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.
PEMF therapy has been shown to help
Chronic low back pain
Rotator cuff tendinitis
Arthroscopic knee surgery
Lumbar fusion surgery
The following effects were observed with PEMF:
Enhancement of capillary formation
Faster functional recovery
Reduction in depth, area, and pain in skin wounds
Reduced muscle loss after ligament surgery
Increased tensile strength of ligaments
Acceleration of nerve regeneration and functional recovery.
Every cell in our bodies work as independent electrical circuits, accumulating and holding an electrical charge.
PEMF therapy is a noninvasive process shown to have several biological effects that contribute not just to pain relief and tissue healing but overall wellness by influencing mitochondrial function.
PEMFs should not be confused with dirty electricity, EMFs, or electrosmog, which radiate from cell towers, cell phones, power lines, appliances, and other devices.
During PEMF therapy, no electricity touches the body. Rather magnetic fields pass freely through the cells, charging them like depleted batteries to optimize metabolic function and turn on natural repair processes.
Jerry Tennant, MD, MD(H), PScD states that every cell in the body is designed to run at -20 to -25 millivolts. To heal, we must make new cell, a process that requires -50 millivolts. Chronic disease occurs when voltage drops below -20 and the body cannot achieve -50 millivolts to efficiently make new cells. Therefore, chronic disease can be seen as a condition of low voltage.
Call 310-444-9393 to try the MagnaWave PEMF therapy in our office.
Biohacks are things we can do that supports optimal inflammatory response, enhanced relaxation, improved sleep quality, improved brain function and improved body structure (fat to lean muscle mass ratios, strength, etc).
Tumeric Forte is a curcumin-rich product where the curcumin is absorbed and utilized up to 45 times greater by your body than standard curcumin products. This is my premier herbal anti-inflammatory, and it helps improve memory, helps regulate glucose metabolism. I think every adult should be using Tumeric Forte. Call the office to have it shipped directly to you.
Laser Therapy. Stem cells are becoming a mainstay treatment for chronic pain and athletic injuries. Laser therapy can be used as a biologic agent to increase stem cells and blood platelets to help manage bony and soft tissue conditions. I especially like laser therapy for those who already have osteoarthritis especially of the knee.
PEMF (Magnet therapy). Clinical evidence lends support for PEMF. The benefits of ‘Magawaving’ include: it stimulates electrical changes — around and within the cell; Activates and promotes cell regeneration; can alleviate the symptoms of arthritis; improves circulation; can help relieve the symptoms of depression and it promotes bone healing.
Shockwave Therapy. Research investigating the role of shockwave therapy for chronic tendon injuries such as Achilles tendon and plantar fasciitis is ongoing and positive. I like seeing the results I get helping break up scar tissue and improve range of motion with my 3 different types of shockwave machines.
SP Detox Balance. This powder makes a delicious shake that helps the organ system detox nice and slow on a daily basis. SP Detox Balance will support and nourish your body so that it does its job properly – helping you increase energy, lose weight, reduce nagging and unpleasant symptoms, improve your mood, and have more vitality. This is part of my biological approach to staying the right weight.
Bio hack number 6 is the Ideal Protein program. This is my weight loss program to help get you at your ideal and proper weight. I use the ketogenic diet which has been confirmed by numerous clinical trials as a major biohack for your weight loss and healthy living program.
Bio hack number 7 is teaching my patients ELDOA exercises. These poses will create space in the spine and help you improve your posture and feel better.
In addition to all of the above, I offer other intensive programs to help my patients achieve good health and well being. Feel free to call and talk to us! 310-444-9393
1 Kopka M, Bradley JP. The Use of Biologic Agents in Athletes with Knee Injuries. J Knee Surg. 2016 May 20. [Epub ahead of print]
2 Filardo G, Perdisa F, Roffi A, Marcacci M, Kon E. Stem cells in articular cartilage regeneration. Journal of Orthopaedic Surgery and Research. 2016;11:42. doi:10.1186/s13018-016-0378-x.
3 Yang X, Zhu TY, Wen LC, Cao YP1, Liu C, Cui YP, Meng ZC, Liu H. Intraarticular Injection of Allogenic Mesenchymal Stem Cells has a Protective Role for the Osteoarthritis. Chin Med J (Engl). 2015 20th Sep;128(18):2516-2523. doi: 10.4103/0366-6999.164981.
The goal of epidural injections and surgery is to provide pain relief. The goal of shockwave therapy (Zimmer, Storz, Piezowave), Magnet therapy (Magnawave), and laser therapy (TheraLase, LightForce) is to provide a healing environment inside the body leading to pain relief. Epidural injections do not heal a bad back. Shockwave, laser, magnet therapy, exercise and hands-on therapy will help heal a bad back.
Some patients do get epidural steroid injections and find short-term pain relief. Often times this sense of immediate pain relief prevents people from getting the proper treatment for his/her long term back pain care.
A study from Vanderbilt University discusses the use of epidural injection treatments and spinal surgery:
…surgery is superior to epidural steroid injections for improving quality of life and pain, however after a year neither the surgery or the epidural steroid injections significantly helped improve the patient’s disability.(1)
Johns Hopkins School of Medicine, Walter Reed National Military Medical Center, University of Toronto researchers describe:
Epidural steroid injections provide modest pain relief up to 3 months in patients with lumbosacral radicular pain caused by herniated disks, but they have no impact on physical disability or incidence of surgery.(2)
The Chinese University and Prince of Wales Hospital in Hong Kong: …transforaminal epidural steroid injection cannot alter the need for surgery in the long term.(3)
Department of Orthopedic Surgery, Thomas Jefferson University, Rothman Institute:
For some patients epidural steroid injections did not work at all. “Patients with lumbar disc herniation treated with epidural steroid injection had no improvement in short or long-term outcomes compared with patients who were not treated with epidural steroid injection.” (4)
THE PROBLEM you as a patient face: Epidural steroid injections are still one of the most frequently performed low back pain procedures. BUT, epidural steroid injections really should be questioned for lack of effectiveness, and may be dangerous.
Patients need to know that they have alternatives. Rather than exposing patients to risks from injections and dangerous complications, I start low back treatment with non-invasive shockwave, laser, or magnet therapy, combined with skilled hands-on therapy and ELDOA exercise training. (5) Doesn’t this make sense?
Call 310-444-9393 for an appointment
1 Sivaganesan A, Chotai S, Parker SL, McGirt MJ, Devin CJ. 161?Patient-Reported Outcomes After Epidural Steroid Injections vs Surgery for Degenerative Lumbar Disease: A Prospective, Matched Cohort Study. Neurosurgery. 2016 Aug;63 Suppl 1:164-5. doi: 10.1227/01.neu.0000489730.99853.c3.
2. Bhatia A, Flamer D, Shah PS, Cohen SP. Transforaminal Epidural Steroid Injections for Treating Lumbosacral Radicular Pain from Herniated Intervertebral Discs: A Systematic Review and Meta-Analysis. Anesth Analg. 2016 Mar;122(3):857-70. doi: 10.1213/ANE.0000000000001155.
3. Leung SM, et al. Clinical value of transforaminal epidural steroid injection in lumbar radiculopathy. Hong Kong Med J. 2015 Aug 14. doi: 10.12809/hkmj144310. [Epub ahead of print]
4. Radcliff K, Hilibrand A, Lurie JD, Tosteson TD, Delasotta L, Rihn J, Zhao W, Vaccaro A, Albert TJ, Weinstein JN. The Impact of Epidural Steroid Injections on the Outcomes of Patients Treated for Lumbar Disc Herniation: A Subgroup Analysis of the SPORT Trial J Bone Joint Surg Am. 2012 Jun 27. doi: 10.2106/JBJS.K.00341. [Epub ahead of print]
5. Epstein NE The risks of epidural and transforaminal steroid injections in the Spine: Commentary and a comprehensive review of the literature Spine: 2013;3:74-93 6. Stout A. Epidural steroid injections for low back pain. Phys Med Rehabil Clin N Am. 2010 Nov;21(4):825-34.
If the thought of a potential flare up of chronic pain has you worried, a new service now offered at Dr. Jeffrey Tucker’s office in West Los Angeles might be able to help.
Dr. Tucker notes “As patients have become more educated and empowered, they’ve started to realize a pill isn’t always the solution, and likewise, many physicians realize alternative therapies like magnet therapy can be of great benefit to patients”
In addition to the proven benefits of magnet therapy, including relief from chronic pain, sports injuries, elevated mood and better sleep, magnet therapy is a natural remedy that allows the body to heal itself.
Dr. Tucker has embraced alternative treatment options for sports injuries such as laser therapy, shockwave, SCENAR and deep muscle stimulation. “My mission is to help people live the healthiest lives possible, and that means offering a number of services and treatment options that can help reduce the need for expensive medical care”.
Magnet therapy is now available in West Los Angeles at Dr. Jeffrey Tucker’s office on Wilshire Blvd. Dr. Tucker says “We often couple the magnet therapy with Virtual Reality breathing relaxation sessions which can help anyone from the high-powered entertainment industry executive to a busy mom. It is difficult to completely remove all the stimuli that contribute to stress and pain, I try to teach my patients how the brain and body can focus on healing.”
Magnet therapy gets absorbed through the skin and helps increase cellular energy, relieves muscle aches and tension. In addition to the benefits of magnet therapy and virtual reality, MagnaWaving as it is called is being used more and more for visualization, relaxation and recovery, and generating creativity. A lot of high-profile athletes now use MagnaWave for a competitive edge.
Also available at Dr. Tucker’s office is laser therapy, shockwave therapy, SCENAR, DMS, Rapid Release therapy, lymphatic therapy and customized weight loss programs. Whether you are an athlete, suffering chronic pain or looking for a weight loss coach, Dr. Tucker is happy to meet with you. For more information or to book a session call 310-444-9393.
Extracorporeal Shockwave therapy (ESWT) or Radial shockwave therapy (RSWT) is believed to cause a cellular response leading to tissue regeneration. I use this therapy for plantar fascia, Achilles tendon, Achilles insertion, 1st metatarsal joint pain, and tibia/shin pain. Many of my patients are recreational to elite athletes.
Patients and I co-create the best treatment plan. Most patients need at least 3-6 ESWT treatments with 7-10 days between treatment sessions. The procedure does not hurt, has little to no adverse side effects, and is less expensive and less invasive than risky injections. To enhance our results we can also use magnet therapy and/or laser therapy.
Call 310-444-9393 for an appointment.
HOW DOES MAGNET HELP OUR BODIES HEAL? We call what we are doing Peripheral Electro-Magnetic Frequency (PEMF) or ‘MagnaWaving’
Cellular Metabolism is boosted by PEMF
Blood Cells are regenerated by PEMF
Circulation is improved by PEMF
Oxygen carrying capacity is increased by PEMF
What is PEMF Therapy for? We have seen PEMF
Reduce Pain and Inflammation
Improves energy and circulation
Improve sleep quality
Accelerates repair of bone and soft tissue
Help relax muscles
WHAT IS PEMF FOR PAIN MANAGEMENT?
PEMF reduces pain associated with trauma, disease, and degeneration; reduces chronic and damaging inflammation that results in pain.
We are now using PULSED ELECTROMAGNETIC FIELD (PEMF) therapy.
What does PEMF do?
PEMF stimulates cell metabolism causing a chain of responses in the body that leads to improved health without side effects.
PEMF devices are considered safe and therapeutic.
WHAT IS PEMF & HOW DOES PEMF WORK?
PEMF is used to improve circulation and cell metabolism.
Science has proven that our bodies produce their own magnetic fields. Everything works within the body by electromagnetic exchange. Disruption of electromagnetic energy in cells can cause impaired cell metabolism.
What is PEMF doing?
PEMF penetrates every cell, tissue, organ and even bones to stimulate electrical and chemical processes in the tissues.
We purchased the MAGNA WAVE device so we have choices in delivery.