Disc Problems: Part 1 – Disc Herniation – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains

Before we begin to talk about herniations; we need to talk about the structure and function of an intervertebral disc.

An intervertebral disc lies between adjacent vertebrae in the vertebral column. There are 23 discs in the human spine: 6 in the neck (cervical) region, 12 in the middle back (thoracic) region, and 5 in the lower back (lumbar) region. Each disc forms a fibrocartilaginous joint ( symphysis), it allows slight movement of the vertebrae, acts as a ligament to hold the vertebrae together, and functions as a shock absorber for the spine. 

Intervertebral discs consist of an outer fibrous ring, the annulus fibrosus  which surrounds an inner gel-like center, the nucleus pulposus. The annulus fibrosus consists of several layers  of tough fibrocartilage that can withstand compressive forces.  The nucleus of the disc acts as a shock absorber…think of it as a gliding ball moving in reaction to the movement of the vertebrae. For example as the spine flexes (bends forward) , the nucleus pulposus moves to the back or posterior of the disc absorbing the impact of the body’s activities and keeping the two vertebrae separated.

 

And as the spine extends , the gliding nucleus moves forward; bend sideways, the gel moves to the opposite side. You get the idea.

However what happens if the spine is “struck in a relatively immobile or restricted  position? That means that the nucleus pulposus is constantly in one location pushing up against the annulus fibers; and between the pressure from the nucleus and the increase of compressive forces from the abnormal spinal movement, the annulus fibers start to weaken. This allow part of the nucleus to protrude (and the fibers ) into either the spinal canal or up against a spinal nerve. This is called herniation or a bulging disc.

 

A spinal disc herniation  can happen during a trauma or a result of chronic abnormal spinal mechanics combined w/ poor posture.  Both the deformed annulus and the gel-like material of the nucleus pulposus can be forced laterally, or posterior, distorting local muscle function, and putting pressure on the nearby nerve. This can give the symptoms typical of nerve root entrapment. These symptoms can vary between parasthaesia (tingling), numbness, chronic or acute pain, either locally or along the area of the body served by the entrapped nerve (dermatome) and loss of muscle tone. 

The two most common areas of herniation are the cervical (neck) vertebrae and the lumbar (low back) vertebrae.  Please see below blogs for more information about problems with these regions.

Cervical Radiculitis – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains What It Is & How She Treats It

How a NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Treats Sciatica

 There are varying degrees of herniation; sometimes there is rupture of the annulus fibers and some of the nucleus pulposus escapes into the spinal canal and the area of the spinal cord. This is called a noncontained extrusion, which sometimes requires a surgical correction.

The degree of herniation requires visualization via MRI. However abnormal findings on MRI do not necessary relate to degree of symptoms; in fact, a number of MRI’s done on asymptomatic volunteers showed various herniations.

A proper examination with orthopedic and neurological testing will show at what spinal nerve level does the pain originates from. Muscle testing will show if an imbalance of muscle pull is affecting the spine and the patient’s posture.

The Importance of a Proper Chiropractic Examination – A NYC Chiropractor’s/Applied Kinesiologist’s Take

The Use of Applied Kinesiology in a Chiropractic Examination

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

I use a table that provides flexion distraction and spinal decompression; biomechanically it can open the disc space  by 28%; allowing for a gentle reversal of the herniation. This table and SOT non-force adjustments produce rapid improvement.

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

As the patient improves, symptoms such as pain or numbness will decrease, orthopedic and neurological tests will go from positive to negative and the muscles will test strong and balanced.

Think you may have a herniation problem? Please give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com. 

And lets talk and see if I can help you.

 

 

© 2019-Dr. Vittoria Repetto

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

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

Want to be in the know on holistic information and postings? Follow me at https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/
Or join me at Twitter: www.twitter.com/DrVRepetto

 

 

 

 

Medical Articles of Interest for June 2019

Acute Sleep Loss Increases Blood Levels of Alzheimer’s Biomarker

Insomnia Drugs: Some More Dangerous Than Others

More Elderly Americans Dying From Falls

Anticholinergic Drugs Could Account for 10% of Dementia Cases

Chemical in Toothpaste Tied to Osteoporosis in Women

Vitamin Deficiencies May Be the Only Sign of Celiac Disease

 

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/

 

 

Medical Articles of Interest for April & May 2019

Metformin Use Linked to Worse Cognition, B-Vitamin Deficiency

Low Cholesterol Linked to Higher Hemorrhagic Stroke Risk

The Gastrointestinal Frontier: IgA and Viruses

Multiple Functions of Immunoglobulin A in Mucosal Defense against Viruses: an In Vitro Measles Virus Model

The Association of American Physicians and Surgeons denounces mandatory vaccines, citing “no rigorous safety studies”

Sleeping Pill Use Linked to Later Increase in BP Meds

Brain Damage From Alcohol Continues After Abstinence

Exercise Activates Memory in Seniors

Mediterranean Diet Tied to Better Memory for Diabetics

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/

 

 

 

Gut – Brain Axis Seminar on April 13th – A NYC Chiropractor/Applied Kinesiologist/ NeuroKinetic Therapist will be attending.

Brain Body: Personalized Lifestyle Medicine for the Gut-Brain Axis
Presented by Sara Gottfried, MD

Seminar Description:

Previously overlooked, we now know that the 100 trillion gut microbes of healthy people influence their well being in substantial ways. Those trillions of bugs vary from one healthy person to another and from one unhealthy person to another. Meanwhile, as practitioners, we are witnessing an epidemic rise in the incidence of inflammatory conditions associated with the gut-brain axis dysfunction, including anxiety, depression, and early memory loss.

Developing research shows  these conditions are associated with an imbalance (dysbiosis) in the gut microbiome. There is constant talk between the gut and brain

Some of it travels along the  vagus nerve, and some of it travels in the blood, especially via nutrients, hormones, proteins, peptides, and inflammatory messengers like antibodies and cytokines.

The good news is that while abnormal gut microbiota can lead to dysfunction of the brain body and cause brain symptoms like anxiety, depression, brain fog,rising set point, and memory loss, correcting perturbations in gut health is an emerging strategy used as part of a plan to address such symptoms. Currently, the lifetime risk of anxiety is 30 percent, and higher in women, while lifetime risk of depression is approximately 21 to 45 percent for women and 10 to 30 percent for men.

Mainstream medicine taught us that anxiety is a response to perceived threat, whereas depression is a response to perceived harm or loss. For decades, anxiety has been treated with benzodiazepines, in an effort to mask symptoms, and depression with a selective serotonin reuptake inhibitor or a new generation of similar pharmaceuticals and occasionally cognitive behavioral therapy. We were also taught that memory loss and other signs of cognitive decline are an inevitable result of aging.

Turns out that a more accurate characterization is that these conditions are manifestations of a gut/brain axis that is out of homeostasis.There are five key ways that dysbiotic gut flora can promote anxiety, depression, and cognitive decline: by making your gut wall leaky, by manipulating your stress response (and therefore your hypothalamic-pituitary-adrenal/thyroid/gonadal axes), by disrupting your immune response, by causing chronic inflammation in the body and brain (neuroinflammtion), and by producing harmful peptides and other chemical messengers. In this interactive presentation, I will learn personalized lifestyle medicine strategies for improving intestinal wall integrity—specifically with the use of targeted dietary and lifestyle interventions—including nutrigenomic approaches, “behaviorceuticals” (physical activities that improve mental health), and targeted prebiotics and probiotics.

Objectives:
• Review the normal and abnormal function of the gut-brain axis and how it impacts the hypothalamic-pituitary-adrenal/thyroid/gonadal (HPATG) axes and default mode network.

• Identify the role of intestinal permeability and the gut microbiome in stress, mood, an overactive HPATG, and central nervous system disorders.

• Review personalized lifestyle medicine strategies for improving intestinal wall integrity with the use of targeted dietary and lifestyle interventions, including nutrigenomic approaches, “behaviorceuticals,” and targeted prebiotics and probiotics.

 

About Sara Gottfried, MD
Sara Gottfried, MD is a board-certified gynecologist and physician scientist. She graduated from Harvard Medical School and the Massachusetts Institute of Technology and completed residency at the University of California at San Francisco. Over the past two decades, Dr. Gottfried has seen more than 25,000 patients and specializes in identifying the underlying cause of her patients’ conditions to achieve true and lasting health transformations, not just symptom management. She is more likely to test her patient’s DNA and next-generation biomarkers and then prescribe a customized protocol, using primarily food (not drugs) plus other proven lifestyle interventions to optimize the gene/environment interface. For each patient, she designs an N-of-1 trial to provide rapid information on whether the personalized lifestyle plan will improve outcomes. It’s not one method fits all. It’s not disease-centered. It’s not fix- em-up-and-send-’em-home. It’s a mission to transform healthcare, one patient at a time. Dr. Gottfried is the Chief Medical Officer of Metagenics, a health sciences company based in Aliso Viejo, California, which is dedicated to leading the movement to make personalized nutritional and lifestyle intervention the standard of care in medicine. Additionally, Dr. Gottfried is the president of Metagenics Institute. Dr. Gottfried is a global keynote speaker who practices evidence-based integrative,
precision, and Functional Medicine. She has written three New York Times bestselling books: The Hormone Cure, The Hormone Reset Diet, and her latest, Younger: A Breakthrough Program to Reset Your Genes, Reverse Aging, and Turn Back the Clock 10 Years.

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/

Medical Articles of Interest for March 2019

Diet Could Influence Immunotherapy Response Via Microbiome

Long-term HRT Tied to Greater Risk for Alzheimer Disease

Intermittent Fasting Lowers Triglycerides More Than Regular Diet

Even Later-Life Exercise Reduces Mortality

U.S. FDA Finds Asbestos in Three Claire’s Cosmetics Products, Calls for Change

Popular Spice Rivals Stimulant for ADHD

Hip Exercises May Improve Walking, Pain With Knee Arthritis

Mushrooms May Cut Cognitive Impairment Risk

Higher Soda, Sports Drinks Consumption Tied to Earlier Mortality

 

 

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/

 

 

The Spinal Nerve / Autonomic Nerve Connection – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains

For ages, doctors of chiropractor have talked about how spinal joint dysfunction or subluxations affect the not only the motor and sensory nerve flow (and blood flow) to muscles but also to glands, viscera, skin, etc.

The Subluxation/Spinal Joint Dysfunction

A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves from the cervical (the neck) to the coccyx (tailbone).

Autonomic nervous system is the part of the nervous system in organisms with spines that controls and regulates the internal organs without any conscious recognition or effort by that organism. The autonomic nervous system comprises two antagonistic sets of nerves, the sympathetic and parasympathetic nervous systems.

The sympathetic nervous system can accelerate heart rate, widen bronchial passages, decrease motility of the large intestine, constrict blood vessels, increase peristalsis in the esophagus, cause pupillary dilation, piloerection (goose bumps) and perspiration (sweating), and raise blood pressure. These changes are part of the body’s fight-or-flight response.

The sympathetic system begins at the first thoracic (mid back) vertebra of the spine and are thought to extend to the second or third lumbar (low back) vertebra

The parasympathetic nervous system has almost the exact opposite effect; the parasympathetic system is responsible for stimulation of “rest-and-digest” or “feed and breed” activities that occur when the body is at rest, especially after eating, including sexual arousal, salivation, lacrimation (tears), urination,digestion and defecation.

The parasympathetic nervous includes some of the cranial nerves that originate in parts of the brain and specifically the oculomotor nerve, the facial nerve, the glossopharyngeal nerve and vagus nerve and three spinal nerves in the sacrum (S2 – 4).

 So how are the spinal nerve and problems in nerve flow caused by spinal joint dysfunction connected?

It’s via the nerves called ramus communicans (plural rami communicantes) – a nerve which connects two other nerves.

It’s a communicating branch between a spinal nerve and the sympathetic trunk. More specifically, it usually refers to one of the following :  the grey ramus communicans and the white ramus communicans.

The grey and white rami communicantes are responsible for conveying autonomic signals, specifically for the sympathetic nervous system. The difference in coloration is caused by differences in myelination of the nerve fibres contained within, i.e. there are more myelinated than unmyelinated fibres in the white rami communicantes while the converse is true for the grey rami communicantes.

The grey rami communicantes exist at every level of the spinal cord and are responsible for carrying postganglionic nerve fibers from the paravertebral ganglia to their destination, and for carrying those preganglionic nerve fibres which enter the paravertebral ganglia but do not synapse

The white rami communicantes exist only at the levels of the spinal cord where the intermediolateral cell column is present (T1-L2) and are responsible for carrying preganglionic nerves fibers from the spinal cord to the paravertebral ganglia.

Both ramus within the spinal nerve cross each other, being the white farther away from the intervertebral foramen when exiting the spinal nerve to enter the ganglia.

Spinal joint dysfunction or subluxation affects the outflow of neuronal and blood flow to these ganglia. Correction of the spinal joint dysfunction normalizes the outflow of nerve and blood flow and allows the autonomic system to seek homeostasis (dynamic state of equilibrium) resulting in better function and health.

The Cervical & Vagus Nerve Connection?! – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Cranial Sacral Therapy in Applied Kinesiology

Copyright – 2018-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

Fibromyalgia: Thoughts About It by a NYC Chiropractor / Applied Kinesiologist/ Neurokinetic Therapist/

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain and sensitivity to touch along with fatigue, problems with sleep and memory and brain fog, People diagnosed with fibromyalgia also often suffer from anxiety, chronic fatigue, depression, irritable bowel syndrome, migraine and tension headaches, painful bladder disorder and TMJ (jaw pain).

According to the Mayo Clinic, “Fibromyalgia can’t be easily confirmed or ruled out through a simple laboratory test. You can’t detect it in your blood or see it on an X-ray. .Because there is no test for fibromyalgia, we must rely solely on your group of symptoms to make a diagnosis.” 

However other blood tests can be taken to rule out conditions like auto -immune, thyroid dysfunction, anemia, viral or bacterial infection, nutritional deficiencies  etc.

One of the first things I look at is the patient’s diet/lifestyle: are they eating processed foods, soda,etc.;drinking enough water;  have a history of medications or antibiotics; are they taking the wrong supplements (too little- too much); do they have  food allergies or intolerance?

It’s not a Food Allergy; maybe it’s a Food Intolerance

I would suspect a leaky gut syndrome and the need to change the person’s diet, test them for allergies/intolerance (igE/IgG)  and ileo-cecal problems and the need for prebiotics and probiotics and other supplements to help repair their gut.

A NYC Applied Kinesiologist on Your Ileo-Cecal Valve (& Houston’s) & Your Health

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

As a Applied Kinesiologist, I test for the function of individual muscles. Are they weak or strong.? The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.”

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?” I would identify muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating)for them.

Are these factors causing the muscles to be sensitive to touch?

Is there a problem with the vascular or lymphatic drainage of that muscle?

 I might use neuro-lymphatic , neuro-vascular points and acu-points to increase lymphatic, blood and chi energy to organs and muscles.

How an Applied Kinesiologist Uses Neuro Lymphatics to Improve Health

How a NYC Applied Kinesiologist Uses Neurovascular Pts for Better Physical and Emotional Wellbeing.

Using AK techniques, the flow of energy in the meridians to the organs and muscles can be evaluated and corrected if out of balance. Correction can be made by many methods of stimulation, such as electrical,  small tape patches with metal balls, or simply by mechanically stimulating certain spots.  There is usually an immediate improvement in muscle/organ function after meridian balancing.

 Is there a problem with the cranial-sacral system? The purpose of the movement of the cranial-sacral system  is to aid the circulation of the cerebrospinal fluid throughout the central nervous system.

Some have 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.

Cranial Sacral Therapy in Applied Kinesiology

Is the patients under chronic stress? Can I help this patient w/ stimulation of their adrenals or with certain supplements?

Is the patient using their diaphragm correctly to order to  get enough oxygen to their body? Stimulation of the diaphragm via spinal adustment and neuro-vasular/neuro-lymphatic/acu-points are done. Patient is taught how to use their diaphragm to get more oxygen into their system.

Can the patient tolerate gentle exercise like chi gong which is is a form of gentle exercise composed of movements that are repeated a number of times, often stretching the body, increasing fluid movement (blood, synovial and lymph) and building awareness of how the body moves through space.?

As a chiropractor, I can use non-force adjustments. It provides a gentle force into the spine of the patient through a very carefully directed and controlled pressure. This method is performed to be able to restore a stronger position and motion to fixated spinal joints taking pressure off the nerves exiting the spinal vertebrae which control the muscles and organs of the body.

These are some of the questions that need to addressed w/ the the complex problem of fibromyalgia; each patient is different and their needs must be addressed.

 

 

 © 2018-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