How Really Small Muscles Can Be A Real Pain In The Neck – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

When a patient complains of neck pain or headaches, I first muscle test both the cervical flexor and extension muscles and muscles which when they test bilaterally weak such as the psoas or gluteus maximus suggest a fixation of the cervical vertebrae.

I ask questions: are the muscles weak and therefore affecting the alignment, movement of the cervical vertebrae?

Are one set of muscles weak or inhibited because of compensating (facilitating) muscle.

Or is the opposite true? Is it the hypertonic or facilitated muscle the problem?

Sometimes it’s not the bigger cervical flexor/extensor muscles that are causing pain either directly or by pulling vertebrae out of alignment and putting pressure on the nerves supplying the cervical area.

Sometimes it’s the half inch to inch muscles just below the occipital (base of your skull) that attach it to either the atlas (C1) or the axis (C2) or attach atlas to axis.

These muscles are called the Rectus Capitis Posterior Major, Rectus Capitis Minor, Obliquus Capitis Superior and Obliquus Capitis Inferior.

suboccipitaltriangle

The Rectus Capitis Posterior Major extends, laterally flexs and rotates the head.  The Rectus Capitis Minor extends and laterally flexes the head. The Obliquus Capitis Superior extends and laterally rotates the head. The Obliquus Capitis Inferior  rotates C1 and cranium.

Problems with these muscles can pull vertebrae out of alignment and put pressure on the cervical spinal roots and cause neck stiffness, pain and headaches. See dermatome map below for areas of innervation.

head dermatome

Note there is no C1 dermatome. The C1 root innervates the meninges of the posterior fossa of the skull and has no cutaneous branch; the posterior fossa also contains the meningeal branches of vagus and hypoglossal nerve. Neck stiffness may be a test of the C1 root that innervates the meninges.

For more information, please see the following blogs:

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

https://drvittoriarepetto.wordpress.com/2010/12/13/spinal-pain-not-being-helped-see-an-applied-kinesiologist-it-may-be-a-fixation/

https://drvittoriarepetto.wordpress.com/2016/06/23/how-a-combination-of-applied-kinesiology-neurokinetic-therapy-and-chiropractic-works/

For discussion about meninges:  https://drvittoriarepetto.wordpress.com/2016/05/28/why-is-my-neck-problem-causing-low-back-or-leg-pain-a-nyc-chiropractor-applied-kinesiologist-nkt-practitioner-explains-the-lovett-brother-effect-on-the-spine/

https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

© 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? 

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Seminar I’m Taking: How to Thrive in a Toxic World through Nutrition & Lifestyle

This coming June 5th I’ll be attending a seminar on Whole Detox: How to Thrive in a Toxic World through Nutrition & Lifestyle.

The term “ detoxification ” is widely debated and discussed within the clinical community. In this presentation, the scope of detoxification practices and the spectrum of offerings and their validity will be highlighted. A deeper dive into the recent scientific developments in this pivotal area of medicine will be featured from the angles of both biochemistry and genetic expression, with particular focus on (1) modulation of metabolic biotransformation through phase I and phase II enzyme induction or inhibition; (2) alkalinization; and (3) heavy metal metabolism . Special emphasis will be given to nutrition, nutrient actives, and botanicals for their influence in these pathways. Furthermore, the incorporation of lifestyle changes will be included as part of the detoxification discussion for a more well-rounded, whole picture, whole-self approach.

liver-detox1

Objectives:

• To understand the context of detoxification practices as they relate to health and disease, and their general view and acceptance in the medical arena

• To identify biochemical and genetic pathways involved in detoxification processes: ARE gene upregulation biotransformative enzyme induction or inhibition, alkalinization, and heavy metal metabolism

• To understand the role of nutrition, nutrient actives, and botanicals in modulating detoxification processes

• To learn the importance of addressing lifestyle modalities as part of the detoxification process.

For an article on why fasting on juices do not make an effective liver detox: https://drvittoriarepetto.wordpress.com/2011/08/24/a-nyc-chiropractor-recommends-how-to-do-a-healthy-liver-detox/

Presenters are: Tricia Paulson, ND & Deanna Minich, PhD

Tricia Paulson, ND, is the founder of and primary physician at True Health Naturopathic Medicine. As an educator and speaker for the Wisconsin Chiropractic Association and Nutrition Dynamics, she has developed and implemented curricula in clinical nutrition, detoxification and gut restoration. FirstLine Therapy is the cornerstone of her functional medicine practice which specializes in the treatment of chronic lifestyle diseases through a patient-centered approach

Dr. Minich received her doctorate in Medical Sciences (Human Nutrition and Metabolism ) from the University of Groningen, The Netherlands, and her Master’s Degree in Human Nutrition and Metabolism from the University of Illinois at Chicago. She is a fellow of the American College of Nutrition, and a member of both the American College of Nutrition and the American Society for Nutrition Science. Dr. Minich has published over 15 articles in peer-reviewed, scientific journals, and has published three books on nutrition. At Metagenics, Dr. Minich has numerous responsibilities, including counseling patients using functional medicine protocols at the Functional Medicine Research Center®—the clinical research arm of Metagenics.

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

Looking At Posture As A Clue To Helping Patients – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Two weeks ago, a relatively new patient who has been to other chiropractors paid me a compliment by saying that I was “unlike other chiropractors, I think about what is happening and what I need to do.”

One of the things I look at is posture. How does the patient present as they stand in front of me?

The other question that is relative to their posture is: How did they get that posture? Was there an accident where they were, for example, thrown forward and had to catch themselves when their bus suddenly stopped. What position was their body in? Hands forward? Head turned?

Postural findings may be due to muscular inhibition either as individual muscles or as a group of muscles that work together to do a certain movement

Or they may be due a compensating muscle inhibiting a muscle

Are the involved muscles hypotonic or hypertonic?

Or has a problem with their foot, for example, caused muscles to get inhibited or to compensate up the length of their body causing further joint and spinal pain?

bad-posture-posturepro

Here are some examples of muscles that may be involved in postural findings:

  • High Occiput – upper trapezius, neck flexor/extensor, gluteus medius, SCM, rectus capitus
  • Head rotation – latissimus, gluteus medius, lower trapezius
  • High Shoulder – opposite upper trapezius, quadratus lumborum
  • Low Shoulder – quadratus lumborum, latissimus
  • Elevated Ribs – rectus abdominal, oblique abdominals, quadratus lumborum
  • Lumbar deviation – psoas, lumbar erectors, multifidus, gluteus medius/maximus, tfl
  • High pelvis – sartorious, quadratus lumborum, hamstrings
  • Genu Valgus (Knock Knee) – TFL, gluteus max, adductors
  • Genu Varus (Bowed Knee) –adductor, popliteus, hamstrings

I use manual muscle testing to see if the muscles are hypotonic or hypertonic or inhibited by a compensating muscle.

I also look to see if there is a problem with the alignment of the joint the muscles cross or the vertebrae involved in the spinal innervation of the involved muscles.

For more detailed information, please check out the following blogs:

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

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

https://drvittoriarepetto.wordpress.com/2016/03/22/a-nyc-chiropractorapplied-kinesiologist-adds-neurokinetic-therapist-to-her-skill-list/

 

 

© 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

 

What is Applied Kinesiology & What It is Not – A NYC Chiropractor/Applied Kinesiologist Explains

Applied Kinesiology (AK) can be defined as the clinical application of the study of movement and function; it is functional neurology.

AK is a system of testing and treatment that is used to assess the body’s functional aberrations.

These functional aberrations may be but not limited to:

    • Muscular
    • Neurological
    • Vascular
    • Osseous
    • Lymphatic
    • Respiratory
    • Digestive
    • Endocrine
    • Imbalance in the Chinese Meridian systems
    • Nutritional Problem

AK-img3

AK always uses specific muscles for testing in different areas of the body. When a weakness is found, the question that the AK doctor has to answer is why the weakness is there ; is it due to the muscle itself, the joints it connects to, it’s spinal innervation, or the organ or chinese meridian it is associated with or a problem in nutrition, etc.

Therapies to induce or restore individual normal function include but not limited to:

    • Chiropractic adjustive therapy
    • Cranial techniques
    • Therapeutic massage modalities
    • Reflex therapies
    • Acupuncture therapies
    • Exercise & stretches
    • Nutritional supplementation
    • Emotional support or modalities
    • Lifestyle changes

With the aim of decreasing cumulative noxious stimuli below threshold and allowing the body to heal itself.

AK does not replace standard examination procedures such as neurological and orthopedic testing, blood laboratory work or X-rays but rather it is another examination tool at the doctor’s disposal.

testing rectus femoris

Applied Kinesiology (AK) is a continually evolving system that provides the doctor with the skills and knowledge to purposefully, systematically and logically ascertain the optimal treatment of the patient.

“Real” AK doctors are either listed at the ICAKUSA.com website or have a diploma on their wall saying that they took the 100 hr AK course and passed the certification exam.

Applied Kinesiology Is Not:

Using multiple muscles at once for testing; as in using an outstretched arm.

Testing nutritional needs by holding bottles in your hand or placing pills on the skin.

Touch for health or any other forms of evaluation using muscle testing as a simple yes-no answer system.

Testing using mental telepathy.

A simplistic cookie cutter approach to treatment.

For more information:

https://drvittoriarepetto.wordpress.com/2011/12/09/problem-w-misuse-of-neurolymphatics-organ-muscle-connection/

https://drvittoriarepetto.wordpress.com/2010/01/17/the-correct-way-to-do-nutritional-evaluation-by-muscle-testing-in-applied-kinesiology/

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

Correlation of applied kinesiology muscle testing findings with serum immunoglobulin levels for food allergies

© 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

 

Great nutritional info on my facebook page

 Dear Patients  & Friends,

 The following articles have been posted on my Facebook page
My facebook page is set for public viewing meaning you don’t need a facebook page to read it.
But some of the articles are from a website for medical professionals only; on my facebook page I have cut and pasted the contents of those article. The Beans, Greens, and the Best Foods For the Brain article  is one such article; please be sure to check it out
All my best,
Dr. Vittoria Repetto
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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.

 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

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? 

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

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

Seminar I’ll Be Taking May 16th: The Gluten, Leaky Gut, Autoimmune Connection

Dear Patients & Friends:
As many as you may know, Doctors of Chiropractic are required to take continuing education credits.

This May 16th, I’ll be taking a seminar on The Gluten, Leaky Gut, Autoimmune Connection. This seminar will update my current knowledge of this subject.

This in-depth 1-day course will cover various aspects of gluten sensitivity and autoimmunity to broaden your understanding of the most common autoimmune reactions found in the gluten-sensitive population. The symptoms and signs of these reactions will also be discussed.

How autoimmunity affects tissues of the cerebellum, skin, reproductive system, parietal cells, pancreas, etc, will be explored. Furthermore, seminar participants will learn clinical strategies for history taking, examining, and selecting and reading the proper laboratory tests.

Topics include:

The most common clinical presentations of autoimmunity in the gluten-sensitive population

The immunological concepts of food cross-reactivity and loss of self-tolerance
Clinical jewels and insights
For a list of past seminars, please check out:
Click here: A NYC Chiropractor /Applied Kinesiologist and Her Continuing Education | Dr. Vittoria Repetto’s Blog:

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Dr. Vittoria Repetto
Since 1987, helping people feel better – naturally
Doctor of Chiropractic & Applied Kinesiologist

Therapies Offered:
Spinal, Extremity & Jaw (TMJ) Adjustments
Cranial-Sacral Therapy
Chinese Five Element Energy /Acupressure Therapy
Organ Lymphatic & Vascular Reflexes
Muscle Balancing
Emotional Balancing
Nutritional Consultation

Treatments are one hour. You’re not a number on an assembly line!

And please check out the Patient Testimonials page at my web site. http://www.drvittoriarepetto.com

455 W.23rd St. #1E
New York, N.Y.10011
212 – 431 – 3724
Facebook page:
http://www.facebook.com/londonterracechiropracticandappliedkinesiology