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.

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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

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? 

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

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.

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

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Thoughts on Whiplash or Neck Trauma by a NYC Chiropractor/Applied Kinesiologist

“Whiplash” is commonly associated with auto accidents but also can be associated with many types of trauma like sport injuries, bad falls and even nodding off in chair and awaking with a sudden jerking of the neck.

The term “whiplash” refers to the mechanism of the injury. The proper terminology is cervical hyperextension/hyperflexion sprain. Hyperextension means that the head and neck are bent backward beyond their normal range of movement. Hyperflexion means that the head and neck are bent forward beyond the normal range of motion. Symptoms can include neck and back pain, loss of range of motion, shoulder & arm pain or numbness, jaw pain, dizziness, headaches, nausea, difficulty swallowing etc.

Within the neck region’s joints are some of the most complex movements within the body. The cervical bones house and protect the spinal cord. Nerves from the cord pass out of the spine between the vertebrae; nerve entrapment can happen due to the shift of the cervical joint and spasm in both the smaller vertebral muscles http://www.dummies.com/how-to/content/the-prevertebral-muscles-of-the-neck.html that control fine movements and the larger and longer muscles https://www.realbodywork.com/learn/neck/neck.htm that control the gross movements of the neck which can result in the above

cervical muscles

Cranial-Sacral Mechanism: the skull and sacrum operate in ways that are often inadequately considered in whiplash cases. There is movement between the cranial bones and the sacrum called the cranial sacral respiratory mechanism that pumps cerebrospinal fluid https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/ up and down the spine that helps keep the nerves healthy. Whiplash can cause jamming of the cranial bones resulting in poor function. Poor function of this mechanism can interfere with cranial nerves, some of which control neck muscles, muscles that move the eyes, and muscles that move the jaw, muscles involved with swallowing and breathing.

Some of the very bizarre symptoms of whiplash trauma develop as a result of cranial dysfunction. Intricately associated with this area are the nerves responsible for balance. These include cranial nerve VIII, which supplies the balance mechanism of the middle ear, cranial nerves III, IV, and VI that supply the muscles that move the eyes and are intricately associated with the visual righting reflexes, and the nerve endings in the upper cervical vertebral ligaments that supply the head on-neck reflexes. These reflexes must work together. If there has been injury causing improper nerve supply to one or more of these areas, neurologic disorganization develops that can cause a change in muscle function throughout the body; there may be dizziness, ear ringing, nausea, blurred or double vision, headaches, and myriad other symptoms.

Many whiplash patients develop pain in the jaw joint, called the temporomandibular joint (TMJ), which is aggravated by chewing. https://drvittoriarepetto.wordpress.com/2013/06/26/tmj-problems-jaw-problems-and-how-a-nyc-chiropractorapplied-kinesiologist-handles-the-problem/

As a doctor of chiropractor who also does applied kinesiology, I not only deal with restoring the proper movement of the cervical vertebrae https://drvittoriarepetto.wordpress.com/2010/07/17/the-subluxationspinal-joint-dysfunction/ but almost dealing with the injury to the both the flexion and extension muscles of the cervical area mentioned above whether they need to be relaxed or whether they need to be strengthened. https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

Nutrition is suggested to help repair injured muscle fibers.

Cranial bone movement is checked via muscle testing and restored by non-force movements with inspiratory assistance

The movement of the sacrum, commonly missed in a non-applied kinesiology office, is checked for dysfunction and adjusted for return of normal function and proper flow of the cerebrospinal fluid so important to the health of the brain and the spinal cord and nerves.

 

© 2015-Dr. Vittoria Repetto

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

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

 Want to be in the know on holistic information and postings? Follow me at https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/


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

Rotator Cuff Syndrome: How a NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Treats It

Symptoms of a Rotator Cuff Syndrome are pain and tenderness in the area of the shoulder and the scapula (shoulder blade) and the involved muscles and loss of movement in these joints. Sometimes the clavicle is involved also.

The primary muscles involved are the SITS muscles; supraspinatus, infraspinatus, teres minor and the subscapularis.

rotatorcuff

The secondary muscles of shoulder movement include (but not limited to) the latissmus dorsi, the rhomboid, the triceps, the trapezius, the pectoralis major (claviclar and sternal), the biceps and the deltoid.

The first thing that I do in my treatment of this problem is checking for problems in the tone are the above mentioned muscles; the muscles can be either hypo (too little) or hyper (too much). The spindle and golgi tendons are tested for involvement and adjusted according to what is needed. Please see https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

The neuro-vascular points for the muscles involved are worked on to improve blood flow to these muscles and the neuro-lymphatic points are also worked on to improve lymphatic flow which helps drains toxics from the muscle and increase fluid flow to the muscles. Please check out https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

I also check with neuro kinetic therapy to identify  muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating for them.  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

Then the shoulder joint, scapula and clavicle are checked for proper alignment and adjusted where needed.

Nerve flow to these muscles and joints is maximized by getting movement to the vertebrae areas of the lower cervical and upper thoracic https://drvittoriarepetto.wordpress.com/2010/07/17/the-subluxationspinal-joint-dysfunction/

Proper nutrition and exercises for joint/ muscle movement/repair are given.

 

 

© 2014-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