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

© 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

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Water and Your Health

Recently one of my regular patients came in for an adjustment; she was on a new job that requires her to be on her feet for eight hours and a good deal of it outdoors.  And she was having some low back pain and numbness in her thigh.

 So after the orthopedic tests, I tested her Psoas muscle, it was weak on the side of her pain. The Psoas is attached to the front of the lumbar spine and a weakness or a spasm of the Psoas unilaterally can rotate the lumbar spine out of alignment and cause problems with the nerve roots as they exit the lumbar spine.

 And as it is almost summer and the weather has been warm I asked her about her intake of water, she had not been paying attention to her consumption of water. In the Chinese system of medicine, the Psoas muscle is associated w/ the Kidney Meridian and represents the element of water. So I asked her to go to my water cooler and have a few drinks of water; when she returned, I tested her again and this time, the Psoas tested strong.

 I’m telling this story to get to a few points.

 One is to remind people to drink lots of water especially during the warm weather: the composition of our bodies is 72% water and that includes our muscles. Dehydration can cause our muscles to lose strength.

 “All chemical reactions in the body take place in water. Every cell in the human body is bathed in water, which contains materials to keep them vibrant. Water is a transporter of nutrients and oxygen for proper function of the body’s tissues. Water helps remove waste from the body. Water acts as a natural air-conditioner through perspiration. Water is essential for digestion & absorption of vitamins and minerals. Water keeps our skin moist & supple, as well as a natural lubricator for our joints and internal organs.” http://www.filtercon.com/water_health.htm

 Therefore dehydration can make us feel fatigued and sluggish; a common complaint compounded by salt loss….I’m talking not only sodium salts but also magnesium and potassium loss. Eating a little more fruit is important as is a small amount of salt (and I do mean sea salt not regular table salt)– see https://drvittoriarepetto.wordpress.com/2010/03/31/to-salt-or-not-to-salt-that-is-the-question/.

 Try to consume the equivalent of 6-8 -8 oz glasses of water a day; soups and veggies and fruit do supply some water. Coffee, teas, beer, alcohol and (yes) herbal teas all have diuretic effect on our body so they don’t count as they make us lose more water than they add.

 And to drink water at regular intervals; if you wait until you feel thirsty, your body is already dehydrated. This rule of thumb becomes more important as we age because as we get older, that part of our brain does not signal as efficiently as it once did.

http://www.buzzle.com/articles/signs-of-dehydration-in-the-elderly.html

 Another point is that our spinal disc have less blood vessels perfusing them than the rest of our bodies which means that we get less water to our spinal discs So if you’re thirsty, your spinal discs are drying up and more subject to degeneration; a common cause of back and neck pain. http://www.spine-health.com/conditions/degenerative-disc-disease/degenerative-disc-disease-natural-degenerative-process

Please note that hyper hydration is a serious problem: http://www.healthline.com/health/overhydration#Symptoms4 

Symptoms of overhydration may not be recognized in the early st ages but can include:

  • nausea and vomiting
  • headache
  • changes in mental state (confusion or disorientation)

If left untreated, overhydration can lead to dangerously low levels of sodium in the blood (hyponatremia). This can cause more-severe symptoms, such as:

  • muscle weakness, spasms or cramps
  • seizures
  • unconsciousness
  • coma

To prevent overhydration, individuals should avoid drinking more than one liter per hour of fluid.(1 liter= 4.2 cups; 1 cup = 8 ozs)

 Raising my glass to you all as I finish w/ another web site for your reading pleasure: http://www.mayoclinic.com/health/water/NU00283

   © 2010-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

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Are you utilizing your folic acid? The case for metabolically active form of folic acid – L-5-MTHF

Roughly one-third of the general population may have a genetic variation that impairs their ability to properly utilize folic acid.

L-5-methyltetrahydrofolate (L-5-MTHF) is the metabolically active form of folic acid. The folic acid found in food has to be cleaved (digested) from protein carriers in order to be absorbed. This process is inefficient in some individuals. Once absorbed, dietary (and supplemental) folic acid has to then undergo several biochemical conversions in the body to become L-5-MTHF. Roughly one in three Americans have genetically inefficient enzymes that help create L-5-MTHF. By supplementing with L-5-MTHF, one can be assured of getting the benefits of folic acid, regardless of their ability to absorb or convert it to the active form. If you are an individual with impaired ability to utilize regular folic acid, L-5-MTHF supplementation can make a truly dramatic difference in your health.

L-5-MTHF plays a role in DNA synthesis and repair. Inadequate levels of 5-MTHF is linked to childhood leukemia. Cancers of the colon and breast are also associated with suboptimal L-5-MTHF status, as is the precancerous condition called cervical dysplasia. In a study involving smokers, high doses of folic acid and vitamin B12 reversed precancerous cellular changes in the lungs.

Folic acid’s importance to human health has to do in part with its role in a biochemical process called methylation. Methylation refers to the transfer of methyl groups (one carbon bound to three hydrogen atoms). Methylation occurs billions of times in the body each day and is essential for health.

L-5-MTHF is very important to genetic expression. Methyl groups are strategically placed on certain genes to inactivate them. Every cell in the human body has the genetic information to produce every other type of cell. The thing is that most of the genes are not active. Methyl groups (supplied indirectly by L-5-MTHF) silence the genes that should not be active in a given cell at a given time. This is obviously critical for good health. Some of the genes within our cells are tumor promoters. Proper methylation, which requires L-5-MTHF, keeps these genes silenced. The importance of L-5-MTHF involves more than its role in promoting proper genetic expression, DNA synthesis and repair.

L-5-MTHF also plays a role in dopamine and serotonin metabolism.

L-5-MTHF also plays an important role L-5-MTHF also plays an important role in detoxication of a variety of compounds, including environmental toxins (such as mercury, lead, arsenic and tin), medications, and some of the body’s own hormones. Estrogens are detoxified through methylation. Inadequate levels of L-5-MTHF cause potentially toxic build-up of estrogens in the body, which increases risk to breast, prostate and other cancers. Other conditions of estrogen excess, such as uterine fibroids and endometriosis, are also more likely to occur and be more severe. Histamine, epinephrine (adrenaline), and norepinephrine are also detoxified by methylation. Inadequate L-5-MTHF could therefore potentially worsen allergy and stress-related symptoms.

L-5-MTHF is critical for the detoxication of homocysteine. Conditions associated with elevated homocysteine levels include coronary artery disease, heart attack, stroke, deep vein thrombosis, peripheral vascular disease, miscarriage, birth defects, depression, sensorineural hearing loss, osteoporosis, cancer, arthritis, dementia, Alzheimer’s disease, Parkinson’s disease, and complications of diabetes. Do you know what your homocysteine level is?

© 2009-Dr. Vittoria Repetto

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Neurological Disorganization – AKA Switching – A Problem Dealt With Applied Kinesiology

Do you have trouble following directions? Overly clumsy? Suffer from quick temper or mood changes, or have learning difficulties. Then you may be “switched” or have a problem with neurological organization which can be fixed with Applied Kinesiology.

What is switching?

Basically the nervous system has two functions: to receive information and to transmit information. Switching seems to be due to a functional error in information processing.

Improper transmission from sensory receptors (information from outside to brain) causes the Central Nervous System(our brain and spinal cord) to create inappropriate strengthening and weakening of the muscles and formation of incorrect neural patterns and responses.

Neurological disorganization or switching essentially is the body’s response to a stimulus overload – Physical, Psychological or Nutritional / Chemical.

How would you know if you were “switched.”

Do you have one or more of these symptoms?

a) You have trouble following directions: for example, a massage person asks you to lie face up and you go face down.

b) Complaints of brain fog, reading difficulties, falling asleep, learning disabilities, mood changes, confusion, emotional fragility or quick temper or jet lag that just will not go away no matter what you do.

c) You may have been diagnosed with ADD or ADHD

d) Uncoordinated or clumsy movement or walking, for example, you are constantly tripping over the crack in the sidewalk that is not there.

e) You have problems w/ balance or you have cranial faults or thyroid problems that recur.

f) You have problems raising your left shoulder but the pain is in your right shoulder.

What could have caused the “switching.”

a) Your parents encouraged you as an infant to walk before you had efficient bilateral function as in cross crawling on the floor.

b) You are constantly on exercise machines that do not repeat the natural cross pattern of the body that is when left leg goes forward, the rt. arm moves forward, etc.

c) You do (or have done in the past) a lot of recreational drugs.

d) You may have eaten food additives or any noxious stimuli, refined sugars, or experienced environmental or chemical toxicity.

e) You may have nutrition deficiencies: Vitamin A, iron, folic acid, copper, choline, RNA, water.

What you can do to correct it:

a) Reducing the stressors such as recreational drugs or food additives for example will often self-correct the disorganization pattern.

b) On occasion, it needs to be addressed directly correction of Acupressure-pts – K27, GV 27, CV 24 or checking for Ocular Locking – diminished eye coordination or correcting the Cranial respiratory mechanism This is done by an Applied Kinesiologist.

c) You can correct the nutritional deficiency.

d) Do exercises such as cross crawl, balance board, cross country machines, certain martial arts movements that repeat the natural cross pattern of the body that is when left leg goes forward, the rt. arm moves forward, etc.

© – 2009-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

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