Low Back Pain & Non Force Adjustments/SOT Blocking: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

One of the major complaints that causes patients to seek out a doctor of chiropractic is low back pain; it can be caused by either a problem with the lumbar spine or the sacrum.

As a doctor of chiropractic who is also an applied kinesiologist, I use a technique developed by Dr. DeJarnette called Sacro Occipital Technique (SOT); so named because of the relationship between the sacrum (base of the spine) and the occiput (base of the skull).

One of the functions of the sacrum is to pump cerebro-spinal fluid (CSF) from the base of the spine back up the spinal canal to the brain and throughout the nervous system. The occiput also helps to pump CSF. The minute rhythmical motion is essential to optimal health – CSF effectively acts as the circulatory system of the brain and spinal cord.

The pelvis forms the foundational support of the human skeleton. It supports the upper body right up to the skull, and enables us to transfer our weight to our legs. The sacrum is a large bone located at the terminal part of the vertebral spine, where it forms the posterior aspect of the pelvis. The spine holds our body upright, supports all of our organs and provides anchor points for our muscles. It also protects our delicate nervous system. The nervous system controls our body, and can only function normally when our structures are balanced and our pelvis, sacrum and lumbar is stable.

Dr. DeJarnette’s studied two aspects of the sacroiliac joint; the anterior synovial portion and the posterior hyaline cartilage portion. The anterior sacroiliac joint should have motion and this is where sacral nutation and counternutation takes place. The posterior sacroiliac joint is focused on weight-bearing stability and support, which is why at the posterior joint surface there are interlocking of the ridges, and grooves by structures like muscles, ligaments and fascia.

DeJarnette evaluated the weight-bearing characteristics of the sacroiliac joint and determined that when the joint could not adequately support body weight then load bearing stress will be moved upward to the L5/S1 and L4/5 discs, most commonly.

DeJarnette developed an analysis which classified pelvic problems into three different categories and three different non-force techniques using SOT blocks in positions that correct the involved category.

sot-blocks

One of the major complaints that causes patients to seek out a doctor of chiropractic is low back pain; it can be caused by either a problem with the lumbar spine or the sacrum.

As a doctor of chiropractic who is also an applied kinesiologist, I use a technique developed by Dr. DeJarnette called Sacro Occipital Technique (SOT); so named because of the relationship between the sacrum (base of the spine) and the occiput (base of the skull).

One of the functions of the sacrum is to pump Cerebro-Spinal Fluid (CSF) from the base of the spine back up the spinal canal to the brain and throughout the nervous system. The occiput also helps to pump CSF. The minute rhythmical motion is essential to optimal health – CSF effectively acts as the circulatory system of the brain and spinal cord.

The pelvis forms the foundational support of the human skeleton. It supports the upper body right up to the skull, and enables us to transfer our weight to our legs. The sacrum is a large bone located at the terminal part of the vertebral spine, where it forms the posterior aspect of the pelvis. The spine holds our body upright, supports all of our organs and provides anchor points for our muscles. It also protects our delicate nervous system. The nervous system controls our body, and can only function normally when our structures are balanced and our pelvis, sacrum and lumbar is stable.

Dr. DeJarnette’s studied two aspects of the sacroiliac joint; the anterior synovial portion and the posterior hyaline cartilage portion. The anterior sacroiliac joint should have motion and this is where sacral nutation and counternutation takes place. 

pelvic-ligaments-ant

 

si-movement

The posterior sacroiliac joint is focused on weight-bearing stability and support, which is why at the posterior joint surface there are interlocking of the ridges, and grooves by structures like muscles, ligaments and fascia.

postsacrummuscles

DeJarnette evaluated the weight-bearing characteristics of the sacroiliac joint and determined that when the joint could not adequately support body weight then load bearing stress will be moved upward to the L5/S1 and L4/5 discs, most commonly.

DeJarnette developed an analysis which classified pelvic problems into three different categories and three different non-force techniques using SOT blocks in positions that correct the involved category.

Category One is a pelvic torsion with altered sacral nutation(motion)  This lack of nutation affects the spinal and cranial meningeal and CSF systems which function to a degree like a closed kinematic chain. Therefore symptoms can be low back pain, chronic shoulder complaints, thoracic outlet syndrome, CSF stagnation, and altered vasomotor function.

Involved muscles can be the piriformis, quadratus lumborum, sacrospinalis, gluteus medius and gluteus maximus. As an applied kinesiologist, I’d check to see if they are hypotonic or hypertonic; as a neurokinetic therapist, I’d check to see if a muscle is weak (or inhibited) by another muscle compensating.

Therapy localization (TL) is done by putting 2 hands on each sacral-iliac joint and then challenging the pelvis for a structural listing and then blocks are put under the patient’s pelvis based to the findings.

The positive Tl’ed side is not adjusted. Cranials are checked.

Category Two happens when ligaments that hold the sacroiliac joint are stretched or sprained, allowing the joint surfaces to separate. Stress can aggravate this ligament weakness via adrenal hormone overdrive.

Symptoms can be low back pain, bowel complaints, possible dysfunction of the reproductive glands and the adrenals, shoulder problems and decreased cervical range of motion.

Involved muscles in addition to the ones mentioned in Category I are the sartorius, gracilis rectus abdominals and hamstrings along with the iliolumbar ligament. These structures are tested via applied kinesiology and neurokinetic protocols mentioned above. Cranials again are checked.

Category Three occurs when the low back can no longer tolerate the physical stressors placed on it and involves both disc and nerve root aggravation. This can be a sudden one-off event such as a lift, or it can be a pre-existing weakness that is aggravated. Often Category Three produces pain in the low back and sometimes pain radiates down a leg as sciatica.

Muscles to be checked are the psoas as it attaches into the front of the lumbar vertebrae as well as the muscles involved in Category One as Category Three can be a Category One that was never corrected.

Correction in all the categories involves using blocks under the pelvis in specific directions related to the category and the subluxation/misalignment of the pelvis/sacrum. The patient’s weight and breathing help to balance the low back, sacrum and CSF flow and takes the pressure or irritation off the nerve. This allows the body to heal.

Patient is told to ice the involved areas, how to do daily activities, given stretches and exercises and advised on nutrition to help the body heal.

For more information on issues mentioned:

Cranial Sacral Therapy in Applied Kinesiology

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

The Use of Applied Kinesiology in a Chiropractic Examination

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go towww.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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Patient Testimonials on a NYC Chiropractor /Applied Kinesiologist/NeuroKinetic Therapist

 

The following testimonials are from “Patient Testimonials” page on our web site http://www.drvittoriarepetto.com

 

I have been receiving chiropractic treatments for more than 40 years.  During that time period, I had the opportunity to meet only two outstanding chiropractors.  Dr. Repetto is one of these two.

Dr. Repetto has an extensive knowledge base that allows her to “think-outside-of-the-box” and provide each patient with an individualized treatment plan.  Most importantly, she implements each patient’s plan in a caring and compassionate manner, and she consistently uses progress monitoring to adjust the plan as needed.

I highly recommend Dr. Repetto to all.

Donna V.

 Dr. Repetto is a unique individual with a breadth of knowledge and a determination to help her patients that is rare and valuable. If you are looking for a routine set of adjustments that each patient receives routinely, this is NOT the doctor for you. Dr. Repetto cares about the root cause of patients’ issues, and assesses and treats people holistically. She’s helped me improve movement, and recover from injury, and when i had a horrible bout of bronchitis she treated me daily.  This is a unique talent, motivated by the desire to help, not money.

Brian G.

 I have been seeing Dr. Repetto for almost 20 years. She is incredibly knowledgable and quite a gifted  healer. She has helped me structurally as well as nutritionally. Anyone looking for a comprehensive approach to healing, you will not be disappointed. I am so glad I found her!!

Samora S.

 I was first seen by Dr. Vittoria Repetto in the 1990’s for sciatica and lower back pain that was at the time very severe and limited my abilities to perform many of my daily activities. After several hour-long treatments with Dr Repetto, I am happy and grateful to say my  sciatica and lower back ache and pain went away and had not returned.

On Mother’s Day 2011, I suffered an extremely serious and almost fatal fall from a darken stairwell. I required several surgeries afterwards. However, I was left with weaknesses in both my hands and arms, terrible pain in my lower back and weakness in my hips.

I finally chose to see Dr. Repetto after a long absence to seek treatment for what seem as unfixable problems. In addition to using chiropractic and applied kinesiology, Dr. Repetto has now added neurokinetic therapy to her list of techniques What I now find is that I get immediate relief, effective zeroing in on my pain and more lasting results. I am always amazed by how much better I feel when I leave the office and how it brings true pain relief and health benefits that last.

An example of this was a limp I was experiencing after dealing with my mom in Florida who had a stroke. Dr. Repetto was able to diagnose and treat the limp in one visit and I literally was able to walk significantly better and the limp has not return.

I highly recommend Dr. Vittoria Repetto without reservation.

  J.Sanchez

 

I saw Dr. Repetto when my back went out unexpectedly 48 hours before taking a trip to Hawaii. I was scheduled for an appointment quickly and seen promptly. Dr. Repetto took a detailed medical history and gave me a thorough exam. She was able to get me out of pain with adjustment and massage and gave me exercises and strategies to manage pain for my trip. I was able to snorkle and hike Diamondhead without any issues thanks to her.

Ma KB

Nine years ago I went to see Dr. Repetto for a chronic lower back problem and now I can’t imagine life without her healing hands.  Currently she keeps me healthy and pain-free through regular chiropractic treatments while recommending nutritional supplements (when needed) to improve any health issues that might arise. Another miracle was performed by Dr. Repetto for a friend of mine that suffers from CLL leukemia, diabetes and heart problems.  Bedridden with a weak immune system, her doctors offered no help.  Desperate, I turned to Dr. Repetto who researched her symptoms and suggested specific nutritional supplements.  Within 24 hours of taking the supplements, her immune system was improving and is gaining strength with each day!  Dr. Repetto is a life-saver and a doctor you can trust!

Maria M.

I had a chronic back problem several years ago. I had been treated by physical therapy for a long time. Afterwards, I was not getting any better and did not want to continue. So I had stopped going.  One day while at work a co-worker had told me of a Chiropractor that he had seen for his own back problem. I decided to see the Chiropractor and what the physical therapist could not do she was able to do.

Ellen C

 I can vouch for Dr. Repetto! She’s been my chiropractor for about six years, and she just worked magic on an old injury.

I had to have surgery to reconstruct my shattered pelvis after a very serious accident in 2011. My surgeon warned me at the time that I would lose feeling on the front of my thigh because they would have to sever a nerve serving that skin. While I’m profoundly grateful to have regained 100% of my strength and range of motion, I’ve been mourning the loss of sensation in that large area ever since.. Damn!

I just had to have yet another surgery related to that same accident and I’ve had some concerns about post surgery nerve function in a muscle group adjacent to the numb skin on my thigh. I asked Dr. Repetto to check it out, and she also did some work on the numb area. I’m thrilled and astounded to be able to say that after she treated me the other night I seem to have suddenly regained sensation in a large portion of the numb skin area! Honestly, that should have been impossible. I don’t have full sensation yet. It’s kind of tingly, but I have another appointment with Dr. Repetto next week. Crossing fingers. It would be magical to regain that area.

Cheryl S.

 Dear Dr. Repetto,

Your treatment made all the difference for Leah for the two remaining weeks of her ballet courses. Leah said she followed your advice, keeping her arches iced and elevated at every opportunity and being careful to tone down on higher impact leaps and movements – such as the repetitive hops on pointe on one foot. She also did some segments of the corp de ballet group class work just in her ballet slippers. But, she was able to continue doing the pointe work for the classical ballet solo roles that the studio was teaching.

As I mentioned when we spoke that day, everyone else I’d called on the studio’s medical referral list didn’t have any appointment openings available for 2 or 3 weeks or more and I was really beginning to despair. Leah would have been sidelined for the entire remainder of the repertory course if she’d had to wait that long, which would have made her truly miserable, especially since she’d worked so hard helping to save up so she could attend the program.

Thank you again for your marvelous promptness in providing treatment to Leah on such short notice and for your generous provision of your time, kind follow-ups, and wonderful patient care.

Best regards,

Elizabeth T – Leah’s mother

 I truly wish to continue the treatments because of how amazingly conprehensive your style of practice is from ordinary Chiropractors.  I had no idea that ther was such a thing as an Applied Kinesiologist! It’s really awesome.  And I especially appreciate your nutritional service and approach- something I had never expected from a chiropractor!  But of course, it was no

surprise, it’s the reason why I knew I wanted you to be my Chiropractor. I had read your article and was sold!

It worked too! somehow I had a(n) (emotional) “release” during one manipulation which had me in an absolute  Zen state of hilarity for a good 1 -2 minutes or more!  Remember? I couldn’t stop laughing. I saw the irony of myself, everthing and everyone and how miniscule

things really are compared to TRUE brilliant,beautiful, unified, bright reality.  LOL! Holy Cow!  That’s the hallmark of a great body worker!

Tania E.

 “Dr. Vittoria Repetto is an excellent Chiropractor and Applied Kinesiologist. Her superb knowledge and ability to solve issues has helped relieve painful issues that presented in my life. Dr. Repetto is a caring, concerned healer. Her rates are so very reasonable and the service is priceless. I highly recommend Dr. Vittoria Repetto to attend to your chiropractic needs. She also offers vitamin, mineral supplements that really help increase energy and promote good health”

Donna Bungo

 I went to Dr. Repetto because I felt swollen and I knew this was not a weight gain. I was diagnosed w/ food allergies to oat, corn, wheat and soy. After extensive therapy, I was back to normal. In addition, I had gall bladder and thyroid problems, which Dr. Repetto has helped w/ chiropractic, acu-point therapy, proper nutrition and supplements. I feel like a new person.

Barbara Marino

 Vittoria – so I think you remember, and I want to THANK YOU for all your advice regarding gall bladder cleaning – I want to post about this too on Facebook and thank you, if that is OK – I had the six month followup on my gall bladder – and while I am not 100% clean, my doctor said he had never seen such rapid improvement – which he said had to be the diet on top of the Ursodial medicine – the scans are just incredible – from a gall bladder full of sludge and stones, to one with such a scattering of tiny sparkles, remnants of what was there and no edema or wall swelling and no issues with the bile ducts – I am still going to continue with ursodial another 6 months at least, and of course, olive oil, artichoke, healthy fats, mostly vegetarian and fish – but really the changes are incredible and what should take two years, took about 6 months – really thank you

Mike

 “It is not much of an exaggeration to write that Dr. Repetto has helped me get my complete health back, something that I have sought for over 20 years.

Many people who have known me for a long time, who meet me now, cannot help but comment on how healthy I look and act. I obviously wanted to be healthy for myself but I hope that how Dr. Repetto was able to help me, that others are similarly helped! Her understanding of the role that nutrition plays in one’s life has made me feel as if I were 3 years old again!

I have recommended her work to others who have also been greatly helped by her. I am certain that they will write glowing recommendations based on how much she has helped them. The most important aspect of her work is the time and commitment she will dedicate to your health, if you are also willing to do so!”

Tricia Mullen

 Suffering from lower back problems for 2 years, bulging and herniated discs – I was at my wits end! I’ve been to physical therapy and chiropractors, but within weeks, I was back to where I started, crippled, body out of alignment and in pain! I arrived at Dr. Repetto’s office with very little knowledge of kinesiology, quite nervous and hoping for some relief. Within one week I started feeling better both physically and emotionally. She’s also developed a program of nutrition, exercise and vitamins to improve my whole being. It’s now been several months with no back pain. Dr. Repetto’s experience and knowledge in treating the whole body is unmatched. I trust her implicitly and know I’m in the very best of hands. She truly has the gift of healing!

Maria McIsaac

 I know Vittoria for so many years now, and I cannot be happier for knowing that I can always rely on her. She is not only a great chiropractor, she is a nutritionist, a consultant and most important someone who really cares about you and your well-being. You can call her anytime, she is always there for you. She is honest and deeply concerned about your problems: she is the kind of doctor that every doctor, in any discipline, should be, but unfortunately is not anymore. I highly recommend her!!!

Laura Caparrotti

 Dr. Vittoria Repetto has been an amazing health professional who has not only helped me in dealing with back pain but in strengthening my back, posture and my vitamin needs. She will take care of you and spend time with you as no other chiropractic doctor I have ever known. I cannot say more about her professionalism and… her awesome approach to healing! You will be amazed as well. I have known her since 1990!

Jesus Sanchez

 Dear Dr. Repetto,

Since you treated me, I have learned what my problem actually was (not what other doctors were “saying” it was) and I have been feeling better with what seemed like a chronic condition for many years. I guess I’m shocked that other doctors did not understand, or care to take the time to understand what was going on and you did. Thank you for your insight and your skill. The exercises you gave me, as well as the supplements, have made my leg feel stronger and I no longer wake up in the middle of the night in pain. Thanks so much.

Clare Ultimo

 Dr. Repetto is a really great doctor and person who I have had the pleasure of knowing and seeing for 20 years. My mother, myself and now my wife are all patients. She is an expertly skilled chiropractor who has provided us with great relief. She is knowledgeable and caring, which is what makes her so good at her job. She is also very helpful regarding nutrition and exercise. Thanks very much Dr. Repetto for all the help you have provided me over the years and will continue to provide.

Matthew Shorr

 I have been visiting Dr. Vittoria Repetto for my chiropractic needs for the last two years. I initially went to her for upper back problems. I am pleased to report that she has completely rid me of upper back pain. As a bonus, Dr. Repetto was also able to cure a nagging shoulder problem that had bothered me for several years. I had lost complete range of motion in my left shoulder and had started to wonder if I would need surgery. After 4 visits over the course of about a month and a half, I regained full range of motion and my shoulder hasn’t bothered me since. That was about nine months ago. Dr. Repetto has also helped me with wrist problems related to computer use. I highly recommend Dr. Repetto to anyone with back problems or joint problems in any area of the body. She is the very best.

Kim M.

 I came to Dr. Repetto to help me deal w/ chronic neck and shoulder pain, TMJ and an ear that was constantly popping. One day, following my first two visits, it struck me that my neck no longer hurt, and my ear no longer pops. The TMJ is better too. Thanks, Doc.!

Martha Colby

 As a member of PHI and a subscriber to Post-Polio Health, I would like to respond to your query concerning chiropractors. I have personally been to a number of chiropractors and have found that, as in all of the health care professions, dramatic variations exist among the practitioners and the types of treatments offered. Fortunately, I found an expert chiropractor in New York, Dr. Vittoria Repetto who treats patients with gentle chiropractic manipulation, applied kinesiology (muscle balancing and strengthening work), acupressure, nutrition, etc. I believe it is important that you clarify your goals when seeking chiropractic care. My personal results with my chiropractor during the last years have been outstanding. I have increased my walking ability and am much stronger. Don’t be discouraged — I went to many orthopedists, podiatrists, physical therapists and other chiropractors before finding a chiropractor that had the extraordinary knowledge and techniques to make a vast improvement in my quality of life.

Tammy Raum   Printed in: http://www.post-polio.org/net/help3.html

 Before I came to see Dr. Repetto, I had constant shoulder and neck pain. I had been told I should not play golf (a passion of mine) and that I may need an operation.

I am happy to say that Dr. Repetto has gotten me to a point where I am practically pain free and more important playing golf without any problems. And I certainly don’t need an operation.

I can not say enough about Dr. Repetto. If you are looking for a doctor who truly listens to you and one who will treat the whole person and not just symptoms, she is definitely the doctor for you.

Connie B.

 Dr. Vittoria Repetto is a gifted and patient-friendly chiropractor who works in an airy, upbeat and comfortable office on West Broadway just south of Canal Street. Years of dedicated practice and a nature talent allow her to adapt a full range of chiropractic procedures to each patient’s special needs. Her treatments inevitably leave one with a feeling of heightened energy, and can result in direct relief from physical pain. In addition to spinal, cranial, muscle stretching and acu-point therapies, all provided with a consideration of the client’s general medical condition, Dr. Repetto offers expert advice on nutrition and exercise in terms of individual lifestyles.

Anthony B.

 I have been to many chiropractors for many different health problems such as my asthma over the course of 30 years. I was new to the New York area and had not seen or known of many doctors here.

When my problems became unmanageable, I sought out and, by some miracle, came upon Dr. Vittoria Repetto. I called her and she was able to accommodate me that same day. After my first treatment, there was a profound difference in my overall wellbeing. I was truly shocked. Even my family noticed that I was improved and all were impressed after only the first time.

I continue to improve as Dr. Repetto works with me and treats me in the many areas of chiropractic including applied kinesiology, acupressure therapy and nutritional support. She takes time with each patient, explains everything to you and makes sure you are taken care of and treated with dignity. I believe it is imperative to treat the whole person and not just the symptom.

Dr. Repetto is a true healer and becoming her patient was one of the most important and most intelligent things I have done for myself. If you want to find a doctor to work with you, to help yourself feel better and improve your overall wellbeing, then you must call Dr. Repetto and set up an appointment to see her.

Anika C.

 Vittoria is concise, and through. Her authoritative manner and expert skill combined with warmth and humor made for a wonderful experience. Her offices are professional and comfortable. She always goes the extra mile suggesting any necessary nutritional supplements, as well as updating you regularly with the latest articles, or papers pertinent to the health/body issue you present her with.

Lucia Rossman, Owner, Digi Dog Design

 I strongly recommend Dr. Repetto. She is a great chiropractor and applied kinesiologist and has a gift for finding the cause of problems and how to fix them quickly and efficiently. She is also a great nutritional/lifestyle coach whose guidance has definitely helped my overall well being.

Maria Lapachet

 

 ©Revised: 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

Cranial Sacral Therapy in Applied Kinesiology

Cranial Sacral Therapy is a technique taught in Applied Kinesiology based on Cranial Osteopathy which was discovered by osteopath Dr. William Sutherland after he had a remarkable insight while examining the specialized articulations of cranial bones. Contrary to popular belief Dr Sutherland realized that cranial sutures were, in fact, designed to express small degrees of motion.

cranial sutures

DeJarnette and Goodheart introduced diagnostic methods for the evaluation and treatment of cranial dysfunctions. The key technical factor that has advanced cranial diagnosis and treatment, and brought the entire field of cranial therapy into accessible, reproducible, practice and scientific form, was provided by Goodheart’s discovery that the musculoskeletal system and manual muscle testing (MMT) reflects what is going on within the cranial mechanism.

MMT has allowed applied kinesiologists to discover the dramatic functional relationships that exist between the cranium and every other articulation and tissue in the body. Furthermore, patients are not treated in a “touchy feely” fashion in which the patient’s skull is cradled for an indeterminate time, until the cradler perceives warmth or a yielding or softening sensation.

 There are many other physical signs and tests (besides MMT) that also reveal cranial dysfunction; these have been written about extensively in the applied kinesiology (AK), sacro-occipital technique (SOT) and osteopathic literature. Returning the dura to a physiological range of tension by using specifically applied cranial corrections is a major goal of AK evaluation and treatment, which seeks to achieve zero defects inside and outside the cranium.

Like Cranial Osteopathy, Cranial Sacral Therapy seeks to restore the natural rhythmic movement found between the bones of the skull and the sacrum which is correlated to our inspiration and expiration; in other words, the cranial bones and sacrum move in different directions when we breathe in and in opposite directions when we breathe out.

The purpose of this is to aid the circulation of the cerebrospinal fluid throughout the central nervous system.

cranio_sacral2

And some suggested that CSF flow along the cranial nerves and spinal nerve roots allow it into the lymphatic channels. Restoring normal cranial-sacral rhythm enables the body to function optimally and may alleviate a wide variety of painful and dysfunctional conditions within the body.

Using a soft gentle touch practitioners release restrictions in the cranial-sacral system to improve the functioning of the central nervous system.

There are many results why the motion of the cranial and the sacrum may be disturbed.  

For some, it can be caused by the trauma of a difficult birth. Normally since the bones are very flexible, normal movement and the act of crying restores the natural movement.

For others, it could have been caused an accidental bang to the head, a fall, whiplash following an auto accident. Jaw problems can also affect the cranials as when we chew or clench our teeth, there are muscles forces directed to the skull such as the pull of  the   Temporalis muscle on the squamosal suture of the skull. Even the act of holding our breath during physical exertion (we should be breathing out at that moment), can cause a failure of proper cranial and sacral motion,

 Dysfunction of the cranial sacral motion can be seen in different problems, even some caused by the entrapment of cranial nerves as they exit the cranium such as trigeminal neuralgia, headaches, migraines, low back  and disc problems, general weakness on one side of the body, problems w/ visual acuity, low or high blood pressure, a spastic ileo-cecal value, neck flexor weakness, allergies, hypochlorhydria, earaches, loss of balance, tinnitus, dizziness and vertigo, recurring upper cervical (neck) problems and scoliosis  

 In applied kinesiology, there are techniques to find the dysfunctions (or cranial faults) and to find out how to fix it. The difference in muscle strength when the patient is breathing in or breathing out is one clue. The asymmetrical face is another clue that there may be a problem. Or the doctor can observe what happens to the strength of a muscle when she (or he) presses on certain cranials or sutures; this is called a challenge.

Cranial-sacrum corrections are easily made and if incorporated with the correction of accompanying spinal dysfunction, muscle balancing and proper nutrition, it will have a lasting effect.

 For more information on cranial- sacral therapy, cerebrospinal fluid, cranial nerves, and the bones of the skull, please see:

Applied Kinesiology: How To Add Cranial Therapy To Your Daily Practice at http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=9200

 http://www.answers.com/topic/craniosacral-therapy

http://www.med.yale.edu/caim/cnerves/

http://face-and-emotion.com/dataface/anatomy/cranium.jsp

http://en.wikipedia.org/wiki/Craniosacral_therapy

 http://en.wikipedia.org/wiki/Cerebrospinal_fluid

© 2010-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

The Myth of Stroke Following Chiropractic Adjustment

I was walking towards a local award ceremony when a women standing outside greeted me by name. She continued,” So the MD’s are at it again trying to discredit chiropractors, did you see the science report on NBC the other night?”

“Yes,” I said, “I caught part of it and I thought one of the M.D’s was honest enough to say that he did think there was not enough proof that chiropractic caused strokes.”

I continued” You know in my practice, I take a detailed medical history looking for hypertension, headaches, bad diet or other factors that I may suspect predispose the patient to a stroke and then in the exam, I include blood pressure, pulse rates,  and I do a number of vertebra-basilar tests and have the patient move their head in all ranges of motion, and note any signs of nausea, tinnitus, vertigo, light headaches, slurring of speech, dizziness or nystagmus may indicate vascular compromise or stenosis of the carotid or vertebral arteries

Here’s some more information on some of those tests: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=37567

www.rollanet.org/~mhall/orthotests-midterm.doc

The second thing that I talk to people about when they ask about chiropractic causing strokes is I ask if they have seen newspaper articles about this and then I ask if they read the complete article. Because I say in every article that I have seen with the headline screaming “Stroke Caused by Chiropractic” it will say, at the end of the article, who did the chiropractic adjustment that supposedly caused the stroke.

And guess what? It’s never a chiropractor.

It’s a personal trainer, a physical therapist or some other person who has not had the training in how to do an adjustment safely.

Chiropractors go through two years of intensive training on how to do adjustments and we practice for those two years on each other before we are allowed to touch a patient in the school clinics for another two years. So that is a total of 4 yrs of practicing how to adjust before we get our licenses.

And the third point that I put across to people is I ask if they know how malpractice insurance premiums are calculated and if they know the difference in premiums between different medical specialties and chiropractic.

Insurance premiums are calculated via actuarial science which is the discipline that applies mathematical and statistical methods to assess risk in the insurance and finance industries; they involve in malpractice the risk of the procedure to cause mortality and injury. group vs. individual practice, involvement w/ an HMO, etc. http://en.wikipedia.org/wiki/Actuarial_science

A family physician or an internist may have a malpractice premium of $20,000 to $40,000. This premium goes up depending on their specialty; surgeons have the highest premiums.

As a chiropractor in solo practice, not signed up w/ an HMO, my malpractice premium is $3000. So according actuarial science, chiropractic adjustments done by properly trained doctors of chiropractors is a fairly safe procedure.

Who then, I ask, are doing the dangerous procedures??

“Not the chiropractors” said the women. “That’s right, pass it on!” I said, and headed inside to the ceremony.

© 2010-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

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The Correct Use of Muscle Testing in Nutritional Evaluation in Applied Kinesiology

When I’m meeting new people at a social or a networking event, I introduce myself as a Doctor of Chiropractic and an Applied Kinesiologist. Sometimes they have no idea what AK is and I fill them in. But most of the time, they will say something like “I had someone touch a spot on me and then pull down on my outstretched arm. It was weak. Then I held a bottle of pills and was told I needed them. Is that Applied Kinesiology?”

This is one of the big abuses of muscle testing.

In Applied Kinesiology, muscles are related to themselves and the joints they cross, their spinal innervation, their neuro-lymphathic & neuro-vascular points, the Chinese acupuncture meridian associated with them and the organs/glands via the meridian system.

So how does nutritional muscle testing work? First it is muscle specific, pulling down on an outstretched arm is not specific as it involves a number of muscles. And holding a bottle in hand stimulates nothing in your brain except maybe a placebo effect.

Here’s an example: a patient comes in with a shoulder problem and upon examination I find that one of the patient’s internal rotators – the Pectoralis Clavicular Major is weak.

The Pectoralis Clavicular is innervated by the lateral pectoral nerve that comes from the 5th & 6th cervical spinal nerves, it is associated w/ the Stomach meridian and in Chinese five-element theory is associated with worry.

Does the patient have a weak Pectoralis on one or do both sides tested together come up weak – a possible sign of cranial faults that need to be fixed? Does the patient have a history of digestive problems, heartburn, bloating, blenching, constipation? Is the patient experiencing emotional worries?

If no, then I proceed w/ either stretching or toning the muscle, rubbing out the neuro-lymphatic and neuro-vascular points for the muscles and seeing if the meridian is involved and seeing if the C5-6 spinal segments, the shoulder joints, clavicle or the sternum (breastbone ) or the ribs need to be adjusted. I then re-test the muscle to see if the problem is now fixed.

IMG_9084Retouched & crop

If yes, I proceed with the above as correcting the structural first sometime will help the digestive problems. A case in point is a patient with a lack of hydrochloric acid, indicated by bilateral pectoralis major weakness. Taking hydrochloric acid may clear the weakness.

But if the HCl is given, it hides the indicator for a temporal bulge or other cranial fault. A cranial fault may be causing entrapment of the Vagus nerve, thus causing hypochlorhydria that is responsible for the digestive problem in the first place. The proper approach is to correct the cranium and any other structural factor that is causing the hypochlorhydria.

I then talk to the patient about their diet, what foods or food combinations may be problematic for them and what supplements and medications – over the counter & prescription that they may be taking and to keep a food diary in which the patient also notes any digestive problems.

For example, the patient may have been advised to take Tums in order to get calcium; unfortunately the calcium carbonate in Tums is acting as an antacid and is adversely affecting the patient’s ability to digest and absorb food (including calcium) Take the patient off the Tums and the HCL problem resolves

I also talk to the patient about any emotional problems or stresses that may be affected them and we work w/ emotional meridian releasing techniques that the patient can also do at home.

On the next visit if the structural and emotional interactions have cleared then I test for nutritional factors such as HCL, or food allergies/sensitivities The patient is tested by placing sample of either the supplement or food in their mouth and having them chew in order to stimulate gustatory receptors in the brain and then the Pectoralis is then re-tested to see if there is a change in the muscle strength. The patient is then advised take whatever strengthened the indicator muscle and asked to note any changes in their food diary.

If nutritional testing doesn’t resolve the muscle weakness, then the patient may be advised to have some standard testing done such as testing for H. Pylori or anemia which can be affecting digestion such as iron, folic acid or B12 deficiencies.

On the following visit, the patient will continue to be evaluated to see if the digestive problems have resolved, if the structural and emotional indicators have resolved and when the patient no longer needs to take the supplementation.

As you see, the proper use of applied kinesiology in evaluating nutrition is made within the total framework of the triad of health – structural, emotional, chemical and includes both standard and kinesiologicial diagnostic procedures that confirm the need for the nutrition.

Correlation of applied kinesiology muscle testing findings with serum immunoglobulin levels for food allergies

©  2010-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

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The Beginning of My Journey as a Healer

It would seem that I have been heading this way for quite awhile. My journey to become a healer started with a journey of healing myself. I started this journey as a constipated child who had a cold at least once a month and whose ragweed allergy was getting worse every year.

At 18, I was in the Italian Alps; a cousin introduced to a whole grain product called muesli. It was my first un-constipated summer. Back in New York City I was having a hard time finding this product until I found this hole-in the-wall health food store. I had my first taste of carrot juice and left with the muesli, some brown rice and a resolution not to overcook my vegetables.

In the next seven years, my journey included changes in my diet, martial arts and studies of nutrition, herbs and homeopathics. During this time I was seriously thinking about what to do for the rest of my life. People around me were always asking me for back rubs; saying what good hands I had So in 1976, I started studying massage.

Also at this time, I had intensified my martial arts studies and was having muscle strains and spasms that no amount of stretching or massage seemed to help. A fellow student suggested that I go see “old Doc Christie” – a 75 yr old chiropractor whose mind was as clear as her body was strong. I would sit for hours watching her adjust her patients and listening to her talk about subluxations, nerve energy flow, spinal manipulations, extremity manipulations, enemas and liver detox. My ragweed allergy was improving.

My martial arts teacher told me about applied kinesiology; it was a technique that incorporated chiropractic with muscle balancing, organ neurovascular & neuro-lymphatic points, cranial-sacral work, nutritional consultation and acupressure therapy. In order to do this work, you couldn’t do assembly line chiropractic. You had to spend time: do a complete exam and really get to the different factors involved in the patient’s complaint.

In chiropractic college and in my practice, I have polished this idea like a diamond. I have incorporated studies on intestinal wall integrity, IgG food allergies and the interconnections between these and the immune system, the respiratory system, low back pain, arthritis, fibromyalgia, chronic fatigue and degenerative disc problems.

And by the way my ragweed allergy is long gone.

The above appeared in Free Spirit magazine; Feb-March 1998

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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Are you utilizing your folic acid? The case for metabolically active form of folic acid – L-5-MTHF

Roughly one-third of the general population may have a genetic variation that impairs their ability to properly utilize folic acid.

L-5-methyltetrahydrofolate (L-5-MTHF) is the metabolically active form of folic acid. The folic acid found in food has to be cleaved (digested) from protein carriers in order to be absorbed. This process is inefficient in some individuals. Once absorbed, dietary (and supplemental) folic acid has to then undergo several biochemical conversions in the body to become L-5-MTHF. Roughly one in three Americans have genetically inefficient enzymes that help create L-5-MTHF. By supplementing with L-5-MTHF, one can be assured of getting the benefits of folic acid, regardless of their ability to absorb or convert it to the active form. If you are an individual with impaired ability to utilize regular folic acid, L-5-MTHF supplementation can make a truly dramatic difference in your health.

L-5-MTHF plays a role in DNA synthesis and repair. Inadequate levels of 5-MTHF is linked to childhood leukemia. Cancers of the colon and breast are also associated with suboptimal L-5-MTHF status, as is the precancerous condition called cervical dysplasia. In a study involving smokers, high doses of folic acid and vitamin B12 reversed precancerous cellular changes in the lungs.

Folic acid’s importance to human health has to do in part with its role in a biochemical process called methylation. Methylation refers to the transfer of methyl groups (one carbon bound to three hydrogen atoms). Methylation occurs billions of times in the body each day and is essential for health.

L-5-MTHF is very important to genetic expression. Methyl groups are strategically placed on certain genes to inactivate them. Every cell in the human body has the genetic information to produce every other type of cell. The thing is that most of the genes are not active. Methyl groups (supplied indirectly by L-5-MTHF) silence the genes that should not be active in a given cell at a given time. This is obviously critical for good health. Some of the genes within our cells are tumor promoters. Proper methylation, which requires L-5-MTHF, keeps these genes silenced. The importance of L-5-MTHF involves more than its role in promoting proper genetic expression, DNA synthesis and repair.

L-5-MTHF also plays a role in dopamine and serotonin metabolism.

L-5-MTHF also plays an important role L-5-MTHF also plays an important role in detoxication of a variety of compounds, including environmental toxins (such as mercury, lead, arsenic and tin), medications, and some of the body’s own hormones. Estrogens are detoxified through methylation. Inadequate levels of L-5-MTHF cause potentially toxic build-up of estrogens in the body, which increases risk to breast, prostate and other cancers. Other conditions of estrogen excess, such as uterine fibroids and endometriosis, are also more likely to occur and be more severe. Histamine, epinephrine (adrenaline), and norepinephrine are also detoxified by methylation. Inadequate L-5-MTHF could therefore potentially worsen allergy and stress-related symptoms.

L-5-MTHF is critical for the detoxication of homocysteine. Conditions associated with elevated homocysteine levels include coronary artery disease, heart attack, stroke, deep vein thrombosis, peripheral vascular disease, miscarriage, birth defects, depression, sensorineural hearing loss, osteoporosis, cancer, arthritis, dementia, Alzheimer’s disease, Parkinson’s disease, and complications of diabetes. Do you know what your homocysteine level is?

© 2009-Dr. Vittoria Repetto

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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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