Tingling/Numbness/Weakness in Hand/Arm But Not Carpal Tunnel or Yr Neck; A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Do you have tingling or numbness in your hand that goes beyond your first three fingers?  Do you have weakness in your forearm, arm or shoulder despite your weight training routine?

It’s not carpal tunnel since it involves more than the fist three fingers. And you have no history of neck problems, all orthopedic tests and X-rays/MRI of the neck are negative.

You might have an entrapment syndrome of the brachial plexus nerves or subclavian artery/vein to the before mentioned structures.

This entrapment syndrome called Thoracic Outlet Syndrome is caused by three major conditions; Anterior Scalene Syndrome, Costoclavicular Syndrome and Pectoralis Minor Syndrome as well as some minor causes.

TOS

In the first condition called Anterior Scalene Syndrome, the brachial plexus nerves arising from C5, C6, C7, C8 & T1 nerve roots is trapped between the anterior and middle scalene muscles which may be in spasm or compensating for inhibited neck muscles.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist. The patient is asked to ipsilaterally rotate, contralaterally laterally flex, and extend his neck at the spinal joints, while the radial pulse is palpated; this called Adson’s Test. Decrease in strength of the radial pulse is positive for the syndrome.

Treatment consists of using spindle work on the bellies of the scalene muscles or golgi tendons of the scalene attachments and of balancing the other neck muscles which can be either inhibited or compensating.

In the second condition Costoclavicular Syndrome, the brachial plexus and subclavian artery and vein run between the first rib and clavicle in the medial pectoral region. If the posture of the relationship of the clavicle and first rib changes and they approximate each other as often happens with rounded and slumped shoulders and impingement may occur.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist when the patient is asked to stick his chest out and pull the shoulder girdle back and down similar to the military posture of attention. Again, weakening of the strength of the radial pulse would be considered to be a positive sign. This is called Eden’s test.

Treatment consists of checking muscles such as the SCM and the subclavius that attach to the area, improving the patient’s posture and checking muscles that resist this bad postural pattern such as the rhomboids and the middle trapezius.

In the third condition Pectoralis Minor Syndrome, a tight pectoralis minor muscle compresses the brachial plexus and/or subclavian vessels against the rib cage. The assessment is to bring the patient’s arm up and back. This position called Wright’s Test stretches and pulls the pectoralis minor taut against the rib cage

Treatment consists of checking for either an inhibited or facilitated pectoralis minor, or other muscles that can be inhibiting or compensating such as the serratus anterior, latissimus dorsi or the lower trapezius.

Other minor conditions such as  when both the medial and ulnar nerve getting entrapped by a spastic muscle such as the pronator or by a misalignment of the radius and ulna bone can happen and need to be ruled out.

forearm muscles

For additional information, please check out:  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2012/05/23/how-a-nyc-chiropractorapplied-kinesiologist-treats-carpal-tunnel-syndrome/

 

© 2015-Dr. Vittoria Repetto

© Revised 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? 

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

Getting Rid of Inflammation w/ Specialized Pro-resolving Mediators (SPMs) – A NYC Chiropractor/Applied Kinesiologist Explains

Two weeks ago, I attended a mini-seminar from Metagenics on the use of Specialized Pro-resolving Mediators (SPMs) for the resolution of inflammation.

As you may know, inflammation is an immune response to insults such as injuries (cuts, wounds, vertebral and extremity misalignments, muscle spasms, infections (bacterial, viral or fungal) or unhealthy dietary patterns.

Although acute inflammation is a normal protective response, it can give rise to chronic inflammation if left unresolved.

Extensive research suggests that the SPMs found in OmegaGenics SPM Active (17-HDHA and 18- HEPE) may promote the body’s natural resolution of the immune response. The research has discovered that SPMs are produced at the inflamed site after the initial inflammatory response and function as “resolution agonists,” orchestrating resolution to facilitate the return to homeostasis and tissue healing. http://www.metagenics.com/spm-active-specialized-pro-resolving-mediators

An important key to controlling/resolving inflammation and subsequently preventing chronic inflammatory conditions lies in SPMs and their pro-resolving properties.

SPMs are produced from long-chain polyunsaturated fatty acids – especially EPA and DHA – illustrating the importance of appropriate nutrition in the body’s resolution of inflammation.

Although EPA and DHA are metabolic precursors of SPMs, SPMs are directly responsible for resolution activities whereas EPA/DHA are involved in other beneficial biological activities.

This means that a smaller amount of SPMs can resolve inflammation better than a “ton” of EPA/DHA.

Please see the following video: Fish Oils vs SPMs: What’s the Difference?
https://vimeo.com/131679216

Anti-inflammatory drugs (NSAID’s) have been the go-to therapy for many acute and chronic inflammatory conditions. However, anti-inflammation is not the same as pro-resolution.  

To put it another way, NSAID’s shut off the fire alarm signaling inflammation while SPMs put out the fire.

In fact, NSAID’s may delay resolution activities and undermine the body’s attempt return to homeostasis and tissue healing. Unresolved inflammation and unhealed tissue can lead to fibrosis that can impair organ and muscle function.

In fact, a recent research paper review http://www.medscape.com/viewarticle/853216 Is Long-Term NSAID Use Harmful to Athletes? noted “Most recent reviews have come down on the side of restricting the use of NSAIDs, pending more information “Anti-inflammatory drugs seem to inhibit the healing process of connective tissue and the stimulating effect of exercise on connective tissue protein synthesis,” concluded the authors of a 2014 review in the journal Connective Tissue Research.

And the paper also noted, One reason for caution is that NSAIDs can cause many side effects, including kidney disease, asthma exacerbation, gastrointestinal and renal side-effects, hypertension, and other cardiovascular diseases, in addition to whatever effects they have on muscle.”

SPM Active Specialized Pro-resolving Mediators

spm_active_60sg_lme186d1_60cc_rt_0

SPM Active is a revolutionary nutritional product developed through advanced fractionation technology featuring standardized levels of SPMs (specialized pro-resolving mediators) found in fish oil. Designed to support the body’s natural capacity to respond to physical challenges and resolve physical stress.*

Benefits:

  • A breakthrough in tissue health and immune response support*
  • Supports healthy immune cell (i.e., macrophage) resolution-related activities*

To order please go the Metagenics.com, click on Create a New Account on the top right side of the page, and use Practitioner Code DrVittoriaRepetto 20% discount on first order

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 SPMs and resolving inflammation, feel free to give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com

 

 

 

© 2015-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? 

https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/

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