All Posts tagged Deep Muscle Stimulator

Scar Tissue – How I Treat It

Scar Tissue – How I Treat It


Several of the tools I use to treat scar tissue include the Light Force laser (Deep Tissue Laser Therapy), the TheraLase Laser, the Deep Muscle Stimulator (DMS), the Rapid Release Therapy (RRT) device, the Radial Shock Wave therapy (EnPuls), and the PhysioTouch Lymphatic device, as well as my hands and other instrument tools. Each patient needs an individualized and customized program to help them resolve poor movement issues – at the joint level or a whole kinetic chain.

These tools are designed to improve blood flow to tissues that are hypoxic, meaning the tissues will have decreased oxygen delivery, usually due to being entrapped in scar tissue. The EnPuls, DMS, and RRT can cause a small inflammatory reaction in the area treated, which helps bring cells to the area that can clean up debris and facilitate the healing process.

Treating Scar Tissue

Scar tissue is normally laid down after either an acute or chronic injury, but it become excessive and get laid down haphazardly, (instead of in the direction that motion usually occurs) causing stiffness, lack of oxygen to the tissues, and limited range of motion.

It’s rare for a Doctor to have as many tools available as I have. This variety of choice enhances my ability to detect adhesions, scar tissue or restrictions in the patients affected areas. I can identify the dense tissues or stuck tissues (fibrotic tissue), and once the tissue has been identified, I use the appropriate tools to break up the scar tissue so it can be absorbed by the body.

What is the treatment goal?

The treatment helps to restore optimal soft tissue quality and motion. Each tools can help increase the amount of blood, nutrients, and fibroblasts to the area being treated.

Call the office at 310-444-9393 for additional information.


How I Treat Muscle Pain With the Deep Muscle Stimulator

Muscle strains and joint dysfunctions caused by asymmetrical movements over time can generally be reduced by treatment using the Deep Muscle Stimulator (DMS).

The DMS is a hand held device that delivers strong vibration, oscillation and percussion. Use of the DMS appears to reduce stiffness by signaling inhibition of the sympathetic nervous system. Palpate tight or stiff fascial tissue or a taut and tender muscle fiber, and then apply the Deep Muscle Stimulator (DMS) device for approximately two to three minutes, the post treatment/application will leave the skin red, warm and it will palpate as “softer.” This probably has to do with local changes in the arterioles and capilliaries and the mixing up of tissue viscosity.


Deep Muscle Simulator (DMS) & Muscle Spasm

The Functional Movement Screen (FMS) has popularized our awareness of checking for asymmetries in the body during movement. Muscle strains and joint dysfunctions caused by asymmetrical movements over time can generally be reduced by treatment using the Deep Muscle Stimulator (DMS).

The DMS is a hand held device that delivers strong vibration, oscillation and percussion. Use of the DMS appears to reduce stiffness by signaling inhibition of the sympathetic nervous system. Palpate tight or stiff fascial tissue or a taut and tender muscle fiber, and then apply the Deep Muscle Stimulator (DMS) device for approximately two to three minutes, the post treatment/application will leave the skin red, warm and it will palpate as “softer.” This probably has to do with local changes in the arterioles and capilliaries and the mixing up of tissue viscosity.

To really appreciate the DMS, we need to review some neurology. Golgi receptors are located in dense connective tissues such as ligaments, joint capsules (Golgi end organs) and around myotendinous junctions (Golgi tendon organs).1 Golgi receptors are stimulated by slow active stretching or strong local pressure resulting in a lowered firing rate of associated alpha motor neurons via the spinal cord, this leads to decreased active muscle tone in related muscle fibers. Read more:


Sciatica/Piriformis syndrome

Sciatica is a symptom more than a condition, as it refers to pain which refers down the back of the legs, rather than to the cause of the pain. The cause of Sciatica can be from the lumbar spine, where a disc is irritated and is compressing the sciatic nerve, or this compression can occur at the point where the sciatic nerve passes under (or through in some cases) the piriformis muscles in the buttocks. In this case, the muscle is often overworked and in spasm, resulting in compression on the nerve. The causes of piriformis syndrome include leg length differences and muscle imbalances including tight groin muscles and weak hip abductors.

I am getting really impressive results with the warm laser, the Deep Muscle Stimulator, and neuromobilization techniques for sciatic complains. I usually know within a few sessions if I can help your condition.


Laser treatment

I use High Power Laser Therapy (7.5 watts). Laser stimulation has been shown to increase blood flow and lymphatic drainage while, at the same time, stimulating endorphin and enkephalin release for pain management. Stimulation with laser reduces inflammation, and promotes nerve regeneration.

High Power Laser Therapy has the ability to reach deep within the body when compared to Low Level Laser Therapy. Laser energy apperas to also biostimulate collagen and fibroblast growth.

I usually use the laser in combination with hands-on therapy and I often use the Deep Muscle Stimulator (DMS) as well. Exercises are taught based on the Functional Movement Screen (FMS) and squat evaluation.



Active Release Technique (ART) vs Deep Muscle Stimulator (DMS). Why do I specialize in DMS?

Before the name ART was trademarked, Dr. Leahy taught this as Myofascial Release Technique. Myofascial release is a technique I have been using for my entire practice. Dr. Jake Pivaroff invented the Deep Muscle Stimulator (DMS), a handheld device that offers deep vibration & percussion.

Choosing which technique to specialize in was very simple for me. After trying both techniques on my own body to help resolve different sports injuries and a low back condition, I got better results with DMS. For me, it also felt more relaxing and therapeutic while getting treatment. I have been using DMS for over 3 years now and I see a lot of clients who have had prior ART sessions with other practitioners, and these clients tell me that they get better results with the DMS.


Deep Muscle Stimulator (DMS) Therapy

There are definite healing benefits of the Deep Muscle Stimulator (DMS) therapy. Some people prefer soothing treatment and others prefer very heavy-duty deep tissue work. The DMS seems to appeal to both. I use the DMS to target those over-worked and aching parts of the your body.

Among the benefits of DMS therapy:
– dilates superficial blood vessels
– increases the rate of blood flow
– decreases blood viscosity
– increases lymph flow
– reduces post-surgical swelling and pain
– improves frozen shoulder
– reduces pain in overuse injuries of the knee
– reduces muscle spasm
– reduces muscle soreness
– prevents denervated muscle from losing bulk and contractile capability
– improves relaxation, thus accelerating physical repair.

I use the DMS on almost every client I see.


Muscle Imbalance

Combinations of muscle weakness and tightness cause musculoskeletal pain. The most difficult part of treatments are to the muscles that become inhibited, (restrained, blocked, or suppressed) because this requires patients to perform exercise at home on there own. Muscle inhibition is common in the neck, low back, and extremities.

Inhibition refers to the inability of a muscle to contract fully on demand. This inhibition is a neurological response and manifests particularly at the extreme ranges of motion – when the muscle is contracted fully. A muscle may have strength at the mid-range, but be very weak when moved into a shortened position; this creates instability at the joint. When the body senses instability, other muscles tighten up as a form of protection. To improve these muscle and joint imbalances I expect my clients to perform the exercises that I prescribe as part of my treatments.

Inhibitied muscles usually generate hypertonicity/tight muscles in adjacent regions of the body (low back & hip, neck & shoulders)). In other words, the relationship between weak and tight muscles is reciprocal. Inhibition is frequently found in muscles resulting from injury, inflammation or pain and that inhibition or weakness leads to reciprocal facilitation of its antagonist(s) muscles.

When a muscle has been over-stressed or over-worked, the result is altered feedback from the nervous system. This causes a reduced capability for the muscle to contract, from the instability through full physiological range. The end result is an inability for the muscles to properly stabilize joints. This is a major point that I want you to understand. I teach you stability (strength) exercises to train the weakened muscles to hold the joints in place again.

Again, please understand, hypertonicity in a muscle leads to blockage(s) or weaknesses in other muscles close by. Inhibited (weak) muscles are capable of spontaneous strengthening when the inhibitory reflex is identified and remedied (most commonly through joint or soft-tissue manipulation).

Muscle hypertonicity/tightness/spasm generates inhibition in surrounding regions of the body, and so spasm is treated first using the Deep Muscle Stimulator, warm laser, manipulation and deep soft tissue massage therapy.

The inhibited (weak) muscles are treated with exercise, rocker boards, wobble boards, and other tools. I prefer to teach clients bodyweight exercises, resistance band exercises, stability ball maneuvers and kettlebell training.

I pay a lot of attention to posture because the postural muscles tend to be short, tight and usually hypertonic. This is why some times I will teach you to stretch, and other times I will teach you to strengthen your muscles.


What I Do…

I often hear my clients say “I don’t know what to call you: a Physical Therapist, a Chiropractor, a nutritionist?” because I don’t just perform traditional Chiropractic manipulation. I also often get asked “What is my approach called?” First and foremost I see myself as a teacher. I teach procedures and methods to help my clients get out of pain, I teach corrective exercise plans, and nutrition and diet plans. I love using my skills in manual therapy, rehabilitation exercise, and nutrition to focus on solving my clients health issues and concerns. I see the full value in mixing all of the traditional health approaches and alternative health approaches into intelligent health methods.

My approach to each client is not a cookbook. I focus on finding the source of each client’s pain – evaluating posture, the joints, the muscles, the fascia, and diet. My evaluation is individualized and personalized, but not a cookbook. I systematically examine my clients for 1) muscle trigger points (tender points within muscles that can cause pain); 2) joints that have too little motion and joints that have too much motion and 3) nutritional deficiencies. This takes time and patience on my part and my client’s part. My first office examination takes about one hour and follow up visits are 30 minutes. I need to test what we are finding, and treat the key under- or overactive muscle. One visit we may concentrate on your breathing to see how well your diaphragm is moving; another visit may find us concentrating on an upper neck dysfunction; another session may find us teaching you how to activate a core muscle deficit; or another session we may learn exercises for a low back instability.

Most importantly, you will learn to participate in your own recovery. This is the basis of my rehabilitation approach! I will be checking your soft tissues and probably using the Deep Muscle Stimulator (DMS) or warm laser as part of my treatments; I will check your core; your feet; and even your TMJ (jaw).

I have had some amazing mentors and teachers and I will blend what I have learned over being in practice for 27 years to guide our treatment. This is what separates me from what most others do. I don’t just focus on the site of symptoms, I look at the whole body.

When you are ready I can teach you how to use the foam roll on your dense and tight muscles; strength training with kettlebells, & flexibility and stretching exercises. If you need weight loss, I am happy to help you reach your goals. Please feel free to send this information to your friends.


Treatments Performed By Dr. Tucker

Below you will find techniques utilized in my treatments.
• Joint Mobilization and Manipulation
o Promotes improved joint mobility and range of motion using a variety of treatment philosophies including: PNF, McKenzie, Mulligan, Muscle Energy, Janda, Comerford, Sahrmann.
• Soft Tissue Mobilization
o Mobilization of the skin, muscle, nerve, and fascial layers to break down scar tissue and adhesions. This is also known as transverse friction technique. I frequently use the Deep Muscle Stimulator (DMS) to achieve soft tissue mobilization.
• Myofascial Release
o Deep tissue palpation and fascial release to promote fascial stretch/gliding and muscle relaxation based on the work of Tom Myers.
o If a muscle is in spasm it can lead to imbalances such as leg length discrepancies or rotation/obliquities in the pelvis, hips or shoulders. I use the Deep Muscle Stimulator (DMS) as part of my practice for myofascial release.
• Trigger Point Release
o Deep palpation to promote muscle relaxation in an area of hyper-irritability and contracture. This is also known as “ischemic compression” or trigger point therapy.
• Dynamic muscular release
o Deep palpation to the origin (attachment site) of a muscle as the patient contracts to engage in the muscles intended action.
o Promotes improved muscle function.
o Can eliminate musculoskeletal imbalance.
• Neuromobilization (as taught by Dr. Kim Christensen)
o AKA “Flossing” or “Gliding.”
o Helps decrease inflammation in nerves.
o Breaks up adhesions around nerves that result from inflammation.
o Can eliminate the sensation of “pins and needles”, “weakness” or “numbness and tingling”.
• Therapeutic exercise and activities
o Corrective exercises with the intent to decrease pain, improve injury prevention, muscle recruitment, strength, flexibility, and endurance.
o Promotes proper technique in performing functional activities (example: lifting weights, gait, posture).
• Gait training and mechanics
o Analysis of walking to optimize form and make sure that your gait is not a repetitive trauma.
• Neuromuscular training
o Enhances the function of the body by balancing the muscle activation patterns about a joint.
• Free weight training for weight loss and osteoporosis prevention
o Specific exercise prescription based on your individual body type.
• Balance training
o Decreases fall risk.
o Improves coordination for increased performance.
• Core trunk stabilization training
o Improves the recruitment of specific muscle groups that stabilize the hip, pelvis and lumbar spine.

Some specialty treatments include:
• Temporomandibular treatments.
• Scar/tissue, capsular adhesion mobilization.
• Diet, nutrition, vitamin recommendations.