources like PubMed where you can search clinical trials by condition or by treatment.

If, unfortunately, you do have an adverse reaction from the drug (which is possible even when being fully prepared beforehand), make sure to report it on the FDA Medwatch site. This will help the organization determine whether the drug is still safe for consumers. You also have the option of calling the FDA directly at 1-800-FDA-1088 to report the incident.

There is also the option to stay away entirely from black box drugs as much as possible through diet, exercise and lifestyle changes, and given the risks discussed in this article, that may be the prudent thing to aim for.

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Solving the Difficult Forward Head Posture Case (Part 1)

The key postural distortions associated with Janda’s upper crossed syndrome (UCS) are forward head and rounded shoulders. If I see this distortion on a static posture analysis, I follow up with ROM and movement assessments. I also perform manual muscle tests, glenohumeral joint stability tests and orthopedic tests for shoulder impingement, and neuro tests for neuropathy and/or radiculopathy.  Continue reading

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Medical Cannabis Part 1

North American marijuana sales grew 30% in 2016 to $6.7 billion as the legal market expands in the United States and Canada. A recent report by A Review Market Research indicates North American sales are projected to top $20.2 billion by 2021!! Like it or not, a growing number of states are becoming more and more accepting of this once illicit practice of growing, selling and consuming. Read more of my article Medical Cannabis Part 1

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What’s trending in 2018?

What’s Trending in 2018?

By Jeffrey Tucker, DC, DACRB

For the past several years, around the same time that the American College of Sports Medicine publishes the results of its annual survey of fitness trends, I’ve discussed what I think are the chiropractic trends for the year ahead. Here are my top chiropractic trends, followed by the top 10 ACSM trends – many of which are… continue reading

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Hip Arthriris Treatments

If you suffer from the pain and stiffness of hip arthritis, a steroid shot may seem like a miracle. After all, anything that can give you complete relief from that pain (even if just for a short time) is amazing. However, a new study has found that these injections can cause a domino effect that results in even more serious hip problems. And that can happen very quickly.

Before turning to steroids that can damage bones, let’s give this a second thought. Especially since there are some proven safe and effective treatments for hip pain that won’t prove to be bone damaging!

Dr. Connie Chang, a radiologist at Massachusetts General Hospital, examined patients X-rays after hip steroid injection. She kept finding “rapidly” developing changes, namely bone “death and collapse” occurring several months after such injections.

Dr. Chang arranged a study of close to 250 patients with hip arthritis, some of whom received a steroid shot in their hip and some who didn’t. And as soon as three months later, she was finding “new” occurrences of bone death, eventually affecting up to a quarter of the volunteers who had been given a shot.

Along with that, around 17 percent of those who got a steroid shot suffered from bone collapse in the “head” of their femur bone.

Dr. Chang said that joint and bone changes in those with arthritis usually develop “slowly over time.” That’s been my clinical experience over the years. This is why I talk about your age and current pain levels before getting a cortisone shot. If you are young there is a lot of risk. If you are old but plan on living a long time, let’s talk about this.

The fact is that steroids can cause damage to your bones.

The Mayo Clinic warns that steroids are the most “common cause” of “avascular necrosis” (which is basically the death of bone tissue caused by a lack of blood supply, eventually leading to collapse of the bone) that isn’t caused by bone trauma.

The University of Michigan Medical School and the VA Center in Ann Arbor, Michigan, found that you don’t have to be taking steroids for a long time to suffer some serious side effects.

Even a low dose, such as 20 mg a day or less, can trigger sepsis… triple your risk of a blood clot… and double the chance of breaking a bone.

While steroids can be lifesavers, say, during a bad asthma attack, the truth is that, given the risks they come along with, they’re given out way too haphazardly.

Before you resort to a shot in the hip, why not first give these alternative treatments a try?
Laser: This treatment uses light therapy and has been proven to reduce inflammation and decrease pain in numerous conditions, including arthritis.
Shockwave therapy: This has been a remarkable therapy for my patients. It penetrates deep into the tissues to increase circulation and stimulate the breakup of scar tissue and other pain producing substances.
Exercises: Having a skilled doctor that can guide you through stretches and exercises can help keep your hips moving smoother.
Natural anti-inflammatories: Taking a daily supplement of omega fatty acids that contain DHA and EPA made by Metagenics (offered to our patients) is well known to reduce swelling, pain, and inflammation.

Sources:
“Steroid injections for arthritic hips: More trouble than they’re worth?” Robert Preidt, November 29, 2017, U.S. News & World Report, usnews.com

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