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

 

 

 

 

A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Talks About Spinal Stenosis

Spinal stenosis is a common finding in the spines of older patients. Spinal stenosis is a narrowing of the spinal canal.

spinal stenosis

This can develop as you age from drying out and shrinking of the disc spaces. (80% of the discs are made up of water)  Or it can be caused by scarring from chronic inflammation of the nerve roots as they exit from the spinal foramina next to the spinal canal You can feel pain anywhere along your back or leg that the nerve root supplies.

Walking more than a block can cause great leg and back pain in a stenosis patient; pain is relieved by forward bending or sitting

Spinal stenosis may be in the neck, mid-back or low back

Spinal stenosis can be treated conservatively; surgery is not always necessary or successful and over medication with pain killers can cause side effects from stomach pain, heart failure, stroke and more joint breakdown.

There is a technique founded and taught by chiropractors called Cox Technic which uses a table that provides Flexion distraction and spinal decompression and is considered spinal manipulation

Cox Technic biomechanically opens the spinal canal area by 28% and drops intradiscal pressures to as low as -192mmHg , both desired outcomes when dealing with spinal stenosis which narrows the spinal canal space.

In my office, the Cox technique is combined w other non-force techniques such as pelvic blocking (SOT) and applied kinesiology techinques such as balancing muscles that support the spine and pelvis such as the psoas, piriformis, gluteus maximus, erector muscles and abdominal muscles  and treating the lymphatic and vascular points that supply those muscles. 

I also use neurokinetic therapy (NKT) which works with the concept that movement is performed in systems or patterns.  NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating) for them.

After balance is restored to the muscles, the vertebrae involved with those muscles are adjusted.

Stretches are given to the previously facilitated muscles and exercises given to the previously inhibited muscles in order to break the pattern that caused the problem.

Please see: How a NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Treats Sciatica 

http://neurokinetictherapy.com/what-is-neurokinetic-therapy

I use nutrition to decrease the chronic spinal inflammation of the discs and nerves which that increases pain relief.

While spinal stenosis may not be cured due to the degenerative nature of the problem, the painful effect on the patient’s life can be controlled.

Spinal stenosis patients are often happy with  relief of the pain that allows them to take a walk or sit for a meal comfortably with their family and other daily activities. Being able to participate in the activities of daily living and family life without the use of prescription drugs with dangerous side effects is often the desired effect of any treatment for spinal stenosis.

Monthly maintenance visits are highly recommended to keep the patient pain free.

Here at Dr. Vittoria Repetto’s practice, we have the table and skills to help you with your spinal stenosis; please give us a call at 212-431-3724 to set up an appointment or just to ask questions.

Chou R et al: Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain An Evidence-Based Clinical Practice Guideline From the American Pain Society.  SPINE 2009; 34 (10)

Gudavalli MR, Cox JM, Baker JA, Cramer GD, Patwardhan AG: Intervertebral Disc Pressure Changes During a Chiropractic Procedure. Abstract from the Proceedings of the Bioengineering Conference, Phoenix

A Non-Surgical Approach to the Management of Lumbar Spinal Stenosis: A Prospective Observational Cohort Study BMC Musculoskelet Disord © 2006 Donald R Murphy; Eric L Hurwitz; Amy A Gregory; Ronald Clary http://www.medscape.com/viewarticle/528906

http://www.coxtechnic.com/patients/spinal-stenosis-pain-relief-with-cox-technic

© 2012/ revised 2015/ 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