Looking Globally /Not Chasing Pain: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

When patients come in with a local problem such as leg  pain, the first question is where is the source of the pain; is it from the leg itself or the the low back. The other important question is what “set up” the problem. Without answering this question,the problem is not really resolved; the patient will come back with the problem again; you will be just “chasing pain*.”

The answer to the second but more important question may be in the global muscles or core stabilization muscles, these muscles are the Rectus Abdominus, the Transverus Abdominus, the Internal & External Obliques, the Quadratus Lumborum, the Erector Spinae and the Multifidus.

Recently new patient came in complaining of feeling “unbalanced on her right side” siting specifically her right leg and hip.

The lower extremities were a quick fix: a Rectus Femoris – major muscles in the front of the thigh -compensating for a weak Gluteus Maximus. Also the patella and the rotation of the femur (thigh bone) on the tibia (lower leg bone) needed to be adjusted and the Popliteus ( a muscle that rotates the tibia) released.

But during the examination, on lateral flexion of her truck, I noted that her rt shoulder was rotating. I asked her to try to not rotate her shoulder but she was unable; in fact she was unaware of doing it.

I tested her Oblique muscles and they were weak on the right side. Touching (therapy localizing) her Quadratus Lumborum strengthened her Obliques when retested. So I released the QL and the Oblique were strong.

A Category One pelvis which involves rotation was found and fixed.

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

When she stood back up, the rt. leg felt balanced and the rotation of her shoulder on lateral flexion was gone.

It was a great illustration of how sometimes part of the problem you have to look above the area of complaint to truly fix the problem; a local problem with a global part.

Stretches and exercises were given as homework.

In my practice, I Iisten, observe and test during the examination and use a combination of NKT, Applied Kinesiology and Chiropractic to help my patients; it’s a strong combination.

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

The Use of Applied Kinesiology in a Chiropractic Examination

© 2017-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her  ANYCpplied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com

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

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

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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A NYC Chiropractor/Applied Kinesiologist Starts Adding Neuro Kinetic Therapy to the Mix

As some of you know I took the Level 1 seminar of Neuro Kinetic Therapy earlier this September. https://drvittoriarepetto.wordpress.com/2015/09/01/taking-neuro-kinetic-therapy-seminar-sept-12nd-13th/

While Applied Kinesiology looks mainly at balancing individual muscles, NKT works with the theory that 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 (Faulty Movement Patterns).

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) https://en.wikipedia.org/wiki/Anatomical_terms_of_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.

One can then use whatever techniques the practitioner knows in order to release the compensating muscle; in my case, I use the following AK techniques. https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lymphatics-to-improve-health/

https://drvittoriarepetto.wordpress.com/2011/07/29/how-a-nyc-applied-kinesiologist-uses-neurovascular-pts-for-better-physical-and-emotional-wellbeing/

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.

Corrective exercises to restore proper movement patterns and reprogram the motor control center can be given.

Here is an example in which I used a mix of AK & NKT:

A male patient came in with rt. low back/lumbar flank pain after sneezing in the shower; patient said that he was “unprepared for the sneeze.” He touches the area of his quadratus lumborum. https://en.wikipedia.org/wiki/Quadratus_lumborum_muscle

I first test the psoas; an important muscle for the low back which I always test in low back problems and a muscle which connects with the diaphragm muscle.    http://corewalking.com/walking-and-breathing/ 

I find the rt. QL and lt. psoas weak; I ask the patient to touch the sternum which is the neuro-lymphatic point for the diaphragm; the main breathing muscle involved in a sudden sneeze. I then retested the weak QL and psoas while patient is touching  (therapy localizing); they now test strong.

I then rub the neuro lymphatic pt. for the diaphragm and find a place on his rib that is tender and flailing out due to over contraction of the diaphragm and massage to get a release.

I then retest the QL and the psoas, they both test strong; the retesting created a “neural lock.” I then adjust the patient’s spine and pelvis. Corrective exercises 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? 

https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/

Or join me at Twitter: www.twitter.com/DrVRepetto