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

Cervical radiculitis is when there is damage to the nerve roots of the cervical spine (C4 to T1) causing pain and loss of sensation or muscle weakness  or numbness along the pathway of the peculiar nerve into the shoulder or arm or hand or chest depending on which nerve root pathway is involved.

These pathways are also called dermatomes; see below.

 

Damage to cervical nerve roots occasionally due to some abnormality or defect in the cervical spine resulting in compression of the nerve roots. Some of the abnormalities that cause nerve root impingement at the vertebrae level are disc herniation, disc bulging , formation of bone spurs and a condition called spondylolisthesis  where one vertebra slips forward onto the below vertebra.

Other causes of disc/nerve root compression may be persistent  subluxation of vertebrae or fixation of a group of vertebra. These can be a result of poor posture or an injury such as head trauma or whiplash.

The Subluxation/Spinal Joint Dysfunction

Adding to these problems is the imbalance of surrounding musclature ; for example it is common to find the relationship between the neck flexors and  neck extentors to be completely dysfunctional.

After the orthopedic & neurological tests to find if there is disc compression and which nerve root pathway (dermatone) is affected, a testing of neck, shoulder,chest and arm muscles is d one.  Are there weak muscles?.  Is there a relationship between these weak muscles and other muscles that may be overworking.  Are there muscles that  need to be “turned off” and others need to be actiovated; I can use muscle spindles & golgi  tendons to do this. .

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

Neuro-lymphatic and  neuro-vascular pints are worked on to increase lymph and blood flow to affected muscles.

How an Applied Kinesiologist Uses Neuro Lymphatics to Improve Health

How a NYC Applied Kinesiologist Uses Neurovascular Pts for Better Physical and Emotional Wellbeing.

Any bilaterally weak muscles would point to  fixation of 2 or more vertebra and need to be corrected accordingly .

Spinal Pain Not Being Helped? See An Applied Kinesiologist; It May Be A Fixation

Palpation of the spine to find vertebrae lacking movement (subluxation) is done and I muscle test to find the correct corrective vector for the adjustment

The patient is given stretches  for the overactive muscles and exercises for the weak muscles , posture esp head position is reviewed.

Copyright – 2018-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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After this

 

 

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

Medical Articles of Interest for December 2016

Gut Microbiome Again Linked to Parkinson’s Symptoms

High Dietary Magnesium Intake Tied to Less Stroke, Diabetes, Heart Failure

Muscle Strength Gains Linked to Better Brain Function

Gastric Acid Blockers Boost Risk of Iron Deficiency

The Gut–Brain Connection

Statin Use Linked to Increased Parkinson’s Risk

Chronic Use of Proton Pump Inhibitors Increases Heart Risk

Selenium Supplement Role Unclear in Autoimmune Thyroiditis

Sauna Use Linked to Lower Dementia, Alzheimer’s Risk

 

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

 

Rib Pain or Intercostal Neuritis – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Every few times during the year, I get a patient with a displaced rib head. (I’ve had one or two myself)  The sensation is an intense stabbing pain that “takes your breath away” in either the back or the front of the chest; sometimes the pain goes round the rib and sometimes seems to go from the back to the front like a knife.

When a patient comes in, we evaluate them via examination and a detailed history to rule out things like shingles or referred pain for heart, lung and gastrointestinal problems. A lot of the times, the patient has already been evaluated by their M.D. for these conditions with negative results.

But it’s usually a rib head displactment either at the anterior attachment at the sterum [breastbone] or at the posterior attachment at the transverse process of a thoracic vertebrae. The intercostal nerve runs from the anterior rami of the thoracic spinal nerves from T1 to T11 and runs [along with the artery and vein] between the intercostal muscles to the breastbone.

intercostal-nerve

intercostal-muscle

Of course it’s not surprising that a rib displacement “takes yr breath away” as the ribs (& the clavicle) and a lot of the muscles attached to them are involved in inspiration and expiration. Some of these muscles are the diaphragm, the external & internal intercostals, the serratus anticus, pectoralia minor, scalene & SCM muscles.

breathing-muscles

Muscles attached to the ribs or thoracic spine which may not be directly involved in breathing but may be compensating for a problem with the breathing muscles. Some of these muscles are the rectus abdominis, the abdominal oblique muscles, the psoas, the quadratus lumborum, the rhomboids and latissimus dorsi; they may be on the same or contralateral side to the displaced rib.

Before I adjust any displacement of the ribs involved or the breastbone or the clavicle as a doctor of chiropractic; I need to balance the muscle pull on the affected area.

I use the muscle testing used in both Applied Kinesiology and NeuroKinetic therapy.

As a Applied Kinesiologist, I test for the function of individual muscles. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.” 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?

The Use of Applied Kinesiology in a Chiropractic Examination

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?” NeuroKinetic Therapy works with that 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.

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

Once the above muscle related questions are answered, I can adjust the involved rib, clavicle or spinal segment.

Stretches are given to the previously facilitated (or hypertonic) muscles and exercises given to the previously inhibited (or weak/hypotonic) muscles in order to break the pattern that caused the problem.

For a blog on the effects of the breathing muscles on asthma, please check out: The Musculoskeletal Aspects of Asthma

© 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

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

A patient comes in with a problem, maybe low back pain. Most chiropractors would figure out what vertebrae /spinal nerve is involved and then adjust the segments involved.

However what is missed is why did the problem happen and how can it be fixed so that it does not happen again.

First we need to look at the muscles innervated by the spinal segment

As a Applied Kinesiologist, I test for the function of individual muscles. For example, we may find the latissimus dorsi muscle weak; that is a muscle that internally rotates, extends and adducts the arm/ shoulder. It also attracts 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 vertebrae. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.”

Is there a problem with the vascular or lymphatic drainage of that muscle? Is there a problem with the cranial-sacral system?

Is there a Lovett Brother association where a twisting of the spinal meninges affects an upper vertebrae as well as a low back spinal segment.

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?”

Is the above mentioned latissimus dorsi inhibited by the muscles that attach to the shoulder like the upper or middle trapezius or the levator scapulae or is it compensating (facilitating) for weak or inhibited muscles like the gluteus maximus or the quadratus lumborum or core muscles, for example.

back muscles

Is the patient using their neck muscles in the movement of their low back?

NeuroKinetic Therapy works with the concept that movement is performed in systems or patterns. The human brain has an affinity toward habits.

NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating)for them.

I would test the muscles involved in the problematic movement. After an inhibited/weak muscle is found, I would muscle test a synergistic (a helper muscle) or an antagonist muscle (an opposing muscle} which is strong/facilitated that may be affecting the inhibited muscle.

That facilitated muscle would be therapy localized (the muscle is either touched or put in motion) and the inhibited muscle retested. If the TL strengthens the inhibited muscle, then I know that the TLed muscle is affecting the inhibited muscle.

And I can use AK techniques to release the TLed muscle. The inhibited muscle is then retested which should test strong now, the retesting causes a “neural lock” which reprograms the motor control center in the brain.

After balance is restored to the muscles, the vertebrae  ( or extremity joint) 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.

For more detailed information, please click on the following blogs:

https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/.

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

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

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

https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

https://drvittoriarepetto.wordpress.com/2016/05/28/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/

https://drvittoriarepetto.wordpress.com/2014/01/01/a-nyc-chiropractorapplied-kinesiologist-talks-about-chiropractic-adjustments/

https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

 

© 2016-Dr. Vittoria Repetto

Yesterday, a woman from Chicago wrote me, “had thyroidectomy in August and my scar attached to muscles pulling my chest up when I was swallowing while applying lots of pressure to throat it has loosened up a bit but I feel that my hyoid bone might be dislocated or pulled down by muscles that was stitched too tight and adhered”
 
She asked me if exercise and stretches would help.
“No, you need to know what muscles are unbalanced”
There are 26 muscles in the neck–10 pairs of 2 and 2 sets of 3, to be precise. The neck muscles attach to various bones of the skull, spine, thoracic cage, and shoulder girdle.
You need to see a practitioner who knows how to muscle testing – a chiropractor who does applied kinesiology or neurokinetic therapy and fiqure out which are inhibited and which are hypertonic.
 
So I give her links on where to find a practitioner who could help her.
for more on possible clues in  this case:
© 2019-Dr. Vittoria Repetto

Muscles, Connective Tissue Between Organs Influence Illness

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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Seminar I’m Taking: How to Thrive in a Toxic World through Nutrition & Lifestyle

This coming June 5th I’ll be attending a seminar on Whole Detox: How to Thrive in a Toxic World through Nutrition & Lifestyle.

The term “ detoxification ” is widely debated and discussed within the clinical community. In this presentation, the scope of detoxification practices and the spectrum of offerings and their validity will be highlighted. A deeper dive into the recent scientific developments in this pivotal area of medicine will be featured from the angles of both biochemistry and genetic expression, with particular focus on (1) modulation of metabolic biotransformation through phase I and phase II enzyme induction or inhibition; (2) alkalinization; and (3) heavy metal metabolism . Special emphasis will be given to nutrition, nutrient actives, and botanicals for their influence in these pathways. Furthermore, the incorporation of lifestyle changes will be included as part of the detoxification discussion for a more well-rounded, whole picture, whole-self approach.

liver-detox1

Objectives:

• To understand the context of detoxification practices as they relate to health and disease, and their general view and acceptance in the medical arena

• To identify biochemical and genetic pathways involved in detoxification processes: ARE gene upregulation biotransformative enzyme induction or inhibition, alkalinization, and heavy metal metabolism

• To understand the role of nutrition, nutrient actives, and botanicals in modulating detoxification processes

• To learn the importance of addressing lifestyle modalities as part of the detoxification process.

For an article on why fasting on juices do not make an effective liver detox: https://drvittoriarepetto.wordpress.com/2011/08/24/a-nyc-chiropractor-recommends-how-to-do-a-healthy-liver-detox/

Presenters are: Tricia Paulson, ND & Deanna Minich, PhD

Tricia Paulson, ND, is the founder of and primary physician at True Health Naturopathic Medicine. As an educator and speaker for the Wisconsin Chiropractic Association and Nutrition Dynamics, she has developed and implemented curricula in clinical nutrition, detoxification and gut restoration. FirstLine Therapy is the cornerstone of her functional medicine practice which specializes in the treatment of chronic lifestyle diseases through a patient-centered approach

Dr. Minich received her doctorate in Medical Sciences (Human Nutrition and Metabolism ) from the University of Groningen, The Netherlands, and her Master’s Degree in Human Nutrition and Metabolism from the University of Illinois at Chicago. She is a fellow of the American College of Nutrition, and a member of both the American College of Nutrition and the American Society for Nutrition Science. Dr. Minich has published over 15 articles in peer-reviewed, scientific journals, and has published three books on nutrition. At Metagenics, Dr. Minich has numerous responsibilities, including counseling patients using functional medicine protocols at the Functional Medicine Research Center®—the clinical research arm of Metagenics.

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

The Importance of Failing a Muscle Test – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Yes I know that you are scratching your head over this one.

Don’t we want to have all our muscles testing strong?

Yes I answer but if you are in my office for treatment of a complaint, you may have muscles that are inhibited or weak or muscles that are compensating for the ones that are weak or inhibited. And these involved muscles most likely are part of the complaint that you are coming in for me to correct.

And if you are in for a maintenance/prevention visit, muscle testing can uncover a minor inhibition or compensation before it becomes a problem.

In my practice, I use both Applied Kinesiology and Neuro Kinetic Therapy.

With Applied Kinesiology, I test for the function of individual muscles. For example, we may find the latissimus dorsi muscle weak that is a muscle that internally rotates, extends and adducts the arm/ shoulder. It also attracts 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 vertebrae. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.”

testing rectus femoris

Neuro Kinetic Therapy works with the theory that movement is performed in systems or patterns instead of individual muscles. The human brain also has an affinity toward habits. Repetitive behaviors become patterns and these patterns require reprogramming when they become problematic. NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating for them.

After an inhibited/weak muscle is found, I would muscle test a synergistic (a helper muscle) or an antagonist muscle (an opposing muscle which is strong/facilitated that may be affecting the inhibited muscle. That facilitated muscle would be therapy localized (the muscle is either touched or put in motion) and the inhibited muscle retested. If the TL strengthens the inhibited muscle, then I know that the TLed muscle is affecting the inhibited muscle. And I use AK techniques to release the TLed muscle. The inhibited muscle is then retested which should test strong now, the retesting causes a “neural lock” which reprograms the motor control center in the brain.

For more detailed information, please click on the following blogs:

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

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

https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/.

https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

 

© 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

 

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

A NYC Chiropractor/Applied Kinesiologist Posts a Case History Using both AK & Neuro-Kinetics

As you may know, I’m working on perfecting my recent knowledge of a technique called neuro kinetics and incorporating it into my chiropractic and applied kinesiology practice.      https://drvittoriarepetto.wordpress.com/2015/09/01/taking-neuro-kinetic-therapy-seminar-sept-12nd-13th/  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

What applied kinesiology and neuro kinetics have in common is muscle testing and therapy localization. 

In the latter therapy localization (TL), the patient will either place their hand or finger on specific points, a vertebrae or another muscle and the doctor retests the previous weak or inhibited muscle to see if the weakness is corrected. https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/.

In neuro kinetics, the patient either touches a muscle or actively contracts the strong muscle that may be compensating for a inhibited muscle or set of muscles.

Female 50’s 1 wk ago sat in a small chair that only supported her “rt. cheek” resulting in lt. low back pain. Tested bilateral psoas/ tensor fasciae latae (TFL) /transverse abdominal (TVA)/ rectus abdominal (RA) /quadratus lumborum (QL)/hamstring/gluteus max….weak (W) or inhibited bilateral QL/ lt. glut max….patient therapy localizies rt. hamstring…..bilateral QL/lt. gluteus maximus now test strong …rt hamstring was facilitating muscle …… treat rt hamstring w/ spindle/golgi tendon work( an AK technique)…retest lt glut max/bilateral QL for “neural lock” which sends a message to the brain to start activating the previous inhibited muscle.

I then use chiropractic/applied kinesiology technique to correct the following: patient had a category 1 pelvis- patient’s torso is torquing opposite the upper body, (http://www.chiroaccess.com/Articles/Chiropractic-Technique-Summary–Sacro-Occipital-Technique-SOT.aspx?id=00002910) and  irritation of lt illiolumber ligament which connects 5th lumbar and pelvis , and irritation of lt sacro-tuberous ligament which connects bottom of sacrum to lower pelvis, adjust the torque of the 4th lumbar. Two cranial sutures were adjusted that go along with a category 1 pelvis.

Exercises for QL &  gluteus max are given.

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

First what is sciatica; sciatica is an inflammation of the sciatic nerve, the longest nerve in your body. The sciatic nerve is formed from the Lumbar 4 (L4) to Sacral 3 (S3) segments of the spinal nerves as they exit the vertebrae at the same levels.

It provides motor innervation and sensation to part of the muscles along the lower lumbar vertebrae and the muscles of your hip and pelvis, to the muscles in your thigh esp. the hamstrings the back of your knee and lower leg and the sole of your foot.

sciatic_nerve

When you have sciatica, you can have pain, weakness, numbness, or tingling in any of the fore mentioned areas. It can start in the low back and extend down the back of your thigh to your calf, foot, or even your toes. It’s usually on only one side of your body.

Causes of sciatica include a herniation or degeneration of a disc at the levels mentioned above, subluxation of the vertebrae associated w the sciatic nerve. https://drvittoriarepetto.wordpress.com/2010/07/17/the-subluxationspinal-joint-dysfunction/ or a narrowing of the spinal canal that puts pressure on the sciatic nerve root which is called spinal stenosis.

As a doctor of chiropractic, I would do a proper orthopedic and neurological examination to determine the level of spinal dysfunction/subluxation.

But before adjusting the vertebrae to remove the subluxation, I would test via muscle testing and palpation the muscles innervated by the involved spinal segments or attached to the spinal segments.

A case in point would be the testing of the psoas muscle as part of the muscle attaches to the anterior of the lumbar vertebrae; a weakness or a hyper tonicity of the muscle can cause rotation of the vertebrae and place tension on the sciatic nerve root. http://en.wikipedia.org/wiki/Psoas_major_muscle

The piriformis muscle is another important muscle that needs to be checked as the sciatic nerve passes under the piriformis; a spasm of this muscle can put pressure on the sciatic. http://en.wikipedia.org/wiki/Piriformis_muscle

sciatic-nerve

 

Other muscles that may be checked are the hamstrings, the lumbar erector, the quadratus lumborum, the gluteus maximus and the gluteus mediu

I ask,  is there a dysfunction in the coordination of muscles working in patterns. Is the above mentioned psoas or piriformis inhibited by the muscles  like the gluteus maximus or the quadratus lumborum that are compensating (facilitating) for weak or inhibited muscles, for example. or vice versa. Muscle imbalance can cause misalignment of the vertebrea they attach to. 

The muscles that are found to be either weak or hyper tonic are balanced by spindle or golgi tendon work and blood flow and lymphathic drainage to the muscle is increased by working on neuro-vascular and neuro-lymphatic points.

I would also test for problems with the illiolumber ligament and the sacrotuberous ligament which help stabilize the lumbar spine and sacrum respectively.

http://www.healthline.com/human-body-maps/iliolumbar-ligament

http://www.healthline.com/human-body-maps/sacrotuberous-ligament

I also examine the pelvis as the pelvis forms the foundation support of the human skeleton, I look to see if the patient is showing what is known in SOT technique as a Category Three pelvic problem.

Category Three occurs when the low back can no longer tolerate the physical stressors placed on it. This can be a sudden one-off event such as a lift, or it can be a pre-existing weakness that is aggravated. Category Three produces pain in the low back and sciatica. Correction involves using blocks under the pelvis in a specific direction and position. Your weight and breathing helps to gently balance the low back and take the pressure or irritation off the nerve.http://www.soto.net.au/A-patients-guide-to-the-practice-of-SOT

I also check for cranial involvement; there are cranial faults involved in low back and sciatic pain. https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

The combination of all these techniques along with nutrition and specific stretches and exercises helps the patient heal faster.

 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/2010/05/06/the-art-and-science-of-muscle-testing-in-applied-kinesiology/

© 2015-Dr. Vittoria Repetto/ 2016 revised 

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

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