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 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com

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

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Neurological Disorganization – AKA Switching – A Problem Dealt With Applied Kinesiology

Do you have trouble following directions? Overly clumsy? Suffer from quick temper or mood changes, or have learning difficulties. Then you may be “switched” or have a problem with neurological organization which can be fixed with Applied Kinesiology.

What is switching?

Basically the nervous system has two functions: to receive information and to transmit information. Switching seems to be due to a functional error in information processing.

Improper transmission from sensory receptors (information from outside to brain) causes the Central Nervous System(our brain and spinal cord) to create inappropriate strengthening and weakening of the muscles and formation of incorrect neural patterns and responses.

Neurological disorganization or switching essentially is the body’s response to a stimulus overload – Physical, Psychological or Nutritional / Chemical.

How would you know if you were “switched.”

Do you have one or more of these symptoms?

a) You have trouble following directions: for example, a massage person asks you to lie face up and you go face down.

b) Complaints of brain fog, reading difficulties, falling asleep, learning disabilities, mood changes, confusion, emotional fragility or quick temper or jet lag that just will not go away no matter what you do.

c) You may have been diagnosed with ADD or ADHD

d) Uncoordinated or clumsy movement or walking, for example, you are constantly tripping over the crack in the sidewalk that is not there.

e) You have problems w/ balance or you have cranial faults or thyroid problems that recur.

f) You have problems raising your left shoulder but the pain is in your right shoulder.

What could have caused the “switching.”

a) Your parents encouraged you as an infant to walk before you had efficient bilateral function as in cross crawling on the floor.

b) You are constantly on exercise machines that do not repeat the natural cross pattern of the body that is when left leg goes forward, the rt. arm moves forward, etc.

c) You do (or have done in the past) a lot of recreational drugs.

d) You may have eaten food additives or any noxious stimuli, refined sugars, or experienced environmental or chemical toxicity.

e) You may have nutrition deficiencies: Vitamin A, iron, folic acid, copper, choline, RNA, water.

What you can do to correct it:

a) Reducing the stressors such as recreational drugs or food additives for example will often self-correct the disorganization pattern.

b) On occasion, it needs to be addressed directly correction of Acupressure-pts – K27, GV 27, CV 24 or checking for Ocular Locking – diminished eye coordination or correcting the Cranial respiratory mechanism This is done by an Applied Kinesiologist.

c) You can correct the nutritional deficiency.

d) Do exercises such as cross crawl, balance board, cross country machines, certain martial arts movements that repeat the natural cross pattern of the body that is when left leg goes forward, the rt. arm moves forward, etc.

© – 2009-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