Bursitis: How a NYC Chiropractor/Applied Kinesiologist/NeuroKineticTherapist Treats It.

First, what is a bursa (bursae)? A bursa is any small pouch or sac between tendons, muscles or bony joints at points of friction or stress which contains a very slippery synovial fluid which allows the two sides of the sac to slide freely. http://en.wikipedia.org/wiki/Synovial_bursa

The term “bursitis” is a combination of “bursa” and “itis,” a word termination meaning inflammation of the bursa. Bursitis is an inflammation of the lubricating membrane. The classic signs of inflammation are pain, heat, redness and swelling.

The most common bursae sites involved in bursitis are at the shoulder, elbow, hip joint, knee and heel.

Here’s an image of the shoulder bursa:

bursitis_shoulder

Bursitis can be caused by trauma, infection or crystal deposits. Trauma is the most common type; it usually develops from mechanical stress due to overuse, direct injury or muscle/joint misalignment.

Bursitis caused by trauma is usually what a doctor of chiropractic who uses applied kinesiology and neurokinetic therapy will see so I will confine my discussion to that type.

Repetitive activities as in sports or washing a floor on your knees are examples of overuse. Falling or hitting a joint can cause inflammation to the bursa.

Muscle/joint misalignment is often an overlooked but very common cause of bursitis; joints depend on the contraction of certain muscles that move the joint in the desired direction and the relaxation of opposing muscles.

Improper contraction or using the wrong set of muscles or the joint not being in the correct position to allow the correct contraction can cause a misalignment problem and stress the bursa and cause inflammation.

When a patient comes in with a bursitis problem, one of the first things that I do is test the surrounding muscles for any weaknesses or spasms as a muscle imbalance will affect the joint and the bursa.

In the case of shoulder bursitis, I ask  is there a dysfunction in the coordination of muscles working in patterns. Is the biceps or pectoralis major or trapezius   compensating (facilitating)  for weak or inhibited muscles like the deltoid or rotator cuff muscles , for example. or vice versa. Muscle imbalance can cause uneven pull or  misalignment of the joints that surround the bursa; causing inflammation of the bursa.

Weak muscles are strengthened and muscle spasms or compensating muscles are relaxed via spindle and golgi tendon work. Blood flow to the muscles is improved by working on neuro-vascular points and lymphatic flow.

The joint alignment is checked and any misalignment is corrected by adjustment of the joint.
For information on specific techniques, please read:

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

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

http://neurokinetictherapy.com/what-is-neurokinetic-therapy

Adequate nutrition for repair and health of the bursa is discussed with the patient.

Sometimes chronic systemic inflammation in a patient requires improving the gut digestion as this can affect one’s joint.

Applications of ice decreases swelling and use of wet heat increases blood and lymph flow to promote healing.

Lifestyle changes are recommended; for example if one has to kneel for work, heel pads are suggested. And proper stretching and exercises are recommended to support the joint and the muscles crossing the bursa.

© 2015-Dr. Vittoria Repetto/revised – 2016

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

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

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A NYC Chiropractor/ Applied Kinesiologist Talks About How Your Multi and/or Calcium Supplement May Be Causing Problems

One of the protocols I perform when I have a new patient is I look at the labels of the multiple vitamin and calcium supplements they are taking as their daily routine.

In this blog, I’ll be talking about two minerals that may be critical to your health.

One of the most common problems is the use of Calcium Carbonate in the supplement they are taking. Calcium Carbonate is an antacid which a lot of vitamin companies use because it is cheap.

The problem is that you need acid in your stomach in order to digest your food and absorb vitamins and mineral from both your diet and your supplements. Taking Calcium Carbonate stops that digestive process.

Decreasing (or completely getting rid of) the acid in your stomach means that you can’t digest and absorb not only Calcium but protein, iron, magnesium, Vitamin B12 and zinc.

So basically you are setting yourself up for osteoporosis, fatigue, muscle wasting, iron anemia, memory problems and poor wound healing to mention a few.

And because of the lack of acid, you may feel like you have heartburn and think that you have too acid and take more antacids; further compounding the problem.

calcium-carbonate-158477

The other major mineral in patient’s supplements that I’ll be talking about is iron.

Unless you are a menstruating women w a heavy flow or an extreme athlete or on an extreme starvation diet, iron supplementation may not be necessary.

Iron is present in animal protein and beans, legumes and some leafy green vegetables. And a lot of packaged foods like cereal and dairy and nut milk products have added iron.

Too much iron can accumulate in organs like the brain, the pancreas, gonads, pituitary, liver, the joints and heart and cause problems like toxic liver, arthritis, dementia, etc

Lab tests for excess iron include serum ferritin level and transferrin saturation; regular anemia testing will not show the problem.

A great way to keep your iron levels from getting too high from added iron in your food is to donate blood (and great karma).

iron-symbol

There are vitamin companies that make multi-vitamin minerals that do not have added iron; one company that I recommend and use is Metagenics. (http://www.metagenics.com )

I also recommend taking a supplement w either MCHC and Calcium Citrate for your calcium. Please check out another blog Getting Enough Calcium Into Your Bones? Ten Facts You Need to Know!
(https://drvittoriarepetto.wordpress.com/2010/09/15/getting-enough-calcium-into-your-bones-ten-facts-you-need-to-know/)

© 2013-Dr. Vittoria Repetto
Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to http://www.drvittoriarepetto.com

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

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A NYC Chiropractor /Applied Kinesiologist and Her Continuing Education

As many as you may know, Doctors of Chiropractic are required to take continuing education credits; here is a list of mine:

June 2016 – Whole Detox: How to Thrive in a Toxic World through Nutrition & Lifestyle. – Tricia Paulson, ND & Deanna Minich, PhD

October 2015 – Getting Rid of Inflammation w/ Specialized Pro-resolving Mediators (SPMs) – Metagenics Mini-Seminar

September 2015 – Neuro-Kinetic Therapy – Level One – Dr. Kathy Dooley, DC

May 2015 – The Gluten, Leaky Gut, Autoimmune Connection – Dr Steven Noseworthy, DC

March 2015 – Age Related Muscle Loss – Metagenics Mini-Seminar

June 2014 – Fundamentals of Functional Blood Chemistry – Dr. Datis Kharrazian, DC

May 2014 – The Neuroendocrine Immunology Of Environmental Triggers – Dr. Datis Kharrazian, DC

March 2014 – Clinically Effective Advanced Programs for Healthy Detoxification & Weight Loss – Joseph Lamb, MD

Mar 2013 – Integrative Healthcare Symposium:
– The Role of Nutritional Genomics in the Prevention of Colorectal Cancer – Gerard Mullin, MD and Ruth DeBusk, PhD, RD
– Holistic & Integrative Medicine- An Indian Experiment – Isaac Mithai, MD
– Anxiety and Insomnia in Women: The Fearsome Twosome – Tori Hudson, ND
– Nutritional Immunology – Robert Rountree, MD

Oct 2012 – Novel Therapies for Women’s Hormonal Health & Wellness – Joel Evans MD

Jan 2012 – Successful Aging: Lifestyle Medicine Protocols for a Vital Brain, Heart & Metabolism – Deanna Minich PhD, FACN, CNS

Oct 2011 – Clinical Strategies for Restoring Energy & Optimizing Health – Kristi Hughes, ND

Feb 2011 – Clinical Breakthroughs in the Toxicity-Disease Connection – Dr. Jeffrey Bland Ph.D.

Oct 2010 – Advanced Clinical Therapies for Women’s Health – Deanna Minich Ph.D.

Feb. 2010 – Integrative Healthcare Symposium:
– Brain & Mind Health: Integrative Medicine Approaches to Treating Neurological & Neuropsychiatric Disorders
– Women’s Health: Optimal Care from Different Perspectives
– Environmental Health: Environmental Issures in Healthcare
– Brain & Mind Health: Neurogenesis, Neuroplasticity & Your Future Brain
– Nutrition: Beyond Antioxidants: Nutrigenomic Regulation of the Adaptive Stress Response
– Nutrition: Digesting the World: The Link Between Cognition & Nutrition
– Women’s Health: Iodine: A Critical Missing Link for Breast Health & Full Body Wellness
– Environmental Health: Toxic Metals & Mood

Feb. 2010 -Bridging Lifestyle Medicine and Systems Biology in Clinical Practice – Dr. Jeffrey Bland Ph.D

Sept. 2009 – Nutrigenomic Therapies for Autoimmune Disease: Beyond “One Drug, One Target” Treatments – Thomas O’Bryan DC, CCN

Feb. 2009 – Integrative Healthcare Symposium:
– Nutrition: Unifying Concept of Arteriosclerosis – Gerald M. Lemole, M.D.
– Vitamin D in Health and Disease – Michael Holick, M.D.
– Women’s Health-Looking at Care From Various Perspectives – Lise Alschuler, N.D.,Roberta Lee, M.D.,Sherri Tenpenny, D.O.
– Environmental Health Issues and Strategies – Mark Hyman, M.D., Robert Rountree, M.D.,& Walter Crinnion, N.D.
– Integrative Approach to Arthritis, Heart Disease, and Bone – Jeffrey Bland Ph.D.
– Environmental Toxin Assault on Our Mitochondria Leading to Obesity and Diabetes – Walter Crinnion, N. D.
– Whole Foods for Strong Bones – Annemarie Colbin,Ph.D.
– Women’s Health: An Integrative Perspective on Hormone Use, Perimenopause and Osteoporosis – Roberta Lee,M.D., Scott Berliner, R.P.H.
– The Body Mind Effect: An Accidental Psychiatrist’s Discory of How Nutrition & Biology Influence Mind, Behavior, Attention & Memory – Mark Hyman, M.D.
– Breast Cancer: An Evidence-based Review of Naturopathic Supplement and Herbal Strategies – Lise Alschuler, N.D.
– Environmental Health: Environmental Toxins & Autoimmune Disease – Robert Roundtree, M.D.
– Food as Medicine for Digestive Health and Wellness – Kathie Swift, M.S., R.D., L.D.N.
– The Extraordinary Healing Power of Ordinary Things – Larry Dossey, M.D.

Feb. 2009 – The Future of the Clinic: New Frontiers in Nutritional Medicine – Jeffrey Bland Ph.D.

June 2008 – Environmental Toxins -Robert A. Rakowski, DC, CCN

May 2008 – The Emerging Therapeutic Target: Improving Therapeutic Outcomes by Treating the Intersection of Osteoporosis, Cardiovascular Disease, Type 2 Diabetes, and Arthritis – Jeffrey S. Bland, Ph.D

March 2008 – Applied Nutrition and Blood Chemistry – Dr. Lynn Toohey, PhD & Dr. Patrick Garrett, DC

February 2008 – Optimizing Athletic Performance – Robert Rakowski, DC

October 2007 – The Next Revolution in GI Health Restoration- Michael B. Wald, MD, DC

September 2006 – The Neurobiology of Mood & Cognitive Disorders – Jay Lombard, DO

April 2006 – New Strategies for Management of Autoimmune Diseases – Jeffrey S. Bland, PhD

May 2005 – Certified as Applied Kinesiologist by International College of Applied Kinesiology

Sept 2004-May 2005 – Applied Kinesiology in Clinical Practice 100 hours – Dr. Eugene Charles, D.C., DIBAK

April 2005 – Applying Nutrigenomics in Clinical Practice to Reshape Your Patient’s Health – Jeffrey S. Bland, PhD

Sept.2004 – Clinical Applications of Functional Endocrinology: Creating Balance Through Nutrition – Dr. Robert Rakowski, D.C.

Nov. 2003 – Natural Solutions for Managing Menopause – Joel M. Evans, M.D. & Dr. Jeffrey Bland, Ph.D.

Sept. 2003 – The Auto-Immune& Inflammation Connection – Dr. Wald, D.C.

Mar. 2002 – Breakthrough Approaches for Improving Adrenal & Thyroid Function – Dr. Jeffrey Bland, Ph.D.

Jan. 2001 – Nutritional Management of Peri Menopausal/Menopause – Joseph J.Collins, N.D.

Feb.2000 – Nutritional Management of Underlying Cause of Chronic Disease – Dr. Jeffrey Bland, Ph.D.

May 1997 – Nutritional Improvement Of Health Outcomes – The Inflammatory Disorders – Dr. Jeffrey Bland, Ph.D.

Mar. 1996 – New Perspectives in Nutritional Therapies – Dr. Jeffrey Bland, Ph.D.

Feb. 1995 – Applying New Essentials in Nutritional Medicine – Dr. Jeffrey Bland, Ph.D.

Feb. 1994 – Advancement in Clinical Nutrition – Dr. Jeffrey Bland, Ph.D.

May 1993 – Managing the Patient w/ Chronic Fatigue – Intl’ & Amer. Assoc. of Clinical Nutritionists

Feb. 1992 – Advances in the Diagnosis and Treatment of the Chronically Ill Patient – Dr. Jeffrey Bland, Ph.D.

1991-2001 – BHI/Heel Homeopathy & Homeotoxicology Seminars

1983-1984 – Applied Kinesiology Seminars w/ Dr Avery Ferentz – 80 hrs

Sept. 1977 – Basic Shiatsu

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

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

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How a NYC Chiropractor/Applied Kinesiologist Treats Carpal Tunnel Syndrome

These days with all our computer usage, we are very aware of Carpal Tunnel Syndrome which consists of weakness, numbness or tingling or pain in the first 3 fingers in your hand. The problem is caused by pressure on the median nerve as it travels through a “tunnel” in our wrist formed by the bones of our wrist and a ligament called the flexor retinaculum or the transverse carpal ligament

carpal tunnel

The pressure can be caused by structural collapse of the tunnel by over-extension of the wrist as in over-use of computers, hammering or using a wrench or narrowing due to arthritis or fluid in the tunnel caused by diabetes or hypothyroidism

As a Doctor of Chiropractic and an Applied Kinesiologist, I would first rule out diabetes and hypothyroid by patient history, signs & symptoms and blood and urine tests. Compression of the wrist in arthritis would make the symptoms of carpal tunnel syndrome worse instead of making it better.

And as course, since the median nerve is a branch of the brachial nerves coming from the 5th, 6th and 7th cervical nerve roots at the spinal level, I rule out problems in the neck  and down the course of the nerve such as muscle entrapment and shoulder and elbow problems.

Treatment of the syndrome involves adjustment of the wrist bones and sometimes  adjusting the way the two forearm bones (the ulna & radius) articulate with each other,  balancing the muscles that cross the wrist joint in both flexion and extension.

forearm muscles

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

A wrist wrapping or a brace would be used for support and exercises for the wrist would be recommended. Nutritional support for the nerves and ligaments and a natural anti-inflammatory would be recommended to speed up the healing following the structural correction.

By utilizing applied kinesiology and chiropractic, we can balance the body’s structure and chemistry utilizing and can solve many health problems by addressing the cause. Please feel free to call  to schedule a consultation to discuss this or any other health issues you may have.

© 2012/ Revised 2015-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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A NYC Chiropractor Recommends How to Do A Healthy Liver Detox.

A NYC Chiropractor Recommends How to Do A Healthy Liver Detox.

I have this big old liver spot on my left hand, it’s on Large Intestine point 4 and I’ve had it since I was 28 yrs old (I’m 60 now) and it is the result of a badly constructed “liver detox”

The liver detox was one involving drinking only apple juice and doing enemas for 3 days and we are still seeing this type of cleanse or detox in various reincarnations and they all involve depriving oneself of nutrients which does a lot more hurt than good.

Let me explain: the liver is the major way that our bodies remove toxins like heavy metals, industrial compounds and pollutants that can be associated w/ fatigue, muscle pain and weakness, cancer, headaches, nerve degeneration, headaches, rashes, loss of memory, etc.

liver-detox1

The liver does this in two Phases; Phase 1 involves oxidation and Phase 2 involves conjugation.

Oxidation involves using oxygen and enzymes to turn a toxin (most toxins are fat-soluble) into a water-soluble substance so they can be more easily executed by the liver or kidneys. Foods that can help Phase 1 do its job are cruciferous vegetables like broccoli and kale, oranges, caraway seeds; nutrients that help are Vitamin C  & E , zinc, selenium and cooper  Milk thistle and members of the thistle family like artichokes help the Phase 1 process.

However the product of this Phase 1 can be even more toxic so the liver needs to process the Phase 1 via a Phase 2 process called conjugation. Conjugation involves combining the oxidized compounds w/ sulfur, amino acids (building block of protein) and organic acids  and  methylation  via Vitamin B12, choline & folic acid and generation of glutathione via N-acetylcysteine so  toxic products can be executed in the bile which then leaves the body via the large intestine.

Phase 2 is helped by adequate protein  as found in nuts, seeds, beans, meat, fish , eggs and dairy, alliums  as found in garlic, onions, citrus, cruciferous vegetables, bioflavonoids as found in peppers, celery, carrots oregano, rosemary, olive oil, pomegranates, and cruciferous vegetables.

Medium chain triglycerides, mono-unsaturated fats, Vitamin B1, B2, niacin, B5 and magnesium help with the energy production needed to perform these tasks

And of course, the body needs to have adequate fiber in order to move these toxins out of the body quickly before they are reabsorbed.

So you can see that water or juice fasts are harmful to the body as they deplete the body of the nutrients need for a healthy detoxification.

I now do  a “spring cleaning –liver detox” week in which only foods that are organic /glass fed, etc are eaten  and I add a liver support program that has all the Phase 1 and Phase nutrients (from Metagenics  https://drvittoriarepetto.metagenics.com/ultraclear that my liver needs  for detoxification.

For patients who have altered detoxification function may be due to genetic predisposition, a history of chronic nutrient insufficiency, and/or toxin overload, which can result in a build-up of stored toxins and a subsequent increase in symptoms and/or tissue damage, I recommend: https://drvittoriarepetto.metagenics.com/ultraclear-plus

 

And I know that I (or my patients) will not be getting any more big old liver spots from a badly constructed liver detox.

 © 2011-Dr. Vittoria Repetto

 To order please go the Metagenics.com, click on Create a New Account on the top right side of the page, and use Practitioner Code DrVittoriaRepetto
20% discount on first order
10% discount on recurring orders

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

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

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

First what are neurovascular points?

Neurovascular points are points discovered in the 1930’s by chiropractor Dr. Terence Bennett. He had found via x-ray fluoroscope that stimulating these points would increase blood circulation to the organs that were associated with these points. The increased blood flow would increase the flow of nutrients and O2 to the associated organ and have the positive effect of improving the function of the associated organ.

Dr. George Goodheart who founded Applied Kinesiology took up Bennett’s work and noticed that the points could also turn weak muscles on. Dr. Goodheart then observed that many internal organs had reflex connections in the muscles and joints and along with a cross reference via the Chinese acupuncture system that certain muscles were associated w/ certain organs

Neurovascular points are mainly located on the face and head; they are stimulated by lightly pressing on the point until you feel a pulse and as most of these points have a right and left side on the head (or face).you would keep on pressing until the pulses matched each other.

One of the most well known points is used in Emotional Release Technique. These points are associated with the Pectoralis Major muscle and the Stomach. These associations are interesting as in our culture we talk about getting our stomach in a knot or about having chest tightness when we are upset. The points are the first two bumps on our forehead; neurovascular_points

The technique is simple: think about what is bothering you as you hold these points and then make a statement as how you will solve the problem. For example, if you have anxiety about talking to someone who always makes you angry; think about why they make you angry and then make a statement such as “I will not let “name” make me angry, his issues are his and not mine” or something simpler. Say the statement out loud as you hold the pulse and keep on repeating the phase until you feel the pulses becoming equal.

Try it and let me know!

 © 2011-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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Research Supporting Chiropractic & Applied Kinesiology

Here’s two web pages showing some of the research being done on Chiropractic

http://www.acatoday.org/level2_css.cfm?T1ID=21&T2ID=96

& on Applied Kinesiology at  http://www.icakusa.com/research/ 

Some of the sample papers on Applied Kinesiology include:

Knee Pain and Positive MMT Findings Correlation.

 Neck Pain Caused by Muscle Weakness.

 Low Back Pain Caused by Muscle Weakness

Meridian System Relationship: AK and MMT

Enjoy!

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 455 W. 23rd St , NYC 10011; please go to www.drvittoriarepetto.com.
And please check out the Patient Testimonials at the “Our Practice” page at the web site.