10/28 Seminar: Solutions for Women’s Wellness: A Functional Approach

On October 28th, I’ll be attending the following seminar to order to serve my patients better and help improve their wellness.

From childbearing years to postmenopause, women are actively seeking to maintain or improve their health and vitality. I’ll be joining Joel Evans, MD and Monique Class, MS, APRN, BC as they explore in detail a functional medicine (FM) approach to women’s health issues specifically related to the different stages in life. Oftentimes, hormonal imbalance and lifestyle behaviors are the underlying causes of complaints and illness in women. When evaluated and addressed at the root cause of disease, the most common issues facing women today can be successfully managed.

Learning Objectives:
  • Discuss the evaluation and lifestyle treatment options for female infertility, preparing for a healthy pregnancy, PCOS, elevated estrogen, fibroids, endometriosis, and oxidative stress.
  • Understand the hormonal changes associated with perimenopause and how to evaluate the management options for perimenopausal and menopausal complaints including PMS, depressed energy, adrenal and thyroid issues, VMS, vaginal health, and early osteoarthritis.
  • Understand how to evaluate patients for appropriate testing for genetic risk for breast cancer as well as FM approaches to decrease breast cancer incidence in those with high genetic risk due to BRCA or other SNPs.
Atendees will receive:
  • Clinical protocols and pearls based on case studies
  • An information-packed day guaranteed to expand clinical knowledge

Presenters

Joel Evans, MD

Joel Evans is the founder and director of The Center for Women’s Health, an assistant clinical professor of Obstetrics, Gynecology, and Women’s Health at the Albert Einstein College of Medicine, and a member of the core faculty of both The Center for Mind/Body Medicine and The Institute for Functional Medicine. He is a nationally recognized wellness expert, educator, author, and physician specializing in nutrition, functional medicine, mind/body medicine, and spirituality. Having pursued studies in spirituality, metaphysics, and personal transformation for many years, Dr. Evans has recently created a core curriculum designed to share ancient spiritual wisdom with others in order to help bring health and happiness into their lives.

Monique Class, MS, APRN, BC

Monique Class is a Certified Family Nurse Practitioner, Clinical Nurse Specialist in Holistic Health, Certified Nurse Coach, and wellness educator at The Center for Women’s Health. A sought-after teacher in the fields of holistic health and nursing, Monique is a clinical instructor for Yale Graduate School of Nursing, a senior faculty member of the Center for Mind/Body Medicine in Washington D.C., a faculty member for The Integrative Nurse Coach Association, and a faculty member for the Institute for Functional Medicine. Monique is also certified by the Psychosynthesis Institute in Imagery and Meditation. She received her degree as a Clinical Nurse Specialist and her post-master’s as a Family Nurse Practitioner at the College of New Rochelle and her Bachelor of Science degree in Nursing from The University of Virginia.

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

I’ve been pondering the possible connection between the Cervical nerve and the Vagus nerve.

The Vagus nerve is the tenth cranial nerve or CN X, and interfaces with parasympathetic control of the heart, lungs, and digestive tract. The Vagus nerve supplies motor parasympathetic fibers to all the organs (except the adrenal glands), from the neck down to the second segment of the transverse colon. The Vagus also controls a few skeletal muscles in the neck or cervical area. The Vagus nerves are paired; however, they are normally referred to in the singular. It is the longest nerve of the autonomic nervous system.

The first and second cervical nerves are responsible for innervation of the head, face, inner middle ear, sinuses, eyes, upper neck, auditory nerves and other areas. The cervical nerves C3-C7 bear the responsibility of innervating the neck, shoulders, thyroid, teeth, tonsils, outer ear, nose, mouth, vocal cords, and more, with some of their individual responsibilities outlined below. The fourth cervical nerve innervates the thoracic diaphragm, leading to the creation of the surgical mnemonic “Cut C4, breathe no more.”

The Vagus Nerve (also known as the “wandering nerve”) exits the upper cervical spine and descends down to the heart and the stomach and the rest of the digestive system. We know of cases where severe massage of the neck muscles affects digestion and respiration.

The Vagus nerve travels along the side of the cervical vertebrae; fibers of the cervical nerves and the vagus innervate similar neck muscles. Misalignment of the upper cervical vertebrae affects the nerves that innervate those muscles. A biofeedback can affect the Vagus.

A relatively new patient made me ponder this possible connection: he had fallen on his head 30 yrs ago. He complained of neck pain, gall bladder pain, low back pain, walking dis-ease, excessive hunger (drinks lots of veggie and fruit juices). He looked emaciated, held his head forward and his shoulders elevated. His X-rays show facet problems w C1-2 vertebra and a slipping forward of C2 on C3; he admits that he self-adjusts his neck.
On examination, found a bilateral weak psoas (a muscle involved in walking) which suggests a fixation of the occipital bone and C1 vertebrae and then also a fixation of C2 and C3.

https://drvittoriarepetto.wordpress.com/2010/12/13/spinal-pain-not-being-helped-see-an-applied-kinesiologist-it-may-be-a-fixation/

I found abnormal sacral movement- a Sacral Wooble, released the erector spinal muscles, adjusted two cranial bones and  worked on acu-points for gall bladder, spleen and liver as well as lymphatic points
His neck’s range of motion is better and walking is not uncomfortable.
Gave instructions on how to track his head back without elevating his chin and told him to stop adjusting his own neck. My dietary advice was to stop juicing and eat solid veggies and more protein.
I emailed him  a youtube video on how to hold his head and another one on the dangers of self-adjustment.

That night and the next 2 days I get emails saying that though he thought I didn’t do a lot; he was not hungry and he had two really good bowel movements and his breathing and his voice is stronger. He was looking forward to his next visit.

Forward lean is a  constant problem with texting, working at a computer and just bad posture. Note that the doctor in the first video mentions that more forward lean, the more years of forward lean, the more medications the patient is on; more stress on cervical…more stress on Vagus?/…more problems w/ organ function.?!!. 

 

Copyright – 2017-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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Or join me at Twitter: www.twitter.com/DrVRepetto

Did Shingles Pain Cause a Shift in Body Position and Structural Pain?: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

A young patient who I hadn’t seen in a while came in complaining of rt “scalene” pain (her words for neck pain) and rt upper back pain by the shoulder blade. She thinks it may be a rib out. Visualization showed a slight “tipping” (not a winging) of the shoulder blade.

Then she mentions that she had a mild case of shingles on her rt hip and the shingles predated the neck & mid back pain .

First I found that her SCM was overworking for a weak mid scalene. The SCM was released and the clavicle was adjusted and the pect minor was released in combination with the SCM.


Second I tested her rhomboids and serratus anterior; the scapula tipping was the clue. The serratus ant was overworking for a weak rhomboid.

Third a rt gluteus maximus was overworking for a weak rt. psoas and a weak rt. gluteus medius.

A pelvic category 1 was corrected as well as rt thoracic and cervical subluxations were adjusted.

There is a theory of Anatomy Trains on how patterns of muscle,  fascia and muscle strain communicate through the myofascial ‘webbing’, contributing to postural compensation and movement stability.

An example of this is when you are reaching for something on a table, you don’t just use your hand, arm and shoulder but your whole body from your head muscles down to your foot muscle reacts to stabilize your position in space as you reach.

A major insight may be that the lateral rt. side of her body may have reacted to the pain of the shingles by moving inwards in order not to stretch the lesion area rather than moving away from it which in turn affected her structure via muscle pull and strain.

  For more information:

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

© 2017-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/

 

 

 

Medical Articles Of Interest For June 2017

Aerobic Exercise Reverses Alzheimer Symptoms

Prenatal, Early-Life Toxin, Nutrient Exposure Tied to Autism

Vitamin D in Pregnancy ‘Could Prevent Child Asthma’

Strenuous Exercise Can Cause Significant GI Symptoms

Eating Fish May Reduce Rheumatoid Arthritis Symptoms

Neck Problems Causing Low Back Pain & Vice Versa – A NYC Chiropractor / Applied Kinesiologist / NKT Practitioner Explains

Patients are usually amazed that neck  and low back problems has anything to do with each other.
But if you look at the spinal muscles, you can see that it is a continuous muscular chain from the base of skull to the sacrum. If one part of this muscular chain is not working properly, then  another part either above or below will have to overwork.
This is particularly true for those who sit a lot. The lower back weakens, and the neck tightens in response; for example, the neck extensors may be overworking for an under working quadratus lumborum.
 
 
Included in this muscular chain are the multifidi who are major spinal stabilizers.
 
Someone w/ a L5/4 herniation (slipped disc) may have overworking lumbar multifidi, causing the cervical multifidi to overwork. This can cause a head forward posture. an increased curve at the mid back, an hyperextended low back  and pain in all these areas and weak core muscles that further complicates the picture.
necktolowback
So as a Doctor of Chiropractic, Applied Kinesiologist and NeuroKinetic Therapist, I need to solve what is causing the problem and look at the whole picture and not just chase pain.

© 2017-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

*I thank Dr Perry Nickelston for his phrase “Stop Chasing Pain.”

Looking Globally /Not Chasing Pain: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

When patients come in with a local problem such as leg  pain, the first question is where is the source of the pain; is it from the leg itself or the the low back. The other important question is what “set up” the problem. Without answering this question,the problem is not really resolved; the patient will come back with the problem again; you will be just “chasing pain*.”

The answer to the second but more important question may be in the global muscles or core stabilization muscles, these muscles are the Rectus Abdominus, the Transverus Abdominus, the Internal & External Obliques, the Quadratus Lumborum, the Erector Spinae and the Multifidus.

Recently new patient came in complaining of feeling “unbalanced on her right side” siting specifically her right leg and hip.

The lower extremities were a quick fix: a Rectus Femoris – major muscles in the front of the thigh -compensating for a weak Gluteus Maximus. Also the patella and the rotation of the femur (thigh bone) on the tibia (lower leg bone) needed to be adjusted and the Popliteus ( a muscle that rotates the tibia) released.

But during the examination, on lateral flexion of her truck, I noted that her rt shoulder was rotating. I asked her to try to not rotate her shoulder but she was unable; in fact she was unaware of doing it.

I tested her Oblique muscles and they were weak on the right side. Touching (therapy localizing) her Quadratus Lumborum strengthened her Obliques when retested. So I released the QL and the Oblique were strong.

coremuscles

 

A Category One pelvis which involves rotation was found and fixed.

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

When she stood back up, the rt. leg felt balanced and the rotation of her shoulder on lateral flexion was gone.

It was a great illustration of how sometimes part of the problem you have to look above the area of complaint to truly fix the problem; a local problem with a global part.

Stretches and exercises were given as homework.

In my practice, I Iisten, observe and test during the examination and use a combination of NKT, Applied Kinesiology and Chiropractic to help my patients; it’s a strong combination.

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

The Use of Applied Kinesiology in a Chiropractic Examination

© 2017-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her  ANYCpplied 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

*I thank Dr Perry Nickelston for his phrase “Stop Chasing Pain.”

Scars & Muscle Control – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

A while ago I had two patients where scars left from operations affected muscle function.

The first patient came in complaining of acute low back pain that happened on lifting a box that was too heavy for her; one of the muscles I tested is the Rectus Abdominal, it was weak in the clear. The Rectus Abdominal (RA) is part of the support for the Lumbar (low back);she had mentioned that she had had a tummy tuck years ago.
When she touched the scar (therapy localize) which was above her pubes (RA tries into the pubes) her RA tested strong so I massaged the scar and the RA now tested strong.

I find that the T10-T11 vertabrae which are part of the innervation of the RA were subluxated and adjusted them. I also adjusted subluxations in the low back.

The Subluxation/Spinal Joint Dysfunction

I showed her which abdominal exercise I wanted her to do after a daily massage of the scar.

The second patient come in w/ thoracic weakness; she have a history of different cancers.
When I tested her Pectoralis  muscles, both parts (Clavicular & Sternal) tested weak. She said that she was not surprised as a “good part of the muscle was removed” where they removed her breast. I therapy localized the scar from the breast removal and retested as I touched the scar…both parts of the muscle now tested strong.
I massaged the scar… and the muscle tested strong.  I found subluxations at C5 for innervation of the clavicular section and C7 for the sternal section and adjusted them both.
Patient’s homework was to massage that scar before doing exercises for the pectorlis.

Please click on below research articles on relation of scars to muscle pain and function.

CLINICAL IMPORTANCE OF ACTIVE SCARS: ABNORMAL SCARS AS A CAUSE OF MYOFASCIAL PAIN

Surface electromyography of abdominal and back muscles in patients with active scars.

A CASE OF A PATHOGENIC ACTIVE SCAR

Skin, fascias, and scars: symptoms and systemic connections

© 2017-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