All Posts tagged shockwave treatment

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.

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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.  

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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

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