Medical Articles Of Interest for February 2017

Eggs, High Dietary Cholesterol Not Linked to Increased Risk for Dementia, Alzheimer’s

Dr Repetto’s comment: Egg yolks contain choline, a supplement important for brain health.

Matching the Right Diet to the Right Patient

Sitting Less Linked to Lower Risk of Diabetes

DHA Supplements Linked to Less Progression to Alzheimer’s in APOE4 Carriers

More Support for Gut-Brain Link in Autism

Mediterranean Diet With Olive Oil Boosted HDL Function: PREDIMED

Dietary Protein – From Any Source – May Help Muscle Health

Vitamin D May Protect Against Respiratory Infections

Studies Suggest Cardiovascular Sweet Spot at Two Drinks per Day

Sports Hernias, Adductor Injuries, and Hip Problems Are Linked

 

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

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

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Chronic Inflammation and How Chiropractic & Applied Kinesiology Can Help.

First what is inflammation?

Acute inflammation is our body’s natural reaction to infection, trauma, irritants and other hurtful stimuli. Inflammation is an innate reaction that helps remove the hurtful stimulus out and starts the healing process. The signs of inflammation are pain, heat, redness and sometimes loss of function.

However inflammation becomes problematic when it becomes chronic. The body goes into a vicious cycle; creating more of an inflammatory response to get rid of the chronic problem which causes tissue damage and has dire consequences. This can be aggravated by certain foods and lifestyles; too enough sleep, too much stress, muscle/joint/spinal dysfunction, a diet full of processed nutrient – poor foods, overuse of prescription and OTC drugs, food allergies/intolerances, poor gut microbiology and leaky gut.

Chronic inflammation can also be the result of an autoimmune response where the immune system mistakes healthy tissue for unhealthy pathogens.

A lot of people don’t find out that they have chronic inflammation until they’re diagnosed with a disease that’s associated with it such as atherosclerosis, degenerative or herniated disc problems, celiac disease, asthma, inflammatory bowel disease and even cancer.

Some other signs include: high blood pressure, fatigue, skin problems, constipation or diarrhea, joint pain, shortness of breath and indigestion.

chronic-inflammation

So it is important to help the body get rid of any chronic inflammation.

Chiropractic and applied kinesiology are some of the best tools you could ever ask for in the fight against chronic inflammation. Studies have shown that adjustments help reduce the production of two inflammatory cytokines, which can reduce inflammation throughout the body.

Here are 2 such studies: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291009/ Tissue Damage Markers after a Spinal Manipulation in Healthy Subjects: A Preliminary Report of a Randomized Control   http://www.ncbi.nlm.nih.gov/pubmed/24450367  Changes in biochemical markers of pain perception and stress response after spinal manipulation.

As an applied Kinesiologist, I deal with increasing blood and lymphatic flow to the spine, muscles and joints and organs.

https://drvittoriarepetto.wordpress.com/2011/07/29/how-a-nyc-applied-kinesiologist-uses-neurovascular-pts-for-better-physical-and-emotional-wellbeing/

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

https://drvittoriarepetto.wordpress.com/2014/12/20/a-nyc-chiropractor-talks-about-the-triad-of-health-in-applied-kinesiology/

I can also assist patients in the fight against chronic inflammation in other ways too.

Chronic inflammation responds very well to lifestyle changes. I can advise how to begin an anti-inflammation diet. Vitamin D, Omega 3’s and magnesium as well as other supplements may also provide relief from chronic inflammation.

Eliminating food allergies or intolerances, improving helpful gut bacteria microbiology, improving leaky gut and fixing spastic intestinal valves are a big part of decreasing chronic inflammation. https://drvittoriarepetto.wordpress.com/2010/05/15/it%e2%80%99s-not-a-food-allergy-maybe-it%e2%80%99s-a-food-intolerance/      

https://drvittoriarepetto.wordpress.com/2009/05/23/what-is-an-ileo-cecal-valve-and-how-is-it-related-to-your-digestive-health/

Exercise, proper nutrition and regular chiropractic care can go a long way toward treating a variety of health problems, including chronic inflammation.

If you are suffering from chronic inflammation; please contact me at 212-431-3724 or at http://wwww,drvittoriarepetto.com

 

 

© 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? 

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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
**************************************************************************************************

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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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/


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How a NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Treats Sciatica

First what is sciatica; sciatica is an inflammation of the sciatic nerve, the longest nerve in your body. The sciatic nerve is formed from the Lumbar 4 (L4) to Sacral 3 (S3) segments of the spinal nerves as they exit the vertebrae at the same levels.

It provides motor innervation and sensation to part of the muscles along the lower lumbar vertebrae and the muscles of your hip and pelvis, to the muscles in your thigh esp. the hamstrings the back of your knee and lower leg and the sole of your foot.

causes-of-sciatica-pain-and-3-exercises-to-relieve-sciatica-nerve-pain

When you have sciatica, you can have pain, weakness, numbness, or tingling in any of the fore mentioned areas. It can start in the low back and extend down the back of your thigh to your calf, foot, or even your toes. It’s usually on only one side of your body.

Causes of sciatica include a herniation or degeneration of a disc at the levels mentioned above, subluxation of the vertebrae associated w the sciatic nerve. https://drvittoriarepetto.wordpress.com/2010/07/17/the-subluxationspinal-joint-dysfunction/ or a narrowing of the spinal canal that puts pressure on the sciatic nerve root which is called spinal stenosis.

As a doctor of chiropractic, I would do a proper orthopedic and neurological examination to determine the level of spinal dysfunction/subluxation.

But before adjusting the vertebrae to remove the subluxation, I would test via muscle testing and palpation the muscles innervated by the involved spinal segments or attached to the spinal segments.

A case in point would be the testing of the psoas muscle as part of the muscle attaches to the anterior of the lumbar vertebrae; a weakness or a hyper tonicity of the muscle can cause rotation of the vertebrae and place tension on the sciatic nerve root. http://en.wikipedia.org/wiki/Psoas_major_muscle

The piriformis muscle is another important muscle that needs to be checked as the sciatic nerve passes under the piriformis; a spasm of this muscle can put pressure on the sciatic. http://en.wikipedia.org/wiki/Piriformis_muscle

Other muscles that may be checked are the hamstrings, the lumbar erector, the quadratus lumborum, the gluteus maximus and the gluteus mediu

I ask,  is there a dysfunction in the coordination of muscles working in patterns. Is the above mentioned psoas or piriformis inhibited by the muscles  like the gluteus maximus or the quadratus lumborum that are compensating (facilitating) for weak or inhibited muscles, for example. or vice versa. Muscle imbalance can cause misalignment of the vertebrea they attach to. 

The muscles that are found to be either weak or hyper tonic are balanced by spindle or golgi tendon work and blood flow and lymphathic drainage to the muscle is increased by working on neuro-vascular and neuro-lymphatic points.

I would also test for problems with the illiolumber ligament and the sacrotuberous ligament which help stabilize the lumbar spine and sacrum respectively.

http://www.healthline.com/human-body-maps/iliolumbar-ligament

http://www.healthline.com/human-body-maps/sacrotuberous-ligament

I also examine the pelvis as the pelvis forms the foundational support of the human skeleton, I look to see if the patient is showing what is known in SOT technique as a Category Three pelvic problem.

Category Three occurs when the low back can no longer tolerate the physical stressors placed on it. This can be a sudden one-off event such as a lift, or it can be a pre-existing weakness that is aggravated. Category Three produces pain in the low back and sciatica. Correction involves using blocks under the pelvis in a specific direction and position. Your weight and breathing helps to gently balance the low back and take the pressure or irritation off the nerve.http://www.soto.net.au/A-patients-guide-to-the-practice-of-SOT

I also check for cranial involvement; there are cranial faults involved in low back and sciatic pain. https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

The combination of all these techniques along with nutrition and specific stretches and exercises helps the patient heal faster.

 For information on specific techniques, please read:

https://drvittoriarepetto.wordpress.com/2011/07/29/how-a-nyc-applied-kinesiologist-uses-neurovascular-pts-for-better-physical-and-emotional-wellbeing/

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

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

https://drvittoriarepetto.wordpress.com/2010/05/06/the-art-and-science-of-muscle-testing-in-applied-kinesiology/

© 2015-Dr. Vittoria Repetto/ 2016 revised 

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