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

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

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

Doing a proper examination with a new patient is of the upmost importance. It not only shows where the patient’s pain/problem is but it shows the location of the origin of the pain/problem and contributing factors.

For example, the patient may be complaining of posterior leg pain but orthopedic and neurological testing will show at what spinal nerve level does that leg pain originates from.

What muscles are weak or in spasm? For example, is the nerve being compressed by a spastic piriformis as the nerve travels down the buttock or is a weak piriformis or gluteus maximus allowing for instability in the lumbo-sacral or sacro-illiac joints.

testing rectus femoris

What is the history of this patient? A proper examination includes the filling out of an intake form which includes history of past injuries and current health problems.

Has this patient had a history of ankle injuries which may have affected their gait and caused compensation in the pelvis, hips or torso of the patient? Did that compensation set the patient up for problems down the road.

Does this patient have problems like acid reflux or breathing problems where the diaphragm is not working properly and therefore causing over-compensation in the abdominal muscles which support the low back or over-compensation in the neck muscles contributing to neck pain.

Does this patient have a history of hypertension; then a taking of the patient’s blood pressure is part of their examination. Are there white spots on their nails or do they bruise easily; patient may need certain supplements to improve oxygen flow/wound healing and cut down on chronic inflammation.

Does the patient have problems with urination or gout; these problems may show up as an energy blockage in the kidney meridian and the psoas muscles which is linked in applied kinesiology to the kidney meridian. Stimulation of acu-points on the kidney meridian may affect the psoas; part of which is located in the front of the lumbar spine and an imbalance can contribute to low back pain.

For more on use of applied kinesiology in a chiropractic examination; please see https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/

Range of motion testing shows not only what movements are painful but it is also important as it gives a clue of what muscles may be involved. Range of motion after treatment is a quick test of how the patient is doing.

A proper examination (and following treatments) also requires that the patient is either wearing an examination gown (women) or down to their underwear (men). This enables me as the doctor to rule out anatomical problems such as a swollen ankle or knee as contributing to the patient’s complaint.

The doctor can also rule out health problems that cause pain that need to be referred out. For example an established patient came in complaining of posterior pelvic pain and since she was in an examination gown, I noted a rash. The rash was herpes zoster and she needed to be referred out as well as needing nutritional advice and an adjustment. If she was still wearing street clothes as in many chiropractic practices, I would have not known the “real” cause of her pain.

The above examination takes time and is geared for a chiropractic and applied kinesiology practice not for a quickie fifteen minute /3x a week practice. . Unfortunately a lot of chiropractors do not do a complete examination which I deduce when new patients who have previously seen another chiropractor ask me when I enter the examination room if they should lay face down. No I say, I need to do an examination first.

If you are interested in a comprehensive examination and treatment, please free to contact me at drvittoriarepett@aol.com or call me at 212-431-3724. 

 

© 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