All Posts tagged Shock Wave Therapy

Nitric Oxide: Hypertension. Erectile Dysfunction

Safe, effective and natural approaches for reducing blood pressure and men’s health.

Nitric oxide or NO, is an important signaling molecule in the human body.

One of the best ways to increase NO is by using Shock Wave Therapy and eating sources of nitrates such as beetroot, arugula and spinach.1 After eating these foods, the dietary nitrate molecules are metabolized by oral bacteria into nitrites which are then endogenously transformed into the cardioprotective NO molecule.2-3

NO plays a critical role in cardiovascular health and men’s health. For example, low levels of NO in the body can lead to various pathologies, most notably endothelial dysfunction which contributes to hypertension and atherosclerosis; low NO has also been found to play a role in diabetes, hypercholesterolemia and Erectile Dysfunction.1

Healthy levels of NO in the body support vascular tone, healthy blood flow, leukocyte adhesion, and platelet aggregation.Consuming food-based nitrates on a routine basis, and getting treatment with Shock Wave is a logical next step for those desiring to prevent or treat NO deficiency-related disease processes. The science backs it up.

A study published in Nutrition Reviews looked at 23 studies that measured blood pressure, endothelial function, arterial stiffness, platelet aggregation, and/or blood lipid outcomes in response to oral inorganic nitrate/nitrite intake.4 The analyses demonstrated that inorganic nitrate intake significantly reduced resting blood pressure, improved endothelial function (measured as flow-mediated dilatation), arterial stiffness, and platelet aggregation.4

Put it all together – Shock Wave therapy, beets, beetroot juice, quinoa, spinach, and lamb’s quarters (AKA wild spinach) to increase NO.

One of the beetroot studies found that daily supplementation with dietary nitrate from beetroot juice was associated with a reduction in blood pressure: systolic ?7.7-8.1mmHg; diastolic ?2.4-5.2mmHg.6Additionally, endothelial function improved by approximately 20% and there was a reduction in arterial stiffness by 0.59m/s.6

Overall reduction in systolic and diastolic blood pressure of 3.55 mmHg and 1.32 mmHg, respectively, and these reductions were significantly greater in the beetroot juice supplemented groups vs. control groups.7 This same publication also noted greater improvements in blood pressure with higher (500 mL/day) vs. lower (70-140 mL/day) beetroot juice doses or with longer periods of consumption (?2 weeks vs. <2 weeks).7

So, eat your vegetables and do Shock Wave for ED and/or hypertension.

Citations

  1. Luiking YC et al. Regulation of nitric oxide production in health and disease. Curr Opin Clin Nutr Metab Care. 2010; 13(1): 97–104.
  2. Hobbs DA et al. Blood pressure lowering effects of beetroot juice and novel beetroot-enriched bread products in normotensive male subjects. Br J Nutr. 2012;108(11):2066-74.
  3. Khatri J et al. It is rocket science – why dietary nitrate is hard to “beet”! Part I: twists and turns in the realization of the nitrate-nitrite-NO pathway. Br J Clin Pharmacol. 2017;83(1):129–139.
  4. Jackson JK et al. The role of inorganic nitrate and nitrite in cardiovascular disease risk factors: a systematic review and meta-analysis of human evidence. Nutr Rev. 2018;76(5):348-371.
  5. Encyclopedia Brittanica. Amaranthaceae. https://www.britannica.com/plant/Amaranthaceae. Accessed July 26, 2018.
  6. Vikas K et al. Dietary nitrate provides sustained blood pressure lowering in hypertensive patients: a randomized, phase 2, double-blind, placebo-controlled study. Hypertension. 2015;65(2):320–327.
  7. Bahadoran Z et al. The nitrate-independent blood pressure-lowering effect of beetroot juice: a systematic review and meta-analysis. Adv Nutr. 2017;8(6):830-838.

More

Shockwave Therapy Los Angeles

How does shockwave therapy work?

Shockwave therapy is an in-office procedure that focuses low intensity pulses (waves) at the soft tissues to treat injured tendons, scar tissue formation, ligament and cartilage damage, and tight- stiff joints and muscle tissue. Shockwave treatments are performed by Dr. Jeffrey Tucker, and the course of therapy usually requires a trial of 3 sessions and up to 6-12 office visits. Shockwave therapy treatments create stresses to the soft tissues (muscles, tendons, ligaments, lymph, and blood vessels) and bone that promote physiological processes meant to regenerate blood vessels and improve circulation – a process known as neovascularization. Increased circulation (blood and oxygen) allows for the natural exchange of blood flow with new cell formation.

What to expect at your visit.

Dr. Jeffrey Tucker is the only Los Angeles practitioner with 3 different (Piezo-wave, Storz, Zimmer) pulse wave machines using this technology. Some machines are better than others because of the hand held applicator sizes and choices it provides me and my patients to deliver the shock wave. I can better target the areas that bother you. Prior to commencing treatment, an ultrasound gel is applied to the treatment area. During treatment, shockwaves will be directed to various areas around the target site of pain or dysfunction as well as near-by fascial connections. While patients may experience a slight tingling, they should not be uncomfortable or experience pain. Typically, the entire treatment session will last about 25-30 minutes. Understanding your chief complaint and performing a proper history and examination helps determine the number of recommended treatments you would need. This number may be adjusted based on results. Because this is a non-invasive procedure, patients will not require anesthesia. You may return to normal activities such as going right back to work, to the gym, walking, etc. right after a pulse wave treatment.

Is shockwave therapy right for me?

Pulse wave (Shockwave) therapy is one of the best treatment options used for treating tendons, decreased blood flow, and fascia (scar tissue) dysfunction. A thorough assessment of the your overall health, past history related to sports injuries, car accidents, falls, diet, and lifestyle will be considered prior to treatment. Discussion will also cover treatment options that you have tried and what worked and did not work.

If you would like to learn more about the benefits of pulse wave therapy (shockwave therapy), contact Dr. Jeffrey Tucker at 310-444-9393 to schedule a consultation. I am located in the west Los Angeles, Brentwood area.

More

Sound & Light Therapy

Painkillers, anti-inflammatory drugs, surgery, physical therapy, glucosamine, chondroitin, stem cell injections etc. I think there is a better way to repair damaged joints, injured ligaments, and painful muscles.

Regenerative medicine is here and IT DOES NOT HAVE TO BE EXPENSIVE AND INVASIVE. My tools include soothing laser light therapy, pulse sound wave or shockwave therapy, pulsed EMF, Vibragenix vibration/sound therapy, lymphatic system therapy, ELDOA training, and peptide therapy. These therapies don’t just mask symptoms; it fixes the problem for good.

Sound & light therapy is a combination of therapies that speed up your body’s own healing mechanisms.

More

Pulsed EMF also known as Magnet Therapy for Pelvic Floor Disorders & Chronic Pelvic Pain (CPP)

Almost 50% of women suffer from chronic pelvic floor disorders. Men can experience this too but the percentage is lower. Symptoms include uncontrollable bowel movements, frequent urination, urinary incontinence, pain during sex, low to no orgasms, and loss of pelvic mobility. Mainstream medicine treats this as “normal” aging because it is so common, especially in the 45 year old plus ranges.

If you feel like you need to brace yourself once a sneeze is coming on to avoid embarrassing “accidents” then you probable have weak pelvic floor muscles that can be reawakened. I am all about Biohacking and upgrading one’s quality of living and healthy aging.

Biohacks are things we can do that supports optimal inflammatory response, enhance relaxation, improve sleep quality, improve brain function and improve body structure (fat to lean muscle mass ratios, strength, etc.), increase resiliency, longevity, and decrease chronic pain.

My top biohacks for pelvic pain include:

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 experience coccyx pain or sacroiliac area pain.

Pulsed EMF (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, pelvic floor issues, and it promotes bone healing.

Pulse wave Therapy also known as 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. There is evidence that this is helpful for CPP because of scar tissue build up. I currently use it on patients for this condition.

Diet & Nutrition. We discuss foods that 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.

I use ELDOA exercises. This is way beyond Kegel stuff you’ve already learned. These poses will create space in the spine and help you improve your posture and feel better.

Feel free to call my office at 310-444-9393 if you would like to meet and talk face to face.

Please don’t feel like you need to suffer in silence. Let’s try do something about it without risky surgery, effects of medication, and let’s keep it less costly.

More

Calcific Tendonitis of the Shoulder (Rotator Cuff)

My experience using shockwave for shoulder problems are good outcomes. My patients see pain levels go down, range of motion improves, and activities of daily living (arm reaches, lifting, carrying, and sleeping) gets better. This suggests the treatment is helping and decreases inflammation associated with calcific deposits. I think the individualized protocols I use for treatment such as number of pulses, the variety of applicators I use, frequency of treatment, as well as having the use of 3 different types of pulse therapy machines makes a difference. I can also use Pulse EMF and laser light approaches to help difficult shoulder cases along.

Bannuru et al. (2014) conducted a systematic review (n=28 RCTs/1307 subjects) of the evidence to assess the efficacy of Extracorporeal Shock Wave Therapy (ESWT) in patients with calcific and non-calcific tendinitis. The outcome measures included pain, function and calcification resolution which was evaluated only in calcific tendinitis trials. High-energy Shock Wave Therapy was found to be statistically significantly better than placebo for both pain and function.

In a 2013 systematic review and meta-analysis, Loppolo et al. looked at ESWT compared to sham treatment or placebo for calcific shoulder tendinopathy.  Greater shoulder function and pain improvements were found at 6 months with ESWT over placebo.

Lee et al. (2011) performed a systematic review of RCTs examining the midterm effectiveness of ESWT for calcified rotator cuff tendinitis. The review found consistent evidence of midterm effectiveness of ESWT in reducing pain and improving shoulder function.

Call 310-444-9393 for an appointment. 

More

Achilles Tendonitis

I have treated many cases of Achilles tendinopathy (tendonitis) using pulse wave therapy also known as shock wave therapy or extracorporeal shock wave therapy (ESWT).

In 2015, Mani-Babu et al. reported results that there is evidence for short-term improvements in Achilles problems with ESWT.

A 2017 Health Technology Assessment (HTA) review showed efficacy of ESWT for treating Achilles tendinopathy. They showed significant pain improvement while running or playing sports.

For patients with Achilles tendon pain or dysfunction I recommend a trial of therapy. This may involve the use of sound therapy (shock wave, pulse therapy, pulsed EMF, radial therapy) along with light therapy (laser). This is why I call my specialty sound & light therapy. I teach my patients stretches and strengthening exercises for this condition. I also use nutrition and topicals to help patients get out of pain as quickly as possible.  

More

Plantar Fasciitis Chiropractor

The bottom of your foot hurts. Maybe one side, or worse both feet hurt! The cause of the pain is probably something related to a change in your walking or running habits. People say to me “I haven’t changed anything so how does it happen?” There has to be something that you are doing wrong that you don’t even know you are doing wrong. It’s often in your gait or posture causing an excessive strain that is creating repetitive irritation of the arch of the foot.

Plantar fasciitis starts with some inflammation of the fascia on the bottom of the foot and eventual thickening of the plantar fascia. I don’t have to tell you that it can be a severe irritation. In order for me to evaluate and correct plantar fasciitis I examine the whole Superficial Back Line of fascia, which starts at the bottom of the foot and goes all the way up to your head. We might find this fascial band tight anywhere along its entire length. Fascia is the primary force transmission system in your body. If it cannot transmit force efficiently, there is too much strain in certain places: the bottom of the foot is often one of the spots that takes the burden of the excess stress (resulting in too much strain).

The examination includes checking for tightness in the muscles around the calf, especially the soleus and toe flexors. I also check stability and force generation in your glutes, psoas, quads, and abdominals. If they are inhibited or weak the lower leg and foot have to do more work. More work leads to pain and discomfort. A common movement pattern dysfunction of plantar fasciitis is lack of strength and timing of the Gluteus Maximus. Weak glutes contribute to foot dysfunction.

Key non-invasive treatments: 

EnPuls (radial pulse therapy or shock wave therapy) and Piezowave Therapy (Acoustic pulse therapy)

These therapies significantly reduce pain and inflammation while stimulating the formation of new collagen matrix in damaged foot tissues. Properly applied shock wave therapy with optimal dosage is one of the best modalities available for effective treatment of Plantar Fasciitis. Often you will feel significant changes and improvements within several sessions.

 

Kinesiology Taping 

Taping is an effective tool for alleviating symptoms and helping to form new movement habits. Sensory input from the tape on skin ignites the brain maps in discovering new options for movement. Tape adds stability. More stability leads to increased movement variability. Being stability is a good thing.

 

I am the only Chiropractor in Los Angeles with these combinations of modalities to target treatment to the site of pain and I teach patients the use of corrective exercises. This approach leads to more positive outcomes. The body will tell you very quickly what it likes and what it doesn’t like. If you feel better and it lasts you are on the right track. If you don’t, that’s a sign you need to change approaches. I can combine radial pulse waves, acoustic pulse waves, laser therapy, taping, and strength work to help you heal better and faster.

More

Shock Wave Therapy (Radial Shockwave Therapy)

Radial Pulse Therapy also known as Radial Shockwave Therapy has and is gaining popularity for the adjunct treatment of superficial orthopedic conditions especially myofascial conditions and tendinopathy. This is do to: some clients need overly dense fascia, scar tissue, soft tissue and joint adhesions broken up; doctors like using new technology; and some clients need a device with specific magnitude of forces (Joules) and a controlled speed (Hertz) applied to the muscle/tendon/bone unit in order to achieve the goals of restimulating the healing process.

As practitioners, it is important to correctly identify the patient’s biggest dysfunction. I often ask myself, “What’s the biggest issue?” Is it pain related to repetitive trauma, microtrauma, macrotrauma, obesity, poor nutrition, lack of motor control, poor strength, poor mobility, etc. Once the treatment plan is initiated, we must have positive short term responses from our treatment decision to obtain long term adaptation. In this regard, I have the experience of working with Radial Pulse Therapy for rotator cuff tendinopathy, achilles tendinopathy, plantar fasciitis, patellar tendinopathy, tennis elbow, iliolumbar and thoracolumbar fascial dysfunctions. I like being able to offer treatment options especially after patients have tried medications and glucocorticoid injection therapy for tendinopathy, trigger points and fascial adhesions.

To read the full article:

http://www.dcpracticeinsights.com/mpacms/dc/pi/article.php?id=57000&aoid=dcpinu_20140522_magneceutical

More

Radial Shock Wave Therapy AKA Radial Pulse Therapy

The Radial Pulse Therapy (RPT) also known as Shockwave Therapy does not apply electric shocks. The RPT I use in my practice is applied by holding a lightweight hand-piece against the skin that (houses electromagnets, instead of a compressor, to accelerate a projectile inside the hand-piece that hits an applicator tip) creates a unique radial wave that penetrates into the surrounding target tissue.
Read more…
http://www.dcpracticeinsights.com/mpacms/dc/pi/article.php?id=56764&aoid=dcpinu_20131119_magneceutical
More

Shock Wave Therapy

Dr. Tucker has added Radial Shock Wave Therapy (RSWT) to his list of treatments. This is the latest advancement in pain relief technology. RSWT is a especially useful for plantar fasciitis, tennis elbow,  Achilles tendinitis, and other pain and stiffness in muscles and joints do to scar tissue and adhesions.

More