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.
Techniques to relax the suboccipital muscles can be beneficial in treating headaches and tension headaches and in improving mobility of the cervical vertebrae. The benefit can be increased by using the following treatments and modalities that I offer:
Hands on therapy to stretch and deeply massage the muscles
Laser therapy to increase blood flow to the base of the skull
Pulse wave therapy to promote blood flow and break up scar tissue in the lower neck and upper back that can contribute to headaches
Deep Muscle Stimulation to increase blood flow and oxygen along the muscles of the spine
These methods are safe and easy to apply in the office. It’s also important to discuss proper nutrition and help patients figure some gentle exercise routines to perform to release tension in the body.
Feel free to call me at 310-444-9393 if you have questions or would like an appointment.
Treatments I have been using are becoming more and more popular for neck pain. These include Laser massage, Shockwave massage also known as Acoustic Wave Therapy and Magnet Therapy.
Patients who come to see me with chronic neck pain receive a comprehensive therapeutic approach that involves hands-on therapy of the soft tissue and spinal segments. The techniques I use are aimed to decrease the pain and improve range of motion. My treatments are safe and cost-effective.
If you need an MRI or x-ray we can order that for you.
My method is a comprehensive system of physical therapy and chiropractic care.
I use ELDOA exercises, along with soft tissue therapy, chiropractic care and the latest technology in sports medicine. I develop personalized treatments specific for neck pain, or sessions can be used to improve overall pain and range of motion throughout the body. Because I use a complete system, the treatment often helps both pain and range of motion.
Exercise principles I use are from ELDOA, PILATES and FELDENKRAIS. This combination releases and connects energy at specified points throughout the body without the use of needles or injections.
I use hands-on therapy combined with the latest technology such as shockwave, laser, and magnet therapy. This method stimulates the body to break up old adhesions and scar tissue. This helps acute and chronic pain related to soft tissue and joint abnormalities that are both on the deep inner and outer surfaces of the body.
I also use ELDOA exercises to release tight tissue and create space at specified vertebral joints throughout the spine.
My treatments can be used with acupuncture or other physical therapy treatments. My methods complement acupuncture, physical therapy, and stem cell injection treatments. Using all of the available treatment modalities can be an effective approach to working with difficult and chronic pain cases and help restore lost motion.
Call 310-444-9393 for an appointment
Patients who come to see me with neck pain receive a comprehensive examination. I have a therapeutic approach that involves hands-on therapy of the soft tissue and spinal segments.
“This is a comprehensive system of physical therapy and chiropractic”
The techniques I use are aimed to decrease pain intensity, improve function and physical quality of life. My treatments are safe and cost-effective.
“If you need an MRI or x-ray we can order that for you”
Treatments I use are becoming more and more popular for pain. These include deep tissue laser therapy, shockwave massage and high frequency magnet therapy.
“I use the principles of ELDOA, EGOSQUE, PILATES and FELDENKRAIS”
ELDOA exercises, along with soft tissue therapy, chiropractic care and the latest technology in physical therapy sports medicine, are the method I developed to treat specific painful areas. Because I use a complete system, the treatment often helps both pain and range of motion.
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.
A new study published by Dedes V et al. called Effectiveness and Safety of Shockwave Therapy in Tendinopathies (Mater Sociomed. 2018 Jun;30(2):131-146. doi: 10.5455/msm.2018.30.141-146) concluded:
“Shockwave therapy significantly reduced the pain that accompanies tendinopathies and improves functionality and quality of life. It might be first choice (for treating tendinopathies) because of its effectiveness and safety.”
People suffering from tendinopathies exhibit reduced mobility due to the pain caused by the movement of the tendons involved. Shockwave therapy is non-invasive, simple, fast and safe for tendon injuries.
Shockwave therapy is especially helpful in the treatment of elbow tendinopathy, Achilles tendinopathy, plantar fasciitis and rotator cuff tendinopathy.
It can help reduce pain, improve function and quality of life.
Call 310-444-9393 for an appointment
Better than Active Release Therapy…For many athletes, their journey continues because of some form of massage such as Active Release Therapy also known as ART. Every athlete has individual needs and goals, so their training, musculoskeletal (strength, muscle and joint flexibility), and recovery programs should be customized for them.
Dr. Jeffrey Tucker evaluates each athlete, taking into consideration age, gender, sport and performance goals to help him or her get faster, stronger and stay injury free. In this day and age, it’s a service that has transitioned from luxury to necessity for many athletes.
Tucker’s sports performance programs and recovery programs include laser therapy, shockwave therapy, deep muscle stimulation, magnet therapy, looking at an individual’s lab results, flexibility, stability, eating habits, body composition and lifestyle habits. This is how we help patients reach their goals – increase speed, power, endurance, overall performance, and of course, achieve their medal dreams.
Call 310-444-9393 for your appointment.
Shockwave and laser therapy are treatments that come under the term ‘orthopedic regenerative medicine.’
Regenerative medicine uses natural methods to stimulate the body to regenerate its own tissues. Some methods use the patient’s own cells obtained from their own blood using needles and injections. This medical procedure is called platelet-rich plasma (PRP) or stem cell therapy. However, I use safer, no needle, less expensive, easy to administer shockwave and laser modalities rather than injections to stimulate growth factors to help repair the tissues. These modalities have been especially helpful in hip and knee osteoarthritis.
Researchers at the Department of Special Surgical Science, University of Florence found numerous growth factors within blood platelets that have a specific activity on cartilage regeneration. Stimulating growth factors may be what allows the shockwave treatment to be able to significantly reduce pain and improve joint function.1
A typical treatment shockwave and laser is performed once a week for approximately 3-6 weeks.
The treatment goal of using shockwave and laser:
Allow patients to be more active
Decreasing pain often helps improve function
I like to see positive changes within the first 3 to 6 weeks with continued improvement over the next 12 weeks
It makes sense to do a trial of the non-invasive shockwave and laser protocol to improve osteoarthritis of the hip joint prior to injections.
- Civinini R, Nistri L, Martini C, Redl B, Ristori G, Innocenti M. Growth factors in the treatment of early osteoarthritis. Clin Cases Miner Bone Metab. 2013 Jan; 10(1):26-9. doi: 10.11138/ccmbm/2013.10.1.026.
- Sánchez M, Guadilla J, Fiz N, Andia I. Ultrasound-guided platelet-rich plasma injections for the treatment of osteoarthritis of the hip. Rheumatology (Oxford). 2012 Jan;51(1):144-50. Epub 2011 Nov 10
- Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G. Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. Am J Sports Med. 2016 Jan 21. pii: 0363546515620383.
Lymphatic drainage at Dr. Jeffrey Tucker’s office uses the latest technology and takes a whole body approach. The Lymphatic System is one of the most overlooked yet significant systems in the body. The Lymphatic System travels throughout the body to remove waste from every cell while helping to regulate the immune system. It includes a complex network of vessels, ducts, lymph nodes, the spleen, the thymus gland, the adrenal glands, and the tonsils.
The lymphatic vessels act like a giant filter or drainage system for the body that needs to stay moving and clear for it to work properly. Stagnant or sluggish lymph flow leads to waste and toxic build up, weakening immunity and leading to a wide variety of health issues. When your lymph system becomes congested you may notice:
Stiffness, dry skin, water retention, brain fog, stubborn weight gain, chronic sinus congestion, cellulite build up, cold hands and feet.
Dr. Tucker uses the PhysioTouch machine for Lymphatic Drainage. Call 310-444-9393 for more information.