george goodheart: „listen very carefully!“ die bedeutung der anamnese aus struktureller sicht
Post on 01-Feb-2016
Embed Size (px)
DESCRIPTIONGeorge Goodheart: Listen very carefully! Die Bedeutung der Anamnese aus struktureller Sicht. Dr. Ram ak Ivan sploni zdravnik, Arzt fr Allgemeinmedizin, Sportmedizin, Neuraltherapie, Manuelle Medizin, Dozent fr Applied Kinesiology D.I.B.A.K seit 2000. greeting. - PowerPoint PPT Presentation
George Goodheart: Listen very carefully!
Die Bedeutung der Anamnese aus struktureller SichtDr. Ramak Ivansploni zdravnik, Arzt fr Allgemeinmedizin, Sportmedizin, Neuraltherapie, Manuelle Medizin, Dozent fr Applied Kinesiology D.I.B.A.K seit 2000
greetingThe 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 beginningOverstrain, overusefocusabrasion...Suddenly beginningaccidentoperationbirth...
Slowly beginning - overuseReport of body work out:Years of exercisingIncrease of exercise in one/last yearSize of body work out last 4-6 weeksIntensity of body work out last 4-6 weeksFrequency of competitions last year
Slowly beginning - focusHow 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 - overuseSensitivity of temperature?Is your pain different during the seasons?How do you feel when it`s clammy?....
Suddenly beginning accidentTell 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 accidentWas it your first accident?Do you have many other problems?Are you afraid?Sympatic reflex-dystrophie or Morbus Suddeck
Suddenly beginning operationWhat 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 birthLength 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 depressionneckstiffnessPain in knees and ellbowsDeep lumbar painInterscapulary painI feel pain everywhere!
Show me the radiation of your pain !
In which position do you feel most pain? SittingRunning, up-, downhill, WalkingLying
Pain during sittingCoccygisCat IITuber ischiadicum rectum-pathologies, hamorrhoiden...Lig. iliolumbale, lig. sacro-tuberale , lig. sacrospinale
Pain during/after walkingDysfunction of the feetTalus medial: gonarthralgia, inguinalgiaTalus lateral: trochanter major painPes valgus: lumbar pain, inguinalgia, .............
Pain during/after walking
Pain during lyingCategory ILigamentpain hyper-mobility stress!!!Visceral pain...
THANK YOU ! !