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.

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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.

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.

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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? 

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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