Disc Problems: Part 1 – Disc Herniation – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains

Before we begin to talk about herniations; we need to talk about the structure and function of an intervertebral disc.

An intervertebral disc lies between adjacent vertebrae in the vertebral column. There are 23 discs in the human spine: 6 in the neck (cervical) region, 12 in the middle back (thoracic) region, and 5 in the lower back (lumbar) region. Each disc forms a fibrocartilaginous joint ( symphysis), it allows slight movement of the vertebrae, acts as a ligament to hold the vertebrae together, and functions as a shock absorber for the spine. 

Intervertebral discs consist of an outer fibrous ring, the annulus fibrosus  which surrounds an inner gel-like center, the nucleus pulposus. The annulus fibrosus consists of several layers  of tough fibrocartilage that can withstand compressive forces.  The nucleus of the disc acts as a shock absorber…think of it as a gliding ball moving in reaction to the movement of the vertebrae. For example as the spine flexes (bends forward) , the nucleus pulposus moves to the back or posterior of the disc absorbing the impact of the body’s activities and keeping the two vertebrae separated.

 

And as the spine extends , the gliding nucleus moves forward; bend sideways, the gel moves to the opposite side. You get the idea.

However what happens if the spine is “struck in a relatively immobile or restricted  position? That means that the nucleus pulposus is constantly in one location pushing up against the annulus fibers; and between the pressure from the nucleus and the increase of compressive forces from the abnormal spinal movement, the annulus fibers start to weaken. This allow part of the nucleus to protrude (and the fibers ) into either the spinal canal or up against a spinal nerve. This is called herniation or a bulging disc.

 

A spinal disc herniation  can happen during a trauma or a result of chronic abnormal spinal mechanics combined w/ poor posture.  Both the deformed annulus and the gel-like material of the nucleus pulposus can be forced laterally, or posterior, distorting local muscle function, and putting pressure on the nearby nerve. This can give the symptoms typical of nerve root entrapment. These symptoms can vary between parasthaesia (tingling), numbness, chronic or acute pain, either locally or along the area of the body served by the entrapped nerve (dermatome) and loss of muscle tone. 

The two most common areas of herniation are the cervical (neck) vertebrae and the lumbar (low back) vertebrae.  Please see below blogs for more information about problems with these regions.

Cervical Radiculitis – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains What It Is & How She Treats It

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

 There are varying degrees of herniation; sometimes there is rupture of the annulus fibers and some of the nucleus pulposus escapes into the spinal canal and the area of the spinal cord. This is called a noncontained extrusion, which sometimes requires a surgical correction.

The degree of herniation requires visualization via MRI. However abnormal findings on MRI do not necessary relate to degree of symptoms; in fact, a number of MRI’s done on asymptomatic volunteers showed various herniations.

A proper examination with orthopedic and neurological testing will show at what spinal nerve level does the pain originates from. Muscle testing will show if an imbalance of muscle pull is affecting the spine and the patient’s posture.

The Importance of a Proper Chiropractic Examination – A NYC Chiropractor’s/Applied Kinesiologist’s Take

The Use of Applied Kinesiology in a Chiropractic Examination

How a Combination of Applied Kinesiology, NeuroKinetic Therapy and Chiropractic Works

I use a table that provides flexion distraction and spinal decompression; biomechanically it can open the disc space  by 28%; allowing for a gentle reversal of the herniation. This table and SOT non-force adjustments produce rapid improvement.

Low Back Pain & Non Force Adjustments/SOT Blocking: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

As the patient improves, symptoms such as pain or numbness will decrease, orthopedic and neurological tests will go from positive to negative and the muscles will test strong and balanced.

Think you may have a herniation problem? Please give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com. 

And lets talk and see if I can help you.

 

 

© 2019-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic./ NeuroKinetic Therapy practice at 230 W 13thSt., 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/
Or join me at Twitter: www.twitter.com/DrVRepetto

 

 

 

 

Scars & Muscle Control – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

A while ago I had two patients where scars left from operations affected muscle function.

The first patient came in complaining of acute low back pain that happened on lifting a box that was too heavy for her; one of the muscles I tested is the Rectus Abdominal, it was weak in the clear. The Rectus Abdominal (RA) is part of the support for the Lumbar (low back);she had mentioned that she had had a tummy tuck years ago.
When she touched the scar (therapy localize) which was above her pubes (RA tries into the pubes) her RA tested strong so I massaged the scar and the RA now tested strong.

I find that the T10-T11 vertabrae which are part of the innervation of the RA were subluxated and adjusted them. I also adjusted subluxations in the low back.

The Subluxation/Spinal Joint Dysfunction

I showed her which abdominal exercise I wanted her to do after a daily massage of the scar.

The second patient come in w/ thoracic weakness; she have a history of different cancers.
When I tested her Pectoralis  muscles, both parts (Clavicular & Sternal) tested weak. She said that she was not surprised as a “good part of the muscle was removed” where they removed her breast. I therapy localized the scar from the breast removal and retested as I touched the scar…both parts of the muscle now tested strong.
I massaged the scar… and the muscle tested strong.  I found subluxations at C5 for innervation of the clavicular section and C7 for the sternal section and adjusted them both.
Patient’s homework was to massage that scar before doing exercises for the pectorlis.

Please click on below research articles on relation of scars to muscle pain and function.

CLINICAL IMPORTANCE OF ACTIVE SCARS: ABNORMAL SCARS AS A CAUSE OF MYOFASCIAL PAIN

Surface electromyography of abdominal and back muscles in patients with active scars.

A CASE OF A PATHOGENIC ACTIVE SCAR

Skin, fascias, and scars: symptoms and systemic connections

© 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.

 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

A NYC Chiropractor & Applied Kinesiologist & NeuroKinetic Therapist Moves Her Practice to 230 W. 13th Street

As of Saturday Feb 4th, Dr. Vittoria Repetto will be seeing patients at 230 W 13th Street #1B ( between 7th Ave & Horatio St).  NY 10011 in the West Village

Our phone number will still be 212-431-3724.

Office hours will be Tuesday & Saturday 2pm – 8pm

Ring bell A and wait.

Take door on the right. Walk down one floor.230w13th-street

For those who know the West Village, this is the same block as Integral Yoga and the LGBT Center.

The 1,2,3, A, C, E, F, L & M  subway lines are near by as are the M14A, M14D, M20 & M7 bus lines.

Dr Repetto will no longer be working at 455 W 23th Street.

The name of the Facebook page London Terrace Chiropractic & Applied Kinesiology will be changed to West Village Chiropractic & Applied Kinesiology on Feb 1st

The new site does have a flexion-distraction table which allows  Dr Repetto to open up and relax her patient’s spine more esp great for those  w/ disc or spinal stenosis problems .

Twitter page @DrVRepetto

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/


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

The Use of Applied Kinesiology in a Chiropractic Examination

In the chiropractic examination which includes orthopedic, neurological and spinal palpation, the addition of applied kinesiology and muscle testing adds an extra dimension of revealing the patient’s health status.

In the 1960’s, Dr George Goodheart found that muscle testing could be used in the evaluation of normal and abnormal body function. His examination soon included evaluation of the vascular and lymphatic system, nutrition, acupoint therapy, cranial movement and other factors that control health. He called this system based on the application of muscle testing: applied kinesiology.

Muscle testing is the first part of the applied kinesiological examination; muscles are tested in a specific manner in different areas of the body. When a weakness is found, the question that the chiropractic/AK doctor has to answer is why the weakness is there.

Is the weakness due to a spinal/nerve problem, a vascular problem, a problem with lymphatic function, a nutritional default, a problem with organ function or an acupoint associated w/ that muscle?

AK-img3

What treatment is needed to correct the problem and improve the patient’s health?

In the process of answering the question, the patient will either place their finger or hand on specific points or areas and the doctor retests the muscle to see if the weakness is corrected. This is called therapy localization.

If the therapy localization is positive and the area involved is the spine or a joint or a cranial fault,, the doctor will move the area in a way to stimulate neuro/mechano receptors in the joint or spine. This is called a “challenge’ and shows the direction of manipulation needed to improve function of the joint/spine and/or cranial movement.

Therapy localization is also used to evaluate if there is a problem w/ the vascular and lymphatic that supply the organs of the body or the meridian/acupoint system that are related to certain organ and muscle function.

In addition to the information from blood tests and examination of hair, eyes, skin, etc, an applied kinesiologist can use muscle testinng to “challenge” the supplements needed or the possibility of food allergies or intolerances that are affecting the patient’s health.

Therefore the addition of applied kinesiology combined with usual examination helps find what the problem is and how to correct it. The correction immediately improves muscle function and decreases the pain or the problem that the patient first came in with to the doctor.

On future visits, the above examination reveals if the corrections held and if the patient’s health is improving.

When health is restored , an applied kinesiologist uses these methods to maintain health and correct problems before they develop.

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/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

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

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

© 2014-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic./ NeuroKinetic Therapy practice at 230 W 13thSt., 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/
Or join me at Twitter: www.twitter.com/DrVRepetto

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).

Neurological influences of the temporomandibular joint

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.

 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

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.

Want to be in the know on holistic information and postings? Follow me at
https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/
Or join me at Twitter: http://www.twitter.com/DrVRepetto