How a NYC Applied Kinesiologist/NeuroKinetic Therapist Treats Heartburn or Acid Reflux

Heartburn, also known as acid reflux, is a burning sensation in the chest, just behind the breastbone or just below the breastbone. The sensation of pain or discomfort often rises in the chest and may radiate to the neck, throat, or angle of the jaw. The sensation gets worse on lying down or bending over.

Chronic heartburn is called gastroesophageal reflux disease (GERD). GERD is a relatively new classification of chronic heartburn (less than 10 yrs) which seems to have appeared at the same time as two new classifications of drugs H-2-receptor blockers and Proton pump inhibitors which were stronger and provided longer relief than similar antacids.

However  all three mentioned drug classifications by different mechanisms stop the production of stomach acid; stomach acid which we need in order to not only digest food but help us absorb essential nutrients like Calcium and Vitamin B12.

Now one of the possible causes of heartburn or acid reflux is a hiatal hernia. When one part of the internal body pushes into another part where it should not be, it is called a hernia.  The hiatus is an a opening in the diaphragm muscle that allows for the passage of the esophagus as it attaches to the stomach and the passage of the aorta, the inferior vena cava and nerves.

See http://en.wikipedia.org/wiki/Diaphragm_%28anatomy%29 and observe the way the diaphragm muscle is constructed. There are muscle fibers that wrap around both sides of the esophagus.

A hiatal hernia is when due to diaphragm weakness, the stomach slips upward through the hiatus into the space where the esophagus is causing both nerve irritation and slippage of stomach acid into the esophagus causing the sensation of heartburn or GERD.

hiatal hernia

 As a chiropractor, we affect the diaphragm by manipulation of the 4th & 5th cervical vertebrae which  then forms the phrenic nerve and innervates the diaphragm and the stomach and esophagus via manipulation of the greater splanchnic nerve  at 5th to 9th thoracic vertebrae

As an applied kinesiologist,  we work the neuro-lymphatics and neuro-vascular points to increase blood and lymph flow for these organs.

Besides the diaphragm, the psoas muscle is important to check as its fibers blend with the fibers of the posterior diaphragm. The muscles of the chest and the abdomen are also important to check if the patient is constantly in a flexed position.

As an applied kinesiologist, I check to see which muscles are weak or hypertonic.

As a neurokinetic therapist, I look to see if the muscles of the posterior thoracic (mid back)  are inhibited by the muscles of the anterior chest or abdomen .

The cranial system is checked for involvement of the parasympathetic (vagus nerve). 

Acupoints  for the stomach, and lung may be checked for involvement.

We would gently after these procedures try to gently manipulate the movement of the stomach back into its proper place and then strengthen the diaphragm muscles; give breathing exercises for the patient to do at home to stop the hernia from happening again are  included as well as nutrients like zinc, l-glutamine to heal any micro-erosions in the GI wall, digestive enzymes to restore the function of the stomach and   supplements like Vitamin B12 and calcium that have not been absorbed due to medications.

http://www.mayoclinic.com/health/heartburn-gerd/DS00095.

http://www.mayoclinic.com/health/hiatal-hernia/DS00099

http://www.webmd.com/digestive-disorders/hiatal-hernia

http://www.naturalnews.com/026836_heartburn_GERD_drugs.html

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

https://drvittoriarepetto.wordpress.com/2010/04/01/technique-summary-applied-kinesiology/

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

 © 2011-Dr. Vittoria Repetto

© 2016 Revised – Dr. Vittoria Repetto

Here are some medical research studies on the adverse effects of proton pump inhibitors which are routinely prescribed for heartburn/acid reflux/GERD.

Chronic Use of Proton Pump Inhibitors Increases Heart Risk

Popular Heartburn Medication Linked to Increased Stroke

Micronutrient Deficiency Often Unnoticed in PPI Users

PPIs and Kidney Injury: Longer Use Tied to Higher Risk

Proton Pump Inhibitors Accelerate Cellular Aging

Proton Pump Inhibitors Linked to Dementia

 

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

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

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Getting Enough Calcium Into Your Bones? Ten Facts You Need to Know!

A while back, a fellow member of an e-mail list serve that I belong to, asked the following:
“What do you take for calcium if you are not getting enough from diet. I used to take Tums, but now I heard that they don’t do anything. Any suggestions?”

I said there are 10 facts you need to know in order to make sure that you are getting the calcium that you need.

The first fact that you need to know is that that you need an acidic ph in your stomach to help absorb the calcium. Our bodies supply this naturally w/ our own stomach acid. If you have a healthy digestive system that has not been abused w/ antacids, you are ok. But as we get older some people’s stomachs secrete less acid; to safeguard against this, some companies add Betaine HCl – a digestive enzyme and Vitamin C to their calcium supplements insure the proper Ph.
So what is Tums? It’s an antacid which uses a very cheap form of calcium called Calcium Carbonate that has an antacid effect all it’s own and therefore is mal-absorbed and you don’t get any calcium into your system. Remember, it’s not what you eat/take…It’s what you absorb!

The second fact that you need to know is that the two best-absorbed Calcium’s are Calcium Citrate and Microcrystallline Hydroxyapatite Concentrate (MCHC). MCHC is a complete bone food; it contains proteins (to produce collagen – the mesh that the calcium/minerals attaches it to form the bone) and other ingredients that comprise the organic portion of the bone, as well as calcium and other minerals.
Calcium citrate produces a higher peak calcium level in the blood. This is an interesting finding because the carbonate supplements actually contain more calcium per pill than those with the citrate.
I personally use a supplement that contains both MCHC and Calcium Citrate.
Your calcium supplement and/or your multi-vitamin/mineral should contain Vitamin K and boron as well as a complete mineral profile as these help your bones absorb calcium.

The third fact that you need to know is how to read the label of calcium supplements; most labels will list:
Calcium Citrate(1 tablet)………………….250 mg
But what you want to see listed is the Elemental Calcium; that is how much calcium you are getting; the rest of it is the citrate part of compound.
Calcium (Elemental)………………………100mg.

The four fact is that you need to take magnesium along w/ the calcium; magnesium helps activates the parathyroid hormone and Vitamin D that helps us to absorb the calcium into our digestive systems as well as working as a counterbalance to calcium in nerve stimulation/relaxation and prevent us from getting constipated from taking too much calcium. The present accepted ratio of calcium to magnesium is 2 to 1:( Ca 200/Mg 100).

The fifth fact is that you need Vitamin D in order to absorb the calcium. The current RDA is 200-400IU though with all the current research on Vitamin D and its effect on our immune system, some are suggesting that the new RDA be 800-1000IU. Vitamin D is a fat-soluble vitamin and can build up to toxic levels (above 10,000IU a day ) so be careful if you are taking cod liver oil or something similar. Always read labels carefully. Also try taking in sunshine for 20 minutes a day minus the sun block so that your body can make its own Vitamin D.

The sixth fact is that you should be taking your calcium supplement in the evening hours as that is when your Para-thyroid gland is most active. It increases gastrointestinal calcium absorption by activating Vitamin D and promotes calcium uptake by the kidneys
.
The seventh fact is that you should be taking calcium yrs before you enter menopause. Contrary to common misconception, bone is a living substance; one of the most active tissues in the body. It is constantly being dissolved and rebuilt in a process called remodeling and like any other living tissue, needs nourishment to stay strong and healthy. So in my opinion, a woman should take 400mg to 600 mg before she is 40 yrs. old (pregnant women need a lot more), take 600-1000 mg after 40. I recommend that you do not take more than 600mg in supplement form but try to get the majority of your calcium from foods like beans, leafy greens, almonds and some quality dairy products if you are not lactose-intolerant

The eighth fact is that some companies use fillers and binders that make it impossible for the calcium tablet to break down in your digestive system and be absorbed.
There is a simple test you can do at home: put 1/4 of a cup of vinegar in a jar (similar acidic ph as our stomachs), drop the Calcium supplement into jar, close and shake well for 15 min and then leave it on counter for 3 hrs…if it is not dissolved by then…then you are not absorbing it. You can do this to all your vitamins/minerals. I personally use and recommend a brand of vitamin/mineral that is highly absorbable…and I am of the opinion that you get what you pay for. Remember, it’s not what you eat/take…It’s what you absorb!

The ninth fact is that use of weight bearing exercise such as wt. training, swimming or using a cross-country machine accelerates the deposition of minerals into the bones.

The tenth fact is that there have been studies that show that overuse of animal proteins (western diet vs. eastern diet) and overuse of carbonated drinks (sodas/seltzer) accelerates the loss of minerals from our bones. There are also studies that show that the calcium in milk/ dairy products is not as well absorbed as the milk companies would have you believe. So I would suggest that you increase your intake of veggie protein (soy, nuts, beans and legumes , leafy greens and cruciferous veggies) and eat a moderate amount of animal protein and forget the sodas

© 2010-Dr. Vittoria Repetto / revised -2013

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

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Nutrition Tips: Folic Acid: Killer or Cure-All?


For additional information on l-5-MTHF, please read https://drvittoriarepetto.wordpress.com/2009/12/16/are-you-utilizing-your-folic-acid-the-case-for-metabolically-active-form-of-folic-acid-%e2%80%93-l-5-mthf/

For supplements, containing L-5-MTHF, please call www.metagenics.com
More on Health
Read the Article at HuffingtonPost

Cranial Sacral Therapy in Applied Kinesiology

Cranial Sacral Therapy is a technique taught in Applied Kinesiology based on Cranial Osteopathy which was discovered by osteopath Dr. William Sutherland after he had a remarkable insight while examining the specialized articulations of cranial bones. Contrary to popular belief Dr Sutherland realized that cranial sutures were, in fact, designed to express small degrees of motion.

cranial sutures

DeJarnette and Goodheart introduced diagnostic methods for the evaluation and treatment of cranial dysfunctions. The key technical factor that has advanced cranial diagnosis and treatment, and brought the entire field of cranial therapy into accessible, reproducible, practice and scientific form, was provided by Goodheart’s discovery that the musculoskeletal system and manual muscle testing (MMT) reflects what is going on within the cranial mechanism.

MMT has allowed applied kinesiologists to discover the dramatic functional relationships that exist between the cranium and every other articulation and tissue in the body. Furthermore, patients are not treated in a “touchy feely” fashion in which the patient’s skull is cradled for an indeterminate time, until the cradler perceives warmth or a yielding or softening sensation.

 There are many other physical signs and tests (besides MMT) that also reveal cranial dysfunction; these have been written about extensively in the applied kinesiology (AK), sacro-occipital technique (SOT) and osteopathic literature. Returning the dura to a physiological range of tension by using specifically applied cranial corrections is a major goal of AK evaluation and treatment, which seeks to achieve zero defects inside and outside the cranium.

Like Cranial Osteopathy, Cranial Sacral Therapy seeks to restore the natural rhythmic movement found between the bones of the skull and the sacrum which is correlated to our inspiration and expiration; in other words, the cranial bones and sacrum move in different directions when we breathe in and in opposite directions when we breathe out.

The purpose of this is to aid the circulation of the cerebrospinal fluid throughout the central nervous system.

cranio_sacral2

And some suggested that CSF flow along the cranial nerves and spinal nerve roots allow it into the lymphatic channels. Restoring normal cranial-sacral rhythm enables the body to function optimally and may alleviate a wide variety of painful and dysfunctional conditions within the body.

Using a soft gentle touch practitioners release restrictions in the cranial-sacral system to improve the functioning of the central nervous system.

There are many results why the motion of the cranial and the sacrum may be disturbed.  

For some, it can be caused by the trauma of a difficult birth. Normally since the bones are very flexible, normal movement and the act of crying restores the natural movement.

For others, it could have been caused an accidental bang to the head, a fall, whiplash following an auto accident. Jaw problems can also affect the cranials as when we chew or clench our teeth, there are muscles forces directed to the skull such as the pull of  the   Temporalis muscle on the squamosal suture of the skull. Even the act of holding our breath during physical exertion (we should be breathing out at that moment), can cause a failure of proper cranial and sacral motion,

 Dysfunction of the cranial sacral motion can be seen in different problems, even some caused by the entrapment of cranial nerves as they exit the cranium such as trigeminal neuralgia, headaches, migraines, low back  and disc problems, general weakness on one side of the body, problems w/ visual acuity, low or high blood pressure, a spastic ileo-cecal value, neck flexor weakness, allergies, hypochlorhydria, earaches, loss of balance, tinnitus, dizziness and vertigo, recurring upper cervical (neck) problems and scoliosis  

 In applied kinesiology, there are techniques to find the dysfunctions (or cranial faults) and to find out how to fix it. The difference in muscle strength when the patient is breathing in or breathing out is one clue. The asymmetrical face is another clue that there may be a problem. Or the doctor can observe what happens to the strength of a muscle when she (or he) presses on certain cranials or sutures; this is called a challenge.

Cranial-sacrum corrections are easily made and if incorporated with the correction of accompanying spinal dysfunction, muscle balancing and proper nutrition, it will have a lasting effect.

 For more information on cranial- sacral therapy, cerebrospinal fluid, cranial nerves, and the bones of the skull, please see:

Applied Kinesiology: How To Add Cranial Therapy To Your Daily Practice at http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=9200

 http://www.answers.com/topic/craniosacral-therapy

http://www.med.yale.edu/caim/cnerves/

http://face-and-emotion.com/dataface/anatomy/cranium.jsp

http://en.wikipedia.org/wiki/Craniosacral_therapy

 http://en.wikipedia.org/wiki/Cerebrospinal_fluid

© 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.

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The Magic of Magnesium: A Mighty Mineral Essential to Health


Not only is the calcium carbonate in Tums reducing the absorption of Calcium because you need acid in order to absorb Calcuim but the lack of acid also affects your absorption of Vitamin B12 and Zinc.
http://ezinearticles.com/?Getting-Enough-Calcium-Into-Your-Bones?-Ten-Facts-You-Need-to-Know!&id=851711

And low gastric acid is thought to predispose your stomach H. Pylori and H. pylori colonization increses gastric ph ( from acidic to non-acidic or basic)

And the proton pump inhibtor and H2 blockers that they give for GERD cause the same effect
More on Health
Read the Article at HuffingtonPost

The Correct Use of Muscle Testing in Nutritional Evaluation in Applied Kinesiology

When I’m meeting new people at a social or a networking event, I introduce myself as a Doctor of Chiropractic and an Applied Kinesiologist. Sometimes they have no idea what AK is and I fill them in. But most of the time, they will say something like “I had someone touch a spot on me and then pull down on my outstretched arm. It was weak. Then I held a bottle of pills and was told I needed them. Is that Applied Kinesiology?”

This is one of the big abuses of muscle testing.

In Applied Kinesiology, muscles are related to themselves and the joints they cross, their spinal innervation, their neuro-lymphathic & neuro-vascular points, the Chinese acupuncture meridian associated with them and the organs/glands via the meridian system.

So how does nutritional muscle testing work? First it is muscle specific, pulling down on an outstretched arm is not specific as it involves a number of muscles. And holding a bottle in hand stimulates nothing in your brain except maybe a placebo effect.

Here’s an example: a patient comes in with a shoulder problem and upon examination I find that one of the patient’s internal rotators – the Pectoralis Clavicular Major is weak.

The Pectoralis Clavicular is innervated by the lateral pectoral nerve that comes from the 5th & 6th cervical spinal nerves, it is associated w/ the Stomach meridian and in Chinese five-element theory is associated with worry.

Does the patient have a weak Pectoralis on one or do both sides tested together come up weak – a possible sign of cranial faults that need to be fixed? Does the patient have a history of digestive problems, heartburn, bloating, blenching, constipation? Is the patient experiencing emotional worries?

If no, then I proceed w/ either stretching or toning the muscle, rubbing out the neuro-lymphatic and neuro-vascular points for the muscles and seeing if the meridian is involved and seeing if the C5-6 spinal segments, the shoulder joints, clavicle or the sternum (breastbone ) or the ribs need to be adjusted. I then re-test the muscle to see if the problem is now fixed.

IMG_9084Retouched & crop

If yes, I proceed with the above as correcting the structural first sometime will help the digestive problems. A case in point is a patient with a lack of hydrochloric acid, indicated by bilateral pectoralis major weakness. Taking hydrochloric acid may clear the weakness.

But if the HCl is given, it hides the indicator for a temporal bulge or other cranial fault. A cranial fault may be causing entrapment of the Vagus nerve, thus causing hypochlorhydria that is responsible for the digestive problem in the first place. The proper approach is to correct the cranium and any other structural factor that is causing the hypochlorhydria.

I then talk to the patient about their diet, what foods or food combinations may be problematic for them and what supplements and medications – over the counter & prescription that they may be taking and to keep a food diary in which the patient also notes any digestive problems.

For example, the patient may have been advised to take Tums in order to get calcium; unfortunately the calcium carbonate in Tums is acting as an antacid and is adversely affecting the patient’s ability to digest and absorb food (including calcium) Take the patient off the Tums and the HCL problem resolves

I also talk to the patient about any emotional problems or stresses that may be affected them and we work w/ emotional meridian releasing techniques that the patient can also do at home.

On the next visit if the structural and emotional interactions have cleared then I test for nutritional factors such as HCL, or food allergies/sensitivities The patient is tested by placing sample of either the supplement or food in their mouth and having them chew in order to stimulate gustatory receptors in the brain and then the Pectoralis is then re-tested to see if there is a change in the muscle strength. The patient is then advised take whatever strengthened the indicator muscle and asked to note any changes in their food diary.

If nutritional testing doesn’t resolve the muscle weakness, then the patient may be advised to have some standard testing done such as testing for H. Pylori or anemia which can be affecting digestion such as iron, folic acid or B12 deficiencies.

On the following visit, the patient will continue to be evaluated to see if the digestive problems have resolved, if the structural and emotional indicators have resolved and when the patient no longer needs to take the supplementation.

As you see, the proper use of applied kinesiology in evaluating nutrition is made within the total framework of the triad of health – structural, emotional, chemical and includes both standard and kinesiologicial diagnostic procedures that confirm the need for the nutrition.

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

©  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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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? 

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