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Congress Abstracts full PDF - International Council of Medical ...

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Workshop 6<br />

NEURALTHERAPY AS INTEGRATIVE MEDICINE IN ENT<br />

Gregor Fischer<br />

Austrian <strong>Medical</strong> Association <strong>of</strong> Neuraltherapy, Krems, Austria<br />

Integrative medicine is a new term that emphasises the combination <strong>of</strong> both conventional and alternative<br />

approaches to address the biological, psychological, social and spiritual aspects <strong>of</strong> health and illness.<br />

Neural therapy (NT) is a holistic method <strong>of</strong> therapy and a technique <strong>of</strong> regulation medicine using local<br />

anaesthetics for local, segmental techniques, injections to ganglions or to nerves.<br />

Main topics in NT are pain therapy, treatment <strong>of</strong> functional diseases and solutions for distur-bance fields.<br />

Working at an ENT-Department with evidence based medicine (EBM) is fined a lot <strong>of</strong> pa-tients who don’t effort on<br />

EBM-therapy. In that case I use NT as integrative medicine. In my lecture I’ll give a selection <strong>of</strong> the principles and<br />

techniques <strong>of</strong> NT especially in the head and neck region.<br />

The main focus will be testing and treatment <strong>of</strong> disturbance fields.<br />

INTRODUCTION IN PRACTICAL NEURAL THERAPY<br />

Wolfgang Ortner<br />

Austrian <strong>Medical</strong> Association <strong>of</strong> Neuraltherapy, H<strong>of</strong>/Lbg., Austria<br />

The main columns <strong>of</strong> the diagnostic procedure are<br />

History Taking, Inspection, Palpation and Functional Examination<br />

History taking<br />

The quality <strong>of</strong> the diagnosis <strong>of</strong> disorders depends to a large extent on targeted and specific history taking. A well<br />

detailed history helps to minimize the number <strong>of</strong> tedious and expensive diagnostic tests required. The first impression<br />

(gait pattern, posture, etc) and the complaints primarily stated (reason for contact) determine the way in which the<br />

experienced therapist directs the exploration.<br />

Inspection:<br />

First look - First impression (Gait pattern, coordination <strong>of</strong> movement),<br />

Stance (body language), First contact (hand grip, eye contact)<br />

Inspection at rest and moving<br />

Palpation:<br />

Palpation <strong>of</strong> connective tissue:<br />

a. Light-touch palpation to realize superficial indications <strong>of</strong> regulatory disorders<br />

b. Connective tissue palpation for tension, subtile swelling and turgor <strong>of</strong> the subcutis.<br />

c. Kibler skin fold rolling as an expression <strong>of</strong> the segmental regulation in the dermatome can give information about<br />

possible pathological conditions <strong>of</strong> the associated myotome, sclerotome or internal organs.<br />

d. In-depth palpation to examine deeper-lying s<strong>of</strong>t tissue structures such as muscular myogeloses, trigger points and<br />

fasciae.<br />

Functional examination<br />

In principle: “From head to foot”<br />

Auxiliary findings<br />

A major competence <strong>of</strong> the therapist is the overview <strong>of</strong> all the findings and the critical assessment <strong>of</strong> auxiliary<br />

findings (diagnostic tests, specialists’ opinions). Physical examination in the form <strong>of</strong> palpation and functional diagnosis<br />

also reveals disorders and pathologies that have not (yet) been established by diagnostic tests. Subtile findings such<br />

as limited tumescence (turgidity) <strong>of</strong> s<strong>of</strong>t tissues may be indicative <strong>of</strong> clinically no apparent disorders. Conversely,<br />

feigned symptoms or falsified diagnostic test results may be called into question as the result <strong>of</strong> s<strong>of</strong>t tissue palpation<br />

void <strong>of</strong> any pathological finding.<br />

Therapeutic procedere<br />

In actual practice the combination <strong>of</strong> various injection techniques is typical. The neural therapist will adapt his<br />

approach to his range <strong>of</strong> experience and training. The effect <strong>of</strong> the therapy will depend less on the type <strong>of</strong> technique<br />

than on an exact examination and the correct inferred biocybernetic idea <strong>of</strong> the disorder. Also simple techniques<br />

prove to be effective if the hypothetic considerations correlate to reality.<br />

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