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.
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.
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.
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.
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!
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
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.
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.
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