A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Talks About Spinal Stenosis

Spinal stenosis is a common finding in the spines of older patients. Spinal stenosis is a narrowing of the spinal canal.

spinal stenosis

This can develop as you age from drying out and shrinking of the disc spaces. (80% of the discs are made up of water)  Or it can be caused by scarring from chronic inflammation of the nerve roots as they exit from the spinal foramina next to the spinal canal You can feel pain anywhere along your back or leg that the nerve root supplies.

Walking more than a block can cause great leg and back pain in a stenosis patient; pain is relieved by forward bending or sitting

Spinal stenosis may be in the neck, mid-back or low back

Spinal stenosis can be treated conservatively; surgery is not always necessary or successful and over medication with pain killers can cause side effects from stomach pain, heart failure, stroke and more joint breakdown.

There is a technique founded and taught by chiropractors called Cox Technic which uses a table that provides Flexion distraction and spinal decompression and is considered spinal manipulation

Cox Technic biomechanically opens the spinal canal area by 28% and drops intradiscal pressures to as low as -192mmHg , both desired outcomes when dealing with spinal stenosis which narrows the spinal canal space.

In my office, the Cox technique is combined w other non-force techniques such as pelvic blocking (SOT) and applied kinesiology techinques such as balancing muscles that support the spine and pelvis such as the psoas, piriformis, gluteus maximus, erector muscles and abdominal muscles  and treating the lymphatic and vascular points that supply those muscles. 

I also use neurokinetic therapy (NKT) which works with the 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.

After balance is restored to the muscles, the vertebrae involved with those muscles are adjusted.

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

Please see: How a NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Treats Sciatica 


I use nutrition to decrease the chronic spinal inflammation of the discs and nerves which that increases pain relief.

While spinal stenosis may not be cured due to the degenerative nature of the problem, the painful effect on the patient’s life can be controlled.

Spinal stenosis patients are often happy with  relief of the pain that allows them to take a walk or sit for a meal comfortably with their family and other daily activities. Being able to participate in the activities of daily living and family life without the use of prescription drugs with dangerous side effects is often the desired effect of any treatment for spinal stenosis.

Monthly maintenance visits are highly recommended to keep the patient pain free.

Here at Dr. Vittoria Repetto’s practice, we have the table and skills to help you with your spinal stenosis; please give us a call at 212-431-3724 to set up an appointment or just to ask questions.

Chou R et al: Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain An Evidence-Based Clinical Practice Guideline From the American Pain Society.  SPINE 2009; 34 (10)

Gudavalli MR, Cox JM, Baker JA, Cramer GD, Patwardhan AG: Intervertebral Disc Pressure Changes During a Chiropractic Procedure. Abstract from the Proceedings of the Bioengineering Conference, Phoenix

A Non-Surgical Approach to the Management of Lumbar Spinal Stenosis: A Prospective Observational Cohort Study BMC Musculoskelet Disord © 2006 Donald R Murphy; Eric L Hurwitz; Amy A Gregory; Ronald Clary http://www.medscape.com/viewarticle/528906


© 2012/ revised 2015/ 2016-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th 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? 


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














7 responses to “A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Talks About Spinal Stenosis

  1. My experience is that MD diagnosed spinal diagnosis is most often incorrect. This is one of the methods MDs use to prevent these patients from seeking chiropractic care. After I have examined the patient with both physical and x-ray exams, I often find that what the MD has described as spinal stenosis is actually one or more lumbar subluxations. I have a stack of four lumbar vertebrae which I use to demonstrate this condition to the patient. I hold the vertbrae in my hand and place a pencil through the top of the spinal canal. Then I ask the patient to remove it by simply pulling it upward and out. It comes out easilly. Next I reinsert the pencil and twist (subluxate) the stack of vertebrae, which reduces the canal and puts alot of pressure on the pencil. In this postion the patient is asked, once again, to remove the pencil by pulling it upward from the top. The obvious result is that the pencil cannot be removed easily because the canal space is decreased. This is how I explain that they do not have spinal stenosis … they have a spinal subluxation which can only be corrected through the chiropractic adjustments. Most of these patients are 50 years old or more, and have nexer had a lot of problems with their back. However, in every case, they can remember a traumatic event that affected their lower back. Their body seemed to cover it up for years, and then they receive the stenosis diagnosis from their MD. Lazy posture, a sedentary lifestyle, obeisity, and poor ergonomics all contribute to this condition. So you need a patient that is willing to change some of their habits. This is very important for a successful outcome.


  2. I have had many issues with all areas of my spine starting with a fall when I slipped carrying a 50 pound bag of cat litter back in 1991 which herniated a disc at C7-8 and has stenosed over the years. Also, the L5-S1 area is stenosed which I think is the reason the outer aspects of my feet get numb when I stand or walk for long periods of time. Activity has helped such as stretching, chiropractic adjustments and a good diet. Getting my waist down from 34 to 32 inches now and counting. I recently trained as a Yoga Instructor utilizing modifications and the Iyengar discipline which has increased circulation and flexibility. The CAM approach to any spinal disorder is better than taking medication all the time. My nursing profession as a RN, BSN, Board Certified Health Coach will include your Cox Technic approach and if I may, reference your article to my clients.


  3. Pingback: A NYC Chiropractor/Applied Kinesiologist Talks About Spinal Stenosis | careplusmedical.com

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s