Low Back Pain & Non Force Adjustments/SOT Blocking: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

One of the major complaints that causes patients to seek out a doctor of chiropractic is low back pain; it can be caused by either a problem with the lumbar spine or the sacrum.

As a doctor of chiropractic who is also an applied kinesiologist, I use a technique developed by Dr. DeJarnette called Sacro Occipital Technique (SOT); so named because of the relationship between the sacrum (base of the spine) and the occiput (base of the skull).

One of the functions of the sacrum is to pump cerebro-spinal fluid (CSF) from the base of the spine back up the spinal canal to the brain and throughout the nervous system. The occiput also helps to pump CSF. The minute rhythmical motion is essential to optimal health – CSF effectively acts as the circulatory system of the brain and spinal cord.

The pelvis forms the foundational support of the human skeleton. It supports the upper body right up to the skull, and enables us to transfer our weight to our legs. The sacrum is a large bone located at the terminal part of the vertebral spine, where it forms the posterior aspect of the pelvis. The spine holds our body upright, supports all of our organs and provides anchor points for our muscles. It also protects our delicate nervous system. The nervous system controls our body, and can only function normally when our structures are balanced and our pelvis, sacrum and lumbar is stable.

Dr. DeJarnette’s studied two aspects of the sacroiliac joint; the anterior synovial portion and the posterior hyaline cartilage portion. The anterior sacroiliac joint should have motion and this is where sacral nutation and counternutation takes place. The posterior sacroiliac joint is focused on weight-bearing stability and support, which is why at the posterior joint surface there are interlocking of the ridges, and grooves by structures like muscles, ligaments and fascia.

DeJarnette evaluated the weight-bearing characteristics of the sacroiliac joint and determined that when the joint could not adequately support body weight then load bearing stress will be moved upward to the L5/S1 and L4/5 discs, most commonly.

DeJarnette developed an analysis which classified pelvic problems into three different categories and three different non-force techniques using SOT blocks in positions that correct the involved category.

sot-blocks

One of the major complaints that causes patients to seek out a doctor of chiropractic is low back pain; it can be caused by either a problem with the lumbar spine or the sacrum.

As a doctor of chiropractic who is also an applied kinesiologist, I use a technique developed by Dr. DeJarnette called Sacro Occipital Technique (SOT); so named because of the relationship between the sacrum (base of the spine) and the occiput (base of the skull).

One of the functions of the sacrum is to pump Cerebro-Spinal Fluid (CSF) from the base of the spine back up the spinal canal to the brain and throughout the nervous system. The occiput also helps to pump CSF. The minute rhythmical motion is essential to optimal health – CSF effectively acts as the circulatory system of the brain and spinal cord.

Dr. DeJarnette’s studied two aspects of the sacroiliac joint; the anterior synovial portion and the posterior hyaline cartilage portion. The anterior sacroiliac joint should have motion and this is where sacral nutation and counternutation takes place. 

pelvic-ligaments-ant

si-movement

The posterior sacroiliac joint is focused on weight-bearing stability and support, which is why at the posterior joint surface there are interlocking of the ridges, and grooves by structures like muscles, ligaments and fascia.

postsacrummuscles

DeJarnette evaluated the weight-bearing characteristics of the sacroiliac joint and determined that when the joint could not adequately support body weight then load bearing stress will be moved upward to the L5/S1 and L4/5 discs, most commonly.

DeJarnette developed an analysis which classified pelvic problems into three different categories and three different non-force techniques using SOT blocks in positions that correct the involved category.

Category One is a pelvic torsion with altered sacral nutation(motion)  This lack of nutation affects the spinal and cranial meningeal and CSF systems which function to a degree like a closed kinematic chain. Therefore symptoms can be low back pain, chronic shoulder complaints, thoracic outlet syndrome, CSF stagnation, and altered vasomotor function.

Involved muscles can be the piriformis, quadratus lumborum, sacrospinalis, gluteus medius and gluteus maximus. As an applied kinesiologist, I’d check to see if they are hypotonic or hypertonic; as a neurokinetic therapist, I’d check to see if a muscle is weak (or inhibited) by another muscle compensating.

Therapy localization (TL) is done by putting 2 hands on each sacral-iliac joint and then challenging the pelvis for a structural listing and then blocks are put under the patient’s pelvis based to the findings.

The positive Tl’ed side is not adjusted. Cranials are checked.

Category Two happens when ligaments that hold the sacroiliac joint are stretched or sprained, allowing the joint surfaces to separate. Stress can aggravate this ligament weakness via adrenal hormone overdrive.

Symptoms can be low back pain, bowel complaints, possible dysfunction of the reproductive glands and the adrenals, shoulder problems and decreased cervical range of motion.

Involved muscles in addition to the ones mentioned in Category I are the sartorius, gracilis, rectus abdominals and hamstrings along with the iliolumbar ligament. These structures are tested via applied kinesiology and neurokinetic protocols mentioned above. Cranials again are checked.

Category Three occurs when the low back can no longer tolerate the physical stressors placed on it and involves both disc and nerve root aggravation. This can be a sudden one-off event such as a lift, or it can be a pre-existing weakness that is aggravated. Often Category Three produces pain in the low back and sometimes pain radiates down a leg as sciatica.

Muscles to be checked are the psoas as it attaches into the front of the lumbar vertebrae as well as the muscles involved in Category One as Category Three can be a Category One that was never corrected.

Correction in all the categories involves using blocks under the pelvis in specific directions related to the category and the subluxation/misalignment of the pelvis/sacrum. The patient’s weight and breathing help to balance the low back, sacrum and CSF flow and takes the pressure or irritation off the nerve. This allows the body to heal.

Patient is told to ice the involved areas, how to do daily activities, given stretches and exercises and advised on nutrition to help the body heal.

For more information on issues mentioned:

Cranial Sacral Therapy in Applied Kinesiology

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

The Use of Applied Kinesiology in a Chiropractic Examination

© 2017-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

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The Basics of Applied Kinesiology

Applied kinesiologists use the following skills:

As some of you know, Muscle Testing is a basic in AK. When you test a muscle, you test not only the condition of the muscle itself, but the joint it crosses or moves, the spinal innervations of that muscle, the Chinese meridian (acupuncture energy line) associated w/ that muscle and the organ associated w/ that Chinese meridian and some cranial-sacral faults.

The Art and Science of Muscle Testing in Applied Kinesiology

Challenge is an essential diagnostic procedure used to determine the body’s ability to cope with external stimuli, which can be physical, chemical, or mental.  An example of a physical challenge is pushing on a skeletal joint to determine an irritation that produces a muscle strength change. Chemical challenge may occur when one inhales potentially toxic chemicals or chews nutritional factors.  Mental challenge includes thought processes, either pleasant or unpleasant to the individual. After an external stimulus is applied, muscle-testing procedures are done to determine a change in the muscle strength as a result of the stimulus.

Therapy localization is another diagnostic procedure in AK that consists of placing the patient’s hand over areas of suspected involvement, then using muscle testing procedures to determine any change in strength. Placing the patient’s hand on different locations stimulates nerve endings and/or possibly changes the patient’s electromagnetic energy field. Therapy localization is strictly a diagnostic tool in AK that is to be combined with the other diagnostic findings to arrive at a final conclusion.

Nutritional evaluation in AK is done as part of your total examination. The muscle test is used to confirm the other findings your doctor will use from laboratory testing, nutritional diaries, blood and saliva testing, and your history. Evaluation of nutritional products and foods by using taste to determining how your body reacts to them, as observed by MMT(manual muscle testing) , is an important addition to providing optimal nutritional support for patients who need it.

For more information on  nutritional evaluation, please read: https://drvittoriarepetto.wordpress.com/2010/01/17/the-correct-way-to-do-nutritional-evaluation-by-muscle-testing-in-applied-kinesiology

testing nl

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

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What is the Triad of Health in Applied Kinesiology

Triad of Health

The Triad of Health with structure at the base is the foundation of AK. A human form represents structure and postural balance. A circle of icons represents important treatment avenues used in AK.
 

N The functional evaluation of the nervous system is what the MMT (manual muscle testing)  offers, and is the most important area of investigation in AK and chiropractic examination.

NL The NeuroLymphatic reflexes and the lymph system is an important part of AK examination and treatment.

NV The NeuroVascular reflexes and the blood vascular system is also evaluated and treated in AK.

CSF The cranial-sacral system is an important component in nervous system function, and AK has advanced the diagnosis of cranial dysfunctions dramatically.

AMC The acupuncture meridian system is also involved in AK examination, and AK has made some of the first advancements to this ancient system of healing in the Western world.

A great deal of new information has been learned about the body’s function by evaluating how nerves and muscles react to physical, chemical, and mental stimuli. AK examination will use your own body as the laboratory of investigation, taking into consideration a wide range of influences and functional disturbances that are producing the health problems that you are want corrected. As your treatment progresses, you will observe muscles that once functioned poorly are now strong and that your body is functioning as well or better than normal.

 From: http://www.appliedkinesiology.com.au/

 For information on Cranial Sacral therapy, please read https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to www.drvittoriarepetto.com or www.westbroadwaychiropractic.com
And please check out the Patient Testimonials at the “Our Practice” page at the web site
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PTSD and Applied Kinesiology Techniques to Help

Post-traumatic stress disorder (PTSD) is a type of anxiety disorder that’s triggered by a traumatic event; sufferers may have the following symptoms of nightmares, insomnia, flashbacks, rage, emotional numbing, hypervigiliance, hyperarousal, depression, anxiety, intrusive thoughts and avoidance.

http://www.mayoclinic.com/health/post-traumatic-stress-disorder/DS00246

 There are a number of techniques that can help the PSTD patient cope better w/ their stresses and there are even techniques that the patient can practice at home.

 The first one involves the adrenal glands, an organ involved in our sympathetic reflex or “the fight or flight reaction” Continuous stress can cause the adrenals not to function optimally; symptoms can include fatigue, insomnia, depression brain fog, etc. if the adrenals are involved, then the PTSD patient might present w/ weak Sartorius muscle, a craving for salty foods, blood pressure that drops upon sudden standing or their pupils may have a sluggish reaction to light.

 Help for the adrenals involves stimulation of the neurolymphatics and neurovascular points associated w/ the Sartorius muscle and it’s link via the Chinese meridian system to the adrenals. This is a technique that the patient can do at home.

 Another muscle to look at is the Pectoralis Clav. Major that is associated to the stomach via the Chinese meridian system. We know that anxiety and stress being a predisposing factor in stomach dysfunction raging form “butterflies” in the stomach, to a gastric ulcer to emotional chest pain.

 The patient’s Pectoralis muscle would be tested while recalling a traumatic event If the muscle tests weak, then the doctor contacts the emotional neurovascular reflex pt until a synchronous pulse is felt bilaterally. Then the patient again recalls the traumatic event and the pectorals are re-tested. If the pectorals test strong, then the emotional recall is lessened in its ability to affect the patient. And the patient is taught to do the reflex work at home.

 Another technique involves negating a patient’s self-sabotaging behavior. We have the patient speak a positive statement such as “I want to be healthy” and if that statement causes any muscle to be weak then we know that there is a conflict in the mind-body connection. We then have the patient say the positive phase again while holding either points on the Small Intestine meridian; the point used is the one that allows the previously weak muscle to test strong. An acu-aid is placed on the point and the patient instructed to tap the point if they feel their symptoms creeping up on them.

 Another technique is the Temporal Tap which works as an auto-suggestion. The patient is taught to tap the temporo-sphenoidal line on the side of his head while inputting a negative statement such as “I have no need to yell.” on the right side  And then the patient inputs a positive statement such “I will be calm”.

 This technique works wonders for insomnia.

 Another technique involves holding acupuncture points while the patient thinks about his fears or anger or anxiety and we observe if that “causes a muscle to go weak; meridians associated w/ fear may be the kidney/bladder meridian or the stomach or the liver/gall bladder for anger issues. Then the patient (or the doctor) taps the beginning and end point of the meridian involved and the muscle is re-tested as the patient thinks again about his problem. A positive outcome would be a strong muscle test and the patient feeling that his fear has lessened

As you see with testing by a doctor using applied kinesiology, the patient can actively take a role in becoming healthier, more calm, more social. etc

© 2010-Dr. Vittoria Repetto

Common Medications for PTSD Tied to Increased Dementia Risk

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 230 W. 13th St., NYC 10011; please go to www.drvittoriarepetto.com

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The Art and Science of Muscle Testing in Applied Kinesiology

As some of you know, muscle testing is a basic in AK. When you test a muscle, you test not only the condition of the muscle itself, but the joint it crosses or moves, the spinal innervations of that muscle, the Chinese meridian (acupuncture energy line) associated w/ that muscle and the organ associated w/ that Chinese meridian and some cranial-sacral faults.

In order to derive this information, muscle testing must be done accurately. You must have a firm knowledge of anatomy (the science) and practice on hundreds of people before muscle testing becomes a skill (or an art); just like driving a car or cooking. Practice makes perfect!

This was hammered into my head the other month by a chiropractor who though she advertised that she did AK; it was obvious by her muscle testing that she did not have the knowledge or the skill.

First the muscle must be tested in the best position for that muscle to hold a contraction. If there is a weak muscle, patients have a natural tendency to recruit other muscles and they will shift their body position to gain an advantage.

Second it’s important that the doctor use the amount of strength appropriate for that patient If a patient has been sick for a long time or frail or a lot smaller then the doctor needs not to overpower the muscle being tested. The doctor needs to make sure the patient understands which way the doctor is pushing (or pulling) and the position in which the extremity needs to be held.

The test should not be done at such a fast rate that the patient never has a chance to develop their resistance vs. the direction of the muscle test. There is danger of muscle or tendon or joint injury if you try to overpower a muscle.

The doctor also needs to stabilize the patient and make sure that the stabilizing hand is not on a tender or painful area as this can cause the patient to let go during testing. Also the doctor needs to careful not to repeatedly test on a painful or pathological joint such as bursitis or a rotator cuff tear. The doctor should take the joint through a full range of motion before testing.

Many of the chiropractic colleges teach Applied Kinesiology as a class however that is not sufficient to master the art and science of muscle testing.

One of best ways to know that the chiropractor you are seeing has been trained properly and is committed to the practice of AK  is to see if they have been certified by the founding organization of Applied Kinesiology which is the International College of Applied Kinesiology (www.icak.com & www.icakusa.com ).

The organization authorizes an 100 hour certification courses to licensed doctors (chiropractors, medical doctors, dentists, osteopaths) w/ rigorous practice of technique and knowledge of muscle anatomy and physiology . Doctors then must pass  a written test abd ICAK issues a certificate of completeness /diploma to those doctors.

Dr. Walter Schmitt describes the effectiveness of applied kinesiology and how using manual muscle testing can be an effective tool for understanding the human body through the nervous system.

http://www.joinicakusa.com/using-manual-muscle-testing-as-a-tool-for-understanding-the-human-body/

 

© 2010-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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