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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 Dr. Ramšak Ivan splošni zdravnik,Arzt für Allgemeinmedizin, Sportmedizin, Neuraltherapie, Manuelle Medizin, Dozent für Applied KinesiologyD.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
Slowly beginning Overstrain, overuse focus abrasion ... Suddenly beginning accident operation birth ... Since when do you feel pain?
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 • 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 - overuse • Sensitivity of temperature? • Is your pain different during the seasons? • How do you feel when it`s clammy? • ....
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 – accident • Was it your first accident? • Do you have many other problems? • Are you afraid? • Sympatic reflex-dystrophie or Morbus Suddeck
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
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
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 lying • Category I • Ligamentpain – hyper-mobility – stress!!! • Visceral pain • ...