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/

Advertisements

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

 

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

Vagal Neurons: New findings in the gut-brain connection

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

 

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

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

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

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

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

Medical Articles of Interest for December 2016

Gut Microbiome Again Linked to Parkinson’s Symptoms

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

Muscle Strength Gains Linked to Better Brain Function

Gastric Acid Blockers Boost Risk of Iron Deficiency

The Gut–Brain Connection

Statin Use Linked to Increased Parkinson’s Risk

Chronic Use of Proton Pump Inhibitors Increases Heart Risk

Selenium Supplement Role Unclear in Autoimmune Thyroiditis

Sauna Use Linked to Lower Dementia, Alzheimer’s Risk

 

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

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

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

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

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

 

Anterolateral Lower Leg Pain &/or Foot Drop – Peroneal Nerve Entrapment – A NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Explains

Occasionally a patient comes in with pain along the anterior lateral part of their lower leg and they may also have difficulty lifting the top of their foot upward at the ankle (dorsiflexion) or moving the foot outward at the ankle (eversion). This also affects the patient’s gait (ability to walk properly)

movements-of-foot

They may have been told that their problem is sciatica since branches of the sciatic nerve goes all way down the leg and into the toes. They may have been to a physical therapist or another chiropractor who worked on the low back where the sciatic nerve originates without any relief.

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

But the problem is the peroneal nerve which branches off the sciatic just below the knee; it goes from the common peroneal nerve which starts at the lateral back of the knee near the inner side of the biceps femoris  (part of the hamstings), goes to the back of the fibula bone and then branches off to the superficial peroneal nerve and the deep peroneal nerve.

The deep peroneal nerve innervates the muscles of the anterior compartment of the leg which are: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius. Together these muscles are responsible for dorsiflexion of the foot and extension of the toes.

The superficial peroneal nerve passes between the peroneus muscles and the extensor digitorum longus, and goes into the deep fascia at the lower third of the leg; it supplies the muscles of the lateral compartment of the lower leg : peroneus longus and peroneus brevis. These assist with eversion and plantar flexion of the foot.

The deep peroneal nerve passes inferior and medially, deep to extensor digitorum longus,  and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial branch. The deep peroneal nerve innervates the muscles of the anterior compartment of the leg which are: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius. These muscles are responsible for dorsiflexion of the foot and extension of the toes.

superficial-and-deep-peroneal-nerve-and-muscles

Spasms of muscles along the route of these nerves can cause nerve entrapment and result in loss of muscle function or pain along the route of the nerves. As muscle attaches to bones and joints, spasms can cause misalignments of these structures and this can further complicate the problem.

Sometimes the muscle spasms are complicating for a muscle that is inhibited somewhere along the lateral or posterior kinetic chain such as the gluteus maximus, gluteus medius, the hamstrings and the rectus femoris or the psoas which overwork in order to to lift the leg to clear the dropped foot during walking. Neurokinetic therapy works well answering this question and correcting the problem.

As a applied kinesiologist and neurokinetic therapist I will either place my finger or hand on specific areas and then retests the muscle to see if the weakness is corrected. This is called therapy localization.

If the therapy localization is positive and the area involved is a joint or a muscle, I can move the area in a way to stimulate neuro/mechano receptors in the joint or muscle. This is called a “challenge’ and shows the direction of manipulation needed to improve function of the joint or muscle.

As a chiropractor, I would not only adjust the involved joints but check to see if the change in gait muscles has affected the spine and adjust affected level.

Stretches are given to the previously complicating muscles and exercises given to the previously inhibited muscles in order to break the pattern that caused the problem.

For  more information, please read:

The Use of Applied Kinesiology in a Chiropractic Examination

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

 

 

© 2016-Dr. Vittoria Repetto

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

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

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

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

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

 

Medical Articles of Interest for October 2016

SSRIs Disrupt Sleep in the Elderly, May Contribute to Dementia

Phytoestrogens May Benefit Health but Also Prompt Concern

Unclear If Sports Raise Later Arthritis Risk 

Sleep Duration Important in Weight Management

Micronutrient Deficiency Often Unnoticed in PPI Users

” PPIs have been associated with Clostridium difficile infection and with micronutrient deficiency. “Our hypothesis was that even though gastroenterologists know about micronutrient deficiency, they aren’t looking for it,” he explained. The researchers reviewed the electronic health records of 41 patients with Barrett’s esophagus who were on long-term PPI therapy to see if their levels of vitamin B₁₂, ferritin, or magnesium were ever tested”

Aerobic Exercise May Provide ‘Small’ Improvement in Vascular Cognitive Impairment

IBS: Gut Bacteria May Predict Who Benefits From FODMAP Diet

“Patients who did not respond to the low-FODMAP diet had more severe dysbiosis at baseline than responders. The traditional diet had no effect on overall bacterial composition, but in the FODMAP group, there was a significant reduction in potentially beneficial Bifidobacterium. This was more prominent in nonresponders than in responders.”

New Guideline Says Calcium Safe From CVD Standpoint

(Dr. Repetto’s comment – One should take calcium with magnesium, vitamin D and vitamin K. One should aim to get 1200 mg/day and half of that from food.)

 

 

Rib Pain or Intercostal Neuritis – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Every few times during the year, I get a patient with a displaced rib head. (I’ve had one or two myself)  The sensation is an intense stabbing pain that “takes your breath away” in either the back or the front of the chest; sometimes the pain goes round the rib and sometimes seems to go from the back to the front like a knife.

When a patient comes in, we evaluate them via examination and a detailed history to rule out things like shingles or referred pain for heart, lung and gastrointestinal problems. A lot of the times, the patient has already been evaluated by their M.D. for these conditions with negative results.

But it’s usually a rib head displactment either at the anterior attachment at the sterum [breastbone] or at the posterior attachment at the transverse process of a thoracic vertebrae. The intercostal nerve runs from the anterior rami of the thoracic spinal nerves from T1 to T11 and runs [along with the artery and vein] between the intercostal muscles to the breastbone.

intercostal-nerve

intercostal-muscle

Of course it’s not surprising that a rib displacement “takes yr breath away” as the ribs (& the clavicle) and a lot of the muscles attached to them are involved in inspiration and expiration. Some of these muscles are the diaphragm, the external & internal intercostals, the serratus anticus, pectoralia minor, scalene & SCM muscles.

breathing-muscles

Muscles attached to the ribs or thoracic spine which may not be directly involved in breathing but may be compensating for a problem with the breathing muscles. Some of these muscles are the rectus abdominis, the abdominal oblique muscles, the psoas, the quadratus lumborum, the rhomboids and latissimus dorsi; they may be on the same or contralateral side to the displaced rib.

Before I adjust any displacement of the ribs involved or the breastbone or the clavicle as a doctor of chiropractic; I need to balance the muscle pull on the affected area.

I use the muscle testing used in both Applied Kinesiology and NeuroKinetic therapy.

As a Applied Kinesiologist, I test for the function of individual muscles. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.” Is the weakness due to a spinal/nerve problem, a vascular problem, a problem with lymphatic function, a nutritional default, a problem with organ function or an acupoint associated w/ that muscle?

The Use of Applied Kinesiology in a Chiropractic Examination

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?” NeuroKinetic Therapy works with that concept that movement is performed in systems or patterns. NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating) for them.

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

Once the above muscle related questions are answered, I can adjust the involved rib, clavicle or spinal segment.

Stretches are given to the previously facilitated (or hypertonic) muscles and exercises given to the previously inhibited (or weak/hypotonic) muscles in order to break the pattern that caused the problem.

For a blog on the effects of the breathing muscles on asthma, please check out: The Musculoskeletal Aspects of Asthma

© 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