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.

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What is Applied Kinesiology & What It is Not – A NYC Chiropractor/Applied Kinesiologist Explains

Applied Kinesiology (AK) can be defined as the clinical application of the study of movement and function; it is functional neurology.

AK is a system of testing and treatment that is used to assess the body’s functional aberrations.

These functional aberrations may be but not limited to:

    • Muscular
    • Neurological
    • Vascular
    • Osseous
    • Lymphatic
    • Respiratory
    • Digestive
    • Endocrine
    • Imbalance in the Chinese Meridian systems
    • Nutritional Problem

AK-img3

AK always uses specific muscles for testing in different areas of the body. When a weakness is found, the question that the AK doctor has to answer is why the weakness is there ; is it due to the muscle itself, the joints it connects to, it’s spinal innervation, or the organ or chinese meridian it is associated with or a problem in nutrition, etc.

Therapies to induce or restore individual normal function include but not limited to:

    • Chiropractic adjustive therapy
    • Cranial techniques
    • Therapeutic massage modalities
    • Reflex therapies
    • Acupuncture therapies
    • Exercise & stretches
    • Nutritional supplementation
    • Emotional support or modalities
    • Lifestyle changes

With the aim of decreasing cumulative noxious stimuli below threshold and allowing the body to heal itself.

AK does not replace standard examination procedures such as neurological and orthopedic testing, blood laboratory work or X-rays but rather it is another examination tool at the doctor’s disposal.

testing rectus femoris

Applied Kinesiology (AK) is a continually evolving system that provides the doctor with the skills and knowledge to purposefully, systematically and logically ascertain the optimal treatment of the patient.

“Real” AK doctors are either listed at the ICAKUSA.com website or have a diploma on their wall saying that they took the 100 hr AK course and passed the certification exam.

Applied Kinesiology Is Not:

Using multiple muscles at once for testing; as in using an outstretched arm.

Testing nutritional needs by holding bottles in your hand or placing pills on the skin.

Touch for health or any other forms of evaluation using muscle testing as a simple yes-no answer system.

Testing using mental telepathy.

A simplistic cookie cutter approach to treatment.

For more information:

https://drvittoriarepetto.wordpress.com/2011/12/09/problem-w-misuse-of-neurolymphatics-organ-muscle-connection/

https://drvittoriarepetto.wordpress.com/2010/01/17/the-correct-way-to-do-nutritional-evaluation-by-muscle-testing-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/

Correlation of applied kinesiology muscle testing findings with serum immunoglobulin levels for food allergies

© 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.

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A NYC Chiropractor/Applied Kinesiologist Posts a Case History Using both AK & Neuro-Kinetics

As you may know, I’m working on perfecting my recent knowledge of a technique called neuro kinetics and incorporating it into my chiropractic and applied kinesiology practice.      https://drvittoriarepetto.wordpress.com/2015/09/01/taking-neuro-kinetic-therapy-seminar-sept-12nd-13th/  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

What applied kinesiology and neuro kinetics have in common is muscle testing and therapy localization. 

In the latter therapy localization (TL), the patient will either place their hand or finger on specific points, a vertebrae or another muscle and the doctor retests the previous weak or inhibited muscle to see if the weakness is corrected. https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/.

In neuro kinetics, the patient either touches a muscle or actively contracts the strong muscle that may be compensating for a inhibited muscle or set of muscles.

Female 50’s 1 wk ago sat in a small chair that only supported her “rt. cheek” resulting in lt. low back pain. Tested bilateral psoas/ tensor fasciae latae (TFL) /transverse abdominal (TVA)/ rectus abdominal (RA) /quadratus lumborum (QL)/hamstring/gluteus max….weak (W) or inhibited bilateral QL/ lt. glut max….patient therapy localizies rt. hamstring…..bilateral QL/lt. gluteus maximus now test strong …rt hamstring was facilitating muscle …… treat rt hamstring w/ spindle/golgi tendon work( an AK technique)…retest lt glut max/bilateral QL for “neural lock” which sends a message to the brain to start activating the previous inhibited muscle.

I then use chiropractic/applied kinesiology technique to correct the following: patient had a category 1 pelvis- patient’s torso is torquing opposite the upper body, (http://www.chiroaccess.com/Articles/Chiropractic-Technique-Summary–Sacro-Occipital-Technique-SOT.aspx?id=00002910) and  irritation of lt illiolumber ligament which connects 5th lumbar and pelvis , and irritation of lt sacro-tuberous ligament which connects bottom of sacrum to lower pelvis, adjust the torque of the 4th lumbar. Two cranial sutures were adjusted that go along with a category 1 pelvis.

Exercises for QL &  gluteus max are given.

© 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? 

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Knee Feels Weak Despite Exercise: Reactive Muscles and How Applied Kinesiology & NeuroKinetic Therapy Can Help

You have been working out regularly but your rt. knee feels weak and tired after walking a few blocks and it feels like your rt. knee is moving inward as you extend it.

You exercise the quadriceps more and stretch the adductor muscle but it does not help.

So what is happening?

A muscle, in this case an adductor muscle, may be shutting off your quadriceps causing your leg to rotate inwards and your quadriceps to feel weak.

In applied kinesiology, we call this a reactive muscle and it can happen in any part of the body.

What is need is to neutralize the over-active adductor muscles.

In applied kinesiology & neurokinetic therapy, we first test  the weak and suspected reactive muscle.  Therapy localization is a diagnostic procedure where the patient touches the suspected reactive muscle and we use muscle testing to see if the once weak muscle now tests strong.

We then correct the over-active muscle spindle in the middle of the muscle or the golgi tendons at the origin & insertion of the muscle.

leg-muscles1

http://neurokinetictherapy.com/reactive-muscles-and-the-kinetic-chain

http://www.fitstep.com/Advanced/Anatomy/Quadriceps.htm

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

 © 2011-Dr. Vittoria Repetto /revised 2017

 

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

Muscle Balancing in Applied Kinesiology

As a Doctor of Chiropractic, I know that muscle balancing is an important not only for spinal adjustments but also for extremity (arms & legs) adjustments and cranial adjustments.

 For example, I can adjust someone’s spine but if the pull of the muscle on one side of the spine is tighter than the other side than that spinal adjustment will not hold.

 Now most people think that it’s the tight muscle that will pull the spine out of alignment but it just as often can be the weak muscle not having enough strength to hold the spine towards its side.

 Also I may be treating a patient who has chronic muscle pain or weakness due to an injury; in these cases, muscle balance is very important.

 In Applied Kinesiology, we have ways to strengthen or weaken a muscle depending on what we need to do to help the patient.

 First we test the muscle that we think may be involved in an unbalanced pull on the bone (or spine) or involved w/ the pain or injury https://drvittoriarepetto.wordpress.com/2010/05/06/the-art-and-science-of-muscle-testing-in-applied-kinesiology/

testing rectus femoris

 For example, we may find the latissimus dorsi muscle weak that is a muscle that internally rotates, extends and adducts (movement towards from the body) the arm/ shoulder. It also attacts into the lumbar and sacral vertebra and part of the pelvic crest The weakness may seen either as a higher shoulder on the weak side or a rotation of the lumbar veretebrae.http://www.meddean.luc.edu/lumen/meded/grossanatomy/dissector/mml/lat.htm

The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic  or “too stronger.”

 One of the ways to find the answer is to use muscle spindle work. Muscle spindles are small sensory neuro-bundles in the middle of muscles that react to stretching. http://sports.jrank.org/pages/9926/muscle-spindle.html  Stretch a muscle spindle one way and the muscle will strengthen; push the fibers of the muscle spindle the other way and the muscle will weaken.

 So I would be testing the spindles by challenging the muscle spindles and seeing how it affects the strength or hypertonicity of the muscle.

 I can also use another tool at an Applied Kinesiologist’s fingertips which are golgi tendon organs and as the name suggests, these are located in the tendons of muscles (tendons attach the muscle to the bones.). http://medical-dictionary.thefreedictionary.com/Golgi+tendon+organ. Again stretching the tendon organ will help strengthen the muscle and the other way will weaken it. And these would be tested in a similar manner to the muscle spindles.

 © 2010-Dr. Vittoria Repetto

 

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to www.drvittoriarepetto.com.
And please check out the Patient Testimonials at my web site.