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

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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.

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

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

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.

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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.

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TMJ Problems (Jaw Problems) and How A Chiropractor/Applied Kinesiologist/NeuroKineticTherapy Practitioner Handles the Problem

Temporomandibular Joint problems(TMJ) or jaw pain occur mainly as a result of an imbalance  with the joint and surrounding facial muscles that control chewing and moving the jaw.

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head.

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

The joints are flexible, allowing the jaw to move smoothly up and down and side to side and enabling you to talk, chew, and yawn. Muscles attached to and surrounding the jaw joint control the position and movement of the jaw.

http://education.yahoo.com/reference/gray/subjects/subject/109

What Causes TMJ Problems?

  • Receiving a heavy blow or whiplash
  • Grinding or clenching the teeth, which puts a lot of pressure on the TMJ
  • Dislocation of the soft cushion or disc between the ball and socket
  • Presence of osteoarthritis or rheumatoid arthritis in the TMJ
  • Stress or Emotional Overload which can cause a person to tighten facial and jaw muscles or clench the teeth
  • Biting down on a hard and/or thick piece of food
  • Using jaw clenching to compensate for weak or inhibited muscles elsewhere

What Are the Symptoms of a TMJ Problem?

  • Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide
  • Limited ability to open the mouth very wide
  • Jaws that get “stuck” or “lock” in the open- or closed-mouth position
  • Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth or chewing
  • Difficulty chewing or a sudden uncomfortable bite
  • Swelling on the side of the face
  • May occur on one or both sides of the face

Other common symptoms of a TMJ problem can include digestive problems, toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitis).

As a Applied Kinesiologist and Doctor Of Chiropractic, I look at the articulation of the joint itself and the pull of the muscles such as the Masseter, the Temporalis, the External Pterygoid and the Internal Pterygoid on the joint itself. Neck muscles, hyoid muscles  and upper back muscles also affect the TMJ. Are they in spasm? Are they weak?  Do they need muscle spindle or golgi tendon work?

As a NeuroKineticTherapy practitioner, I ask if some muscles are compensating (or overactive) for inhibited or weak muscles. “The jaw muscles can compensate for weakness in the grip, in the neck flexors, or in the hip flexors.” http://neurokinetictherapy.com/do-you-treat-causes-or-symptoms-part-three

What_is_the_TMJ_2

As the TMJ is part of the skull, the cranial bones are checked for alignment; esp the occipital bone at the back of the head.

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

Subluxations of the occipital also are involved with upper cervical (neck) problems and therefore cervical subluxations are adjusted

And since the examining acupuncture pts. on the head shows us that a number of meridians associated with digestion such as the stomach, small intestine and large intestines cross the TMJ can affect digestion (digestion can affect the TMJ), checking acupunture pts., the neuro-lymphatic and neuro-vascular points for digestive organs need to checked to see if there is any connection.

head acupunture pts

Once all the above are checked, then a very gentle adjustment of the joint itself can done.; a number of adjustments may be needed to break the subluxated pattern and get the Jaw joint moving freely and pain and noise free.

If you believe you have a TMJ problem, please give my office at call at 212-431-3724 for an appointment.

© 2013-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.

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A NYC Chiropractor & Applied Kinesiologist Talks About Getting 1/2 of your Calcium From Food

If you have been following my blogs, you know that as a Doctor of Chiropractic and an Applied Kinesiologist I am interested in nutrition. In this blog, I am recommending that at least half of your calcium intake (daily intake – 900mg- 1200 mg) come from the food that you eat. Please see below for a listing of calcium in common foods.

There are reasons for this: one is that fresh unprocessed foods contain other minerals besides calcium like magnesium, potassium and boron that help form the collagen matrix lattice in your bones that the calcium attachs itself to.

These fresh foods like green leafy vegetables and yogurt contain Vitamin K; one of the functions of this vitamin is to keep calcium out of your joints and arteries. Other food like dairy products, eggs, fish contain Vitamin D which helps the calcium attach to the bone.

Please check out another blog Getting Enough Calcium Into Your Bones? Ten Facts You Need to Know!

https://drvittoriarepetto.wordpress.com/2010/09/15/getting-enough-calcium-into-your-bones-ten-facts-you-need-to-know/

food-rich-in-calcium

In another blog, I talked about being careful about what kind of calcium is in your supplements as some calcium supplements can prevent absorption  of calcium, weaken your bones and create other health problems.

Please check out A NYC Chiropractor/ Applied Kinesiologist Talks About How Your Multi and/or Calcium Supplement May Be Causing Problems https://drvittoriarepetto.wordpress.com/2013/04/06/a-nyc-chiropractor-applied-kinesiologist-talks-about-multi-andor-calcium-supplement-may-be-causing-problems/

TYPE OF FOOD – 1 CUP = Mgs of CALCIUM
Black beans 270
Chickpeas 300
Lentils 50
Lima beans 55
Pinto beans 257
Kidney beans 70
Split peas 22
Alfalfa sprouts 28
Artichoke 51
Asparagus 21
Broccoli 138
Cabbage 64
Cauliflower 26
Chard, Swiss 106
Collards 220
Dandelion greens 147
Eggplant 22
Greens, beet 14
Kale 174
Mustard greens 284
Okra 147
Potato, sweet -baked 46
Spinach – cooked 167
Spinach- raw 51
Watercress – raw 53
Hijiki 1400
Almonds – raw 332
Cashews 53
Hazelnuts 282
Sesame seeds 165
Tofu 128
Beef -ground -lean 54
Chicken – breast 39
Chicken – thigh 41
Duck 37
Lamb – shoulder 35
Turkey -light meat 36
Turkey – dark meat 36
Egg -1 large-hard 27
Mackerel-canned 388
Salmon-fresh 358
Salmon- canned 431
Tuna – canned-water 32
Cheese – gruyere/swiss 287
Milk – low fat 297
Milk – skim 302
Milk – whole 291
Ricotta 509
Yogurt-low fat 415

 

© 2013-Dr. Vittoria Repetto
Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to http://www.drvittoriarepetto.com

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

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A NYC Chiropractor/Applied KInesiologist Posts Site About Sitting Correctly

Are you sitting wrong or sitting for too long? Since a lot of us have office jobs, we spent almost half our day sitting usually in a bad posture. Sitting can have an important impact on your health.

Posture is about keeping your spine aligned with its natural shape and curves and the equal pull on our spines by the spinal and back muscles. Bad posture can throw off your spine’s balance, allowing your body to be more prone to injury. In an average day common incorrect posture positions can change the balance of our spine and the back muscles.

When we slouch, the natural spinal curves are either reversed or exaggerated and this puts more stress on our spine and muscles. For example, if we hang our head and neck down, we increase the strain of the muscles balancing the weight of our head and increase the strain of the muscles holding our rib cage up. Some mucles become too tight and others too loose. Such an imbalance can lead to tension headaches, mid-back pains, neck pains and shoulder pains.

Similarly, low back pain can be caused by misalignment of the spine and unbalanced muscle pull on both the front , back and sides of our torso due to bad posture and habits.

Here is a website with a complete workshop helping you Sit Right when working. Back and neck pain are never comfortable. These guidelines will make your life more comfortable.

http://whatsyourposture.com.au/sit-right/

© 2013-Dr. Vittoria Repetto
Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to http://www.drvittoriarepetto.com

And please check out the Patient Testimonials at the “Our Practice” page at the web site.

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