All posts in Ergonomics

Massage – What’s Better?

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.

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Chiropractor Sports Medicine

Chronic Pain Patients Offered Help

If you have neck or low back pain for more than 3 months that is considered chronic pain. It will be important for you to find a doctor that combines the most recent and relevant treatments to help you. The assumption is that “Doctors want to help patients” but Doctors and patients alike often prefer subtle changes in practice and patient care. In simple terms, Doctors can be slow to adopt new technology that helps improve outcomes and patient care!

TheraLase laser therapy is a relatively new yet effective treatment that can help reduce chronic pain, however, laser devices have been considered expensive to most doctors. For doctors, purchasing a laser has become as simple as buying an old fashioned ultrasound device. For patients, there’s really only one thing you can do. And that’s to go to your doctor, and ask him or her about laser therapy.

Laser is a solution to help chronic back and neck pain sufferers – it may make the lives of many pain sufferers a lot more enjoyable and a lot less debilitating for a fraction of the cost of surgery and spinal injections.

TheraLase – a Canadian based company introduced a laser that may help prevent nerve (radicular) pain through the interruption of the lack of oxygen and blood flow (the ischemic metabolic pathway) to painful tissues; Theralase may interrupt the generation of inflammation and help decrease inflammatory chemicals that have already occurred and be causing chronic pain; TheraLaser may improve reinnervation in chronic nerve pain (radiculopathy).

What Theralase would do is essentially give doctors and chronic pain patients with mild-to-moderate musculoskeletal pain an option for treatment that is relatively inexpensive compared to drugs and surgery.

Dr. Jeffrey Tucker, a Chiropractor in Los Angeles, California combines TheraLase, hands-on massage therapy, diet and exercise as a perfect fit to help chronic pain patients. Tucker says “Laser therapy combines well with physical therapy, for increasing range of motion to stiff and painful joints and muscles, and increasing muscle strength. Doctors often move too slowly to adopt new technology that can help patient outcomes, then patient’s end up on the wrong side of recovery and health”.

Whether you are an athlete or chronic pain patient, you can never give up finding ways to improve performance and progressive thinking is crucial. The most basic drive for doctors to change is when patients go to their doctor’s office and ask about all of the new possible ways for help. Unfortunately if your doctor doesn’t work that way, you as the patient may have to take a detour from that doctor and find a practitioner using new technology like the TheraLase laser. Call 310-444-9393 if you would like a laser session,

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Chiropractor

Massage vs Laser Relief for Low Back Pain

Chronic low back pain is the most common musculoskeletal condition. The traditional treatments for acute or chronic low back pain have been surgery or narcotics, but the opioids 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 low back pain? TheraLase laser is an effective non-invasive approach to helping you become pain free.

Have you ever suffered from back pain? It is estimated that 80% of Americans experience low back pain sometime during their life time. It can be triggered by poor posture or lifting something heavy. It can occur when a bulging disc presses on a nerve in the spine. Hopefully the back pain will go away. It’s one thing to have temporary back pain but another to suffer from a back injury that leaves you in chronic pain. Millions of Americans go through unrelenting and debilitating back pain after an accident or injury.

Chronic pain makes people irritable, touchy, tired, and it even alienates people socially. It can make it difficult to be around other people. They don’t want to see you suffering, anxious, and become depressed or feeling hopeless.

I use Theralase laser as a treatment approach offered to chronic low back sufferers who once felt desperate and helpless. Theralase laser helps to achieve beneficial therapeutic outcomes including the alleviation of pain, inflammation, and promotion of tissue regeneration. Chronic back pain doesn’t mean having surgery until you have tried TheraLase.

Call 310-444-9393 for an appointment

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Deep Muscle Stimulator (DMS) massage is better than a deep tissue massage

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.

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Chiropractic & Chronic Pain

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.

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ERGONOMICS: #1 Tip to Prevent Knee Pain

Look at what you are doing right now when it comes to your knee. Are you sitting down with your knees bent? Are your feet crossed? Are your feet behind you and under your chair?

All of these positions put greater stress on the knee, leading to irritation of the knee, which leads to knee pain.

The happiest position for your knee is when it is straight. As the knee joint bends, greater stress is put on the joints and ligaments. Basically as you bend your knee, your kneecap presses against your knee, leading to anterior knee pain. If your knee is bent, you increase the tension in the ligaments in the knee, such as the ACL, which can lead to ligamentous knee pain. Lastly if you have internal knee pain, the greater the knee is bent, the more it puts unnecessary stress inside the knee joint.

If you sit in this bent knee position for hours, it will progressively make your knee pain worse.

Quick Fix: While you are sitting at your desk, on the couch, in a meeting, or watching a movie, remember to keep your knees straight when you can to decrease stress on the knee.

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My approach to chronic pain, muscle pain, joint pain, and  weight loss

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

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Corporate Programs – DMS at Work

Located in West Los Angeles is one of the most modern Chiropractic offices for pain relief and physical therapy.

The office of Dr. Jeffrey Tucker sees one patient at a time for personal and individual treatments related to musculoskeletal disorders (cumulative trauma disorders, repetitive stress injury and motion injury), sports injuries, exercise evaluations, and chronic pain conditions.

For 2017 we are implementing our in-office treatments to the worksite to help combat the very high costs associated with worksite injuries. We understand the need to add preventative programs and help reduce occupational injury rates. To keep workers healthy and at work, we use our unique Deep Muscle Stimulator (DMS) and laser techniques on-site to reduce musculoskeletal injuries by addressing incidents in their earliest stages.

This physical therapy program has been an important part of preventing injuries and helping injured workers recover faster.

Who can benefit:

In the industrial setting or desk job setting, we treat men and women from the ages of 21 to 70 years old. Typically, younger patients present for movement dysfunctions related to being unfamiliar with their jobs, while older patients have more degenerative tissue conditions. We see both acute and chronic cases related to the work performed by over lifting or improper lifting, prolonged sitting (desks and drivers) and other ergonomic related issues.

Our patients can be considered industrial athletes in that they’re required to perform physical activities that include awkward postures and moderate loads on a daily basis, and their livelihood is dependent on performing these tasks throughout the day.

Our office specializes in the treatment and prevention of sports injuries, sprains, strains, degenerative arthritis-related pain and dysfunction, post-operative rehabilitation, muscle imbalances, overuse syndromes, tendinopathies, neuropathies and bursitis.

The Deep Muscle Stimulation & Laser Program

The main focus of our on-site program is injury prevention. There is a strong emphasis on employee education like good posture and ergonomics. Deep Muscle Stimulation (DMS) is our preventative tool – it can be a 15 minute or 30 minute time slot where the employee gets a one-on-one session with our skilled therapist for releasing muscle tension and spasm before it builds up and becomes a problem. Other benefits of DMS include increased blood flow, pain reduction, breaks up scar tissue, decreases lactic acid, increase lymphatic flow, and restore normal function.

If a soft-tissue injury does occur, our intent becomes one of pain and symptom resolution, keeping individuals at work and shortening treatment times. If an injury occurs we use laser therapy as a potential solution.

Compliance and Investing in Results

Like all businesses, we understand that you must comply with numerous and complex industrial safety requirements. To invest in an on-site new treatment modalities it must demonstrate cost-effectiveness. Based on our experience employers can save up to 50% on work related injuries and treatment. The prevention costs will be substantial as well.

Preventing Lost Time

In providing an extra-added-value employment benefit such as free access to the Deep Muscle Stimulator massage you are investing in employees; the benefits go far beyond the simple treatment. DMS and Laser therapy, as reported by employees, delivers near-immediate pain relief. Employees feel supported and valued, which in turn leads to better morale, job satisfaction and work performance. Please contact our office for a demonstration and cost of services.

Dr. Jeffrey Tucker

310-444-9393

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Sit-Stand Desk Benefits

Prolonged sitting is a health risk. Sit to stand desk workstations allow you to have greater movement variations reducing postural stress. A sit-stand desk may help you burn more calories throughout the day.   

Workers who used sit-stand desks were 78% more likely to report a pain-free day than those who used regular workstations, according to a Stanford University back pain study by Ognibene published in the Journal of Occupational & Environmental Medicine, March 2016.

A 2015 study published in the Journal of Public Health shows that sit-to-stand desks in classrooms appear to be an effective way of reducing sedentary behavior (prolonged sitting) in a diverse sample of children (Clemes).

A 2011 study published by the Centers for Disease Control and Prevention shows that when workers are equipped with sit-stand workstations, prolonged sitting is reduced and mood states improve (Pronk NP),

During the 2013 meeting the American Medical Association adopted policy recognized the potential risks of prolonged sitting and encouraging employers, employees and others to make available alternatives to sitting, such as sit-stand desks.

If you need a doctors note for a sit-stand desk at your workplace, please call the office to make an appointment at 310-444-9393 so we can discuss your individual needs. I will share my posture recommendations and can help facilitate getting you a proper work station environment.

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