Functional medicine
Pain & functional limitations
Regulative & preventative medicine
Dr. med. univ. Klaus Wachter
Introduction to a new medical perspective (details)
Limitations of imaging techniques
However, conventional medicine still pays little attention to this complex information network as a diagnostic tool. The current diagnostic trend is moving more and more towards instrumental medicine.
Hardly any patient is examined in detail and the body's own perception and description of their own symptoms are seen as disruptive to the diagnostic process. Ie. Patients are increasingly gaining the impression that their subjective feelings and their own competence for diagnosis are misleading and therefore more emphasis must be placed on imaging procedures.
Although many studies now show that, for example, imaging (X-rays, MRI) is not useful for diagnosing back pain because functional disorders cannot be depicted.
"In around 90 percent of those affected, imaging cannot identify a serious organic cause of the pain, and most CT and MRI findings are questionable as to whether they have anything to do with the pain.
As a rule, the symptoms are myofascial, psychosocial or somatoform. In such cases, imaging often proves to be harmful because it raises fears with unclear findings and, with subsequent examinations, promotes the chronification of the pain. " Medical newspaperNovember 15, 2016."
Eine große Literatur Recherche
z.B. zeigt bei 37% aller 20jährigen und 84% aller 80 Jährigen Veränderungen im der MRT Bildgebung - allerdings ist diese Kollektiv von 3110 Individuen komplett beschwerdefrei !
Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015 Apr;36(4):811-6. doi: 10.3174/ajnr.A4173. Epub 2014 Nov 27. Brinjikji et al.
Wie es scheint können die herkömmlichen Modelle nicht immer die Beschwerden unserer Patienten erklären. Es fehlt z.T. an einer effektiveren Diagnostik zu Erfassen von bestimmten akuten oder chronischen Schmerzzuständen, die sich durch herkömmliche diagnostische Verfahren, die die Faszie nicht mit einschließen, nicht schlüssig erklären lassen.
Unter Berücksichtigung der Faszie als DER Generator und DAS Sinnesorgan für Schmerzen gelingt die Diagnose in den meisten Fällen.
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