George goodheart listen very carefully die bedeutung der anamnese aus struktureller sicht
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George Goodheart: „Listen very carefully!“ Die Bedeutung der Anamnese aus struktureller Sicht. Dr. Ram š ak Ivan splošni zdravnik, Arzt für Allgemeinmedizin, Sportmedizin, Neuraltherapie, Manuelle Medizin, Dozent für Applied Kinesiology D.I.B.A.K seit 2000. greeting.

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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 KinesiologyD.I.B.A.K seit 2000


Greeting
greeting

  • The way and length of the handshake


Why are you coming
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

...

Since when do you feel pain?


Slowly beginning overuse
Slowly beginning - overuse

  • 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 focus
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!“


Slowly beginning overuse1
Slowly beginning - overuse

  • Sensitivity of temperature?

  • Is your pain different during the seasons?

  • How do you feel when it`s clammy?

  • ....


Suddenly beginning accident
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?

    • ...


Suddenly beginning accident1
Suddenly beginning – accident

  • Was it your first accident?

  • Do you have many other problems?

  • Are you afraid?

    • Sympatic reflex-dystrophie or Morbus Suddeck


Suddenly beginning operation
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
Suddenly beginning – birth

  • Length of birth?

  • Sitting, defecation, kohabitation... Since when after birth possible?

  • Perineal tear?


What would cause more pain moving structural pathology resting functional problems
What would cause more pain?moving – structural pathologyresting - functional problems




The common symptoms of depression
The common symptoms of depression

  • neckstiffness

  • Pain in knees and ellbows

  • Deep lumbar pain

  • Interscapulary pain

  • „I feel pain everywhere!“



In which position do you feel most pain sitting running up downhill walking lying
In which position do you feel most pain? Sitting Running, up-, downhill, Walking Lying


Pain during sitting
Pain during sitting

  • Coccygis

  • Cat II

  • Tuber ischiadicum – rectum-pathologies, hamorrhoiden...

  • Lig. iliolumbale, lig. sacro-tuberale , lig. sacrospinale


Pain during after walking
Pain during/after walking

  • Dysfunction of the feet

    • Talus medial: gonarthralgia, inguinalgia

    • Talus lateral: trochanter major pain

    • Pes valgus: lumbar pain, inguinalgia, ...

    • ..........



Pain during lying
Pain during lying

  • Category I

  • Ligamentpain – hyper-mobility – stress!!!

  • Visceral pain

  • ...



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