All posts in Low Back Pain

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.

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Sports Medicine

DMS can be a stand-alone treatment for sports injuries. Dr. Tucker literally wrote the manual with Dr. Jake (the inventor of the DMS).  DMS Method can be combined with numerous other modalities/therapies as a sports medicine approach to improve circulation of lymph, blood capillaries, veins, interstitial liquids, fascia and muscle. The DMS action helps to reroute stagnant fluid in the skin (i.e., edema, primary and secondary lymphedema), mucosa, muscles, viscera, joints, and periosteum.

Clinically we have observed:

Scars and healed surgical-incision sites become more supple.

Trigger points are eliminated.

Toxins are removed, making lymphatic drainage especially effective in tissue repair and regeneration.

Aids the reabsorption of swelling/edema.

The functioning of the immune system is stimulated through increased lymph flow.

Helps with chronic or subacute inflammatory processes.

Releases muscle spasms.

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DMS

DMS can be applied to all soft tissues in the body resulting in a focused, precise, deep tissue massage. During the initial contact on the body, the device is used to scan for areas within the soft tissues that feel dense, taut, ropey, tender, and overactive. You might feel areas that present a lack of motion and contain trigger points. These areas may be sensitive or painful but the DMS itself is not causing the pain, rather it is revealing tender or painful structures. DMS therapy is highly amenable to myofascial trigger point pain. The vibration and percussion will promote relaxation within the muscle system and lymphatic drainage that helps move trapped fluid that has a tendency to accumulate in some individuals. Breaking up trigger points and providing relief from fluid stagnation are two important benefits of DMS.

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Chronic Pain

Dr. Jeffrey Tucker treats chronic pain patients using the most modern technology such as Piezo-electric shockwave. Shockwave therapy has the following effects:

1. Eliminate pain

2. Facilitate healing

3. Improve local microcirculation leading to improved tissue metabolism

4. Increase production of collagen

5. Reduce local muscle tension

6. Help dissolve calcific fibroblasts

7. Stimulate the “washing away” of Substance-P (a pain producing chemical)

Call 310-444-9393 to learn more about the latest chronic pain treatments.

 

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Pain Relief with PiezoWave Shock Wave Therapy

We are the first office in Los Angeles to offer the PiezoWave therapy. The PiezoWave machine supplies an acoustic wave used to target tissues at varying depths (0 to 20 mm). It is a very focused, precise, deep tissue therapy. The device locates myofascial trigger points in the muscles. These are hyper-irritable spots located in a taut band of skeletal muscle. They generate pain, both locally and in referred pain patterns, and often accompany chronic musculoskeletal disorders. PiezoWave is being used for regional pain, especially in the neck, shoulders, low back and hip areas. If you know you have tension headaches, temporomandibular joint pain, decreased range of motion in the legs, and low back pain, even if you have tried other therapies like laser I would suggest a trial of PiezoWave.

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New (Thera) Band on the Block

Dr. Jeffrey Tucker on the new Thera-band CLX:

“I like CLX bridging for the glut muscles, at least 3-5 times a week. If you have back pain, sit-ups are taken out of the program and I teach patients exercises that do a better job of ab work anyway, like planks or core engagement leg raises with the CLX. These get the job done!

With CLX, patients gain decrease pain, increase flexibility and gain strength. They understand that it requires lots of reps and volume. In my class we do bouts of 30-60 seconds. Athletes understand they need volume if they want to build endurance. My patients in pain understand movements with CLX improves recovery ability.  A little soreness and stiffness after the first CLX workout is normal. That’s normal in any new training – it eases in a few days and then you are ready for more reps and sets.

I highly recommend you add CLX to your regular training. Try it as part of your correctives or dynamic warm up. Start with your bird dogs, squats, pushups, and knee raises.”

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Coccyx area pain

In the ‘everything is connected to everything’ approach we can see that low-back pain, hip pain, and head pain may arise in those suffering an anterior displaced and/or side bent coccyx. Filum Terminale is a long slender connective tissue strand that terminates at the end of the spinal cord. The upper part, or filum terminale internum, reaches as far as the lower border of the second sacral vertebra. The lower part, or filum terminale externum, extends downward from the apex of the tubular sheath and is attached to the back of the first segment of the coccyx in a structure sometimes referred to as the coccygeal ligament. As the sacrococcygeal ligaments anteriorly flex the coccyx, it also compresses and overstretches the sensitive filum terminale. Some manual therapists believe that when a coccyx moves anterior, it tugs on the dural membrane via the filum terminale. This, in turn, is believed to cause dural drag, loss of cerebrospinal fluid flow, and resultant Central Nervous System irritation.

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Foot Pain

I think we all agree that any dysfunction of the foot and ankle complex can cause problems into the knees, lumbo-pelvic-hip complex, spine and upper extremities. Because of this, people must wear proper footwear to protect the foot and prevent injuries…to read more

http://www.dcpracticeinsights.com/mpacms/dc/pi/article.php?id=57026&aoid=dcpinu_20140619_magneceutical

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Laser for pain

When I looked to purchase a new Laser for my practice, I really did my research. I picked a Laser that I could use while performing deep tissue massage. The Laser plus massage provides pain relief faster than Laser alone.

Here is what I am seeing after using the laser in my day-to-day practice…

Patients like the soothing warm feeling of the Laser with deep tissue massage better than hands-on only.

Laser is best known for healing and anti-inflammatory effects. I am not disappointed by the results.

For an acute injury, the sooner you get in for the Laser treatment the quicker the healing process.

Patients like when I apply the Rock Tape after the Laser.

For long term chronic pain problems, combining the Deep Muscle Stimulator, Radial Pulse Therapy, exercise, and nutrition are getting the best results.

The Laser is useful for treating large painful areas like the low back, and in a short time obtains pain relief.

The laser is solving difficult knee, shoulder, ankle and foot pain.

Typical Laser sessions can last from 5 – 15 minutes.

The current price of a laser session in my office is approximately $40. Other Doctors are charging $60-90 for Laser treatments and they are using less quality devices.

Laser treatments are safe, they last, they are effective for analgesia of painful conditions, they penetrate deeply.

Call the office at 310-444-9393 to try the Laser with massage.

 

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Foot Pain – GAIT ANALYSIS

Because your feet are subject to enormous use and constant wear, even small abnormalities can cause big problems. Orthotics – inserts for shoes – can effectively correct many physical problems that arise from improper foot mechanics. Ask me to perform a gait analysis on you.

GAIT ANALYSIS

This service includes video analysis of your gait using a specially equiped treadmill, and a precise, computerized assessment of the biomechanics of your feet as you walk. This test will help determine if you need orthotics.

Consider a Gait Analysis if:

You suffer from general aches and pains from the foot to the lower back

You have “flat” feet or “high arches”

You suffer from pain anywhere in the foot, or in the ankles, knees, calves, hip or low back, either chronically or with athletic activity

You have calluses or corns

You have abnormal wear on your shoes

You have arthritis in your lower back

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