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

Doing a proper examination with a new patient is of the upmost importance. It not only shows where the patient’s pain/problem is but it shows the location of the origin of the pain/problem and contributing factors.

For example, the patient may be complaining of posterior leg pain but orthopedic and neurological testing will show at what spinal nerve level does that leg pain originates from.

What muscles are weak or in spasm? For example, is the nerve being compressed by a spastic piriformis as the nerve travels down the buttock or is a weak piriformis or gluteus maximus allowing for instability in the lumbo-sacral or sacro-illiac joints.

testing rectus femoris

What is the history of this patient? A proper examination includes the filling out of an intake form which includes history of past injuries and current health problems.

Has this patient had a history of ankle injuries which may have affected their gait and caused compensation in the pelvis, hips or torso of the patient? Did that compensation set the patient up for problems down the road.

Does this patient have problems like acid reflux or breathing problems where the diaphragm is not working properly and therefore causing over-compensation in the abdominal muscles which support the low back or over-compensation in the neck muscles contributing to neck pain.

Does this patient have a history of hypertension; then a taking of the patient’s blood pressure is part of their examination. Are there white spots on their nails or do they bruise easily; patient may need certain supplements to improve oxygen flow/wound healing and cut down on chronic inflammation.

Does the patient have problems with urination or gout; these problems may show up as an energy blockage in the kidney meridian and the psoas muscles which is linked in applied kinesiology to the kidney meridian. Stimulation of acu-points on the kidney meridian may affect the psoas; part of which is located in the front of the lumbar spine and an imbalance can contribute to low back pain.

For more on use of applied kinesiology in a chiropractic examination; please see https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/

Range of motion testing shows not only what movements are painful but it is also important as it gives a clue of what muscles may be involved. Range of motion after treatment is a quick test of how the patient is doing.

A proper examination (and following treatments) also requires that the patient is either wearing an examination gown (women) or down to their underwear (men). This enables me as the doctor to rule out anatomical problems such as a swollen ankle or knee as contributing to the patient’s complaint.

The doctor can also rule out health problems that cause pain that need to be referred out. For example an established patient came in complaining of posterior pelvic pain and since she was in an examination gown, I noted a rash. The rash was herpes zoster and she needed to be referred out as well as needing nutritional advice and an adjustment. If she was still wearing street clothes as in many chiropractic practices, I would have not known the “real” cause of her pain.

The above examination takes time and is geared for a chiropractic and applied kinesiology practice not for a quickie fifteen minute /3x a week practice. . Unfortunately a lot of chiropractors do not do a complete examination which I deduce when new patients who have previously seen another chiropractor ask me when I enter the examination room if they should lay face down. No I say, I need to do an examination first.

If you are interested in a comprehensive examination and treatment, please free to contact me at drvittoriarepett@aol.com or call me at 212-431-3724. 

 

© 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? 

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

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

 

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How a NYC Applied Kinesiologist/NeuroKinetic Therapist Treats Heartburn or Acid Reflux

Heartburn, also known as acid reflux, is a burning sensation in the chest, just behind the breastbone or just below the breastbone. The sensation of pain or discomfort often rises in the chest and may radiate to the neck, throat, or angle of the jaw. The sensation gets worse on lying down or bending over.

Chronic heartburn is called gastroesophageal reflux disease (GERD). GERD is a relatively new classification of chronic heartburn (less than 10 yrs) which seems to have appeared at the same time as two new classifications of drugs H-2-receptor blockers and Proton pump inhibitors which were stronger and provided longer relief than similar antacids.

However  all three mentioned drug classifications by different mechanisms stop the production of stomach acid; stomach acid which we need in order to not only digest food but help us absorb essential nutrients like Calcium and Vitamin B12.

Now one of the possible causes of heartburn or acid reflux is a hiatal hernia. When one part of the internal body pushes into another part where it should not be, it is called a hernia.  The hiatus is an a opening in the diaphragm muscle that allows for the passage of the esophagus as it attaches to the stomach and the passage of the aorta, the inferior vena cava and nerves.

See http://en.wikipedia.org/wiki/Diaphragm_%28anatomy%29 and observe the way the diaphragm muscle is constructed. There are muscle fibers that wrap around both sides of the esophagus.

A hiatal hernia is when due to diaphragm weakness, the stomach slips upward through the hiatus into the space where the esophagus is causing both nerve irritation and slippage of stomach acid into the esophagus causing the sensation of heartburn or GERD.

hiatal hernia

 As a chiropractor, we affect the diaphragm by manipulation of the 4th & 5th cervical vertebrae which  then forms the phrenic nerve and innervates the diaphragm and the stomach and esophagus via manipulation of the greater splanchnic nerve  at 5th to 9th thoracic vertebrae

As an applied kinesiologist,  we work the neuro-lymphatics and neuro-vascular points to increase blood and lymph flow for these organs.

Besides the diaphragm, the psoas muscle is important to check as its fibers blend with the fibers of the posterior diaphragm. The muscles of the chest and the abdomen are also important to check if the patient is constantly in a flexed position.

As an applied kinesiologist, I check to see which muscles are weak or hypertonic.

As a neurokinetic therapist, I look to see if the muscles of the posterior thoracic (mid back)  are inhibited by the muscles of the anterior chest or abdomen .

The cranial system is checked for involvement of the parasympathetic (vagus nerve). 

Acupoints  for the stomach, and lung may be checked for involvement.

We would gently after these procedures try to gently manipulate the movement of the stomach back into its proper place and then strengthen the diaphragm muscles; give breathing exercises for the patient to do at home to stop the hernia from happening again are  included as well as nutrients like zinc, l-glutamine to heal any micro-erosions in the GI wall, digestive enzymes to restore the function of the stomach and   supplements like Vitamin B12 and calcium that have not been absorbed due to medications.

http://www.mayoclinic.com/health/heartburn-gerd/DS00095.

http://www.mayoclinic.com/health/hiatal-hernia/DS00099

http://www.webmd.com/digestive-disorders/hiatal-hernia

http://www.naturalnews.com/026836_heartburn_GERD_drugs.html

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

https://drvittoriarepetto.wordpress.com/2010/04/01/technique-summary-applied-kinesiology/

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

 © 2011-Dr. Vittoria Repetto

© 2016 Revised – Dr. Vittoria Repetto

Here are some medical research studies on the adverse effects of proton pump inhibitors which are routinely prescribed for heartburn/acid reflux/GERD.

Chronic Use of Proton Pump Inhibitors Increases Heart Risk

Popular Heartburn Medication Linked to Increased Stroke

Micronutrient Deficiency Often Unnoticed in PPI Users

PPIs and Kidney Injury: Longer Use Tied to Higher Risk

Proton Pump Inhibitors Accelerate Cellular Aging

Proton Pump Inhibitors Linked to Dementia

 

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