If you’re suffering from a soft tissue ailment or looking for an alternative, holistic approach to pain reduction, and want overall healthy joint aging, EPAT shockwave and laser may be an effective option. Dr. Jeffrey Tucker says “The results from EPAT (shockwave) and laser are promising for acute pain, chronic pain conditions and regenerative medicine.”
Frequently asked questions about EPAT:
Is deep tissue massage similar to EPAT Shockwave? No, EPAT shockwave penetrates much deeper than hands can get. EPAT goes beyond muscles treating the underside of muscles, bones, and joints to work on a deeper level.
EPAT Shock wave sessions usually last thirty minutes! True, they normally take about 20-30 minutes depending on the number of impulses and the number of areas we are intending to apply to a given area.
Some patients describe the EPAT as a ‘Jack hammer’. Why? The overall feeling is a combination of gliding, kneading, percussion, vibration, deep friction massage, and rolling of the soft tissue and joints.
EPAT is often used in combination with other therapies including laser, deep muscle stimulator (DMS) and cupping.
Like most massage, EPAT is traditionally practiced on exposed skin surfaces. You should wear loose, comfortable clothing to ensure the doctor can have skin exposure and be able to move your joints through the full range of motion. During EPAT therapy, ultrasound gel is used on treatment surfaces.
Dr. Tucker’s philosophy treats patients holistically, focusing on physical, mental, nutritional and healthy aging wellness. “I help achieve joint and muscle balance using a blend of modern technology like the Deep Muscle Stimulator (DMS), Laser, EPAT (shock wave) and therapies that have stood the test of time like cupping and transverse friction massage.
“I have every intention of helping patients detect and correct where they may be blocking recovery by mental and physical tension, bad habits, and the poor health they showed up with if that is the case.”
- Deep Muscle Stimulator (DMS) uses percussion and mechanical vibrations to stimulate nerve functions.
- DMS provides deep muscle tissue therapy.
- DMS is percussion and concussion vibration.
- DMS also concentrates on general or local muscle spasms. It increases muscle metabolism and increases the lactic acid cycle to relieve pain.
- Deep, rapid, short-duration percussion is the key to the elimination of pain.
- DMS can be used in effective management of acute and chronic pain, not exclusive to, but including: headaches, sciatica, TMJ, carpal tunnel syndrome, tendonitis, bursitis, edema, myofascial pain and frozen joints.
- Dr. Jeffrey Tucker was personally trained by the inventor of the DMS.
Laser & DMS Relief from Chronic Pain
When it comes to treating chronic low back pain the traditional treatments have been manipulation, physical therapy, narcotics and surgery. Today the opioid epidemic has many doctors nervous about prescribing drugs like hydrocodone or oxycodone. Surgery hasn’t always worked and has its own risks. Are there other strategies for dealing with chronic pain? An emerging approach is the Theralase laser and deep muscle stimulator (DMS) system along with a comprehensive, ‘get healthy to improve your overall wellness’ program.
Dr. Jeffrey Tucker, a west Los Angeles Chiropractor aims to change the narrative about chronic pain. Chronic pain alienates people socially. It’s difficult for others to be around people in pain. They don’t want to see you suffering and feel irritable, and get strained by little things in life.
While many Chiropractic and Physical Therapy clinics emphasize manipulation, Tucker incorporates diet and lifestyle modification along with appropriate laser therapy to improve overall health. Dr. Jeffrey Tucker in Los Angeles “We aim to help patients take steps that will keep them active and help prevent future episodes. We help motivate patients to do everything they can do to maintain or improve their health.” Tucker helps identify potential risks such as ergonomics, posture, proper weight, eating, and other risky personal behaviors. When it comes to difficult low back pain patients they shouldn’t give up if the pills don’t work. They need to know that there are effective options offered by TheraLase laser and a deep muscle therapist. These treatments can have a major impact on their quality of life. Tucker will discuss what each individual can do to improve his or her life over the next 10 years to make sure he or she doesn’t develop weak muscles, manage weight properly, and other complications that occur as we age. Chronic pain doesn’t mean having surgery until you have tried TheraLase laser and or DMS.
Call 310-444-9393 for an appointment.
Total Health Center at 310-444-9393 offers
Deep Muscle Stimulator (DMS) massage method. Dr. Tucker wrote the DMS manual with Dr. Jake Pivaroff, the inventor of the DMS. Dr. Tucker and his trained staff are the most experienced DMS practitioners.
The benefits of DMS massage:
Penetrates soft tissues and connective tissue better than hands.
Allows the spine and bony structures to feel less stiff.
Promotes blood flow and oxygenation to the tissues.
Speeds up soft tissue repair and recovery.
No need to remove clothes during your DMS session.
Preferred over hands-on-massage once you have experience the DMS method.
One 30 minute DMS session covers the feet, calfs, outer calfs, Hamstrings, Tensor Fascia Latae, Illiotibial band, Quadriceps, Piriformis, Glutes, Hip flexors, sacrum, low back, mid back, upper back, posterior shoulder area.
Call 310-444-9393 for a DMS massage session
$45 per 1/2 hour
Both massage and DMS release muscle tension, body aches, and helps you to relax.
Deep Muscle Stimulator massage is a technique that focuses primarily on the deeper layers of muscle and fascia. The DMS method uses a hand-held vibration percussion device that oscillates to provide soothing pressure that gets difficult muscle ‘knots’ to release. DMS massage is for people who like massage and want a slightly more intense focused approach. DMS therapist are trained to target the taut, tender, and sore spots and hold the device to target the sore muscle and myofascial layer. The DMS massage is not painful yet it reveals the tender and sore spots.
Deep Muscle Stimulator massage eases pain
Deep Muscle Stimulator massage releases pain and increases blood flow. Deep Muscle Stimulator massage has been shown to decrease pain in chronic low back patients, shoulder pain, calf muscle tightness, plantar fasciitis, tennis elbow, tailbone pain, hip pain, and sports injuries.
Deep Muscle Stimulator massage increases range of motion
Most people don’t like stretching but if you have scar tissue from old injuries or prolonged and poor posture (sitting slumped over) you need to make the scar tissue softer and more pliable. And that’s what DMS helps to do. Muscle tissue should resemble raw meat, and not be dried out like beef jerky! The surfaces underneath the skin should slide and glide. If everything is stuck together, and it doesn’t slide and glide, it needs to be changed.
DMS helps to remix the water (circulation) with the taut and tight muscles so they can slide and glide again, releasing tension in the stuck muscles. DMS helps regain softness in the muscles, so they contract and release better to increase your range of motion.
Chiropractic manipulation does not reposition a vertebra from a misaligned position to an aligned position. Rather, it is likely that manipulation breaks up adhesions present in the joints of the spine, which improves movement asymmetries and/or stimulates mechanoreceptors – thereby reducing spinal muscle excitability, enhancing proprioception and reducing pain.
While manipulation has been proven effective for the management of acute low back pain, a prospective placebo-controlled study by Senna and Machaly demonstrates that long-term chronic low back pain sufferers respond best to maintenance manipulations performed bimonthly for up to nine months. The authors suggest the occasional (Chiropractic) manipulations may allow for the “early treatment of any emerging problem, thus preventing future episodes of low back pain.”
My sports medicine and chronic pain therapy approach of using the DMS (vibration, percussion), EnPuls (radial shockwave), Piezowave (acoustic shockwave) and massage in conjunction with chiropractic enhances the breaking up of disruptive and painful scar tissue.
- Tullberg T, Blomberg S, Branth B, et al. Manipulation does not alter the position of the sacroiliac joint: a roentgenstereophotogrammetric analysis. Spine, 1998;23:1124-1128.
- Cramer G, Tuck N, Knudsen J, et al. Effects of side-posture positioning anti-posture adjusting on the lumbar zygopophyseal joints as evaluated by magnetic resonance imaging: a before and after study with randomization. J Manip Phys Ther, 2000;23:380.
- Nansel DD, Peneff A, Quitoriano J. Effectiveness of upper versus lower cervical adjustments with respect to the amelioration of passive rotational versus lateral-flexion end-range asymmetries in otherwise asymptomatic subjects. J Manip Phys Ther, 1992;15:99-105.
- Nansel D, Waldorf T, Cooperstein R. Time course effect of cervical spinal adjustments on lumbar paraspinal muscle tone: evidence for facilitation of intersegmental tonic neck reflexes. J Manip Phys Ther, 1993;16:91-95.
- Lehman GJ, McGill SM. Spinal manipulation causes variable spine kinematic and trunk muscle electromyographic responses. Clin Biomech, 2001;16:293-9.
- Childs JD, Fritz JM, Flynn TW, et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med, 2004;141:920-928.
- Cleland J, Fritz J, Whitman J, et al. The use of a lumbar spinal manipulation technique by physical therapists in patients who satisfy a clinical prediction rule: a case series. J Orthop Sports Phys Ther, 2006;36:209-214.
- Senna M, Machaly S. Does maintenance spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcomes? Spine, 2011 Aug 15; 36(18):1427-37.
I practice more than just Chiropractic. I coined the term the POLITE Method
- P is for Protect you from further pain and injury; create a Plan for healing; and Prevention from future episodes
- OL is for Optimal Loading; this means adding gentle movements that don’t overload or hurt you.
- I is for Ice or Instruments (laser, shockwave, deep muscle stimulation (DMS), etc.)
- T is for Technology / Taping
- E is for Education, Eating, Exercise and Ergonomics
The “P” reminds me to tell the patient the plan to get rid of pain and inflammation and discuss prevention strategies. This includes protecting the painful area, providing education and my prescription. I explain my plan, and offer ideas and suggestions on how they can protect the spine or involved area. I explain the services I can provide to help improve posture and achieve a positive outcome.
The “OL” stands for optimal loading. This means don’t overload the tissue structures, but at the same time, don’t underload them, either. Movement is important especially for sports medicine. I provide the patient with corrective exercises they can do to help heal properly.
The “I” reminds me to talk about the instruments or implements I can and will use as part of the treatment for inflammation; not just ice, but also physical therapy modalities such as acoustic shockwave, lasers, lymphatic drainage, deep muscle stimulation and other soft-tissue therapies. I also use nutrition and a body composition analysis machine, which help to guide my weight-loss programs.
The “T” reminds me to offer Taping (kinesiology and athletic taping). Taping is just part of the treatment right now.
The “E” stands for exercise, education, eating and ergonomics. Adding these components to care has a high patient value, is quality care and helps reduce the risk of future episodes.
Chiropractic. The goal of this treatment is to significantly decrease symptoms such as pain, tightness, stiffness, soreness, aches, and improve athletic performance, mobility, and your ability to perform general activities.
Laser. Evidence for the effectiveness of laser is strong. Patients feel the relief especially for knee pain and TMJ pain
Shockwave therapy. This form of medical treatment is acknowledged as a means for enhancing scar tissue mobility and breaking up muscle tightness and muscle and joint adhesions. It is also helpful for chronic pain reduction and improved mobility. It helps osteoarthritic symptoms with improved functional mobility and quality of life.
Along with laser, Deep Muscle Stimulator (DMS), shockwave therapy is effective for pain control of osteoarthritis of the knee, neck pain, low back pain, and increasing mobility.
Deep Muscle Stimulator Massage. Followed by hands on therapy, DMS is the most commonly utilized treatment in my office. Patients feel better after this type of massage than receiving a regular hand massage. They have significant improvements in pain, stiffness, and physical function.
Dietary supplements. I use a variety of products from Metagenics, Xymogen, Designs for Heath, and Standard Process for joint pain, arthritis, inflammation, and weight loss.
Widening the integrative approach to treatment
There is emerging evidence that integrating multiple conventional and alternative therapies such as chiropractic, exercise, laser, shockwave, DMS, lymph therapy provide the best results for patients.
If you are a person who still has pain and diminished mobility who has already explored other therapies and doctors but have been disappointed, I would like the opportunity for you and I to meet. I continuously evaluate the increasing body of evidence in support of new therapies, and I am confident in offering my patients a wider range of choices than standard chiropractic care.
Call 310-444-9393 for an appointment
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.
DMS, Shockwave therapy, Laser therapy has been found in clinical experience to help common repetitive motion injuries (RMI’s) that cause chronic pain.
Musculoskeletal pain and disorders are commonly caused by myofascial shortening. Bilateral myofascial shortening results in compressive forces whereas unilateral myofascial shortening can cause torqueing forces. Either way DMS, shockwave therapy, chiropractic, and laser therapy is very effective in reducing compressive forces and torqueing forces related to pain production. No other office in Los Angeles has three types of laser machines, two shockwave machines and the DMS.