“Horizonte der FTI-Politik aus Sicht der Europäischen Kommission”
George Goodheart: „Listen very carefully!“ Die Bedeutung der Anamnese aus struktureller Sicht
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Transcript of George Goodheart: „Listen very carefully!“ Die Bedeutung der Anamnese aus struktureller Sicht
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
greeting
• The way and length of the handshake
Why are you coming?
• Ability to express the priority of problems
• Gesticulation and body language
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?
What would cause more pain?
moving – structural pathologyresting - functional problems
When during day and night do you feel the
most pain?
When during the four seasons do you feel
most pain?
The common symptoms of depression
• neckstiffness
• Pain in knees and ellbows
• Deep lumbar pain
• Interscapulary pain
• „I feel pain everywhere!“
Show me the radiation of your pain !
In which position do you feel most pain?
SittingRunning, up-, downhill, WalkingLying
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, ...
–..........
Pain during/after walking
pes valgus
Pain during lying
• Category I
• Ligamentpain – hyper-mobility – stress!!!
• Visceral pain
• ...
THANK YOU ! !