All posts in Pelvic floor

Pulsed Electro Magnetic Field Therapy (PEMF)

I call PEMF therapy ‘Magnawaving’. PEMF has beneficial clinical evidence for:

  • The healing of non-union bone fractures (bone growth) (1, 2, 3, 4, 5)
  • Cervical fusion patients that are high risk of non-fusion (1,5)
  • The treatment of depression and anxiety (transcranial magnetic therapy) (10)
  • Urinary incontinence and muscle stimulation. In one study, results were evaluated after 3 months. In 10 patients (7 post prostatectomy, 3 cystourethrocele) which were submitted to 18 sessions, twice a week, an improvement of incontinence in 75% of cases with patient compliance and the quality of life up to 100% also improved (11)

PEMF is gaining significant clinical importance and potential especially to someone like myself who is an ‘off label’ practitioner and ‘biohacker’. I’m able to demonstrate improvements (using a four lead body composition device) to my patient’s for hydration (intracellular and extracellular fluids) and the phase angle, which is a measurement of the body’s overall cell membrane health. Achieving proper hydration especially at the intracellular level is vital to good health especially if you are someone making slow progress.  

Can PEMF provide enhanced musculoskeletal healing and overall health (biohacking)? In my experience the answer is yes. Using high intensity pulsing electromagnetic fields safely passes through a cell membrane and ‘shock’ the structures within. PEMF could accelerate all phases of tissue repair, from initial pain and swelling to blood vessel growth, tissue regeneration, and remodeling. (6) The current thinking is that the primary effect of clinically relevant PEMF signals is to increase the rate of production of Nitric Oxide, which can orchestrate an anti-inflammatory response via increased blood and lymph flow (6, 8).

I can direct the PEMF towards ‘spot’ areas of your body to help resolve injuries or other damage, or I can provide ‘broad’ area treatment to improve self-reported psychometric measures of sleep, mood, and quality of life (life satisfaction) without adverse effects. That’s why PEMF sessions are often called “cellular exercise” and is popular among biohackers.

PEMF therapy translates to speeding up of the healing process. For chronic pain patients such as osteoarthritis PEMF stimulates the microenvironment and the after effects of treatment sessions are increased range of motion and decreased pain. PEMF may help alleviate the pain of arthritis, exert anti-inflammatory action and helps in bone remodeling.

I use PEMF to improve tendon to bone healing in rotator cuff repair, Achilles tendon injuries and gluteal tendon tears because it improves microcirculation. After 8 minutes of low intensity PEMF it improves microcirculation – meaning the RBC’s stop sticking together (3,4). PEMF has been used to effect osteoblast proliferation and is used for fractures. For all the above conditions I can blend PEMF, chiropractic care, nutrition, and topical hemp or BioFreeze. (3,4,7)

I look forward to helping you PEMF for urinary incontinence, brain support, insomnia, and even depressive disorders as well as all of the above.  

1. Aaron RK, Ciombor DM, Simon BJ. Treatment of nonunions with electric and electromagnetic fields. Clin Orthop Relat Res 2004;419:21–29.

2. Akai M, Hayashi K. Effect of electrical stimulation on musculoskeletal systems; a meta-analysis of controlled clinical trials. Bioelectromagnetics 2002;23:132–143.

3. Pilla AA. Mechanisms of electrochemical phenomena in tissue growth and repair. Bioelectrochem Bioenerg 1974;1:227–243.

4. Bassett CA, Pawluk RJ, Pilla AA. Acceleration of fracture repair by electromagnetic fields. A surgically noninvasive method. Ann N Y Acad Sci 1974;238:242–262

5. Mammi GI, Rocchi R, Cadossi R, Massari L, Traina GC. The electrical stimulation of tibial osteotomies double-blind study. Clin Orthop Relat Res 1993;288:246–253.

6. Bruckdorfer R. The basics about nitric oxide. Mol Aspects Med 2008;26:3–31.

7. Diniz P, Soejima K, Ito G. Nitric oxide mediates the effects of pulsed electromagnetic field stimulation on the osteoblast proliferation and differentiation. Nitric Oxide 2002;7:18–23.

8. al-Swayeh OA, Clifford RH, del Soldato P, Moore PK. A comparison of the anti-inflammatory and anti-nociceptive activity of nitroaspirin and aspirin. Br J Pharmacol 2000;129:343–350.

9. Aragona SE, Mereghetti G, Lotti J, Vosa A, Lotti T, Canavesi E. Electromagnetic field in control tissue regeneration, pelvic pain, neuro-inflammation and modulation of non-neuronal cells.J Biol Regul Homeost Agents. 2017 APR-JUN;31(2 Suppl. 2):219-225.

10. van Belkum SM, Bosker FJ, Kortekaas R, Beersma DG, Schoevers RA. Treatment of depression with low-strength transcranial pulsed electromagnetic fields: A mechanistic point of view. Neuropsychopharmacol Biol Psychiatry. 2016 Nov 3;71:137-43.

11. Aragona SE, Mereghetti G, Lotti J, Vosa T,  Canavesi E. Electromagnetic field in control tissue regeneration, pelvic pain, neuro-inflammation and modulation of non-neuronal cells. Biol Regul Homeost Agents. 2017 APR-JUN;31(2 Suppl. 2):219-225.

Dr. Jeffrey Tucker is the current president of the ACA Rehab Council.

Contact Dr. Tucker at 310-444-9393

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Pelvic Floor – Pain & Problems

The pelvic floor is the layer of muscle at the base of the pelvis. One in every four women has pelvic floor issues. A common cause of pelvic issues is carrying a heavy load during pregnancy, hours of laboring and pushing. Aging alone can contribute to pelvic floor problems. Most women I see with pelvic floor issues are over age 40 but more and more, younger women are talking about it. It’s not unusual for women to have the problem for a long time.

Incontinence is one of the most common complaints and can be related to giving birth. Even women who have never been pregnant or given birth can become incontinent. This may be related to the amount of sitting we are doing. Urinary incontinence can be termed ‘stress incontinence’ when coughing, sneezing, or exercise cause urine to leak out. ‘Urgency incontinence’ is when you need to go to the bathroom right away because the bladder contracts inappropriately and needs relaxation. Obesity is a risk factor for incontinence. Another problem is prolapse, which is when organs in the pelvis – such as the uterus or bladder droop or bulge out of place into the vagina.

Some women seek the help of a gynecologist, urologist, gastroenterologist, physical therapist or a colorectal specialist but few think of a chiropractor for a pelvic floor condition.

Current non-invasive treatments:
Strengthening the muscles in the pelvic floor can help.
Some doctors will recommend implanting a sling to support the urethra, the channel through which urine flows out.
Urgency incontinence may be helped by behavioral therapy, medications and/or natural phytonutrients. Some women have opted for botox injections to help relax an overactive bladder. This may last six to nine months and then recur.
I remember one of my first female patients when I was a student in the clinic had a ‘pessary’. These are still used today.
Soft tissue therapy and manipulation help the nerves that control bowel and bladder function.
If you have continued pain in the pelvis ask your chiropractor to help you figure out where it is coming from i.e. bladder, bowel, spinal misalignments, pelvic floor muscles or nerves.

You may consider Chiropractic to help muscle and bone problems, soft tissue therapy can help soften scar tissue, and a skilled practitioner will know how to help you strengthen pelvis floor muscles. Losing weight (in my office we use the ketogenic diet) is an important self care piece of the puzzle, along with exercises that strengthen the core and pelvis muscles, (Pilates type exercises are helpful) and, Peripheral Electro Magnetic Frequency (PEMF). PEMF helps stimulate pelvic floor muscles and can help decrease inflammation around nerves that may be irritated in the pelvic floor area.

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