Post on 02-Jan-2016
George Goodheart:
„Listen very carefully!“
Die Bedeutung der Anamnese aus struktureller Sicht
Dr. Ramšak Ivan
splošni zdravnik, Arzt für Allgemeinmedizin, Sportmedizin, Neuraltherapie, Manuelle Medizin,
Dozent für Applied Kinesiology D.I.B.A.K seit 2000
Since when do you feel pain?
• Slowly beginning– Overstrain, overuse
– focus
– abrasion
– ...
• Suddenly beginning– accident
– operation
– birth
– ...
• Report of body work out:– Years of exercising
– Increase of exercise in one/last year
– Size of body work out last 4-6 weeks
– Intensity of body work out last 4-6 weeks
– Frequency of competitions last year
Slowly beginning - overuse
Slowly beginning - focus
• How are you during virus infection?
• How are you if you have stress?
• How are you on holidays?
• Are the problems changing from one to the other side of the body?
• Typically.: „All my problems are on the rigth/left side!“
• Sensitivity of temperature?• Is your pain different during the
seasons?• How do you feel when it`s
clammy?• ....
Slowly beginning - overuse
Suddenly beginning – accident
• Tell and show me how the accident happened!– Which muscles were contracted?
– Which muscles were stretched?
– Which ligament could be stretched?
– Skin proprioreceptors strained?
– ...
• Was it your first accident?
• Do you have many other problems?
• Are you afraid?–Sympatic reflex-dystrophie or
Morbus Suddeck
Suddenly beginning – accident
Suddenly beginning – operation
• What do you feel when do you remember the operation?
• Sensitivity of scar?
• Problems with metals used for implantation?
• Redondrain...?
• Did you ever have problems after narcose?
Suddenly beginning – birth
• Length of birth?
• Sitting, defecation, kohabitation... Since when after birth possible?
• Perineal tear?
The common symptoms of depression
• neckstiffness
• Pain in knees and ellbows
• Deep lumbar pain
• Interscapulary pain
• „I feel pain everywhere!“
Pain during sitting
• Coccygis
• Cat II
• Tuber ischiadicum – rectum-pathologies, hamorrhoiden...
• Lig. iliolumbale, lig. sacro-tuberale , lig. sacrospinale
Pain during/after walking
• Dysfunction of the feet–Talus medial: gonarthralgia,
inguinalgia
–Talus lateral: trochanter major pain
–Pes valgus: lumbar pain, inguinalgia, ...
–..........