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

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

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

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

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

TOS

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

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

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

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

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

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

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

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

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

forearm muscles

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

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

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

 

© 2015-Dr. Vittoria Repetto

© Revised 2016 – Dr Vittoria Repetto

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

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

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

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

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

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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

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

 

Rotator Cuff Syndrome: How a NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Treats It

Symptoms of a Rotator Cuff Syndrome are pain and tenderness in the area of the shoulder and the scapula (shoulder blade) and the involved muscles and loss of movement in these joints. Sometimes the clavicle is involved also.

The primary muscles involved are the SITS muscles; supraspinatus, infraspinatus, teres minor and the subscapularis.

rotatorcuff

The secondary muscles of shoulder movement include (but not limited to) the latissmus dorsi, the rhomboid, the triceps, the trapezius, the pectoralis major (claviclar and sternal), the biceps and the deltoid.

The first thing that I do in my treatment of this problem is checking for problems in the tone are the above mentioned muscles; the muscles can be either hypo (too little) or hyper (too much). The spindle and golgi tendons are tested for involvement and adjusted according to what is needed. Please see https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

The neuro-vascular points for the muscles involved are worked on to improve blood flow to these muscles and the neuro-lymphatic points are also worked on to improve lymphatic flow which helps drains toxics from the muscle and increase fluid flow to the muscles. Please check out https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

I also check with neuro kinetic therapy to identify  muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating for them.  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

Then the shoulder joint, scapula and clavicle are checked for proper alignment and adjusted where needed.

Nerve flow to these muscles and joints is maximized by getting movement to the vertebrae areas of the lower cervical and upper thoracic https://drvittoriarepetto.wordpress.com/2010/07/17/the-subluxationspinal-joint-dysfunction/

Proper nutrition and exercises for joint/ muscle movement/repair are given.

 

 

© 2014-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

 

No Insurance, No Problem. Reasonable Rates with Dr. Repetto – NYC Chiropractor / Applied Kinesiologist

Hi!, I’m Dr. Vittoria Repetto, a native downtown New Yorker and Doctor of Chiropractor and an Applied Kinesiologist who has been in practice since 1987. And recently a Neuro Kinetic Therapy practitioner.

I treat the whole person, not just your symptoms. I know that balancing your structure, your biochemistry and your mental outlook all contribute to your well-being.

Each of my 75 minute long wellness sessions is unique and composed of interrelated holistic therapies that work together to achieve maximum benefits.

I am not affiliated with any insurance network.

If I belonged to a network I would have to see patients in an assembly line fashion (10-15 minutes). I would not be able to take time to, for example, balance the muscle pull on your spine or extremities or to do cranial sacral work or acupressure work or talk to you about your nutritional needs or suggest exercises or lifestyle changes related to your condition.

Therefore I ask that my patients pay me directly and I fill out their insurance claim form and they get reimbursed by their insurance company if they are allowed to go “out of network” by their policy.

I charge $150 for the initial visit which includes consultation, examination and treatment and the $120 for the following visits.

The fees for my practice are moderate by New York City standards; most doctors offering similar therapies charge $ 200 to $300 for their visits and spend less time on each visit .

My fees can be paid in cash and check (no credit cards). Payment is expected at the time of service..

Services include:

  • Spinal Manipulation
  • Extremity Manipulation
  • Jaw (TMJ) Manipulation
  • NeuroKinetic Therapy
  • Cranial – Sacral Work
  • Chinese Five Element Energy /Acupressure Therapy
  • Organ Vascular & Lymphatic Therapy
  • Muscle Balancing
  • Emotional Balancing
  • Stress Reduction
  • Galvinic Therapy
  • Nutritional Consultation

Because of my Whole Person approach to wellness, I have helped patients with both short-term problems and long-term unresolved problems become free of their complaints.

And because I spend a good deal of time with you and because of my use of interrelated therapies, unlike a lot of doctors, I don’t require you to come in three times a week.

Some of the complaints that I have helped in the last 29 years are:

  • Musculoskeletal problems such as low back pain, neck pain, sciatica, carpal tunnel, rotator cuff problems, knee pain, muscle pains
  • Headaches, Migraines
  • High blood pressure, fatique, low energy, problems losing weight, dizziness, vertigo, poor memory
  • Digestive problems such as constipation, diarrhea, belching, bloating, difficulty with certain foods, heartburn,
  • Respiratory problems such as hyper-sensitivity to pollen, ragweed, etc, difficulty breathing, frequent colds, sinus problems
  • Immune problems such as frequesnt colds, flu, infections
  • Menstrual cramps, hot flashes, irregular cycles, etc

So if you  want to utilize non-pharmacological means of getting relief, please give me a call at 212-431-3724. I’m located at 230 W 13th St #1B, NYC 10011 (between 7th & Greenwich Ave)

I’m  also the writer of this  blog, in which I talk about chiropractic, applied kinesiology techniques, muscle balancing, my thoughts on nutrition and healing and as befits a foodie and a daughter of an Italian chef, even some healthy and delicious recipes.

 

 © 2012-Dr. Vittoria Repetto
 © 2016 – revised – Dr Vittoria Repetto
Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/NKT practice; please go to www.drvittoriarepetto.com.
And please check out the Patient Testimonials page at my  web site.

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

At least 5-8 times a year, I’ll get a patient in that tells me that they have seen a chiropractor for their upper neck pain (or another part of their spine) but it never resolved.

I smile and do the usual orthopedic and neurological testing along with muscle testing neck muscles like the cervical erector, the SCM & the Scalene Anticus.

And then I go and test muscles bilaterally such as the Psoas muscle a major muscle of locomotion or the Gluteus Maximus; both of these muscle being strong postural muscles

And sure enough one of these muscles will test weak bilaterally. I then ask the patient to place two fingers (or therapy localize) on two different segments (vertebrae) bilaterally and then re-test.

If the muscle being tested is strengthened, then I know that the problem is not a subluxation where one or two vertebrae are misaligned and fixed in that position but a fixation where two or three vertebrae are fixed on each other.

Adjusting each vertebrae individually does nothing until you adjust both vertebrae at the same time in order to break up the fixation.

Your local certified Applied Kinesiologist who is either a chiropractor or an osteopath has trained in this technique and can help you greatly.

Copyright – 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 Subluxation/Spinal Joint Dysfunction

Whether you just started seeing a chiropractor or are a long-time patient, you’ve probably heard the term “subluxation.” Your chiropractor may have also used the terms vertebral subluxation complex or spinal joint dysfunction . Generally speaking, these terms are interchangeable. However, subluxation has specific qualities to chiropractors and is a word with historical significance.

By definition, subluxation describes a spinal joint (a joint between two vertebrae) or peripheral joint (a joint other than the vertebral joints, like one in your foot or wrist) that is relatively immobile (has restricted motion) or abnormally positioned. An analogy may be as follows: If you have a steering wheel that is stiff and that does not turn all the way, it is “subluxated” and can lead to an accident. The wheel needs to be oiled so that it is loose and moves to its full capacity, helping you to steer properly.

Subluxations can cause local pain and may interfere with or impede the function of the nervous system, joints and muscles. This may decrease the body’s ability to heal and function optimally.

There are generally five components of subluxation, which fall under the broader heading of the vertebral subluxation complex (VSC). These components generally occur sequentially in the following order:

1. Abnormal spinal mechanics Your chiropractor will use his or her hands to assess the movement of your spine or peripheral joints. When a joint is not moving well relative to the joint above or below it, it is said to have abnormal spinal mechanics. This may result from trauma, like a fall, or from chronic mistreatment, like poor posture. If you have abnormal mechanics, you may notice a lack of mobility, such as difficulty moving your head to check your rearview mirror. If not cared for, this can lead to abnormal nerve function. Your chiropractor will use adjustments to restore the restricted motion.

2. Abnormal nerve function Whenever a subluxation does not heal properly there will be a pinched or irritated spinal nerve. That’s because the spinal facet joint is located adjacent to the spinal nerve roots, and sprained spinal joints irritate the roots either by direct pressure (only about 10% to 15% of the time) or by irritation with inflammatory chemicals (85% to 90% of the time). In addition, when the joint is sprained or subluxated the tiny nerve endings in the joint’s cartilage may become damaged. If this happens, it can alter the messages nerves send to the brain and affect the brain’s ability to control the spinal muscles.

3. Abnormal muscle function Whenever there are pinched or irritated spinal nerves there will usually be muscle problems. Pinched (impinged) nerves will cause muscle weakness, whereas irritated nerves may cause muscle strain or spasm. This can lead to muscle inflammation and eventually scar tissue formation or gristle in the muscle. To patients, this feels like tight or rope-like muscles, which are tender to touch. In addition, patients may notice that their muscles burn and tire easily. Left unchecked, this inflammation can spread throughout the spine.

4. Abnormal function of soft tissues around the spine Inflammation that occurs in muscles and joints can cause further complications by spreading to all areas around the spine. With long-term swelling of structures, such as ligaments, disks and other soft tissues, calcium and fibrous materials are laid down. With repeated episodes of subluxation, the spine accumulates an increasingly larger number of abnormal sites. In fact, some MRI studies have shown areas of soft-tissue fibrosis and calcification up to one inch thick around the spine. At the same time, long-term swelling can increase due to improper vascular supply and drainage. From here, full-blown spinal disease is the likely outcome.

5. Disease at the spinal level and of the whole body At this stage, irreversible disease or pathology can occur. This may manifest in the spinal area as bony spurs on the vertebrae, decreased disk height and roughened joint surfaces. Known as osteoarthritis or subluxation degeneration, it can occur at any age, but is increasingly common as people get older. In addition, it can lead to disease or pathology away from the spine, in all body tissues, organs and systems.

auto-motor-sensory-gif

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