The goal for patients is to increase movement and pain reduction.
Since ‘no one size fits all’ I offer several forms of treatment that may be helpful. Having the ability to use and combine multiple modalities is providing very positive results in terms of increased movement and pain reduction versus single modalities alone.
An advanced modality that is getting a lot of attention is shockwave. This provides peak pressures that are 1000 times greater than a biphasic ultrasound wave. Shockwave increases local blood flow, increases cellular activity, has an analgesic effect on nerves, and can breakdown calcific deposits (primarily, but not exclusively in tendons).
Laser is another treatment device that can target tissues to impact mitochondrial activity. Laser can be used on nerves, tendons, muscles, ligaments, joint capsules, bone, and wounds.
Pulsed Electromagnetic Field Therapy (PEMF) (MagnaWave) has had FDA approval for muscle stimulation since 1998. PEMF is just gaining popularity as ‘nutritional therapy’ to the cells. It increases nitric oxide levels (same thing Viagra does) and has microcirculation enhancement.
Summary: Combining these 3 modalities along with my hands-on therapy is allowing my patients to feel more supple and experience less pain.
The bottom of your foot hurts. Maybe one side, or worse both feet hurt! The cause of the pain is probably something related to a change in your walking or running habits. People say to me “I haven’t changed anything so how does it happen?” There has to be something that you are doing wrong that you don’t even know you are doing wrong. It’s often in your gait or posture causing an excessive strain that is creating repetitive irritation of the arch of the foot.
Plantar fasciitis starts with some inflammation of the fascia on the bottom of the foot and eventual thickening of the plantar fascia. I don’t have to tell you that it can be a severe irritation. In order for me to evaluate and correct plantar fasciitis I examine the whole Superficial Back Line of fascia, which starts at the bottom of the foot and goes all the way up to your head. We might find this fascial band tight anywhere along its entire length. Fascia is the primary force transmission system in your body. If it cannot transmit force efficiently, there is too much strain in certain places: the bottom of the foot is often one of the spots that takes the burden of the excess stress (resulting in too much strain).
The examination includes checking for tightness in the muscles around the calf, especially the soleus and toe flexors. I also check stability and force generation in your glutes, psoas, quads, and abdominals. If they are inhibited or weak the lower leg and foot have to do more work. More work leads to pain and discomfort. A common movement pattern dysfunction of plantar fasciitis is lack of strength and timing of the Gluteus Maximus. Weak glutes contribute to foot dysfunction.
Key non-invasive treatments:
EnPuls (radial pulse therapy or shock wave therapy) and Piezowave Therapy (Acoustic pulse therapy)
These therapies significantly reduce pain and inflammation while stimulating the formation of new collagen matrix in damaged foot tissues. Properly applied shock wave therapy with optimal dosage is one of the best modalities available for effective treatment of Plantar Fasciitis. Often you will feel significant changes and improvements within several sessions.
Taping is an effective tool for alleviating symptoms and helping to form new movement habits. Sensory input from the tape on skin ignites the brain maps in discovering new options for movement. Tape adds stability. More stability leads to increased movement variability. Being stability is a good thing.
I am the only Chiropractor in Los Angeles with these combinations of modalities to target treatment to the site of pain and I teach patients the use of corrective exercises. This approach leads to more positive outcomes. The body will tell you very quickly what it likes and what it doesn’t like. If you feel better and it lasts you are on the right track. If you don’t, that’s a sign you need to change approaches. I can combine radial pulse waves, acoustic pulse waves, laser therapy, taping, and strength work to help you heal better and faster.
After a concussion injury rest is not enough. It’s important to reduce the inflammation, decrease chemical changes, help heal neuron function and provide neural protection. How do we feed the brain? Start with drinking water – consume 1/2 your body weight in ounces of water. It’s important to limit your calories: try for 250-500 calories less per day than your usual diet. In other words, if you usually consume 3,000 calories a day, strive for a limit of 2500 calories a day. Avoid trans fats, MSG, aspartame, sugars, caffeine, alcohol, artificial colors or flavors. Decrease salt and sodium intake. Add flax seeds or hemp seeds to foods such as shakes or salads; eat avocado and vegetable soups; consume at least 4 cups (2 at lunch and 2 at dinner) of vegetables per day.
Supplements include Boswellia (Standard Process)
Vitamin D (6,000 IU/day)
Most of the above nutients can be taken in a shake by Xymogen called Brain Sustain. Click on the product vitamin link at the top and go to Xymogen to place your order.
Walking is helpful but don’t walk with music playing in earphones. Make it a meditative type of walk – not to fast and not to slow.
Practice deep breathing – deep inhalations and slow exhalations. Set a timer for 10 minutes twice a day to practice breathing.
A recent paper (April 2017) published in the European Spine Journal on Low Back Injury in a Motor Vehicle Collision ( J David Cassidy) suggests that a history of low back injury in a car accident is a risk factor for developing future troublesome low back pain. The consequences of a low back injury in a car accident can predispose individuals to experience recurrent episodes of low back pain. This is another reason why I recommend patients get checked right away after a car accident. I want to do everything possible to help prevent long term pain and issues related to motor vehicle crashes. Even the American College of Physicians recommends spinal manipulation and other non-invasive, non-drug therapies as the first option for low back pain. My experience suggests that along with chiropractic care, teaching patients certain exercises, gentle yoga stretches, laser therapy, and DMS (massage) are the best methods to relieve acute and chronic low back pain.
Five of the most powerful tools to target muscle pain and scar tissue adhesions related to sports injury (injuries) are the
Rapid Release device
Deep Muscle Stimulator (DMS)
EnPuls – Radial Shock Wave Therapy
Piezowave – Acoustic Shock Wave Therapy
Between my hands for the Chiropractic evaluation and these tools we can release painful adhesions, tight muscles, stiff joints and help chronic pain.
Managing postmastectomy lymphedema with low-level laser therapy.
Lau RW, Cheing GL.
A prospective, single-blinded, controlled clinical trial was conducted to examine the effectiveness of LLLT on managing PML.
METHODS: Twenty-one women suffering from unilateral PML. Outcome measures were assessed before and after the treatment period and at the 4 wk follow-up.
RESULTS: Reduction in arm volume and increase in tissue softening was found in the laser group only. The laser group had a 16% reduction in the arm volume at the end of the treatment period, that dropped to 28% in the follow-up. Moreover, the laser group demonstrated a cumulative increase from 15% to 33% in the tonometry readings over the forearm and anterior torso. The DASH score of the laser group showed progressive improvement over time.
CONCLUSION: LLLT was effective in the management of PML, and the effects were maintained to the 4 wk follow-up.
Clin Rehabil. 2009 Feb;23(2):117-24
Patients with chronic and debilitating elbow pain find relief from my poly-modiality treatment strategy. This includes hands-on myofascial release, Laser, Rapid Release Therapy, Deep Muscle Stimulation, instrument assisted soft tissue techniques (IASTM), PhysioTouch lymph drainage and eccentric exercises.
The key exercise is simple and involves grasping a FlexBar in the injured side hand, with maximum wrist extension. The other hand grips the top of the bar and twists, all the while keeping the involved wrist in extension. Both arms are brought in front of the body, elbows fully extended. The twist in the bar is maintained by holding the non-involved wrist in full flexion and the involved wrist in full extension. The bar untwists by allowing the involved wrist to move into flexion. This movement is repeated 10-15 times, up to three times a day.
To schedule an appointment call 310-444-9393.
In January 2015 Thera-Band will launch the CLX.
Dr. Jeffrey Tucker requested that Thera-band make a continuous loop band like the Stretch Strap and in 2014 they gave Dr. Tucker a prototype. He has been beta testing the CLX for a year before the ‘launch’ in his private practice in Los Angeles, CA. He put together routines based on traditional band and bodyweight training.
Dr. Tucker says “I combined my knowledge of anatomy and movement into progressive CLX training” for my patients”. Dr. Tucker has 30 years of experience teaching patients flexibility and strength training. CLX represents an evolved fusion of the Thera-band Stretch Strap and Dr. Tucker’s fascial knowledge and bodyweight strength methods.
Many techniques are combined using the CLX – fascial stretch, PNF, muscle release techniques, static stretch techniques along with proper form and progressions.
“Those doctors, patients and athletes familiar with CLX will be ahead of the pack. Come in and visit me to learn bleeding-edge exercises, new approaches, next-gen thinking in band training and therapy.”
I use Standard Process Pine bark extract in my practice, here’s how it helps –
For plaque psoriasis people taking a 150 mg daily dose of pine bark extract over the course of six months experience 32 percent increased healing times, as well as reduction in treatment costs — pine bark extract helps!
In a separate study, female patients with chronic hemorrhoids, which includes 3rd and 4th degree cases, experience relief; 75 percent of those who took the extract showed no more hemorrhoid symptoms at all, compared to only half of the control group that received standard treatments.
In another study, researchers observed that pine bark extract improves the flexibility of blood vessel walls while simultaneously clearing out plaque that can cause reduced flow or blockages. This was discovered after testing the 150 mg daily dosage of pine bark extract on a group of 93 patients with blood- or artery-related disorders.
After two months of treatment with the extract, the patients who suffered from either high blood pressure, high blood cholesterol levels, or blood sugar problems, experienced an average 54 percent increase in blood flow. And after three months on the protocol, average blood flows increased by more than 66 percent.
Pine bark extract appears to clear out the gunk in the blood vessels that builds up over time causing blockages.
Call August at 310-444-9393 to order your bottle of Pine Bark extract & have it shipped directly to you.
The inability to digest gluten, which is the protein found in wheat, rye, and barley, is affecting many patients. Celiac disease – an incurable immune reaction to gluten – is the extreme sensitivity to gluten. People who react to gluten but not as severe as Celiac Disease call it gluten intolerance.
Celiac disease is incurable and a permanent conditions. Gluten Intolerance has some good treatment options. The only way to avoid their damage is to avoid eating even tiny amounts of wheat, rye, or barley.
I ask my patients with chronic digestive issues and chronic joint inflammation complaints to go gluten-free for a 21 day challenge.
I recently had dinner with a friend at a local LA restaurant. The waiter and chef both knew what “no gluten” meant, and even left the bread off an appetizer plate we shared so that there would be no cross-contamination. There was no flour in anything he ate that I could see. Yet, shortly after dinner he began having digestive distress (bloating). Luckily we could walk back to my office where I had an enzyme to give him that digests gluten. Quickly his symptoms disappeared.
Going gluten free is a challenge – even a smidgen of flour on a cook’s hands or a splash of soy sauce in a sauce can set off digestive problems or silent inflammation in some people.
Feel free to schedule an appointment to discuss if you need enzymes that digest gluten. Taking them can make the difference between being successful on a gluten-free diet and failing.
Meanwhile, watch out for the obvious: wheat, barley, rye; fish and chicken dusted with flour; and salad dressing made with soy sauce.