Tingling/Numbness/Weakness in Hand/Arm But Not Carpal Tunnel or Yr Neck; A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Do you have tingling or numbness in your hand that goes beyond your first three fingers?  Do you have weakness in your forearm, arm or shoulder despite your weight training routine?

It’s not carpal tunnel since it involves more than the fist three fingers. And you have no history of neck problems, all orthopedic tests and X-rays/MRI of the neck are negative.

You might have an entrapment syndrome of the brachial plexus nerves or subclavian artery/vein to the before mentioned structures.

This entrapment syndrome called Thoracic Outlet Syndrome is caused by three major conditions; Anterior Scalene Syndrome, Costoclavicular Syndrome and Pectoralis Minor Syndrome as well as some minor causes.

TOS

In the first condition called Anterior Scalene Syndrome, the brachial plexus nerves arising from C5, C6, C7, C8 & T1 nerve roots is trapped between the anterior and middle scalene muscles which may be in spasm or compensating for inhibited neck muscles.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist. The patient is asked to ipsilaterally rotate, contralaterally laterally flex, and extend his neck at the spinal joints, while the radial pulse is palpated; this called Adson’s Test. Decrease in strength of the radial pulse is positive for the syndrome.

Treatment consists of using spindle work on the bellies of the scalene muscles or golgi tendons of the scalene attachments and of balancing the other neck muscles which can be either inhibited or compensating.

In the second condition Costoclavicular Syndrome, the brachial plexus and subclavian artery and vein run between the first rib and clavicle in the medial pectoral region. If the posture of the relationship of the clavicle and first rib changes and they approximate each other as often happens with rounded and slumped shoulders and impingement may occur.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist when the patient is asked to stick his chest out and pull the shoulder girdle back and down similar to the military posture of attention. Again, weakening of the strength of the radial pulse would be considered to be a positive sign. This is called Eden’s test.

Treatment consists of checking muscles such as the SCM and the subclavius that attach to the area, improving the patient’s posture and checking muscles that resist this bad postural pattern such as the rhomboids and the middle trapezius.

In the third condition Pectoralis Minor Syndrome, a tight pectoralis minor muscle compresses the brachial plexus and/or subclavian vessels against the rib cage. The assessment is to bring the patient’s arm up and back. This position called Wright’s Test stretches and pulls the pectoralis minor taut against the rib cage

Treatment consists of checking for either an inhibited or facilitated pectoralis minor, or other muscles that can be inhibiting or compensating such as the serratus anterior, latissimus dorsi or the lower trapezius.

Other minor conditions such as  when both the medial and ulnar nerve getting entrapped by a spastic muscle such as the pronator or by a misalignment of the radius and ulna bone can happen and need to be ruled out.

forearm muscles

For additional information, please check out:  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

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

https://drvittoriarepetto.wordpress.com/2012/05/23/how-a-nyc-chiropractorapplied-kinesiologist-treats-carpal-tunnel-syndrome/

 

© 2015-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

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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

How a NYC Chiropractor/Applied Kinesiologist Treats Carpal Tunnel Syndrome

These days with all our computer usage, we are very aware of Carpal Tunnel Syndrome which consists of weakness, numbness or tingling or pain in the first 3 fingers in your hand. The problem is caused by pressure on the median nerve as it travels through a “tunnel” in our wrist formed by the bones of our wrist and a ligament called the flexor retinaculum or the transverse carpal ligament

carpal tunnel

The pressure can be caused by structural collapse of the tunnel by over-extension of the wrist as in over-use of computers, hammering or using a wrench or narrowing due to arthritis or fluid in the tunnel caused by diabetes or hypothyroidism

As a Doctor of Chiropractic and an Applied Kinesiologist, I would first rule out diabetes and hypothyroid by patient history, signs & symptoms and blood and urine tests. Compression of the wrist in arthritis would make the symptoms of carpal tunnel syndrome worse instead of making it better.

And as course, since the median nerve is a branch of the brachial nerves coming from the 5th, 6th and 7th cervical nerve roots at the spinal level, I rule out problems in the neck  and down the course of the nerve such as muscle entrapment and shoulder and elbow problems.

Treatment of the syndrome involves adjustment of the wrist bones and sometimes  adjusting the way the two forearm bones (the ulna & radius) articulate with each other,  balancing the muscles that cross the wrist joint in both flexion and extension.

forearm muscles

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

A wrist wrapping or a brace would be used for support and exercises for the wrist would be recommended. Nutritional support for the nerves and ligaments and a natural anti-inflammatory would be recommended to speed up the healing following the structural correction.

By utilizing applied kinesiology and chiropractic, we can balance the body’s structure and chemistry utilizing and can solve many health problems by addressing the cause. Please feel free to call  to schedule a consultation to discuss this or any other health issues you may have.

© 2012/ Revised 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

 

Looking for a doctor who will spend time w/ you ?

Or why this NYC chiropractor is not a slave to an insurance company

You hear it all the time: patients complaining about their doctors’ practices: waiting a half hour or more past their scheduled appointment, and where you do see the doctor, you are lucky if you get 10 minutes and get all your concerns voiced, the lack of communication for follow-up via phone or e-mail with the doctor, having to deal w/ leaving messages w/ the answering service.

Part of the problem is that a good number of doctors belong to an insurance network or HMO and due to the fact that they are paid very little per patient and they still have to hire specialized staff just to handle the paperwork in order to get that small payment, they need to squeeze in as many patients as they can.

Personally I’m not affiliated with any insurance network or as I like to say: I’m not a slave to an insurance company.

You see, I like to find out what is happening with my patient.

I like to be able to take time to, for example, balance the muscle pull on their spine or extremities or to do cranial sacral work or acupressure work or talk to them about their nutritional needs or suggest exercises or lifestyle changes related to their condition.

Another issue is availability to my patients after the visit. Patients frequently have questions and they can reach me either via my cell phone or e-mail.

Because of this personal approach, I charge my patients directly and they pay me upfront.

And then I fill out their insurance claim form and they will get reimbursed by their insurance company if they are allowed to go “out of network” by their policy.

The fact that I do not have to hire additional staff to “run after” my payments allows me to spend quality time with my patients.

Also it allows me to keep my fees reasonable and moderate by New York City standards, I charge $150 for the initial visit which includes consultation, examination and treatment and the $100 for the following visits.

So if you want an old fashion  doctor- patient relationship where the doctor knows who you are and you can trust your doctor, please give me a call at 212-431-3724 and let’s talk.

 © 2011-Dr. Vittoria Repetto

 

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to www.drvittoriarepetto.com.
And please check out the Patient Testimonials at my web site.

Muscle Balancing in Applied Kinesiology

As a Doctor of Chiropractic, I know that muscle balancing is an important not only for spinal adjustments but also for extremity (arms & legs) adjustments and cranial adjustments.

 For example, I can adjust someone’s spine but if the pull of the muscle on one side of the spine is tighter than the other side than that spinal adjustment will not hold.

 Now most people think that it’s the tight muscle that will pull the spine out of alignment but it just as often can be the weak muscle not having enough strength to hold the spine towards its side.

 Also I may be treating a patient who has chronic muscle pain or weakness due to an injury; in these cases, muscle balance is very important.

 In Applied Kinesiology, we have ways to strengthen or weaken a muscle depending on what we need to do to help the patient.

 First we test the muscle that we think may be involved in an unbalanced pull on the bone (or spine) or involved w/ the pain or injury https://drvittoriarepetto.wordpress.com/2010/05/06/the-art-and-science-of-muscle-testing-in-applied-kinesiology/

testing rectus femoris

 For example, we may find the latissimus dorsi muscle weak that is a muscle that internally rotates, extends and adducts (movement towards from the body) the arm/ shoulder. It also attacts into the lumbar and sacral vertebra and part of the pelvic crest The weakness may seen either as a higher shoulder on the weak side or a rotation of the lumbar veretebrae.http://www.meddean.luc.edu/lumen/meded/grossanatomy/dissector/mml/lat.htm

The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic  or “too stronger.”

 One of the ways to find the answer is to use muscle spindle work. Muscle spindles are small sensory neuro-bundles in the middle of muscles that react to stretching. http://sports.jrank.org/pages/9926/muscle-spindle.html  Stretch a muscle spindle one way and the muscle will strengthen; push the fibers of the muscle spindle the other way and the muscle will weaken.

 So I would be testing the spindles by challenging the muscle spindles and seeing how it affects the strength or hypertonicity of the muscle.

 I can also use another tool at an Applied Kinesiologist’s fingertips which are golgi tendon organs and as the name suggests, these are located in the tendons of muscles (tendons attach the muscle to the bones.). http://medical-dictionary.thefreedictionary.com/Golgi+tendon+organ. Again stretching the tendon organ will help strengthen the muscle and the other way will weaken it. And these would be tested in a similar manner to the muscle spindles.

 © 2010-Dr. Vittoria Repetto

 

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice; please go to www.drvittoriarepetto.com.
And please check out the Patient Testimonials at my web site.