Medical Articles Of Interest for February 2017

Eggs, High Dietary Cholesterol Not Linked to Increased Risk for Dementia, Alzheimer’s

Dr Repetto’s comment: Egg yolks contain choline, a supplement important for brain health.

Matching the Right Diet to the Right Patient

Sitting Less Linked to Lower Risk of Diabetes

DHA Supplements Linked to Less Progression to Alzheimer’s in APOE4 Carriers

More Support for Gut-Brain Link in Autism

Mediterranean Diet With Olive Oil Boosted HDL Function: PREDIMED

Dietary Protein – From Any Source – May Help Muscle Health

Vitamin D May Protect Against Respiratory Infections

Studies Suggest Cardiovascular Sweet Spot at Two Drinks per Day

Sports Hernias, Adductor Injuries, and Hip Problems Are Linked

 

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.

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. 

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

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

Medical Articles of Interest for December 2016

Gut Microbiome Again Linked to Parkinson’s Symptoms

High Dietary Magnesium Intake Tied to Less Stroke, Diabetes, Heart Failure

Muscle Strength Gains Linked to Better Brain Function

Gastric Acid Blockers Boost Risk of Iron Deficiency

The Gut–Brain Connection

Statin Use Linked to Increased Parkinson’s Risk

Chronic Use of Proton Pump Inhibitors Increases Heart Risk

Selenium Supplement Role Unclear in Autoimmune Thyroiditis

Sauna Use Linked to Lower Dementia, Alzheimer’s Risk

 

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

 

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.

 Want to be in the know on holistic information and postings? 

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Medical Articles of Interest For September 2016

 The following are from www.medscape.com a site summarizing medical research:

Can a Good Diet Prevent Dementia?

Mediterranean Diet Lowers CVD Risk in Prospective Study

Fungus May Be ‘Key Factor’ in Crohn’s Disease

Chronic Constipation a Warning Sign for GI Disorders

Farm Living Study Confirms the Hygiene Hypothesis

See the following for discussion of the Hygiene Hypothesis – The Hygiene Hypothesis — Redefine, Rename, or Just Clean It Up?

New FDA Watch List Covers 27 Drugs and Drug Classes

Herbal and Dietary Supplements Tied to Liver Damage

This article is one of the reasons why you should use supplements from one of the first companies in the nutritional supplement industry to achieve three independent certifications for Good Manufacturing Practices (GMP) by world-leading arbiters. In many areas, Metagenics exceeds these requirements with additional in-house testing and third-party assays by respected independent laboratories. http://www.metagenics.com/metagenics-difference/unsurpassed-quality

Here’s more information on Metagenics: https://drvittoriarepetto.wordpress.com/2015/08/28/nutritional-supplements-why-metagenics/

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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Why Is My Neck Problem Causing Low Back or Leg Pain? A NYC Chiropractor / Applied Kinesiologist / NKT Practitioner Explains the Lovett Brother Effect on the Spine.

It is not unusual to have a patient come in my office with neck pain also complaining of low back or leg pain that starts with or soon after the onset of the neck pain. Or vice versa: neck pain or headaches or jaw problems after the onset of low back pain.

A lot of doctors don’t think that there is a relationship. But since they came on around the same time they probably are related. The major thing that could connect them is the meninges; three membranes covering the brain, spinal cord and housing the cerebrospinal fluid. If injured it could affect nerves throughout the spine.

spinal-anatomy-e1409590019734

A good illustration of how an injury can affect different levels is to hold the upper part of an elastic band with your hand and then hold the bottom of the band with your other hand. Then twist your upper part of the band; note how the bottom of the elastic band also twists. Now imagine how the meninges surrounding a spinal nerve as it comes off the spinal cord can affect the structures innervated by that spinal nerve.

This explains why if there is a rotation in Cervical 1 there will always be a rotation in Lumbar 5, its ‘Lovett Partner’. With all the listings they can work both ways. For example, a dysfunction at L5 can cause a C1 dysfunction and a C1 dysfunction can cause an L5.

Here’s a helpful illustration: lovatt-brother-relationship

These relationships are looked at by Applied Kinesiologists and NKT Practitioner.

Another possible relationship is one of spinal fixations; please check out this blog for more information: https://drvittoriarepetto.wordpress.com/spinal-pain-not-being-helped-see-an-applied-kinesiologist-it-may-be-a-fixation/

So if you are having unexplained pain in different areas, please consider being examined by someone familiar with the above principles.

 

 

© 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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Looking At Posture As A Clue To Helping Patients – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Two weeks ago, a relatively new patient who has been to other chiropractors paid me a compliment by saying that I was “unlike other chiropractors, I think about what is happening and what I need to do.”

One of the things I look at is posture. How does the patient present as they stand in front of me?

The other question that is relative to their posture is: How did they get that posture? Was there an accident where they were, for example, thrown forward and had to catch themselves when their bus suddenly stopped. What position was their body in? Hands forward? Head turned?

Postural findings may be due to muscular inhibition either as individual muscles or as a group of muscles that work together to do a certain movement

Or they may be due a compensating muscle inhibiting a muscle

Are the involved muscles hypotonic or hypertonic?

Or has a problem with their foot, for example, caused muscles to get inhibited or to compensate up the length of their body causing further joint and spinal pain?

bad-posture-posturepro

Here are some examples of muscles that may be involved in postural findings:

  • High Occiput – upper trapezius, neck flexor/extensor, gluteus medius, SCM, rectus capitus
  • Head rotation – latissimus, gluteus medius, lower trapezius
  • High Shoulder – opposite upper trapezius, quadratus lumborum
  • Low Shoulder – quadratus lumborum, latissimus
  • Elevated Ribs – rectus abdominal, oblique abdominals, quadratus lumborum
  • Lumbar deviation – psoas, lumbar erectors, multifidus, gluteus medius/maximus, tfl
  • High pelvis – sartorious, quadratus lumborum, hamstrings
  • Genu Valgus (Knock Knee) – TFL, gluteus max, adductors
  • Genu Varus (Bowed Knee) –adductor, popliteus, hamstrings

I use manual muscle testing to see if the muscles are hypotonic or hypertonic or inhibited by a compensating muscle.

I also look to see if there is a problem with the alignment of the joint the muscles cross or the vertebrae involved in the spinal innervation of the involved muscles.

For more detailed information, please check out the following blogs:

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

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

https://drvittoriarepetto.wordpress.com/2016/03/22/a-nyc-chiropractorapplied-kinesiologist-adds-neurokinetic-therapist-to-her-skill-list/

 

 

© 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? 

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

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