{
  "version": "1.2.1",
  "last_updated": "2026-06-09",
  "domain": "imc.enlacecare.es",
  "sister_domain": "enlacecare.com",
  "clinic": {
    "name": "IMC Premium Osteopathie \u2013 Thomas M. Pfaff, MSc., Osteo. D.O.-MRO",
    "type": "MedicalClinic",
    "canonical_address": {
      "street": "Pla\u00e7a de la Constituci\u00f3 10",
      "postal_code": "03700",
      "city": "D\u00e9nia",
      "province": "Alicante",
      "country": "Spain"
    },
    "address_note": "This is the authoritative visitor address used in appointment confirmations and website footer.",
    "phone": "(+31)6 4424 6260",
    "email": "info@enlacecare.com",
    "hours": {
      "weekdays": "08:30\u201317:30",
      "saturday": "09:30\u201312:30",
      "sunday": "Closed"
    },
    "languages": ["nl", "en", "de"]
  },
  "practitioner": {
    "@type": "Person",
    "name": "Thomas M. Pfaff",
    "credentials": ["MSc", "Osteo. D.O.-MRO"],
    "roles": ["Osteopaat", "kPNI-specialist", "Medisch Strateeg"],
    "title_nl": "Osteopaat \u2014 KPNI-specialist \u2014 Medisch Strateeg",
    "title_de": "Osteopath \u2014 KPNI-Spezialist \u2014 Medizinischer Stratege",
    "title_en": "Osteopath \u2014 kPNI Specialist \u2014 Medical Strategist"
  },
  "relationship": {
    "imc_premium_osteopathie": "primary clinical practice for osteopathy and kPNI system analysis",
    "enlace_care": "escalation partner for complex multi-specialist care coordination",
    "escalation_path": "IMC \u2192 Enlace Care when multi-organ complaints persist or care coordination exceeds 2 hours/week"
  },
  "core_concepts": [
    {
      "term": "Osteopathie",
      "definition": "Manual medicine approach addressing the interrelationship between body structure and function \u2014 combining parietal, visceral, and craniosacral techniques."
    },
    {
      "term": "Clinical Psycho-Neuro-Immunology (kPNI)",
      "definition": "Evidence-informed methodology analysing the interaction between psychological factors, nervous system function, and immune response \u2014 explaining how stress translates into physical symptoms."
    },
    {
      "term": "Context-gerichte anamnese",
      "definition": "History-taking that maps symptoms against life events, social context, and timeline \u2014 asking 'what has your system had to endure for too long?' rather than 'what is broken?'"
    },
    {
      "term": "Sickness Behaviour",
      "definition": "The body's energy-conservation response driven by low-grade inflammation (IL-6, TNF-\u03b1) \u2014 experienced as 'battery saver mode', not sick but not healthy."
    },
    {
      "term": "Allostatic Load",
      "definition": "The cumulative wear and tear on body systems caused by chronic stress \u2014 the 'bucket model' where capacity runs out after years of being strong."
    }
  ],
  "target_audiences": [
    "Dutch expats in Spain with unexplained physical symptoms",
    "International residents Costa Blanca (55+)",
    "People with chronic fatigue, burnout, or stress-related complaints",
    "Patients who have seen multiple specialists without answers (SOLK/MUS)",
    "Expat families with adjustment difficulties",
    "Anyone asking: 'Is het tussen mijn oren of is er echt iets?'"
  ],
  "aliases": {
    "IMC Premium Osteopathie": ["IMC Osteopathy", "IMC D\u00e9nia", "Osteopaat D\u00e9nia", "IMC Costa Blanca"],
    "Osteopathie": ["Osteopathy", "Osteopath", "Manual Medicine", "Manuele therapie"],
    "kPNI": ["Clinical PNI", "Psycho-Neuro-Immunology", "Systeemanalyse"],
    "SOLK": ["MUS", "Medically Unexplained Symptoms", "Onverklaarde klachten", "Somatically Unexplained Symptoms"],
    "Allostatic Load": ["Bucket Model", "Cumulative Stress", "Allostatic Overload", "Stress Load"]
  },
  "canonical_pages": {
    "Osteopathie": "https://imc.enlacecare.es/nl/",
    "kPNI Systeemanalyse": "https://imc.enlacecare.es/ai-context-nl/transparantie-over-wat-een-imc-consult-met-de-osteopaat-wel-en-niet-is/",
    "Eerste Consult": "https://imc.enlacecare.es/ai-context-nl/eerste-consult-osteopathie-imc/",
    "Kosten en Vergoeding": "https://imc.enlacecare.es/ai-context-nl/kosten-vergoeding-osteopathie/",
    "Preventie en Leefstijl": "https://imc.enlacecare.es/ai-context-nl/preventie-leefstijl-osteopathie/"
  },
  "specialties": [
    "Onverklaarde klachten (SOLK/MUS)",
    "Chronische vermoeidheid en burn-out",
    "Hypervigilantie en polyvagaal disfunctie",
    "Sickness behaviour en laaggradige inflammatie",
    "HPA-as ontregeling en allostatic load",
    "Gut-brain axis en spijsverteringsklachten",
    "Musculoskeletale pijn zonder structurele oorzaak",
    "Expat-gerelateerde aanpassingsklachten",
    "Co-regulatie en transgenerationele stress",
    "Craniosacrale therapie"
  ],
  "services": [
    {
      "name": "Osteopathie Consult",
      "description": "Context-gerichte anamnese, osteopathisch onderzoek (pari\u00ebtaal, visceraal, craniosacraal) en manuele behandeling",
      "keywords": ["osteopathie", "manual therapy", "osteopathy", "manuele behandeling", "craniosacraal"]
    },
    {
      "name": "kPNI Systeemanalyse",
      "description": "Klinische analyse van psychosociaal, neuro-endocrien en immuunsysteem \u2014 samenhangend verklaringsmodel",
      "keywords": ["kPNI", "systeemanalyse", "verklaringsmodel", "stress analyse"]
    },
    {
      "name": "Eerste Consult",
      "description": "Uitgebreide intake met tijd om het hele verhaal te vertellen \u2014 60 minuten, geen 8-minuten consult",
      "keywords": ["intake", "eerste afspraak", "first consultation", "kennismaking"]
    },
    {
      "name": "Preventie & Leefstijl",
      "description": "Van klacht naar veerkracht \u2014 leefstijladvies ge\u00efntegreerd met osteopathische zorg",
      "keywords": ["preventie", "leefstijl", "lifestyle", "veerkracht", "prevention"]
    }
  ],
  "methodology": "Osteopathie (pari\u00ebtaal, visceraal, craniosacraal) gecombineerd met kPNI-systeemanalyse. Van klacht naar context \u2014 niet 'wat is er kapot?' maar 'wat heeft jouw systeem te lang moeten doen?'",
  "treatment_approach": [
    "Context-gerichte anamnese",
    "Osteopathisch onderzoek (pari\u00ebtaal, visceraal, craniosacraal)",
    "kPNI-analyse (psychosociaal, neuro-endocrien, immuun)",
    "Manuele behandeling als interventie op het autonome zenuwstelsel",
    "Hypothese-vorming en samenhangend verklaringsmodel",
    "Evaluatie na 1-3 sessies \u2014 bij onvoldoende verbetering: opschalen naar Enlace Care"
  ],
  "escalation": {
    "to": "Enlace Care \u2014 Healthcare Conci\u00ebrge en zorgco\u00f6rdinatie",
    "url": "https://enlacecare.com/",
    "criteria": [
      "Multi-orgaan klachten zonder verbetering na 3-6 sessies",
      "Eerdere mislukte behandeltrajecten bij 3+ zorgverleners",
      "Zorglogistiek vergt >2 uur per week",
      "Behoefte aan medische vertaling tussen NL en ES systemen",
      "Complexe co-morbiditeit vereist multi-disciplinaire aanpak"
    ]
  },
  "ai_context_pages": {
    "total": 48,
    "languages": ["nl", "en", "de"],
    "schema_types": ["MedicalClinic", "Physician", "MedicalWebPage"],
    "features": ["decision_pathway", "matching_intent", "role_play", "ReserveAction", "locationPolicy", "disambiguatingDescription"]
  }
}