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A patient having a medical consultation with the two experts Dr Petra Gürtner and Dr Astrid Tolnai.
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DR. ASTRID TOLNAI
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DR. PETRA GÜRTNER
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THE COMPLAINTS

YOU SUFFER FROM...?

EXEMPLARY QUESTIONS ON THE PHYSICAL EXAMINATION

  • Do you fall frequently?
  • How often do you leave your home?
  • Do you still run daily errands?
  • How far can you walk (300 feet or more)?
  • What other medical problems do you have?
  • What medications do you take?

After completing a thorough physical exam, we review all available imaging studies (MRI, CT, Xrays, ultrasound, etc.) and laboratory data. We may also consider ordering additional studies, for example:

  • CT (Computertomography)
  • MRI (Magnetic resonance imaging)
  • EMG (Elektromyography)
  • EEG (Elektroencephalography)
  • NCS (Nerve conducting studies)
  • Ultrasound, Doppler
  • Xrays
  • Neuropsychological Testing

BACK PAIN

In addition to neck pain, low back pain can have many causes. In most cases, the pain is caused by insufficiently trained back muscles and a lack of exercise, which leads to muscle tension and poor posture of the spine.

About low back pain

NECKPAIN

Neck pain can have many causes. In most cases, the pain is caused by poorly trained neck and back muscles and a lack of exercise, which leads to muscle tension and poor posture of the spine.

About neck pain

BLADDER WEAKNESS

There is no doubt that bladder problems are urgent. Most people take bladder control for granted.

About bladder weakness

FREQUENT FALLS

The three most common causes of increased falls are

  • Muscle weakness / muscle atrophy
  • Dizziness
  • Taking medication

About tendency to fall

NUMBNESS IN FINGERS, ARMS AND LEGS

Old people are often given a diagnosis of polyneuropathy (sensory disturbances in the fingers, arms or legs), but this is not always correct. Sensory disturbances in the arms, fingers or legs with or without gait disturbance can occur due to a narrowing of the spinal canal in the area of the cervical spine.

About polyneuropathy

DIFFICULTIES WITH MEMORY

As there are many causes of memory disorders, this also requires more detailed clarification. Older people in particular have many accompanying illnesses (e.g. diabetes mellitus and high blood pressure) and take many medications that can contribute to memory disorders.

About memory disorders

Elderly depressed lady with a handful of tablets
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HEADACHES AND DIZZINESS

In the case of headaches, we rule out possible causes by asking the following exemplary questions:

About headaches

An elderly man trying to get up from a chair in pain, while a woman is also helping him.
Are you complaining of bad low back pain? Arrange a treatment consultation today.

PARALYSIS

Symptoms of paralysis are defined as weakness of the limbs. In order to determine the cause, it is necessary to take a close look at the symptoms.

About symptoms of paralysis

Dejected young woman
Do you often feel depressed? The two with heart and brain are there for you.

SADNESS AND HOPELESSNESS

In order to assess depression and hopelessness accurately, it is also necessary to look at the accompanying illnesses (e.g. high blood pressure) and check the medication being taken.

About sadness and hopelessness