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Dr. Vittoria Repetto – NYC Chiropractor & Applied Kinesiologist

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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

What is Applied Kinesiology & What It is Not – A NYC Chiropractor/Applied Kinesiologist Explains

Applied Kinesiology (AK) can be defined as the clinical application of the study of movement and function; it is functional neurology.

AK is a system of testing and treatment that is used to assess the body’s functional aberrations.

These functional aberrations may be but not limited to:

    • Muscular
    • Neurological
    • Vascular
    • Osseous
    • Lymphatic
    • Respiratory
    • Digestive
    • Endocrine
    • Imbalance in the Chinese Meridian systems
    • Nutritional Problem

AK always uses specific muscles for testing in different areas of the body. When a weakness is found, the question that the AK doctor has to answer is why the weakness is there ; is it due to the muscle itself, the joints it connects to, it’s spinal innervation, or the organ or chinese meridian it is associated with or a problem in nutrition, etc.

Therapies to induce or restore individual normal function include but not limited to:

    • Chiropractic adjustive therapy
    • Cranial techniques
    • Therapeutic massage modalities
    • Reflex therapies
    • Acupuncture therapies
    • Exercise & stretches
    • Nutritional supplementation
    • Emotional support or modalities
    • Lifestyle changes

With the aim of decreasing cumulative noxious stimuli below threshold and allowing the body to heal itself.

AK does not replace standard examination procedures such as neurological and orthopedic testing, blood laboratory work or X-rays but rather it is another examination tool at the doctor’s disposal.

testing rectus femoris

Applied Kinesiology (AK) is a continually evolving system that provides the doctor with the skills and knowledge to purposefully, systematically and logically ascertain the optimal treatment of the patient.

“Real” AK doctors are either listed at the ICAKUSA.com website or have a diploma on their wall saying that they took the 100 hr AK course and passed the certification exam.

Applied Kinesiology Is Not:

Using multiple muscles at once for testing; as in using an outstretched arm.

Testing nutritional needs by holding bottles in your hand or placing pills on the skin.

Touch for health or any other forms of evaluation using muscle testing as a simple yes-no answer system.

Testing using mental telepathy.

A simplistic cookie cutter approach to treatment.

For more information:

https://drvittoriarepetto.wordpress.com/2011/12/09/problem-w-misuse-of-neurolymphatics-organ-muscle-connection/

https://drvittoriarepetto.wordpress.com/2010/01/17/the-correct-way-to-do-nutritional-evaluation-by-muscle-testing-in-applied-kinesiology/

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

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

© 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

 

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? 

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? 

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

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

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/

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

 

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