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.

It is not unusual to have a patient come in my office with neck pain also complaining of low back or leg pain that starts with or soon after the onset of the neck pain. Or vice versa: neck pain or headaches or jaw problems after the onset of low back pain.

A lot of doctors don’t think that there is a relationship. But since they came on around the same time they probably are related. The major thing that could connect them is the meninges; three membranes covering the brain, spinal cord and housing the cerebrospinal fluid. If injured it could affect nerves throughout the spine.

spinal-anatomy-e1409590019734

A good illustration of how an injury can affect different levels is to hold the upper part of an elastic band with your hand and then hold the bottom of the band with your other hand. Then twist your upper part of the band; note how the bottom of the elastic band also twists. Now imagine how the meninges surrounding a spinal nerve as it comes off the spinal cord can affect the structures innervated by that spinal nerve.

This explains why if there is a rotation in Cervical 1 there will always be a rotation in Lumbar 5, its ‘Lovett Partner’. With all the listings they can work both ways. For example, a dysfunction at L5 can cause a C1 dysfunction and a C1 dysfunction can cause an L5.

Here’s a helpful illustration: lovatt-brother-relationship

These relationships are looked at by Applied Kinesiologists and NKT Practitioner.

Another possible relationship is one of spinal fixations; please check out this blog for more information: https://drvittoriarepetto.wordpress.com/spinal-pain-not-being-helped-see-an-applied-kinesiologist-it-may-be-a-fixation/

For another article on the neck/low back connection; please check out: Neck Problems Causing Low Back Pain & Vice Versa – A NYC Chiropractor / Applied Kinesiologist / NKT Practitioner Explains

So if you are having unexplained pain in different areas, please consider being examined by someone familiar with the above principles.

 

 

© 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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Looking At Posture As A Clue To Helping Patients – A NYC Chiropractor/Applied Kinesiologist/NKT Practitioner Explains

Two weeks ago, a relatively new patient who has been to other chiropractors paid me a compliment by saying that I was “unlike other chiropractors, I think about what is happening and what I need to do.”

One of the things I look at is posture. How does the patient present as they stand in front of me?

The other question that is relative to their posture is: How did they get that posture? Was there an accident where they were, for example, thrown forward and had to catch themselves when their bus suddenly stopped. What position was their body in? Hands forward? Head turned?

Postural findings may be due to muscular inhibition either as individual muscles or as a group of muscles that work together to do a certain movement

Or they may be due a compensating muscle inhibiting a muscle

Are the involved muscles hypotonic or hypertonic?

Or has a problem with their foot, for example, caused muscles to get inhibited or to compensate up the length of their body causing further joint and spinal pain?

bad-posture-posturepro

Here are some examples of muscles that may be involved in postural findings:

  • High Occiput – upper trapezius, neck flexor/extensor, gluteus medius, SCM, rectus capitus
  • Head rotation – latissimus, gluteus medius, lower trapezius
  • High Shoulder – opposite upper trapezius, quadratus lumborum
  • Low Shoulder – quadratus lumborum, latissimus
  • Elevated Ribs – rectus abdominal, oblique abdominals, quadratus lumborum
  • Lumbar deviation – psoas, lumbar erectors, multifidus, gluteus medius/maximus, tfl
  • High pelvis – sartorious, quadratus lumborum, hamstrings
  • Genu Valgus (Knock Knee) – TFL, gluteus max, adductors
  • Genu Varus (Bowed Knee) –adductor, popliteus, hamstrings

I use manual muscle testing to see if the muscles are hypotonic or hypertonic or inhibited by a compensating muscle.

I also look to see if there is a problem with the alignment of the joint the muscles cross or the vertebrae involved in the spinal innervation of the involved muscles.

For more detailed information, please check out the following blogs:

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

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

https://drvittoriarepetto.wordpress.com/2016/03/22/a-nyc-chiropractorapplied-kinesiologist-adds-neurokinetic-therapist-to-her-skill-list/

 

 

© 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

 

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. https://metagenics.com/spm-active

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? 

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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-img3

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? 

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

 

Thoughts on Whiplash or Neck Trauma by a NYC Chiropractor/Applied Kinesiologist

“Whiplash” is commonly associated with auto accidents but also can be associated with many types of trauma like sport injuries, bad falls and even nodding off in chair and awaking with a sudden jerking of the neck.

The term “whiplash” refers to the mechanism of the injury. The proper terminology is cervical hyperextension/hyperflexion sprain. Hyperextension means that the head and neck are bent backward beyond their normal range of movement. Hyperflexion means that the head and neck are bent forward beyond the normal range of motion. Symptoms can include neck and back pain, loss of range of motion, shoulder & arm pain or numbness, jaw pain, dizziness, headaches, nausea, difficulty swallowing etc.

Within the neck region’s joints are some of the most complex movements within the body. The cervical bones house and protect the spinal cord. Nerves from the cord pass out of the spine between the vertebrae; nerve entrapment can happen due to the shift of the cervical joint and spasm in both the smaller vertebral muscles http://www.dummies.com/how-to/content/the-prevertebral-muscles-of-the-neck.html that control fine movements and the larger and longer muscles https://www.realbodywork.com/learn/neck/neck.htm that control the gross movements of the neck which can result in the above

cervical muscles

Cranial-Sacral Mechanism: the skull and sacrum operate in ways that are often inadequately considered in whiplash cases. There is movement between the cranial bones and the sacrum called the cranial sacral respiratory mechanism that pumps cerebrospinal fluid https://drvittoriarepetto.wordpress.com/2010/05/17/cranial-sacral-therapy-in-applied-kinesiology/ up and down the spine that helps keep the nerves healthy. Whiplash can cause jamming of the cranial bones resulting in poor function. Poor function of this mechanism can interfere with cranial nerves, some of which control neck muscles, muscles that move the eyes, and muscles that move the jaw, muscles involved with swallowing and breathing.

Some of the very bizarre symptoms of whiplash trauma develop as a result of cranial dysfunction. Intricately associated with this area are the nerves responsible for balance. These include cranial nerve VIII, which supplies the balance mechanism of the middle ear, cranial nerves III, IV, and VI that supply the muscles that move the eyes and are intricately associated with the visual righting reflexes, and the nerve endings in the upper cervical vertebral ligaments that supply the head on-neck reflexes. These reflexes must work together. If there has been injury causing improper nerve supply to one or more of these areas, neurologic disorganization develops that can cause a change in muscle function throughout the body; there may be dizziness, ear ringing, nausea, blurred or double vision, headaches, and myriad other symptoms.

Many whiplash patients develop pain in the jaw joint, called the temporomandibular joint (TMJ), which is aggravated by chewing. https://drvittoriarepetto.wordpress.com/2013/06/26/tmj-problems-jaw-problems-and-how-a-nyc-chiropractorapplied-kinesiologist-handles-the-problem/

As a doctor of chiropractor who also does applied kinesiology, I not only deal with restoring the proper movement of the cervical vertebrae https://drvittoriarepetto.wordpress.com/2010/07/17/the-subluxationspinal-joint-dysfunction/ but almost dealing with the injury to the both the flexion and extension muscles of the cervical area mentioned above whether they need to be relaxed or whether they need to be strengthened. https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

Nutrition is suggested to help repair injured muscle fibers.

Cranial bone movement is checked via muscle testing and restored by non-force movements with inspiratory assistance

The movement of the sacrum, commonly missed in a non-applied kinesiology office, is checked for dysfunction and adjusted for return of normal function and proper flow of the cerebrospinal fluid so important to the health of the brain and the spinal cord and nerves.

 

© 2015-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 230 W 13th St., 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: 
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A NYC Chiropractor Talks About The Triad of Health In Applied Kinesiology

 There are three factors involved when we talk about restoring or maintaining health, it is a triad symbolized by an equilateral triangle. If one side of the triangle is ignored, health is diminished and can lead to a significant health problem.

 

 As a doctor of chiropractic using applied kinesiology to evaluate body function, I have a special interest in carefully observing all side of this triangle so that a patient can be evaluated and treated successfully.

The three parts of this equilateral triangle or triad are Structure, Chemical and Mental.

ak-image1.jpg

 Structure: Chiropractic is the major healing profession dealing with the triad’s structural base. Chiropractors using applied kinesiology not only deal with the spine but also with the joints and muscles of the body.

 Structural changes (especially of the spine) may compromise the spaces that nerves must transverse, causing nerve entrapment. Nerves are a major form of communication in the body; muscles, organs and glands may not function correctly if there is nerve entrapment. Lymphatic flow and vascular flow can also be entrapped. Body pain and numbness, lack of energy, general malaise, decreased immune and organ function are possible signs of a problem with nerve, lymphatic or vascular flow that started with a structural problem. Muscle weakness and imbalance can increase the structural instability which is compromising nerve, lymphatic and vascular flow, thus forming a vicious circle.

 Chemical: The allopathic medical profession attempts to control body dysfunction via prescription drugs; unfortunately most drugs only mask symptoms and do not cure and in addition can cause dangerous side effects.

 In holistic professions such as chiropractic, nutritional deficiencies are included in the chemical side of the triangle.

 Malnutrition is an increasing problem due to refining of foods, addition of toxic chemicals, increase in pesticide use, dietary indiscretion and the depletion of the soil in which food are grown. Malnutrition is insidious in nature, often not resulting in a classic malnutrition disease but causing a general health loss.

 Along with physical examination and tests, nutritional supplements can be tested by having the patient chew the supplement and see if it is needed.

 Certain foods such as wheat or diary can also be tested to see if the food is harmful as in food allergies or sensitivity.

 Mental/Spiritual: We all know that a person’s mental attitude affects their health. A headache can precede a stressful situation such a job interview or a family gathering. A patient who suffers from chronic fatigue can start to believe that they will never get well and constantly sends negative impulses via their thoughts to their brain and nervous system causing a vicious cycle.

 Mood swings or depression can be the result of low blood sugar, low omega 3 fats, or too much of the wrong nutrition, for example.

 Postural changes such chronic tight trapezius muscles caused by stress can affect how well a person feels.

 The sides of the triad or equilateral triangle interact with each other. For example, when there is constant structural strain it can affect a person’s emotions. Emotions affect the normal digestion of the food a person eats or the person eats too much sweets due to their emotions. Due to this the chemical side of the triangle becomes involved and a nutritional deficiency develops which may develop into muscle weakness or spasm that increases the structural strain tus completing a vicious cycle.

 As a doctor of chiropractor and an applied kinesiologist, one can evaluate and treat all sides of the triangle. One can correct structure and nerve function to effect better support and control of a patient’s health. The triad of health can be tested via the patient’s own body to determine the effect. Emotional and anxiety reactions can be improved by positive feedback and emotional release techniques and with working with the other two sides of the triangles.

 The interplay between parts of the triangle affects many aspects of health and affects the ability of an holistic doctor to treat the WHOLE PERSON.

For information on examination in Applied Kinesiology: 

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

© 2014-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

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

Temporomandibular Joint problems(TMJ) or jaw pain occur mainly as a result of an imbalance  with the joint and surrounding facial muscles that control chewing and moving the jaw.

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head.

http://en.wikipedia.org/wiki/Temporomandibular_joint

The joints are flexible, allowing the jaw to move smoothly up and down and side to side and enabling you to talk, chew, and yawn. Muscles attached to and surrounding the jaw joint control the position and movement of the jaw.

http://education.yahoo.com/reference/gray/subjects/subject/109

What Causes TMJ Problems?

  • Receiving a heavy blow or whiplash
  • Grinding or clenching the teeth, which puts a lot of pressure on the TMJ
  • Dislocation of the soft cushion or disc between the ball and socket
  • Presence of osteoarthritis or rheumatoid arthritis in the TMJ
  • Stress or Emotional Overload which can cause a person to tighten facial and jaw muscles or clench the teeth
  • Biting down on a hard and/or thick piece of food
  • Using jaw clenching to compensate for weak or inhibited muscles elsewhere

What Are the Symptoms of a TMJ Problem?

  • Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide
  • Limited ability to open the mouth very wide
  • Jaws that get “stuck” or “lock” in the open- or closed-mouth position
  • Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth or chewing
  • Difficulty chewing or a sudden uncomfortable bite
  • Swelling on the side of the face
  • May occur on one or both sides of the face

Other common symptoms of a TMJ problem can include digestive problems, toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitis).

Neurological influences of the temporomandibular joint

As a Applied Kinesiologist and Doctor Of Chiropractic, I look at the articulation of the joint itself and the pull of the muscles such as the Masseter, the Temporalis, the External Pterygoid and the Internal Pterygoid on the joint itself. Neck muscles, hyoid muscles  and upper back muscles also affect the TMJ. Are they in spasm? Are they weak?  Do they need muscle spindle or golgi tendon work?

As a NeuroKineticTherapy practitioner, I ask if some muscles are compensating (or overactive) for inhibited or weak muscles. “The jaw muscles can compensate for weakness in the grip, in the neck flexors, or in the hip flexors.” http://neurokinetictherapy.com/do-you-treat-causes-or-symptoms-part-three

What_is_the_TMJ_2

As the TMJ is part of the skull, the cranial bones are checked for alignment; esp the occipital bone at the back of the head.

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

Subluxations of the occipital also are involved with upper cervical (neck) problems and therefore cervical subluxations are adjusted

And since the examining acupuncture pts. on the head shows us that a number of meridians associated with digestion such as the stomach, small intestine and large intestines cross the TMJ can affect digestion (digestion can affect the TMJ), checking acupunture pts., the neuro-lymphatic and neuro-vascular points for digestive organs need to checked to see if there is any connection.

head acupunture pts

Once all the above are checked, then a very gentle adjustment of the joint itself can done.; a number of adjustments may be needed to break the subluxated pattern and get the Jaw joint moving freely and pain and noise free.

If you believe you have a TMJ problem, please give my office at call at 212-431-3724 for an appointment.

© 2013-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