Medical Articles of Interest for December 2016

Gut Microbiome Again Linked to Parkinson’s Symptoms

High Dietary Magnesium Intake Tied to Less Stroke, Diabetes, Heart Failure

Muscle Strength Gains Linked to Better Brain Function

Gastric Acid Blockers Boost Risk of Iron Deficiency

The Gut–Brain Connection

Statin Use Linked to Increased Parkinson’s Risk

Chronic Use of Proton Pump Inhibitors Increases Heart Risk

Selenium Supplement Role Unclear in Autoimmune Thyroiditis

Sauna Use Linked to Lower Dementia, Alzheimer’s Risk

 

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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Anterolateral Lower Leg Pain &/or Foot Drop – Peroneal Nerve Entrapment – A NYC Chiropractor /Applied Kinesiologist /NeuroKinetic Therapist Explains

Occasionally a patient comes in with pain along the anterior lateral part of their lower leg and they may also have difficulty lifting the top of their foot upward at the ankle (dorsiflexion) or moving the foot outward at the ankle (eversion). This also affects the patient’s gait (ability to walk properly)

movements-of-foot

They may have been told that their problem is sciatica since branches of the sciatic nerve goes all way down the leg and into the toes. They may have been to a physical therapist or another chiropractor who worked on the low back where the sciatic nerve originates without any relief.

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

But the problem is the peroneal nerve which branches off the sciatic just below the knee; it goes from the common peroneal nerve which starts at the lateral back of the knee near the inner side of the biceps femoris  (part of the hamstings), goes to the back of the fibula bone and then branches off to the superficial peroneal nerve and the deep peroneal nerve.

The deep peroneal nerve innervates the muscles of the anterior compartment of the leg which are: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius. Together these muscles are responsible for dorsiflexion of the foot and extension of the toes.

The superficial peroneal nerve passes between the peroneus muscles and the extensor digitorum longus, and goes into the deep fascia at the lower third of the leg; it supplies the muscles of the lateral compartment of the lower leg : peroneus longus and peroneus brevis. These assist with eversion and plantar flexion of the foot.

The deep peroneal nerve passes inferior and medially, deep to extensor digitorum longus,  and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial branch. The deep peroneal nerve innervates the muscles of the anterior compartment of the leg which are: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius. These muscles are responsible for dorsiflexion of the foot and extension of the toes.

superficial-and-deep-peroneal-nerve-and-muscles

Spasms of muscles along the route of these nerves can cause nerve entrapment and result in loss of muscle function or pain along the route of the nerves. As muscle attaches to bones and joints, spasms can cause misalignments of these structures and this can further complicate the problem.

Sometimes the muscle spasms are complicating for a muscle that is inhibited somewhere along the lateral or posterior kinetic chain such as the gluteus maximus, gluteus medius, the hamstrings and the rectus femoris or the psoas which overwork in order to to lift the leg to clear the dropped foot during walking. Neurokinetic therapy works well answering this question and correcting the problem.

As a applied kinesiologist and neurokinetic therapist I will either place my finger or hand on specific areas and then retests the muscle to see if the weakness is corrected. This is called therapy localization.

If the therapy localization is positive and the area involved is a joint or a muscle, I can move the area in a way to stimulate neuro/mechano receptors in the joint or muscle. This is called a “challenge’ and shows the direction of manipulation needed to improve function of the joint or muscle.

As a chiropractor, I would not only adjust the involved joints but check to see if the change in gait muscles has affected the spine and adjust affected level.

Stretches are given to the previously complicating muscles and exercises given to the previously inhibited muscles in order to break the pattern that caused the problem.

For  more information, please read:

The Use of Applied Kinesiology in a Chiropractic Examination

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

 

 

© 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

 

Medical Articles of Interest for October 2016

SSRIs Disrupt Sleep in the Elderly, May Contribute to Dementia

Phytoestrogens May Benefit Health but Also Prompt Concern

Unclear If Sports Raise Later Arthritis Risk 

Sleep Duration Important in Weight Management

Micronutrient Deficiency Often Unnoticed in PPI Users

” PPIs have been associated with Clostridium difficile infection and with micronutrient deficiency. “Our hypothesis was that even though gastroenterologists know about micronutrient deficiency, they aren’t looking for it,” he explained. The researchers reviewed the electronic health records of 41 patients with Barrett’s esophagus who were on long-term PPI therapy to see if their levels of vitamin B₁₂, ferritin, or magnesium were ever tested”

Aerobic Exercise May Provide ‘Small’ Improvement in Vascular Cognitive Impairment

IBS: Gut Bacteria May Predict Who Benefits From FODMAP Diet

“Patients who did not respond to the low-FODMAP diet had more severe dysbiosis at baseline than responders. The traditional diet had no effect on overall bacterial composition, but in the FODMAP group, there was a significant reduction in potentially beneficial Bifidobacterium. This was more prominent in nonresponders than in responders.”

New Guideline Says Calcium Safe From CVD Standpoint

(Dr. Repetto’s comment – One should take calcium with magnesium, vitamin D and vitamin K. One should aim to get 1200 mg/day and half of that from food.)

 

 

Medical Articles of Interest For September 2016

 The following are from www.medscape.com a site summarizing medical research:

Can a Good Diet Prevent Dementia?

Mediterranean Diet Lowers CVD Risk in Prospective Study

Fungus May Be ‘Key Factor’ in Crohn’s Disease

Chronic Constipation a Warning Sign for GI Disorders

Farm Living Study Confirms the Hygiene Hypothesis

See the following for discussion of the Hygiene Hypothesis – The Hygiene Hypothesis — Redefine, Rename, or Just Clean It Up?

New FDA Watch List Covers 27 Drugs and Drug Classes

Herbal and Dietary Supplements Tied to Liver Damage

This article is one of the reasons why you should use supplements from one of the first companies in the nutritional supplement industry to achieve three independent certifications for Good Manufacturing Practices (GMP) by world-leading arbiters. In many areas, Metagenics exceeds these requirements with additional in-house testing and third-party assays by respected independent laboratories. http://www.metagenics.com/metagenics-difference/unsurpassed-quality

Here’s more information on Metagenics: https://drvittoriarepetto.wordpress.com/2015/08/28/nutritional-supplements-why-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

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

 

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

A patient comes in with a problem, maybe low back pain. Most chiropractors would figure out what vertebrae /spinal nerve is involved and then adjust the segments involved.

However what is missed is why did the problem happen and how can it be fixed so that it does not happen again.

First we need to look at the muscles innervated by the spinal segment

As a Applied Kinesiologist, I test for the function of individual muscles. For example, we may find the latissimus dorsi muscle weak; that is a muscle that internally rotates, extends and adducts the arm/ shoulder. It also attracts into the lumbar and sacral vertebra and part of the pelvic crest. The weakness may seen either as a higher shoulder on the weak side or a rotation of the lumbar vertebrae. The questions to be asked are: why is the muscle weak? Is the muscle on the other side hypertonic or “too stronger.”

Is there a problem with the vascular or lymphatic drainage of that muscle? Is there a problem with the cranial-sacral system?

Is there a Lovett Brother association where a twisting of the spinal meninges affects an upper vertebrae as well as a low back spinal segment.

As a NKT practitioner, I ask “Is there a dysfunction in the coordination of muscles working in patterns?”

Is the above mentioned latissimus dorsi inhibited by the muscles that attach to the shoulder like the upper or middle trapezius or the levator scapulae or is it compensating (facilitating) for weak or inhibited muscles like the gluteus maximus or the quadratus lumborum or core muscles, for example.

back muscles

Is the patient using their neck muscles in the movement of their low back?

NeuroKinetic Therapy works with the concept that movement is performed in systems or patterns. The human brain has an affinity toward habits.

NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating)for them.

I would test the muscles involved in the problematic movement. After an inhibited/weak muscle is found, I would muscle test a synergistic (a helper muscle) or an antagonist muscle (an opposing 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.

And I can use AK techniques to release the TLed muscle. 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.

After balance is restored to the muscles, the vertebrae  ( or extremity joint) are adjusted.

Stretches are given to the previously facilitated muscles and exercises given to the previously inhibited muscles in order to break the pattern that caused the problem.

For more detailed information, please click on the following blogs:

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

http://neurokinetictherapy.com/what-is-neurokinetic-therapy

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

https://drvittoriarepetto.wordpress.com/2010/05/06/the-art-and-science-of-muscle-testing-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

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/2014/01/01/a-nyc-chiropractorapplied-kinesiologist-talks-about-chiropractic-adjustments/

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

 

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/

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? 

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

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