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

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

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

Why Is My Neck Problem Causing Low Back or Leg Pain? A NYC Chiropractor / Applied Kinesiologist / NKT Practitioner Explains the Lovett Brother Effect on the Spine.

It is not unusual to have a patient come in my office with neck pain also complaining of low back or leg pain that starts with or soon after the onset of the neck pain. Or vice versa: neck pain or headaches or jaw problems after the onset of low back pain.

A lot of doctors don’t think that there is a relationship. But since they came on around the same time they probably are related. The major thing that could connect them is the meninges; three membranes covering the brain, spinal cord and housing the cerebrospinal fluid. If injured it could affect nerves throughout the spine.

spinal-anatomy-e1409590019734

A good illustration of how an injury can affect different levels is to hold the upper part of an elastic band with your hand and then hold the bottom of the band with your other hand. Then twist your upper part of the band; note how the bottom of the elastic band also twists. Now imagine how the meninges surrounding a spinal nerve as it comes off the spinal cord can affect the structures innervated by that spinal nerve.

This explains why if there is a rotation in Cervical 1 there will always be a rotation in Lumbar 5, its ‘Lovett Partner’. With all the listings they can work both ways. For example, a dysfunction at L5 can cause a C1 dysfunction and a C1 dysfunction can cause an L5.

Here’s a helpful illustration: lovatt-brother-relationship

These relationships are looked at by Applied Kinesiologists and NKT Practitioner.

Another possible relationship is one of spinal fixations; please check out this blog for more information: https://drvittoriarepetto.wordpress.com/spinal-pain-not-being-helped-see-an-applied-kinesiologist-it-may-be-a-fixation/

So if you are having unexplained pain in different areas, please consider being examined by someone familiar with the above principles.

 

 

© 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? 

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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? 

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A NYC Chiropractor/Applied Kinesiologist Talks About Bad Posture & Body Pains

We’re all guilty of it. Bad posture comes with our everyday tasks, when we are not paying attention to how we are sitting, standing, lying down or driving. And our spine and the muscles associated w/ our spine take more of a beating than we realize.

Posture is not just about standing up straight, it’s 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.poor-posture-tos

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 torsis due to bad posture and habits.

Chiropractor and especially Applied Kinesiologists are trained to spot and test for these muscle imbalances and correct these imbalances so please do seek one out if you are having body pains and in the meantime, make an effort to be conscious of your posture.

© 2012-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

**************************************************************************************************
Dr. Vittoria Repetto
Since 1987, helping people feel better – naturally
Doctor of Chiropractic
Applied Kinesiologist

Therapies Offered:
Spinal, Extremity & Jaw (TMJ) Adjustments
Cranial-Sacral Therapy
Chinese Five Element Energy /Acupressure Therapy
Organ Lymphatic & Vascular Reflexes
Muscle Balancing
Emotional Balancing
Nutritional Consultation

Please check out the Patient Testimonials at the “Our Practice” page at my web site. http://www.drvittoriarepetto.com .
Treatments are one hour. You’re not a number on an assembly line!

455 W. 23rd St (between 9 – 10 Ave)
212 – 431 – 3724

My Facebook Page: http://www.facebook.com/pages/London-Terrace-Chiropractic-Applied-Kinesiology/109622855768202

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