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.

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A NYC Chiropractor/Applied Kinesiologist Posts a Case History Using both AK & Neuro-Kinetics

As you may know, I’m working on perfecting my recent knowledge of a technique called neuro kinetics and incorporating it into my chiropractic and applied kinesiology practice.      https://drvittoriarepetto.wordpress.com/2015/09/01/taking-neuro-kinetic-therapy-seminar-sept-12nd-13th/  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

What applied kinesiology and neuro kinetics have in common is muscle testing and therapy localization. 

In the latter therapy localization (TL), the patient will either place their hand or finger on specific points, a vertebrae or another muscle and the doctor retests the previous weak or inhibited muscle to see if the weakness is corrected. https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/.

In neuro kinetics, the patient either touches a muscle or actively contracts the strong muscle that may be compensating for a inhibited muscle or set of muscles.

Female 50’s 1 wk ago sat in a small chair that only supported her “rt. cheek” resulting in lt. low back pain. Tested bilateral psoas/ tensor fasciae latae (TFL) /transverse abdominal (TVA)/ rectus abdominal (RA) /quadratus lumborum (QL)/hamstring/gluteus max….weak (W) or inhibited bilateral QL/ lt. glut max….patient therapy localizies rt. hamstring…..bilateral QL/lt. gluteus maximus now test strong …rt hamstring was facilitating muscle …… treat rt hamstring w/ spindle/golgi tendon work( an AK technique)…retest lt glut max/bilateral QL for “neural lock” which sends a message to the brain to start activating the previous inhibited muscle.

I then use chiropractic/applied kinesiology technique to correct the following: patient had a category 1 pelvis- patient’s torso is torquing opposite the upper body, (http://www.chiroaccess.com/Articles/Chiropractic-Technique-Summary–Sacro-Occipital-Technique-SOT.aspx?id=00002910) and  irritation of lt illiolumber ligament which connects 5th lumbar and pelvis , and irritation of lt sacro-tuberous ligament which connects bottom of sacrum to lower pelvis, adjust the torque of the 4th lumbar. Two cranial sutures were adjusted that go along with a category 1 pelvis.

Exercises for QL &  gluteus max are given.

© 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.

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Nutritional Supplements: Why Metagenics ?

Metagenics is a functional medicine leader in the development of science-based products and programs that seeks to improve health by helping people achieve their genetic potential through nutrition or nutrigenomics.
Nutrigenomics is the study of the effects of foods, supplements and environmental factors have on how your genes express themselves. In other words, your genetics are not your destiny.

Helping people live happier, healthier lives by realizing their genetic potential by turning nutrigenomic discoveries into readily available natural health products.  . http://www.metagenics.com/metagenics-difference 

Lifestyle Medicine Programs for you to reclaim health. 

Breakthrough Research Establishing a higher caliber of science for better quality research and formulation 

Unsurpassed Quality: setting quality standards for the industry 

940x300_non-gmo_us_b

Personal story:

For years before I became a Doctor of Chiropractic, I was concerned about the scallops around my tongue, I had learned that this may be a problem with absorption of  Vitamin B complex in my body. As I worked in a health food store, I had access to lots of different brands; some of them with mega dosages. None of the brands took away the scallops.

After chiropractic college, I attended a seminar by Metagenics and tried their Multi-Vitamin/Mineral; I took half of the recommended dosage and  in two weeks, the scallops were gone, never to return. Their formula was highly absorbable unlike previous products that I had tried.

Metagenics has opened up a new online store.

Instead of going to my website, please go to http://www.drvittoriarepetto.metagenics.com.

Please click on Create a New Account on the top right side of the page, and use Practitioner Code DrVittoriaRepetto.

The advantage of this new online store is :

20% off all first-time orders 

10% off all Recurring Orders

And you now can use your American Express for purchases

Once you have create an account, you click on upper right hand side Log In for future purchases .

© 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

 

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

Doing a proper examination with a new patient is of the upmost importance. It not only shows where the patient’s pain/problem is but it shows the location of the origin of the pain/problem and contributing factors.

For example, the patient may be complaining of posterior leg pain but orthopedic and neurological testing will show at what spinal nerve level does that leg pain originates from.

What muscles are weak or in spasm? For example, is the nerve being compressed by a spastic piriformis as the nerve travels down the buttock or is a weak piriformis or gluteus maximus allowing for instability in the lumbo-sacral or sacro-illiac joints.

testing rectus femoris

What is the history of this patient? A proper examination includes the filling out of an intake form which includes history of past injuries and current health problems.

Has this patient had a history of ankle injuries which may have affected their gait and caused compensation in the pelvis, hips or torso of the patient? Did that compensation set the patient up for problems down the road.

Does this patient have problems like acid reflux or breathing problems where the diaphragm is not working properly and therefore causing over-compensation in the abdominal muscles which support the low back or over-compensation in the neck muscles contributing to neck pain.

Does this patient have a history of hypertension; then a taking of the patient’s blood pressure is part of their examination. Are there white spots on their nails or do they bruise easily; patient may need certain supplements to improve oxygen flow/wound healing and cut down on chronic inflammation.

Does the patient have problems with urination or gout; these problems may show up as an energy blockage in the kidney meridian and the psoas muscles which is linked in applied kinesiology to the kidney meridian. Stimulation of acu-points on the kidney meridian may affect the psoas; part of which is located in the front of the lumbar spine and an imbalance can contribute to low back pain.

For more on use of applied kinesiology in a chiropractic examination; please see https://drvittoriarepetto.wordpress.com/2014/08/09/the-use-of-applied-kinesiology-in-a-chiropractic-examination/

Range of motion testing shows not only what movements are painful but it is also important as it gives a clue of what muscles may be involved. Range of motion after treatment is a quick test of how the patient is doing.

A proper examination (and following treatments) also requires that the patient is either wearing an examination gown (women) or down to their underwear (men). This enables me as the doctor to rule out anatomical problems such as a swollen ankle or knee as contributing to the patient’s complaint.

The doctor can also rule out health problems that cause pain that need to be referred out. For example an established patient came in complaining of posterior pelvic pain and since she was in an examination gown, I noted a rash. The rash was herpes zoster and she needed to be referred out as well as needing nutritional advice and an adjustment. If she was still wearing street clothes as in many chiropractic practices, I would have not known the “real” cause of her pain.

The above examination takes time and is geared for a chiropractic and applied kinesiology practice not for a quickie fifteen minute /3x a week practice. . Unfortunately a lot of chiropractors do not do a complete examination which I deduce when new patients who have previously seen another chiropractor ask me when I enter the examination room if they should lay face down. No I say, I need to do an examination first.

If you are interested in a comprehensive examination and treatment, please free to contact me at drvittoriarepett@aol.com or call me at 212-431-3724. 

 

© 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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Chronic Inflammation and How Chiropractic & Applied Kinesiology Can Help.

First what is inflammation?

Acute inflammation is our body’s natural reaction to infection, trauma, irritants and other hurtful stimuli. Inflammation is an innate reaction that helps remove the hurtful stimulus out and starts the healing process. The signs of inflammation are pain, heat, redness and sometimes loss of function.

However inflammation becomes problematic when it becomes chronic. The body goes into a vicious cycle; creating more of an inflammatory response to get rid of the chronic problem which causes tissue damage and has dire consequences. This can be aggravated by certain foods and lifestyles; too enough sleep, too much stress, muscle/joint/spinal dysfunction, a diet full of processed nutrient – poor foods, overuse of prescription and OTC drugs, food allergies/intolerances, poor gut microbiology and leaky gut.

Chronic inflammation can also be the result of an autoimmune response where the immune system mistakes healthy tissue for unhealthy pathogens.

A lot of people don’t find out that they have chronic inflammation until they’re diagnosed with a disease that’s associated with it such as atherosclerosis, degenerative or herniated disc problems, celiac disease, asthma, inflammatory bowel disease and even cancer.

Some other signs include: high blood pressure, fatigue, skin problems, constipation or diarrhea, joint pain, shortness of breath and indigestion.

chronic-inflammation

So it is important to help the body get rid of any chronic inflammation.

Chiropractic and applied kinesiology are some of the best tools you could ever ask for in the fight against chronic inflammation. Studies have shown that adjustments help reduce the production of two inflammatory cytokines, which can reduce inflammation throughout the body.

Here are 2 such studies: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291009/ Tissue Damage Markers after a Spinal Manipulation in Healthy Subjects: A Preliminary Report of a Randomized Control   http://www.ncbi.nlm.nih.gov/pubmed/24450367  Changes in biochemical markers of pain perception and stress response after spinal manipulation.

As an applied Kinesiologist, I deal with increasing blood and lymphatic flow to the spine, muscles and joints and organs.

https://drvittoriarepetto.wordpress.com/2011/07/29/how-a-nyc-applied-kinesiologist-uses-neurovascular-pts-for-better-physical-and-emotional-wellbeing/

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

https://drvittoriarepetto.wordpress.com/2014/12/20/a-nyc-chiropractor-talks-about-the-triad-of-health-in-applied-kinesiology/

I can also assist patients in the fight against chronic inflammation in other ways too.

Chronic inflammation responds very well to lifestyle changes. I can advise how to begin an anti-inflammation diet. Vitamin D, Omega 3’s and magnesium as well as other supplements may also provide relief from chronic inflammation.

Eliminating food allergies or intolerances, improving helpful gut bacteria microbiology, improving leaky gut and fixing spastic intestinal valves are a big part of decreasing chronic inflammation. https://drvittoriarepetto.wordpress.com/2010/05/15/it%e2%80%99s-not-a-food-allergy-maybe-it%e2%80%99s-a-food-intolerance/      

https://drvittoriarepetto.wordpress.com/2009/05/23/what-is-an-ileo-cecal-valve-and-how-is-it-related-to-your-digestive-health/

Exercise, proper nutrition and regular chiropractic care can go a long way toward treating a variety of health problems, including chronic inflammation.

If you are suffering from chronic inflammation; please contact me at 212-431-3724 or at http://wwww,drvittoriarepetto.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.

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Great nutritional info on my facebook page

 Dear Patients  & Friends,

 The following articles have been posted on my Facebook page
My facebook page is set for public viewing meaning you don’t need a facebook page to read it.
But some of the articles are from a website for medical professionals only; on my facebook page I have cut and pasted the contents of those article. The Beans, Greens, and the Best Foods For the Brain article  is one such article; please be sure to check it out
All my best,
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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Info from Last Three Nutritional Seminars

Dear Patients & Friends, 
In the last months I attended 3 seminars:one on Age Related Muscle Loss, another on The Gluten, Leaky Gut, Autoimmune Connection and the last on Probiotics & Digestive Enzymes.
See below for informative links and suggested nutritional supplements to help you.
From the time you are born to around the time you turn 30, your muscles grow larger and stronger. But at some point in your 30s, you begin to lose muscle mass and function, a condition known as age-related sarcopenia or sarcopenia with aging. People who are physically inactive can lose as much as 3% to 5% of their muscle mass per decade after age 30. Even if you are active, you will still experience some muscle loss.

to order below supplements :

Register online by clicking either the “register now” button at the right top of this page or the “Register Now” on the left side under The Office.

Note that only the questions marked w/ an *** are necessary to continue the registration, the rest is optional. 

Once you register, then log in with your user name and password and a red Online Store link will appear on the left. Proceed from there.
Nutritional Support for Age-Related Muscle Loss
UltraMeal® Advanced Protein provides support for the nutritional management of patients with sarcopenia.
This advanced formula provides essential amino acids, including added leucine, to support the healthy aging of skeletal muscle and to help address sarcopenia, the age-associated loss of skeletal muscle mass. Each serving provides 20 g protein and amino acids, including 10 g of essential amino acids of which 5 g are branched-chain amino acids. Combined with appropriate exercise, supplementation with essential amino acids and especially of branched-chain amino acids may help improve skeletal muscle mass.
Half of the protein provided by UltraMeal Advanced Protein consists of essential amino acids for better support of muscle protein synthesis. Compared to more common dietary proteins, essential amino acids (and especially branched-chain amino acids) appear to be more rapidly absorbed and better utilized by skeletal muscle for the synthesis of new muscle tissue.
UltraMeal Advanced Protein also features cocoa polyphenols to help maintain endothelium-dependent vasodilation, which contributes to healthy blood flow. Cocoa polyphenols augment nitric oxide synthesis in blood vessels, which supports healthy vascular function.
Additionally, UltraMeal Advanced Protein contains 25 essential vitamins and minerals to support protein synthesis and healthy metabolic function and includes 4 g of prebiotic fiber.

 

Targeted Relief for Acute Microbiota Disruption

UltraFlora Restore is a clinically tested probiotic containing 4 different strains of live bacteria to support healthy intestinal microbial stability and relief of loose stools.*

Visit WhyUltraFlora.com for more information.

UltraFlora Integrity is an exclusive, patented Biome Precision SmartCell Probiotic ™ featuring Lactobacillus salivarius UCC118 that has been studied for over 20 years.

  • Supports the intestinal epithelial barrier*
  • Supports tight junctions for healthy intestinal permeability*
  • Produces bacteriocins to support a healthy microbial balance *
  • Recommmended dose is just one capsule daily
  • Backed by the Metagenics ID Guarantee for purity, clinical reliability, and predicted safety via scientific identification of strains with established health benefits.

For more information, visit WhyUltraFlora.com.

Biome Precision SmartCell Probiotic™ technology targets cellular mechanisms of the microbiome for specific health benefits.

 Click here: SpectraZyme® Gluten Digest | Metagenics

This is not for those with diagnosed celiac disease but for those who experience  minor GI sensitivity
SpectraZyme® Gluten Digest, featuring Tolerase® G, is a targeted protease enzyme supplement that has been clinically shown to digest gluten proteins in humans, in vitro, and in a gastrointestinal model. This formula promotes the breakdown of gluten proteins in the stomach in order to support healthy digestion of wheat, barley, rye grains, and other gluten sources. It has also been clinically shown to digest gluten before it reaches the small intestine, which is key to supporting health outcomes.*

 

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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Lifestyle Modulation of AutoImmunity – A NYC Chiropractor’s/ Applied Kinesiologist’s Take

Adverse Mechanisms;

Increases Suppressor T cells & Promote Autoimmunity

 

  • Excess Stress
  • Compromised Spinal Function
  • Decreased Chi/Lymphatic/Vascular Flow
  • Physical Overtraining/ No Exercise
  • Processed & GMO Foods
  • Food Allergies & Intolerances 
  • Leaky Gut / Intestinal permeability
  • Lack of Sleep
  • Drops in blood glucose
  • Poor social relationships

 

Beneficial Mechanisms:

Increases Helper T cells & Natural Opioids & Dampens AutoImmunity

 

  • Love/ appreciation
  • Good Spinal Function
  • Good Chi/Lymphatic/Vascular Flow
  • Right Amount of Exercise
  • Fresh Organic Foods
  • Avoidance of Food Allergies & Intolerances
  • Prebiotics & Probiotics
  • Positive attitude
  • Adequate sleep
  • Stable blood glucose
  • Social/Physical interaction

 autoimmune-1024x768

https://drvittoriarepetto.wordpress.com/2012/09/26/chiropracticapplied-kinesiology-as-part-of-functional-medicine/

https://drvittoriarepetto.wordpress.com/2011/07/29/how-a-nyc-applied-kinesiologist-uses-neurovascular-pts-for-better-physical-and-emotional-wellbeing/

https://drvittoriarepetto.wordpress.com/2011/02/16/how-an-applied-kinesiologist-uses-neuro-lympathics-to-improve-health/

https://drvittoriarepetto.wordpress.com/2014/12/20/a-nyc-chiropractor-talks-about-the-triad-of-health-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2012/09/15/a-nyc-chiropractor-applied-kinesiologist-talks-about-chiropractic-basics-2/

https://drvittoriarepetto.wordpress.com/2010/05/15/it%e2%80%99s-not-a-food-allergy-maybe-it%e2%80%99s-a-food-intolerance/

https://drvittoriarepetto.wordpress.com/2010/01/17/the-correct-way-to-do-nutritional-evaluation-by-muscle-testing-in-applied-kinesiology/

© 2015-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 230 W 13rd 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: www.twitter.com/DrVRepetto

 

 

Mechanisms that promote intestinal permeability

Several mechanisms promote intestinal permeability, leading to what is called leaky gut syndrome.

Diet:

Alcohol
Gluten
Casein
Processed Foods
Excess Sugar
Fast Food
Medications:
Corticosteroids
Antibiotics
Antacids
Xenobiotics

Infections:

H. Pylori
Bacterial Overgrowth
Yeast Overgrowth
Intestinal Virus
Parasitic Infection

 

Stress:
Increased Cortisol
Increased CRH
Increased Catecholamines

 

Hormonal:
Decreased Thyroid
Decreased Progesterone
Decreased Estradiol
Decreased Testosterone

 

Neurologic:
Brain Trauma
Stroke
Neurodegeneration
Decreased Nerve Flow Due to Spinal Subluxation

 

Metabolic:
Glycosylated End Products
Intestinal Inflammation
Autoimmune Conditions

leaky_cycle

© 2015-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 455 W 23rd 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 http://www.facebook.com/pages/London-Terrace-Chiropractic-Applied-Kinesiology/109622855768202
Or join me at Twitter: 
www.twitter.com/DrVRepetto

 

Bursitis: How a NYC Chiropractor/Applied Kinesiologist/NeuroKineticTherapist Treats It.

First, what is a bursa (bursae)? A bursa is any small pouch or sac between tendons, muscles or bony joints at points of friction or stress which contains a very slippery synovial fluid which allows the two sides of the sac to slide freely. http://en.wikipedia.org/wiki/Synovial_bursa

The term “bursitis” is a combination of “bursa” and “itis,” a word termination meaning inflammation of the bursa. Bursitis is an inflammation of the lubricating membrane. The classic signs of inflammation are pain, heat, redness and swelling.

The most common bursae sites involved in bursitis are at the shoulder, elbow, hip joint, knee and heel.

Here’s an image of the shoulder bursa:

bursitis_shoulder

Bursitis can be caused by trauma, infection or crystal deposits. Trauma is the most common type; it usually develops from mechanical stress due to overuse, direct injury or muscle/joint misalignment.

Bursitis caused by trauma is usually what a doctor of chiropractic who uses applied kinesiology and neurokinetic therapy will see so I will confine my discussion to that type.

Repetitive activities as in sports or washing a floor on your knees are examples of overuse. Falling or hitting a joint can cause inflammation to the bursa.

Muscle/joint misalignment is often an overlooked but very common cause of bursitis; joints depend on the contraction of certain muscles that move the joint in the desired direction and the relaxation of opposing muscles.

Improper contraction or using the wrong set of muscles or the joint not being in the correct position to allow the correct contraction can cause a misalignment problem and stress the bursa and cause inflammation.

When a patient comes in with a bursitis problem, one of the first things that I do is test the surrounding muscles for any weaknesses or spasms as a muscle imbalance will affect the joint and the bursa.

In the case of shoulder bursitis, I ask  is there a dysfunction in the coordination of muscles working in patterns. Is the biceps or pectoralis major or trapezius   compensating (facilitating)  for weak or inhibited muscles like the deltoid or rotator cuff muscles , for example. or vice versa. Muscle imbalance can cause uneven pull or  misalignment of the joints that surround the bursa; causing inflammation of the bursa.

Weak muscles are strengthened and muscle spasms or compensating muscles are relaxed via spindle and golgi tendon work. Blood flow to the muscles is improved by working on neuro-vascular points and lymphatic flow.

The joint alignment is checked and any misalignment is corrected by adjustment of the joint.
For information on specific techniques, please read:

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

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

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

Adequate nutrition for repair and health of the bursa is discussed with the patient.

Sometimes chronic systemic inflammation in a patient requires improving the gut digestion as this can affect one’s joint.

Applications of ice decreases swelling and use of wet heat increases blood and lymph flow to promote healing.

Lifestyle changes are recommended; for example if one has to kneel for work, heel pads are suggested. And proper stretching and exercises are recommended to support the joint and the muscles crossing the bursa.

© 2015-Dr. Vittoria Repetto/revised – 2016

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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