Medical Articles Of Interest for February 2017

Eggs, High Dietary Cholesterol Not Linked to Increased Risk for Dementia, Alzheimer’s

Dr Repetto’s comment: Egg yolks contain choline, a supplement important for brain health.

Matching the Right Diet to the Right Patient

Sitting Less Linked to Lower Risk of Diabetes

DHA Supplements Linked to Less Progression to Alzheimer’s in APOE4 Carriers

More Support for Gut-Brain Link in Autism

Mediterranean Diet With Olive Oil Boosted HDL Function: PREDIMED

Dietary Protein – From Any Source – May Help Muscle Health

Vitamin D May Protect Against Respiratory Infections

Studies Suggest Cardiovascular Sweet Spot at Two Drinks per Day

Sports Hernias, Adductor Injuries, and Hip Problems Are Linked

 

Getting Rid of Inflammation w/ Specialized Pro-resolving Mediators (SPMs) – A NYC Chiropractor/Applied Kinesiologist Explains

Two weeks ago, I attended a mini-seminar from Metagenics on the use of Specialized Pro-resolving Mediators (SPMs) for the resolution of inflammation.

As you may know, inflammation is an immune response to insults such as injuries (cuts, wounds, vertebral and extremity misalignments, muscle spasms, infections (bacterial, viral or fungal) or unhealthy dietary patterns.

Although acute inflammation is a normal protective response, it can give rise to chronic inflammation if left unresolved.

Extensive research suggests that the SPMs found in OmegaGenics SPM Active (17-HDHA and 18- HEPE) may promote the body’s natural resolution of the immune response. The research has discovered that SPMs are produced at the inflamed site after the initial inflammatory response and function as “resolution agonists,” orchestrating resolution to facilitate the return to homeostasis and tissue healing. http://www.metagenics.com/spm-active-specialized-pro-resolving-mediators

An important key to controlling/resolving inflammation and subsequently preventing chronic inflammatory conditions lies in SPMs and their pro-resolving properties.

SPMs are produced from long-chain polyunsaturated fatty acids – especially EPA and DHA – illustrating the importance of appropriate nutrition in the body’s resolution of inflammation.

Although EPA and DHA are metabolic precursors of SPMs, SPMs are directly responsible for resolution activities whereas EPA/DHA are involved in other beneficial biological activities.

This means that a smaller amount of SPMs can resolve inflammation better than a “ton” of EPA/DHA.

Please see the following video: Fish Oils vs SPMs: What’s the Difference?
https://vimeo.com/131679216

Anti-inflammatory drugs (NSAID’s) have been the go-to therapy for many acute and chronic inflammatory conditions. However, anti-inflammation is not the same as pro-resolution.  

To put it another way, NSAID’s shut off the fire alarm signaling inflammation while SPMs put out the fire.

In fact, NSAID’s may delay resolution activities and undermine the body’s attempt return to homeostasis and tissue healing. Unresolved inflammation and unhealed tissue can lead to fibrosis that can impair organ and muscle function.

In fact, a recent research paper review http://www.medscape.com/viewarticle/853216 Is Long-Term NSAID Use Harmful to Athletes? noted “Most recent reviews have come down on the side of restricting the use of NSAIDs, pending more information “Anti-inflammatory drugs seem to inhibit the healing process of connective tissue and the stimulating effect of exercise on connective tissue protein synthesis,” concluded the authors of a 2014 review in the journal Connective Tissue Research.

And the paper also noted, One reason for caution is that NSAIDs can cause many side effects, including kidney disease, asthma exacerbation, gastrointestinal and renal side-effects, hypertension, and other cardiovascular diseases, in addition to whatever effects they have on muscle.”

SPM Active Specialized Pro-resolving Mediators

spm_active_60sg_lme186d1_60cc_rt_0

SPM Active is a revolutionary nutritional product developed through advanced fractionation technology featuring standardized levels of SPMs (specialized pro-resolving mediators) found in fish oil. Designed to support the body’s natural capacity to respond to physical challenges and resolve physical stress.*

Benefits:

  • A breakthrough in tissue health and immune response support*
  • Supports healthy immune cell (i.e., macrophage) resolution-related activities*

To order please go the Metagenics.com, click on Create a New Account on the top right side of the page, and use Practitioner Code DrVittoriaRepetto 20% discount on first order

For more on a integrative approach to resolving inflammation, please read https://drvittoriarepetto.wordpress.com/2015/07/18/chronic-inflammation-and-how-chiropractic-applied-kinesiology-can-help/

If you have any questions about SPMs and resolving inflammation, feel free to give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com

 

 

 

© 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/

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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? 

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Taking Neuro-Kinetic Therapy Seminar – Sept. 12nd & 13th

Neuro-Kinetic Therapy takes off from Applied Kinesiology’s Muscle Testing by looking at how the body compensates for injuries.
David Weinstock , the founder of Neuro_kinetic Therapy, using muscle testing found that when a patient could test strong in an initial muscle test but then tested weak immediately after the patient used some other muscle.
Weinstock found that even after the patient’s body should have healed in the area of the past trauma, the patient’s was inhibiting certain muscles and forcing other muscles to work overtime to compensate for those inhibited muscles. The body had created compensation patterns and these were being stored in the cerebellum – which serves as the control center for motor skills.
In Neuro-kinetic therapy, the compensating muscle and the weak muscle are worked on. The compensating muscle  is relaxed and then the weak muscle is re-tested. The body tries to active the compensating muscle but since it is now relaxed, the body now has to use the correct one.
The formerly weak muscle now has an uninhibited working connection to the cerebellum and falls out of the learned compensating mode
I look forward to adding and perfecting this technique in order to serve my patients better.

© 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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The Importance of a Proper Chiropractic Examination – A NYC Chiropractor’s/Applied Kinesiologist’s Take

Doing a proper examination with a new patient is of the upmost importance. It not only shows where the patient’s pain/problem is but it shows the location of the origin of the pain/problem and contributing factors.

For example, the patient may be complaining of posterior leg pain but orthopedic and neurological testing will show at what spinal nerve level does that leg pain originates from.

What muscles are weak or in spasm? For example, is the nerve being compressed by a spastic piriformis as the nerve travels down the buttock or is a weak piriformis or gluteus maximus allowing for instability in the lumbo-sacral or sacro-illiac joints.

testing rectus femoris

What is the history of this patient? A proper examination includes the filling out of an intake form which includes history of past injuries and current health problems.

Has this patient had a history of ankle injuries which may have affected their gait and caused compensation in the pelvis, hips or torso of the patient? Did that compensation set the patient up for problems down the road.

Does this patient have problems like acid reflux or breathing problems where the diaphragm is not working properly and therefore causing over-compensation in the abdominal muscles which support the low back or over-compensation in the neck muscles contributing to neck pain.

Does this patient have a history of hypertension; then a taking of the patient’s blood pressure is part of their examination. Are there white spots on their nails or do they bruise easily; patient may need certain supplements to improve oxygen flow/wound healing and cut down on chronic inflammation.

Does the patient have problems with urination or gout; these problems may show up as an energy blockage in the kidney meridian and the psoas muscles which is linked in applied kinesiology to the kidney meridian. Stimulation of acu-points on the kidney meridian may affect the psoas; part of which is located in the front of the lumbar spine and an imbalance can contribute to low back pain.

For more on use of applied kinesiology in a chiropractic examination; please see https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/

Range of motion testing shows not only what movements are painful but it is also important as it gives a clue of what muscles may be involved. Range of motion after treatment is a quick test of how the patient is doing.

A proper examination (and following treatments) also requires that the patient is either wearing an examination gown (women) or down to their underwear (men). This enables me as the doctor to rule out anatomical problems such as a swollen ankle or knee as contributing to the patient’s complaint.

The doctor can also rule out health problems that cause pain that need to be referred out. For example an established patient came in complaining of posterior pelvic pain and since she was in an examination gown, I noted a rash. The rash was herpes zoster and she needed to be referred out as well as needing nutritional advice and an adjustment. If she was still wearing street clothes as in many chiropractic practices, I would have not known the “real” cause of her pain.

The above examination takes time and is geared for a chiropractic and applied kinesiology practice not for a quickie fifteen minute /3x a week practice. . Unfortunately a lot of chiropractors do not do a complete examination which I deduce when new patients who have previously seen another chiropractor ask me when I enter the examination room if they should lay face down. No I say, I need to do an examination first.

If you are interested in a comprehensive examination and treatment, please free to contact me at drvittoriarepett@aol.com or call me at 212-431-3724. 

 

© 2015-Dr. Vittoria Repetto

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

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

 Want to be in the know on holistic information and postings? 

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

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Chronic Inflammation and How Chiropractic & Applied Kinesiology Can Help.

First what is inflammation?

Acute inflammation is our body’s natural reaction to infection, trauma, irritants and other hurtful stimuli. Inflammation is an innate reaction that helps remove the hurtful stimulus out and starts the healing process. The signs of inflammation are pain, heat, redness and sometimes loss of function.

However inflammation becomes problematic when it becomes chronic. The body goes into a vicious cycle; creating more of an inflammatory response to get rid of the chronic problem which causes tissue damage and has dire consequences. This can be aggravated by certain foods and lifestyles; too enough sleep, too much stress, muscle/joint/spinal dysfunction, a diet full of processed nutrient – poor foods, overuse of prescription and OTC drugs, food allergies/intolerances, poor gut microbiology and leaky gut.

Chronic inflammation can also be the result of an autoimmune response where the immune system mistakes healthy tissue for unhealthy pathogens.

A lot of people don’t find out that they have chronic inflammation until they’re diagnosed with a disease that’s associated with it such as atherosclerosis, degenerative or herniated disc problems, celiac disease, asthma, inflammatory bowel disease and even cancer.

Some other signs include: high blood pressure, fatigue, skin problems, constipation or diarrhea, joint pain, shortness of breath and indigestion.

chronic-inflammation

So it is important to help the body get rid of any chronic inflammation.

Chiropractic and applied kinesiology are some of the best tools you could ever ask for in the fight against chronic inflammation. Studies have shown that adjustments help reduce the production of two inflammatory cytokines, which can reduce inflammation throughout the body.

Here are 2 such studies: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291009/ Tissue Damage Markers after a Spinal Manipulation in Healthy Subjects: A Preliminary Report of a Randomized Control   http://www.ncbi.nlm.nih.gov/pubmed/24450367  Changes in biochemical markers of pain perception and stress response after spinal manipulation.

As an applied Kinesiologist, I deal with increasing blood and lymphatic flow to the spine, muscles and joints and organs.

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/2014/12/20/a-nyc-chiropractor-talks-about-the-triad-of-health-in-applied-kinesiology/

I can also assist patients in the fight against chronic inflammation in other ways too.

Chronic inflammation responds very well to lifestyle changes. I can advise how to begin an anti-inflammation diet. Vitamin D, Omega 3’s and magnesium as well as other supplements may also provide relief from chronic inflammation.

Eliminating food allergies or intolerances, improving helpful gut bacteria microbiology, improving leaky gut and fixing spastic intestinal valves are a big part of decreasing chronic inflammation. https://drvittoriarepetto.wordpress.com/2010/05/15/it%e2%80%99s-not-a-food-allergy-maybe-it%e2%80%99s-a-food-intolerance/      

https://drvittoriarepetto.wordpress.com/2009/05/23/what-is-an-ileo-cecal-valve-and-how-is-it-related-to-your-digestive-health/

Exercise, proper nutrition and regular chiropractic care can go a long way toward treating a variety of health problems, including chronic inflammation.

If you are suffering from chronic inflammation; please contact me at 212-431-3724 or at http://wwww,drvittoriarepetto.com

 

 

© 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

 

Bursitis: How a NYC Chiropractor/Applied Kinesiologist/NeuroKineticTherapist Treats It.

First, what is a bursa (bursae)? A bursa is any small pouch or sac between tendons, muscles or bony joints at points of friction or stress which contains a very slippery synovial fluid which allows the two sides of the sac to slide freely. http://en.wikipedia.org/wiki/Synovial_bursa

The term “bursitis” is a combination of “bursa” and “itis,” a word termination meaning inflammation of the bursa. Bursitis is an inflammation of the lubricating membrane. The classic signs of inflammation are pain, heat, redness and swelling.

The most common bursae sites involved in bursitis are at the shoulder, elbow, hip joint, knee and heel.

Here’s an image of the shoulder bursa:

bursitis_shoulder

Bursitis can be caused by trauma, infection or crystal deposits. Trauma is the most common type; it usually develops from mechanical stress due to overuse, direct injury or muscle/joint misalignment.

Bursitis caused by trauma is usually what a doctor of chiropractic who uses applied kinesiology and neurokinetic therapy will see so I will confine my discussion to that type.

Repetitive activities as in sports or washing a floor on your knees are examples of overuse. Falling or hitting a joint can cause inflammation to the bursa.

Muscle/joint misalignment is often an overlooked but very common cause of bursitis; joints depend on the contraction of certain muscles that move the joint in the desired direction and the relaxation of opposing muscles.

Improper contraction or using the wrong set of muscles or the joint not being in the correct position to allow the correct contraction can cause a misalignment problem and stress the bursa and cause inflammation.

When a patient comes in with a bursitis problem, one of the first things that I do is test the surrounding muscles for any weaknesses or spasms as a muscle imbalance will affect the joint and the bursa.

In the case of shoulder bursitis, I ask  is there a dysfunction in the coordination of muscles working in patterns. Is the biceps or pectoralis major or trapezius   compensating (facilitating)  for weak or inhibited muscles like the deltoid or rotator cuff muscles , for example. or vice versa. Muscle imbalance can cause uneven pull or  misalignment of the joints that surround the bursa; causing inflammation of the bursa.

Weak muscles are strengthened and muscle spasms or compensating muscles are relaxed via spindle and golgi tendon work. Blood flow to the muscles is improved by working on neuro-vascular points and lymphatic flow.

The joint alignment is checked and any misalignment is corrected by adjustment of the joint.
For information on specific techniques, please read:

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

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

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

Adequate nutrition for repair and health of the bursa is discussed with the patient.

Sometimes chronic systemic inflammation in a patient requires improving the gut digestion as this can affect one’s joint.

Applications of ice decreases swelling and use of wet heat increases blood and lymph flow to promote healing.

Lifestyle changes are recommended; for example if one has to kneel for work, heel pads are suggested. And proper stretching and exercises are recommended to support the joint and the muscles crossing the bursa.

© 2015-Dr. Vittoria Repetto/revised – 2016

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