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

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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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.

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Cranial Sacral Therapy in Applied Kinesiology

Cranial Sacral Therapy is a technique taught in Applied Kinesiology based on Cranial Osteopathy which was discovered by osteopath Dr. William Sutherland after he had a remarkable insight while examining the specialized articulations of cranial bones. Contrary to popular belief Dr Sutherland realized that cranial sutures were, in fact, designed to express small degrees of motion.

cranial sutures

DeJarnette and Goodheart introduced diagnostic methods for the evaluation and treatment of cranial dysfunctions. The key technical factor that has advanced cranial diagnosis and treatment, and brought the entire field of cranial therapy into accessible, reproducible, practice and scientific form, was provided by Goodheart’s discovery that the musculoskeletal system and manual muscle testing (MMT) reflects what is going on within the cranial mechanism.

MMT has allowed applied kinesiologists to discover the dramatic functional relationships that exist between the cranium and every other articulation and tissue in the body. Furthermore, patients are not treated in a “touchy feely” fashion in which the patient’s skull is cradled for an indeterminate time, until the cradler perceives warmth or a yielding or softening sensation.

 There are many other physical signs and tests (besides MMT) that also reveal cranial dysfunction; these have been written about extensively in the applied kinesiology (AK), sacro-occipital technique (SOT) and osteopathic literature. Returning the dura to a physiological range of tension by using specifically applied cranial corrections is a major goal of AK evaluation and treatment, which seeks to achieve zero defects inside and outside the cranium.

Like Cranial Osteopathy, Cranial Sacral Therapy seeks to restore the natural rhythmic movement found between the bones of the skull and the sacrum which is correlated to our inspiration and expiration; in other words, the cranial bones and sacrum move in different directions when we breathe in and in opposite directions when we breathe out.

The purpose of this is to aid the circulation of the cerebrospinal fluid throughout the central nervous system.

cranio_sacral2

And some 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.

Using a soft gentle touch practitioners release restrictions in the cranial-sacral system to improve the functioning of the central nervous system.

There are many results why the motion of the cranial and the sacrum may be disturbed.  

For some, it can be caused by the trauma of a difficult birth. Normally since the bones are very flexible, normal movement and the act of crying restores the natural movement.

For others, it could have been caused an accidental bang to the head, a fall, whiplash following an auto accident. Jaw problems can also affect the cranials as when we chew or clench our teeth, there are muscles forces directed to the skull such as the pull of  the   Temporalis muscle on the squamosal suture of the skull. Even the act of holding our breath during physical exertion (we should be breathing out at that moment), can cause a failure of proper cranial and sacral motion,

 Dysfunction of the cranial sacral motion can be seen in different problems, even some caused by the entrapment of cranial nerves as they exit the cranium such as trigeminal neuralgia, headaches, migraines, low back  and disc problems, general weakness on one side of the body, problems w/ visual acuity, low or high blood pressure, a spastic ileo-cecal value, neck flexor weakness, allergies, hypochlorhydria, earaches, loss of balance, tinnitus, dizziness and vertigo, recurring upper cervical (neck) problems and scoliosis  

 In applied kinesiology, there are techniques to find the dysfunctions (or cranial faults) and to find out how to fix it. The difference in muscle strength when the patient is breathing in or breathing out is one clue. The asymmetrical face is another clue that there may be a problem. Or the doctor can observe what happens to the strength of a muscle when she (or he) presses on certain cranials or sutures; this is called a challenge.

Cranial-sacrum corrections are easily made and if incorporated with the correction of accompanying spinal dysfunction, muscle balancing and proper nutrition, it will have a lasting effect.

 For more information on cranial- sacral therapy, cerebrospinal fluid, cranial nerves, and the bones of the skull, please see:

Applied Kinesiology: How To Add Cranial Therapy To Your Daily Practice at http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=9200

 http://www.answers.com/topic/craniosacral-therapy

http://www.med.yale.edu/caim/cnerves/

http://face-and-emotion.com/dataface/anatomy/cranium.jsp

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

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

© 2010-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.

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It’s not a Food Allergy; maybe it’s a Food Intolerance

So you have severe bloating, and belching, problems w/ elimination and general abdominal discomfort and growing fatigue and other vague medical symptoms. Or you may have been diagnosed w/ either Crohn’s disease or Irritable Bowel Syndrome and the standard procedures are not working for you. You suspect your regular MD thinks you are a hypochondriac but he has agreed to test you for IGE allergies.

 But they come back all negative. So now what??

 You may need to be tested for IgG food intolerances; a problem that functional medicine and nutritionally minded doctors have been helping with for years but  conventional medical doctors are just beginning to look at this phenomenon.

 Unlike IgE food allergies that will cause an immediate and maybe deadly reaction such as difficulty breathing or a skin rash or a swollen tongue (think E for emergency); a IgG food intolerance is a delayed reaction, maybe causing problems 3-21 days after the ingestion of the food that is problematic for you and your digestive system (think G for general or non-specific problems).

 So one of the problems in testing is the wide number of food suspects due to the long period of time that is required for your body to react to a IgG food intolerance. This can be expensive.

 And the FDA is still saying that the IgG food testing is experimental and therefore insurance companies can deny coverage.

 So one of the procedures I do in my Applied Kinesiology practice, is to do a “presumptive” muscle test challenge using muscles associated to digestion via the Chinese meridian/acupoint system such as the Pectoralis Clav Major. If the muscle is strong, the patient then contacts the neuro-lymphatic point for that muscle as I place a food into their mouth and have them chew the food in order to stimulate taste receptors on the tongue and activate gustatory receptors in the brain.

 If a particular food causes the muscle to then test “weak” after stimulating these receptors, then the patient is asked to stop eating that particular food for one month’s time.

 If the patient has good insurance, then we may order IgG food Intolerance test as we has narrowed the field of possible suspects.  Sometimes this is not financially possible for the patient.

 However when IgG testing is possible, the results show a 80-100% correlation w/ the results of the muscle test in my practice. Elimination of the positive tested foods results in the patient’s complaints of general abdominal discomfort and growing fatigue and other vague medical symptom to start disappearing.

 While the patient is avoiding the suspected foods, I will advise the patient on healing their leaky gut syndrome (also called increased intestinal permeability)

 A leaky gut is the result of damage to the intestinal lining from years of abuse via the food intolerance. Leaky gut is also caused by other factors such antibiotic overuse, prescription and over-the counter drugs and excessive alcohol consumption.

 A leaky gut is less able to protect the internal environment as well as to filter needed nutrients and other biological substances. As a consequence, some bacteria and their toxins, incompletely digested proteins and fats, and waste not normally absorbed may “leak” out of the intestines into the blood stream.

 And as our intestines have a layer of lymphatics, a leaky gut can  trigger an autoimmune reaction, which can lead to gastrointestinal problems such as abdominal bloating, excessive gas and cramps, fatigue, food sensitivities, joint pain, skin rashes, and autoimmunity.

It’s a vicious cycle that is helped by removal of the offending food and repair w/ L- glutamine, an amino acid that helps maintain intestinal metabolism and function, fructooligosaccharides (FOS), selectively stimulate the growth and activity of “friendly” bacteria in the intestinal tract such as Lactobacillus acidophilus and Bifidobacterium lactis, FOS also have been shown to help restore and maintain mucosal integrity and aid in the adequate absorption of calcium, magnesium, iron, and zinc.

Adjustment of the spinal segments which help innervate the gut, stimulation of Chinese acupoints on meridrians involved w/ digestion and the neuro-lymphatic and neuro-vascular points are also part of the patient’s treatment; this offers a whole body approach to the patient’s problem.

 For more information on IgG food Intolerance testing, please see:

http://www.lab21.com/healthcare/igg_antibodies.php

© 2010-Dr. Vittoria Repetto

 

Great paper correlating AK methods of manual muscle and taste tests for allergies and serum immunoglobulin tests: http://www.theuplink.com/Papers1/Correlation%20of%20AK%20Mucscle%20testing%20paper.pdf

If you want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 455 W 23rd St., NYC 10011; please go to http://www.drvittoriarepetto.com

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

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