All Posts tagged DMS

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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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.

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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.
Read more at http://www.atpracticeinsights.com/mpacms/dc/pi/article.php?id=56505

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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: http://www.dcpracticeinsights.com/mpacms/dc/pi/article.php?id=56505&aoid=dcpinu_20130521_ulan

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What I Do

Ninetynine percent of my new patients still come in to see me because they are in pain. But as I help guide them out of pain they soon realize that what I offer is not simply about pain relief and ‘adjusting’ bones. We discuss diet, nutrition, sleep habits, emotions, and exercise. All the therapeutic lifestyle enhancements are part of my practice. But the most rewarding part of my practice is teaching clients corrective exercises to help them bring there body back into a better postural alignment and helping people lose weight.

I believe everything is interconnected – the body, mind, spirit. It happens that my emphasis or specialty is on the body work. I use a lot of fascial release, deep soft tissue therapy, mobilization of joints, the Deep Muscle Stimulator (DMS) and warm laser as my primary modalities. But, nutrition can always be improved and I will talk to each client about this subject and I will make supplement recommendations if I feel that will help your case.

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Natural Pain Treatments That Work Best

 Everyone with chronic pain can safely start the Anti-inflammatory diet – no sugar, alcohol, gluten, dairy, preservatives, & chemicals. The minimum supplements I recommend you should be taking are high amounts of EPA/DHA (EPA-DHA 720, three softgels up to three times daily with food), Vitamin D3 (IsoD3 5,000 i.u. daily) and digestive enzymes (Metazyme, one tablet during each meal). Order from Metagenics 800-692-9400.

Additional Supplements for chronic pain:

Quercetin  (Resveratin Plus 12 capsules daily). Order from XYMOGEN 1-800-647-6100

UltraInflamX Plus 360 medical food is a shake that contains Turmeric, Ginger, Rosemary extract, as well as other vitamins and minerals plus 15 grams of protein. Two scoops in water or juice 1 – 2 times daily. Order from Metagenics 800-692-9400

Kaprex is for joint relief and contains hops, iso-alpha acids, Olive Leaf extract and Rosemary Leaf extract. Dose is two softgels three times daily. Order from Metagenics 800-692-9400.

Chronic pain depletes serotonin, GABA and dopamine and other catecholamines (which in turn amplify pain perception); so nutrients that address serotonin (such as Tryptophan, 5HTP, and vitamin D) and dopamine and catecholamines are useful. Trancor and Symphora (4 each per day). Order from Metagenics 800-692-9400

Acute Trauma: Traumeel tablets – take 1 tablet every 15 minutes for 3 hours then cut back to 1 every hour for day 1; 1 every 2 hours on day 2 and 1 3 per day until you come in for a visit. This is easily purchased in health food stores.

Peripheral neuropathy, including diabetic neuropathy:

Take Insinase  which contains Alpha Lipoic Acid 540 mg BID and  Acetyl-L-Carnitine HCL 400 mg BID. Order from Metagenics 800-692-9400.

 Osteoarthrits & RA:

UltraInflamX 360

Kaprex

EPA-DHA 720

Iso D3

Muscle Pain/Fibromyalgia:

Combinations of Magnesium, Calcium, Valerian root and Hops are essential. See my list for chronic pain and include UltraInflamX 360.

Capsaicin (Capsicum frutescens) cream:

Capsaicin is the main component in hot chili peppers (also known as cayenne). Applied to the surface of the skin, it is believed to deplete stores of a substance that contributes to inflammation and pain in arthritis. Several studies have shown that capsaicin cream provided much better pain relief than a placebo but no improvement in joint swelling, grip strength, or function for people with OA. Pain reduction generally begins 3 to 7 days after applying the capsaicin cream to the skin. Apply the cream 4 times daily.

Biofreeze gel:

This is another topical pain reliever used in pain management. This is especially good for sore or strained muscles; shoulderand arm pain; neck, hip, and leg pain; back pain; arthritis pain; painful joints; diabetic neuropathy; tendonitis; and bursitis. Biofreeze needs to be applied 4 times daily.

KinesioTaping procedures are an invaluable aide in everything from chronic edema (swelling) reduction to reduction of muscle tension/pain.

My two favorite modalities for chronic pain continue to be the Deep Muscle Stimulator (DMS) and warm laser.

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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.

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Whole Body Vibration Update

 A 12-week course of low-frequency vibration appears to be safe and feasible for improving dynamic balance in women with fibromyalgia, new research findings suggest.

Narcis Gusi, PhD, with the University of Extremadura in Caceres, Spain,
and colleagues reported their findings in the August 2010 issue of
Arthritis Care & Research.

As most of you know I use the Deep Muscle Stimulator (DMS) for neural and musculoskeletal rehab, but this article discusses whole-body vibration (WBV).  In WBV, a patient stands on a platform that oscillates at a particular frequency and amplitude, causing muscle contractions through stimulation of sensory receptors.

The study included 41 women aged 41 to 65 years who were randomized
either to a control group or to the vibration intervention, which
included a 30-minute session of instruction plus 3 sessions of
self-administered WBV per week for 12 weeks. Each session consisted of 6
repetitions of a 45- to 60-second, 12.5-Hz vibration.

WBV  has been shown to improve body balance and bone mass density (osteoporosis) in women. It may help muscle conditioning, endurance, and pain.

Arthritis Care Res. 2010;62:1072–1078.

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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.

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