Medical Articles of Interest for November 2016

Vitamin D Levels Tied to Breast Cancer Survival

Allergenic Foods Should Be Introduced to Infants Early

Direct-Acting Antivirals for Hep C Might Worsen Liver Cancer

Gluten-Free Diet Does Not Repair Intestinal Damage in Some Children With Celiac Disease

Dementia Prevalence Shows Steep Decline in National Study                                     Education seems to be the key. My comment – Vitamin/Turmeric usage higher in that group?

Can a Prenatal Supplement Prevent Mental Illness?                                                      My comment: Choline – high in egg yolks; also important in dementia prevention.

Subclinical Peroneal Neuropathy Linked to History of Falls Among Inpatients

Experts: Wheat Sensitivity Is Real

Popular Heartburn Medication Linked to Increased Stroke

Scientists Say Gut Microbes May Play Role in Yo-Yo Dieting, Obesity

 

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 455 W 23rd St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? https://www.facebook.com/londonterracechiropracticandappliedkinesiology

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Anterolateral Lower Leg Pain &/or Foot Drop – Peroneal Nerve Entrapment – A NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Explains

Occasionally a patient comes in with pain along the anterior lateral part of their lower leg and they may also have difficulty lifting the top of their foot upward at the ankle (dorsiflexion) or moving the foot outward at the ankle (eversion). This also affects the patient’s gait (ability to walk properly)

movements-of-foot

They may have been told that their problem is sciatica since branches of the sciatic nerve goes all way down the leg and into the toes. They may have been to a physical therapist or another chiropractor who worked on the low back where the sciatic nerve originates without any relief.

How a NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Treats Sciatica

But the problem is the peroneal nerve which branches off the sciatic just below the knee; it goes from the common peroneal nerve which starts at the lateral back of the knee near the inner side of the biceps femoris  (part of the hamstings), goes to the back of the fibula bone and then branches off to the superficial peroneal nerve and the deep peroneal nerve.

The deep peroneal nerve innervates the muscles of the anterior compartment of the leg which are: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius. Together these muscles are responsible for dorsiflexion of the foot and extension of the toes.

The superficial peroneal nerve passes between the peroneus muscles and the extensor digitorum longus, and goes into the deep fascia at the lower third of the leg; it supplies the muscles of the lateral compartment of the lower leg : peroneus longus and peroneus brevis. These assist with eversion and plantar flexion of the foot.

The deep peroneal nerve passes inferior and medially, deep to extensor digitorum longus,  and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial branch. The deep peroneal nerve innervates the muscles of the anterior compartment of the leg which are: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius. These muscles are responsible for dorsiflexion of the foot and extension of the toes.

superficial-and-deep-peroneal-nerve-and-muscles

Spasms of muscles along the route of these nerves can cause nerve entrapment and result in loss of muscle function or pain along the route of the nerves. As muscle attaches to bones and joints, spasms can cause misalignments of these structures and this can further complicate the problem.

Sometimes the muscle spasms are complicating for a muscle that is inhibited somewhere along the lateral or posterior kinetic chain such as the gluteus maximus, gluteus medius, the hamstrings and the rectus femoris or the psoas which overwork in order to to lift the leg to clear the dropped foot during walking. Neurokinetic therapy works well answering this question and correcting the problem.

As a applied kinesiologist and neurokinetic therapist I will either place my finger or hand on specific areas and then retests the muscle to see if the weakness is corrected. This is called therapy localization.

If the therapy localization is positive and the area involved is a joint or a muscle, I can move the area in a way to stimulate neuro/mechano receptors in the joint or muscle. This is called a “challenge’ and shows the direction of manipulation needed to improve function of the joint or muscle.

As a chiropractor, I would not only adjust the involved joints but check to see if the change in gait muscles has affected the spine and adjust affected level.

Stretches are given to the previously complicating muscles and exercises given to the previously inhibited muscles in order to break the pattern that caused the problem.

For  more information, please read:

The Use of Applied Kinesiology in a Chiropractic Examination

How a Combination of Applied Kinesiology, NeuroKinetic Therapy and Chiropractic Works

 

 

© 2016-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 455 W 23rd St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? https://www.facebook.com/londonterracechiropracticandappliedkinesiology

Or join me at Twitter: www.twitter.com/DrVRepetto

Info on Gastro-Intestinal Seminar I Attended

These days between people with celiac disease, those affected by antibiotic overuse and those affected by GMO products, artificial sweeteners,  high fructose corn syrup, and pesticides, a lot of patients have compromised gut function with digestive disorders including malabsorption.

Last week I attended a mini-seminar by Metagenics about the research on their newest product UltraGI Replenish.

UltraGI Replenish represents an unprecedented level of product development and research at Metagenics to deliver a unique combination of ingredients for a truly forward-thinking approach to supporting the specific needs of patients challenged by compromised gut function with digestive disorders including malabsorption.
Key Formula Components & Benefits
• Proprietary prebiotic blend, including PreBiome 2’-FL™ to nourish beneficial microorganisms and isomalto-oligosaccharides (IMOs), to promote intestinal mucosal health and nourish beneficial microorganisms
• Advanced, clinically tested Sustamine® L-Alanyl-L-Glutamine dipeptide designed for enhanced absorption to support intestinal health
• 15 g of OptiProtein™ per serving—12 g of pea/rice protein blend and 3 g of added essential amino acids to address potential increased needs due to digestive issues and malabsorption
• 20+ essential nutrients for targeted GI support, including:
° Vitamin B12 and folate forms designed to address potential malabsorption issues
° 100% RDI of vitamin D3, the most absorbable form
of vitamin D available
° Antioxidant nutrients (e.g., vitamins C and E) to protect against oxidative stress
° 80% RDI of zinc to support GI lining integrity
• 17 g total carbohydrates, including 7 g of fiber and 4 g of sugars
• Fat blend, including medium chain triglycerides (MCTs), flaxseed (containing omega-3), and high oleic sunflower oil
• Non-GMO, gluten free, and soy free to complement a modified elimination diet and help reduce digestive discomfort.

ultragi_replenish_chocolate_1531592a1_64oz_rt

Of course this product is followed up with administration of Ultra Flora probiotics.

Probiotics can vary significantly in potency, efficacy, and safety, which can result in inconsistent health benefits. Many products fall short due to various reasons, including not identifying the probiotic strain that is linked to specific health benefits. Additionally, some products have also been found to contain specific contaminants (gluten, mold, yeast, and potentially harmful bacteria), which can cause negative reactions and deleterious health effects in susceptible individuals.

Through extensive and rigorous quality controltesting,  UltraFlora guarantees the highest quality of purity (free of contaminants), potency, and scientifically formulated probiotic formulas that contain genetically identified strains with established health benefits for clinically reliable outcomes .

Ensuring Purity, Reliability, and Quality
Certificate of Analysis required from all suppliers
Testing for contaminants, purity, and genetic strain ID upon receipt of raw materials
Testing for total viable count using scientifically validated methodology
Strains have been shown to resist acid, bile and pancreatin digestion allowing survival through the digestive tract for colonization
To help maintain probiotic viability through expiration, water exposure is limited:
Testing for low water activity during manufacture
Controlled humidity and temperature during production, packaging & storage to limit exposure to water in air
Testing for stability under storage conditions, including refrigeration, ambient, and high heat temperatures
Guaranteed potency/CFUs (Colony Forming Units) through date of expiration:
Manufactured, stored, and transported under refrigeration to ensure live and healthy probiotics

For more information on Metagenics, please read Nutritional Supplements: Why Metagenics ?

If you would like to try these products, please go to http://www.drvittoriarepetto.metagenics.com.

Please click on Create a New Account on the top right side of the page, and use Practitioner Code DrVittoriaRepetto.

The advantage of this online store is :

20% off all first-time orders 

10% off all Recurring Orders

Free Ground Shipping on all orders (no matter how little).

Once you have create an account, you click on upper right hand side Log In for future purchases .

 

© 2016-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 455 W 23rd St., NYC 10011; please go towww.drvittoriarepetto.com

And please check out the Patient Testimonials page at my web site.

 Want to be in the know on holistic information and postings? Follow me athttps://www.facebook.com/londonterracechiropracticandappliedkinesiology

Or join me at Twitter: www.twitter.com/DrVRepetto

Medical Articles of Interest for October 2016

SSRIs Disrupt Sleep in the Elderly, May Contribute to Dementia

Phytoestrogens May Benefit Health but Also Prompt Concern

Unclear If Sports Raise Later Arthritis Risk 

Sleep Duration Important in Weight Management

Micronutrient Deficiency Often Unnoticed in PPI Users

” PPIs have been associated with Clostridium difficile infection and with micronutrient deficiency. “Our hypothesis was that even though gastroenterologists know about micronutrient deficiency, they aren’t looking for it,” he explained. The researchers reviewed the electronic health records of 41 patients with Barrett’s esophagus who were on long-term PPI therapy to see if their levels of vitamin B₁₂, ferritin, or magnesium were ever tested”

Aerobic Exercise May Provide ‘Small’ Improvement in Vascular Cognitive Impairment

IBS: Gut Bacteria May Predict Who Benefits From FODMAP Diet

“Patients who did not respond to the low-FODMAP diet had more severe dysbiosis at baseline than responders. The traditional diet had no effect on overall bacterial composition, but in the FODMAP group, there was a significant reduction in potentially beneficial Bifidobacterium. This was more prominent in nonresponders than in responders.”

New Guideline Says Calcium Safe From CVD Standpoint

(Dr. Repetto’s comment – One should take calcium with magnesium, vitamin D and vitamin K. One should aim to get 1200 mg/day and half of that from food.)

 

 

Rib Pain or Intercostal Neuritis – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Every few times during the year, I get a patient with a displaced rib head. (I’ve had one or two myself)  The sensation is an intense stabbing pain that “takes your breath away” in either the back or the front of the chest; sometimes the pain goes round the rib and sometimes seems to go from the back to the front like a knife.

When a patient comes in, we evaluate them via examination and a detailed history to rule out things like shingles or referred pain for heart, lung and gastrointestinal problems.

But it’s usually a rib head displactment either at the anterior attachment at the sterum [breastbone] or at the posterior attachment at the transverse process of a thoracic vertebrae. The intercostal nerve runs from the anterior rami of the thoracic spinal nerves from T1 to T11 and runs [along with the artery and vein] between the intercostal muscles to the breastbone.

intercostal-nerve

intercostal-muscle

Of course it’s not surprising that a rib displacement “takes yr breath away” as the ribs (& the clavicle) and a lot of the muscles attached to them are involved in inspiration and expiration. Some of these muscles are the diaphragm, the external & internal intercostals, the serratus anticus, pectoralia minor, scalene & SCM muscles.

breathing-muscles

Muscles attached to the ribs or thoracic spine which may not be directly involved in breathing but may be compensating for a problem with the breathing muscles. Some of these muscles are the rectus abdominis, the abdominal oblique muscles, the quadratus lumborum, the rhomboids and latissimus dorsi; they may be on the same or contralateral side to the displaced rib.

Before I adjust any displacement of the ribs involved or the breastbone or the clavicle as a doctor of chiropractic; I need to balance the muscle pull on the affected area.

I use the muscle testing used in both Applied Kinesiology and NeuroKinetic therapy.

As a Applied Kinesiologist, I test for the function of individual muscles. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.” Is the weakness due to a spinal/nerve problem, a vascular problem, a problem with lymphatic function, a nutritional default, a problem with organ function or an acupoint associated w/ that muscle?

The Use of Applied Kinesiology in a Chiropractic Examination

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?” NeuroKinetic Therapy works with that concept that movement is performed in systems or patterns. NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating) for them.

How a Combination of Applied Kinesiology, NeuroKinetic Therapy and Chiropractic Works

Once the above muscle related questions are answered, I can adjust the involved rib, clavicle or spinal segment.

Stretches are given to the previously facilitated (or hypertonic) muscles and exercises given to the previously inhibited (or weak/hypotonic) muscles in order to break the pattern that caused the problem.

For a blog on the effects of the breathing muscles on asthma, please check out: The Musculoskeletal Aspects of Asthma

© 2016-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 455 W 23rd St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? https://www.facebook.com/londonterracechiropracticandappliedkinesiology

Or join me at Twitter: www.twitter.com/DrVRepetto

Tues 10/13 Mini-Seminar – Advances in Clinical Nutrition: Chronic Disease Management

This Thursday, Oct 13th I’ll be attending an event where  I’ll learn about the following topics:

For more on a integrative approach to resolving inflammation, please read https://drvittoriarepetto.wordpress.com/2015/07/18/chronic-inflammation-and-how-chiropractic-applied-kinesiology-can-help/

If you have any questions about the above topics in Thursday’s seminar,please feel free to give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com

© 2016-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 455 W 23rd St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page at my web site.

 Want to be in the know on holistic information and postings? Follow me at https://www.facebook.com/londonterracechiropracticandappliedkinesiology

Or join me at Twitter: www.twitter.com/DrVRepetto

Medical Articles of Interest For September 2016

 The following are from www.medscape.com a site summarizing medical research:

Can a Good Diet Prevent Dementia?

Mediterranean Diet Lowers CVD Risk in Prospective Study

Fungus May Be ‘Key Factor’ in Crohn’s Disease

Chronic Constipation a Warning Sign for GI Disorders

Farm Living Study Confirms the Hygiene Hypothesis

See the following for discussion of the Hygiene Hypothesis – The Hygiene Hypothesis — Redefine, Rename, or Just Clean It Up?

New FDA Watch List Covers 27 Drugs and Drug Classes

Herbal and Dietary Supplements Tied to Liver Damage

This article is one of the reasons why you should use supplements from one of the first companies in the nutritional supplement industry to achieve three independent certifications for Good Manufacturing Practices (GMP) by world-leading arbiters. In many areas, Metagenics exceeds these requirements with additional in-house testing and third-party assays by respected independent laboratories. http://www.metagenics.com/metagenics-difference/unsurpassed-quality

Here’s more information on Metagenics: https://drvittoriarepetto.wordpress.com/2015/08/28/nutritional-supplements-why-metagenics/

 

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 455 W 23rd St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? https://www.facebook.com/londonterracechiropracticandappliedkinesiology

Or join me at Twitter: www.twitter.com/DrVRepetto