Hyoid Bone – Its Importance – A NYC Chiropractor/ Applied Kinesiologist / NeuroKinetic Therapist Explains

The hyoid bone  is a horseshoe-shaped bone located in the anterior midline of the neck between the chin and the thyroid cartilage  . At rest, it lies at the level of the base of the mandible or lower jaw  in the front and the third cervical vertebrae(C3) behind.

Unlike other bones, the hyoid is not attached to other bones by muscles or ligaments. The hyoid is anchored by muscles from the anterior, posterior and inferior directions, and aids in tongue movement and swallowing. The hyoid bone provides attachment to the muscles of the floor of the mouth and the tongue above, the larynx below, and the epiglottis and pharynx behind.

 

 

 It is located in the front, middle of the throat between the lower jaw and the larynx, which is also called the voice box. The hyoid bone is involved in several functions of the throat, including breathing, swallowing, and talking.

A hyoid bone dislocation occurs when this bone is moved from its normal position in the throat. Common causes of hyoid bone dislocations include car accidents, strangulation, and direct trauma to the neck including surgery for thyroid problems or other anterior neck problems

Symptoms of a dislocated hyoid bone include:  pain, especially when swallowing. difficulty swallowing and talking, swelling of the neck  and severe dislocations may cause difficulty breathing. Intubation for a surgical procedure that is not positioned correctly can affect the position of the hyoid.

The historical importance of the hyoid traces back to the Neanderthals and Homo sapiens for the origin of speech. Unlike in other mammals, the human hyoid bone works together with the tongue and the larynx to produce effective speech as it is responsible for the movement of many small muscles.  So an imbalance in the position of the hyoid and the muscles attachments to the tongue, larynx and pharynx .

One other observation with the hyoid bone is that it can act as one of the body’s gyroscopes; movement of the hyoid bone can affect movement throughout the body and vice versa.  Look at the above picture and imagine the change in position of the hyoid and the cervical (neck) spine if,  for example, there was a break in the rt. clavicle..destroying muscle control of all the muscles on the right. We know of cases from martial arts that some students have problems with their  balance after being kicked in their throats .

Look again at the attachment of muscles above the hyoid and how they attach to the bottom of the jaw  or mandible ; making the hyoid and its muscles part of an examination of TMJ (jaw) problems. 

TMJ Problems (Jaw Problems) and How A Chiropractor/Applied Kinesiologist/NeuroKineticTherapy Practitioner Handles the Problem

As the TMJ is part of the skull and the the cranial bones are checked for alignment ,and we know that the stylohyoid ligament runs from the temporal lobe of the skull to the lesser cornua of the hyoid bone. 

Cranial Sacral Therapy in Applied Kinesiology

 

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.

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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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10/28 Seminar: Solutions for Women’s Wellness: A Functional Approach

On October 28th, I’ll be attending the following seminar to order to serve my patients better and help improve their wellness.

From childbearing years to postmenopause, women are actively seeking to maintain or improve their health and vitality. I’ll be joining Joel Evans, MD and Monique Class, MS, APRN, BC as they explore in detail a functional medicine (FM) approach to women’s health issues specifically related to the different stages in life. Oftentimes, hormonal imbalance and lifestyle behaviors are the underlying causes of complaints and illness in women. When evaluated and addressed at the root cause of disease, the most common issues facing women today can be successfully managed.

Learning Objectives:
  • Discuss the evaluation and lifestyle treatment options for female infertility, preparing for a healthy pregnancy, PCOS, elevated estrogen, fibroids, endometriosis, and oxidative stress.
  • Understand the hormonal changes associated with perimenopause and how to evaluate the management options for perimenopausal and menopausal complaints including PMS, depressed energy, adrenal and thyroid issues, VMS, vaginal health, and early osteoarthritis.
  • Understand how to evaluate patients for appropriate testing for genetic risk for breast cancer as well as FM approaches to decrease breast cancer incidence in those with high genetic risk due to BRCA or other SNPs.
Atendees will receive:
  • Clinical protocols and pearls based on case studies
  • An information-packed day guaranteed to expand clinical knowledge

Presenters

Joel Evans, MD

Joel Evans is the founder and director of The Center for Women’s Health, an assistant clinical professor of Obstetrics, Gynecology, and Women’s Health at the Albert Einstein College of Medicine, and a member of the core faculty of both The Center for Mind/Body Medicine and The Institute for Functional Medicine. He is a nationally recognized wellness expert, educator, author, and physician specializing in nutrition, functional medicine, mind/body medicine, and spirituality. Having pursued studies in spirituality, metaphysics, and personal transformation for many years, Dr. Evans has recently created a core curriculum designed to share ancient spiritual wisdom with others in order to help bring health and happiness into their lives.

Monique Class, MS, APRN, BC

Monique Class is a Certified Family Nurse Practitioner, Clinical Nurse Specialist in Holistic Health, Certified Nurse Coach, and wellness educator at The Center for Women’s Health. A sought-after teacher in the fields of holistic health and nursing, Monique is a clinical instructor for Yale Graduate School of Nursing, a senior faculty member of the Center for Mind/Body Medicine in Washington D.C., a faculty member for The Integrative Nurse Coach Association, and a faculty member for the Institute for Functional Medicine. Monique is also certified by the Psychosynthesis Institute in Imagery and Meditation. She received her degree as a Clinical Nurse Specialist and her post-master’s as a Family Nurse Practitioner at the College of New Rochelle and her Bachelor of Science degree in Nursing from The University of Virginia.

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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Did Shingles Pain Cause a Shift in Body Position and Structural Pain?: A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

A young patient who I hadn’t seen in a while came in complaining of rt “scalene” pain (her words for neck pain) and rt upper back pain by the shoulder blade. She thinks it may be a rib out. Visualization showed a slight “tipping” (not a winging) of the shoulder blade.

Then she mentions that she had a mild case of shingles on her rt hip and the shingles predated the neck & mid back pain .

First I found that her SCM was overworking for a weak mid scalene. The SCM was released and the clavicle was adjusted and the pect minor was released in combination with the SCM.


Second I tested her rhomboids and serratus anterior; the scapula tipping was the clue. The serratus ant was overworking for a weak rhomboid.

Third a rt gluteus maximus was overworking for a weak rt. psoas and a weak rt. gluteus medius.

A pelvic category 1 was corrected as well as rt thoracic and cervical subluxations were adjusted.

There is a theory of Anatomy Trains on how patterns of muscle,  fascia and muscle strain communicate through the myofascial ‘webbing’, contributing to postural compensation and movement stability.

An example of this is when you are reaching for something on a table, you don’t just use your hand, arm and shoulder but your whole body from your head muscles down to your foot muscle reacts to stabilize your position in space as you reach.

A major insight may be that the lateral rt. side of her body may have reacted to the pain of the shingles by moving inwards in order not to stretch the lesion area rather than moving away from it which in turn affected her structure via muscle pull and strain.

  For more information:

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

© 2017-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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Medical Articles Of Interest For June 2017

Aerobic Exercise Reverses Alzheimer Symptoms

Prenatal, Early-Life Toxin, Nutrient Exposure Tied to Autism

Vitamin D in Pregnancy ‘Could Prevent Child Asthma’

Strenuous Exercise Can Cause Significant GI Symptoms

Eating Fish May Reduce Rheumatoid Arthritis Symptoms

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

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

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

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

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

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

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

coremuscles

 

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

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

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

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

Stretches and exercises were given as homework.

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

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

The Use of Applied Kinesiology in a Chiropractic Examination

© 2017-Dr. Vittoria Repetto

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

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

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

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

Scars & Muscle Control – A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

A while ago I had two patients where scars left from operations affected muscle function.

The first patient came in complaining of acute low back pain that happened on lifting a box that was too heavy for her; one of the muscles I tested is the Rectus Abdominal, it was weak in the clear. The Rectus Abdominal (RA) is part of the support for the Lumbar (low back);she had mentioned that she had had a tummy tuck years ago.
When she touched the scar (therapy localize) which was above her pubes (RA tries into the pubes) her RA tested strong so I massaged the scar and the RA now tested strong.

I find that the T10-T11 vertabrae which are part of the innervation of the RA were subluxated and adjusted them. I also adjusted subluxations in the low back.

The Subluxation/Spinal Joint Dysfunction

I showed her which abdominal exercise I wanted her to do after a daily massage of the scar.

The second patient come in w/ thoracic weakness; she have a history of different cancers.
When I tested her Pectoralis  muscles, both parts (Clavicular & Sternal) tested weak. She said that she was not surprised as a “good part of the muscle was removed” where they removed her breast. I therapy localized the scar from the breast removal and retested as I touched the scar…both parts of the muscle now tested strong.
I massaged the scar… and the muscle tested strong.  I found subluxations at C5 for innervation of the clavicular section and C7 for the sternal section and adjusted them both.
Patient’s homework was to massage that scar before doing exercises for the pectorlis.

Please click on below research articles on relation of scars to muscle pain and function.

CLINICAL IMPORTANCE OF ACTIVE SCARS: ABNORMAL SCARS AS A CAUSE OF MYOFASCIAL PAIN

Surface electromyography of abdominal and back muscles in patients with active scars.

A CASE OF A PATHOGENIC ACTIVE SCAR

Skin, fascias, and scars: symptoms and systemic connections

© 2017-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