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.

For more information:

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

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.

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

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

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

© 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

*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.

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/

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*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? 

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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

© 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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How Really Small Muscles Can Be A Real Pain In The Neck – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

When a patient complains of neck pain or headaches, I first muscle test both the cervical flexor and extension muscles and muscles which when they test bilaterally weak such as the psoas or gluteus maximus suggest a fixation of the cervical vertebrae.

I ask questions: are the muscles weak and therefore affecting the alignment, movement of the cervical vertebrae?

Are one set of muscles weak or inhibited because of compensating (facilitating) muscle.

Or is the opposite true? Is it the hypertonic or facilitated muscle the problem?

Sometimes it’s not the bigger cervical flexor/extensor muscles that are causing pain either directly or by pulling vertebrae out of alignment and putting pressure on the nerves supplying the cervical area.

Sometimes it’s the half inch to inch muscles just below the occipital (base of your skull) that attach it to either the atlas (C1) or the axis (C2) or attach atlas to axis.

These muscles are called the Rectus Capitis Posterior Major, Rectus Capitis Minor, Obliquus Capitis Superior and Obliquus Capitis Inferior.

suboccipitaltriangle

The Rectus Capitis Posterior Major extends, laterally flexs and rotates the head.  The Rectus Capitis Minor extends and laterally flexes the head. The Obliquus Capitis Superior extends and laterally rotates the head. The Obliquus Capitis Inferior  rotates C1 and cranium.

Problems with these muscles can pull vertebrae out of alignment and put pressure on the cervical spinal roots and cause neck stiffness, pain and headaches. See dermatome map below for areas of innervation.

head dermatome

Note there is no C1 dermatome. The C1 root innervates the meninges of the posterior fossa of the skull and has no cutaneous branch; the posterior fossa also contains the meningeal branches of vagus and hypoglossal nerve. Neck stiffness may be a test of the C1 root that innervates the meninges.

For more information, please see the following blogs:

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

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

https://drvittoriarepetto.wordpress.com/2016/06/23/how-a-combination-of-applied-kinesiology-neurokinetic-therapy-and-chiropractic-works/

For discussion about meninges:  https://drvittoriarepetto.wordpress.com/2016/05/28/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/

https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

© 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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The Importance of Failing a Muscle Test – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Yes I know that you are scratching your head over this one.

Don’t we want to have all our muscles testing strong?

Yes I answer but if you are in my office for treatment of a complaint, you may have muscles that are inhibited or weak or muscles that are compensating for the ones that are weak or inhibited. And these involved muscles most likely are part of the complaint that you are coming in for me to correct.

And if you are in for a maintenance/prevention visit, muscle testing can uncover a minor inhibition or compensation before it becomes a problem.

In my practice, I use both Applied Kinesiology and Neuro Kinetic Therapy.

With Applied Kinesiology, I test for the function of individual muscles. For example, we may find the latissimus dorsi muscle weak that is a muscle that internally rotates, extends and adducts the arm/ shoulder. It also attracts 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 vertebrae. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.”

testing rectus femoris

Neuro Kinetic Therapy works with the theory that movement is performed in systems or patterns instead of individual muscles. The human brain also has an affinity toward habits. Repetitive behaviors become patterns and these patterns require reprogramming when they become problematic. NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating for them.

After an inhibited/weak muscle is found, I would muscle test a synergistic (a helper muscle) or an antagonist muscle (an opposing muscle which is strong/facilitated that may be affecting the inhibited muscle. That facilitated muscle would be therapy localized (the muscle is either touched or put in motion) and the inhibited muscle retested. If the TL strengthens the inhibited muscle, then I know that the TLed muscle is affecting the inhibited muscle. And I use AK techniques to release the TLed muscle. The inhibited muscle is then retested which should test strong now, the retesting causes a “neural lock” which reprograms the motor control center in the brain.

For more detailed information, please click on the following blogs:

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

https://drvittoriarepetto.wordpress.com/2010/05/06/the-art-and-science-of-muscle-testing-in-applied-kinesiology/

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

https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

 

© 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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TMJ Problems (Jaw Problems) and How A Chiropractor/Applied Kinesiologist/NeuroKineticTherapy Practitioner Handles the Problem

Temporomandibular Joint problems(TMJ) or jaw pain occur mainly as a result of an imbalance  with the joint and surrounding facial muscles that control chewing and moving the jaw.

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head.

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

The joints are flexible, allowing the jaw to move smoothly up and down and side to side and enabling you to talk, chew, and yawn. Muscles attached to and surrounding the jaw joint control the position and movement of the jaw.

http://education.yahoo.com/reference/gray/subjects/subject/109

What Causes TMJ Problems?

  • Receiving a heavy blow or whiplash
  • Grinding or clenching the teeth, which puts a lot of pressure on the TMJ
  • Dislocation of the soft cushion or disc between the ball and socket
  • Presence of osteoarthritis or rheumatoid arthritis in the TMJ
  • Stress or Emotional Overload which can cause a person to tighten facial and jaw muscles or clench the teeth
  • Biting down on a hard and/or thick piece of food
  • Using jaw clenching to compensate for weak or inhibited muscles elsewhere

What Are the Symptoms of a TMJ Problem?

  • Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide
  • Limited ability to open the mouth very wide
  • Jaws that get “stuck” or “lock” in the open- or closed-mouth position
  • Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth or chewing
  • Difficulty chewing or a sudden uncomfortable bite
  • Swelling on the side of the face
  • May occur on one or both sides of the face

Other common symptoms of a TMJ problem can include digestive problems, toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitis).

As a Applied Kinesiologist and Doctor Of Chiropractic, I look at the articulation of the joint itself and the pull of the muscles such as the Masseter, the Temporalis, the External Pterygoid and the Internal Pterygoid on the joint itself. Neck muscles, hyoid muscles  and upper back muscles also affect the TMJ. Are they in spasm? Are they weak?  Do they need muscle spindle or golgi tendon work?

As a NeuroKineticTherapy practitioner, I ask if some muscles are compensating (or overactive) for inhibited or weak muscles. “The jaw muscles can compensate for weakness in the grip, in the neck flexors, or in the hip flexors.” http://neurokinetictherapy.com/do-you-treat-causes-or-symptoms-part-three

What_is_the_TMJ_2

As the TMJ is part of the skull, the cranial bones are checked for alignment; esp the occipital bone at the back of the head.

https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

Subluxations of the occipital also are involved with upper cervical (neck) problems and therefore cervical subluxations are adjusted

And since the examining acupuncture pts. on the head shows us that a number of meridians associated with digestion such as the stomach, small intestine and large intestines cross the TMJ can affect digestion (digestion can affect the TMJ), checking acupunture pts., the neuro-lymphatic and neuro-vascular points for digestive organs need to checked to see if there is any connection.

head acupunture pts

Once all the above are checked, then a very gentle adjustment of the joint itself can done.; a number of adjustments may be needed to break the subluxated pattern and get the Jaw joint moving freely and pain and noise free.

If you believe you have a TMJ problem, please give my office at call at 212-431-3724 for an appointment.

© 2013-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.

 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