Former Employer Dr Loretta French Has Retired

I have recently learned that Dr Loretta French has retired; I worked for Dr, French during my last two years as a chiropractic student back in the mid 1980’s.  Dr Loretta French had a chiropractic & applied kinesiology practice on 88th Street off Madison Ave.

 I learned from her how to intergrate Applied Kinesiology into a chiropractic examination, the importance of a complete orthopedic and neurological examination along with palpation and muscle testing and a history of the patient’s medical history.

And I improved my extremity adjustments with the many dancing students from the Mark Morris and Merce Cunningham dance groups that were referred to her with foot, knee and hip problems.

In short, I’m grateful for the many lessons learned in her office.

© 2020-Dr. Vittoria Repetto

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

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

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Disc Problems: Part 2 – Degenerative Disc Disease – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains

Degenerative disc disease is often thought of as part of the normal aging process, but it is more common in individuals who smoke cigarettes and who do heavy lifting or physical work. Being overweight can also put individuals at an increased risk of degenerative disc disease because the spinal column works harder to carry around excess weight and may break down sooner.

Chronic bad posture can also increase the pressure on the spinal column as well.

Degenerative disc disease may occur when an individual experiences a sudden fall and develops a herniated disc as well.

See Disc Problems: Part 1 – Disc Herniation – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains  for more information about spinal discs

A contributing factor may be due to the loss of fluids in the spinal discs due to dehydration , which reduces the disc’s ability to absorb shock or act as a cushion. Loss of fluid makes the spinal discs thinner and narrows the amount of space in between the vertebrae. It also causes inflexibility in the spine

The loss of disc height narrows the space between the vertebrae and decreases the space from which the spinal nerve exits. (see image below)

This impingement of the spinal nerve can cause pain, numbness or muscle weakness to the area innervated by that spinal nerve.

But let’s talk about an additional contributing factor in degenerative disc disease; and that is the abnormal spinal mechanics caused by what we chiropractors call a subluxation or spinal joint dysfunction.

The Subluxation/Spinal Joint Dysfunction

Spinal joint dysfunction happens when a vertebrae (or more) is not moving freely in all its possible planes.  For example, if the vertebrae is “struck” in its right posterior plane, the rest of the vertebrae compensates by abnormally increased motion in the other planes of the body. This causes increased pressure and a wearing away of the spinal disc.

What is needed is the removal of the “stuck” part or spinal joint dysfunction by a gentle re-alignment to the spine by a doctor of chiropractic such as myself.

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

As I also employ applied kinesiology and neurokinetic therapy techniques, I look for muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating)for them.

A muscle  imbalance can aggravate the spinal j.oint dysfunction by not allowing the release of abnormal joint motion.

A correction of muscle imbalance is part of the treatment for degenerative disc disease as well as increased water intake and anti-inflammatory nutrients.

I use a table that provides flexion distraction and spinal decompression; biomechanically it can open the disc space  by 28%; allowing for a gentle release of pressure on the spinal discs.

Think you may have a disc degeneration  problem? Please give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com. 

And lets talk and see if I can help you.

 

 

© 2019-Dr. Vittoria Repetto

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

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

Want to be in the know on holistic information and postings? Follow me at https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/
Or join me at Twitter: www.twitter.com/DrVRepetto

 

 

Disc Problems: Part 1 – Disc Herniation – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains

Before we begin to talk about herniations; we need to talk about the structure and function of an intervertebral disc.

An intervertebral disc lies between adjacent vertebrae in the vertebral column. There are 23 discs in the human spine: 6 in the neck (cervical) region, 12 in the middle back (thoracic) region, and 5 in the lower back (lumbar) region. Each disc forms a fibrocartilaginous joint ( symphysis), it allows slight movement of the vertebrae, acts as a ligament to hold the vertebrae together, and functions as a shock absorber for the spine. 

Intervertebral discs consist of an outer fibrous ring, the annulus fibrosus  which surrounds an inner gel-like center, the nucleus pulposus. The annulus fibrosus consists of several layers  of tough fibrocartilage that can withstand compressive forces.  The nucleus of the disc acts as a shock absorber…think of it as a gliding ball moving in reaction to the movement of the vertebrae. For example as the spine flexes (bends forward) , the nucleus pulposus moves to the back or posterior of the disc absorbing the impact of the body’s activities and keeping the two vertebrae separated.

 

And as the spine extends , the gliding nucleus moves forward; bend sideways, the gel moves to the opposite side. You get the idea.

However what happens if the spine is “struck in a relatively immobile or restricted  position? That means that the nucleus pulposus is constantly in one location pushing up against the annulus fibers; and between the pressure from the nucleus and the increase of compressive forces from the abnormal spinal movement, the annulus fibers start to weaken. This allow part of the nucleus to protrude (and the fibers ) into either the spinal canal or up against a spinal nerve. This is called herniation or a bulging disc.

 

A spinal disc herniation  can happen during a trauma or a result of chronic abnormal spinal mechanics combined w/ poor posture.  Both the deformed annulus and the gel-like material of the nucleus pulposus can be forced laterally, or posterior, distorting local muscle function, and putting pressure on the nearby nerve. This can give the symptoms typical of nerve root entrapment. These symptoms can vary between parasthaesia (tingling), numbness, chronic or acute pain, either locally or along the area of the body served by the entrapped nerve (dermatome) and loss of muscle tone. 

The two most common areas of herniation are the cervical (neck) vertebrae and the lumbar (low back) vertebrae.  Please see below blogs for more information about problems with these regions.

Cervical Radiculitis – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains What It Is & How She Treats It

How a NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Treats Sciatica

 There are varying degrees of herniation; sometimes there is rupture of the annulus fibers and some of the nucleus pulposus escapes into the spinal canal and the area of the spinal cord. This is called a noncontained extrusion, which sometimes requires a surgical correction.

The degree of herniation requires visualization via MRI. However abnormal findings on MRI do not necessary relate to degree of symptoms; in fact, a number of MRI’s done on asymptomatic volunteers showed various herniations.

A proper examination with orthopedic and neurological testing will show at what spinal nerve level does the pain originates from. Muscle testing will show if an imbalance of muscle pull is affecting the spine and the patient’s posture.

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

The Use of Applied Kinesiology in a Chiropractic Examination

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

I use a table that provides flexion distraction and spinal decompression; biomechanically it can open the disc space  by 28%; allowing for a gentle reversal of the herniation. This table and SOT non-force adjustments produce rapid improvement.

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

As the patient improves, symptoms such as pain or numbness will decrease, orthopedic and neurological tests will go from positive to negative and the muscles will test strong and balanced.

Think you may have a herniation problem? Please give me a call at 212-431-3724 or email me at drvittoriarepett@aol.com. 

And lets talk and see if I can help you.

 

 

© 2019-Dr. Vittoria Repetto

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

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

Want to be in the know on holistic information and postings? Follow me at https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/
Or join me at Twitter: www.twitter.com/DrVRepetto

 

 

 

 

Cervical Radiculitis – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains What It Is & How She Treats It

Cervical radiculitis is when there is damage to the nerve roots of the cervical spine (C4 to T1) causing pain and loss of sensation or muscle weakness  or numbness along the pathway of the peculiar nerve into the shoulder or arm or hand or chest depending on which nerve root pathway is involved.

These pathways are also called dermatomes; see below.

 

Damage to cervical nerve roots occasionally due to some abnormality or defect in the cervical spine resulting in compression of the nerve roots. Some of the abnormalities that cause nerve root impingement at the vertebrae level are disc herniation, disc bulging , formation of bone spurs and a condition called spondylolisthesis  where one vertebra slips forward onto the below vertebra.

Other causes of disc/nerve root compression may be persistent  subluxation of vertebrae or fixation of a group of vertebra. These can be a result of poor posture or an injury such as head trauma or whiplash.

The Subluxation/Spinal Joint Dysfunction

Adding to these problems is the imbalance of surrounding musclature ; for example it is common to find the relationship between the neck flexors and  neck extentors to be completely dysfunctional.

After the orthopedic & neurological tests to find if there is disc compression and which nerve root pathway (dermatone) is affected, a testing of neck, shoulder,chest and arm muscles is d one.  Are there weak muscles?.  Is there a relationship between these weak muscles and other muscles that may be overworking.  Are there muscles that  need to be “turned off” and others need to be actiovated; I can use muscle spindles & golgi  tendons to do this. .

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

Neuro-lymphatic and  neuro-vascular pints are worked on to increase lymph and blood flow to affected muscles.

How an Applied Kinesiologist Uses Neuro Lymphatics to Improve Health

How a NYC Applied Kinesiologist Uses Neurovascular Pts for Better Physical and Emotional Wellbeing.

Any bilaterally weak muscles would point to  fixation of 2 or more vertebra and need to be corrected accordingly .

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

Palpation of the spine to find vertebrae lacking movement (subluxation) is done and I muscle test to find the correct corrective vector for the adjustment

The patient is given stretches  for the overactive muscles and exercises for the weak muscles , posture esp head position is reviewed.

Copyright – 2018-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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Rib Pain or Intercostal Neuritis – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Every few times during the year, I get a patient with a displaced rib head. (I’ve had one or two myself)  The sensation is an intense stabbing pain that “takes your breath away” in either the back or the front of the chest; sometimes the pain goes round the rib and sometimes seems to go from the back to the front like a knife.

When a patient comes in, we evaluate them via examination and a detailed history to rule out things like shingles or referred pain for heart, lung and gastrointestinal problems. A lot of the times, the patient has already been evaluated by their M.D. for these conditions with negative results.

But it’s usually a rib head displactment either at the anterior attachment at the sterum [breastbone] or at the posterior attachment at the transverse process of a thoracic vertebrae. The intercostal nerve runs from the anterior rami of the thoracic spinal nerves from T1 to T11 and runs [along with the artery and vein] between the intercostal muscles to the breastbone.

intercostal-nerve

intercostal-muscle

Of course it’s not surprising that a rib displacement “takes yr breath away” as the ribs (& the clavicle) and a lot of the muscles attached to them are involved in inspiration and expiration. Some of these muscles are the diaphragm, the external & internal intercostals, the serratus anticus, pectoralia minor, scalene & SCM muscles.

breathing-muscles

Muscles attached to the ribs or thoracic spine which may not be directly involved in breathing but may be compensating for a problem with the breathing muscles. Some of these muscles are the rectus abdominis, the abdominal oblique muscles, the psoas, the quadratus lumborum, the rhomboids and latissimus dorsi; they may be on the same or contralateral side to the displaced rib.

Before I adjust any displacement of the ribs involved or the breastbone or the clavicle as a doctor of chiropractic; I need to balance the muscle pull on the affected area.

I use the muscle testing used in both Applied Kinesiology and NeuroKinetic therapy.

As a Applied Kinesiologist, I test for the function of individual muscles. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.” Is the weakness due to a spinal/nerve problem, a vascular problem, a problem with lymphatic function, a nutritional default, a problem with organ function or an acupoint associated w/ that muscle?

The Use of Applied Kinesiology in a Chiropractic Examination

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?” NeuroKinetic Therapy works with that concept that movement is performed in systems or patterns. NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating) for them.

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

Once the above muscle related questions are answered, I can adjust the involved rib, clavicle or spinal segment.

Stretches are given to the previously facilitated (or hypertonic) muscles and exercises given to the previously inhibited (or weak/hypotonic) muscles in order to break the pattern that caused the problem.

For a blog on the effects of the breathing muscles on asthma, please check out: The Musculoskeletal Aspects of Asthma

© 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? 

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How Really Small Muscles Can Be A Real Pain In The Neck – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

When a patient complains of neck pain or headaches, I first muscle test both the cervical flexor and extension muscles and muscles which when they test bilaterally weak such as the psoas or gluteus maximus suggest a fixation of the cervical vertebrae.

I ask questions: are the muscles weak and therefore affecting the alignment, movement of the cervical vertebrae?

Are one set of muscles weak or inhibited because of compensating (facilitating) muscle.

Or is the opposite true? Is it the hypertonic or facilitated muscle the problem?

Sometimes it’s not the bigger cervical flexor/extensor muscles that are causing pain either directly or by pulling vertebrae out of alignment and putting pressure on the nerves supplying the cervical area.

Sometimes it’s the half inch to inch muscles just below the occipital (base of your skull) that attach it to either the atlas (C1) or the axis (C2) or attach atlas to axis.

These muscles are called the Rectus Capitis Posterior Major, Rectus Capitis Minor, Obliquus Capitis Superior and Obliquus Capitis Inferior.

suboccipitaltriangle

The Rectus Capitis Posterior Major extends, laterally flexs and rotates the head.  The Rectus Capitis Minor extends and laterally flexes the head. The Obliquus Capitis Superior extends and laterally rotates the head. The Obliquus Capitis Inferior  rotates C1 and cranium.

Problems with these muscles can pull vertebrae out of alignment and put pressure on the cervical spinal roots and cause neck stiffness, pain and headaches. See dermatome map below for areas of innervation.

head dermatome

Note there is no C1 dermatome. The C1 root innervates the meninges of the posterior fossa of the skull and has no cutaneous branch; the posterior fossa also contains the meningeal branches of vagus and hypoglossal nerve. Neck stiffness may be a test of the C1 root that innervates the meninges.

For more information, please see the following blogs:

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

https://drvittoriarepetto.wordpress.com/2010/12/13/spinal-pain-not-being-helped-see-an-applied-kinesiologist-it-may-be-a-fixation/

https://drvittoriarepetto.wordpress.com/2016/06/23/how-a-combination-of-applied-kinesiology-neurokinetic-therapy-and-chiropractic-works/

For discussion about meninges:  https://drvittoriarepetto.wordpress.com/2016/05/28/why-is-my-neck-problem-causing-low-back-or-leg-pain-a-nyc-chiropractor-applied-kinesiologist-nkt-practitioner-explains-the-lovett-brother-effect-on-the-spine/

https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/

© 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

 

Seminar I’m Taking: How to Thrive in a Toxic World through Nutrition & Lifestyle

This coming June 5th I’ll be attending a seminar on Whole Detox: How to Thrive in a Toxic World through Nutrition & Lifestyle.

The term “ detoxification ” is widely debated and discussed within the clinical community. In this presentation, the scope of detoxification practices and the spectrum of offerings and their validity will be highlighted. A deeper dive into the recent scientific developments in this pivotal area of medicine will be featured from the angles of both biochemistry and genetic expression, with particular focus on (1) modulation of metabolic biotransformation through phase I and phase II enzyme induction or inhibition; (2) alkalinization; and (3) heavy metal metabolism . Special emphasis will be given to nutrition, nutrient actives, and botanicals for their influence in these pathways. Furthermore, the incorporation of lifestyle changes will be included as part of the detoxification discussion for a more well-rounded, whole picture, whole-self approach.

liver-detox1

Objectives:

• To understand the context of detoxification practices as they relate to health and disease, and their general view and acceptance in the medical arena

• To identify biochemical and genetic pathways involved in detoxification processes: ARE gene upregulation biotransformative enzyme induction or inhibition, alkalinization, and heavy metal metabolism

• To understand the role of nutrition, nutrient actives, and botanicals in modulating detoxification processes

• To learn the importance of addressing lifestyle modalities as part of the detoxification process.

For an article on why fasting on juices do not make an effective liver detox: https://drvittoriarepetto.wordpress.com/2011/08/24/a-nyc-chiropractor-recommends-how-to-do-a-healthy-liver-detox/

Presenters are: Tricia Paulson, ND & Deanna Minich, PhD

Tricia Paulson, ND, is the founder of and primary physician at True Health Naturopathic Medicine. As an educator and speaker for the Wisconsin Chiropractic Association and Nutrition Dynamics, she has developed and implemented curricula in clinical nutrition, detoxification and gut restoration. FirstLine Therapy is the cornerstone of her functional medicine practice which specializes in the treatment of chronic lifestyle diseases through a patient-centered approach

Dr. Minich received her doctorate in Medical Sciences (Human Nutrition and Metabolism ) from the University of Groningen, The Netherlands, and her Master’s Degree in Human Nutrition and Metabolism from the University of Illinois at Chicago. She is a fellow of the American College of Nutrition, and a member of both the American College of Nutrition and the American Society for Nutrition Science. Dr. Minich has published over 15 articles in peer-reviewed, scientific journals, and has published three books on nutrition. At Metagenics, Dr. Minich has numerous responsibilities, including counseling patients using functional medicine protocols at the Functional Medicine Research Center®—the clinical research arm of Metagenics.

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