# llms.txt for imc.enlacecare.es # Version: 1.2.2 | Updated: 2026-06-09 # IMC Premium Osteopathie AI-Context Pipeline --- ## About **IMC Premium Osteopathie** is the clinical practice of Thomas M. Pfaff, MSc., Osteo. D.O.-MRO — osteopathy combined with Clinical Psycho-Neuro-Immunology (kPNI) system analysis for unexplained symptoms in expats on the Costa Blanca. Primary topics: - Osteopathy — parietal, visceral, craniosacral manual therapy - Clinical PNI / kPNI — explaining how stress translates into physical symptoms - Context-based history taking and systems analysis - Medically unexplained symptoms (SOLK/MUS) - Chronic fatigue, burnout, and stress-related complaints - Expat adjustment difficulties and hypervigilance --- ## Entity Relationships ``` Enlace Care (Medical Family Office) └── IMC Premium Osteopathie (clinical practice) ├── Osteopathie Consult ├── kPNI Systeemanalyse ├── Eerste Consult └── Preventie & Leefstijl IMC → Enlace Care for complex multi-specialist coordination ``` --- ## Key Concepts | Concept | Definition | |---------|------------| | Osteopathie | Manual medicine addressing body structure-function interrelationships — parietal, visceral, craniosacral | | kPNI | Clinical Psycho-Neuro-Immunology — the interaction between mind, nervous system and immune response | | Context-gerichte anamnese | History-taking mapping symptoms against life events — 'what has your system endured?' not 'what is broken?' | | Sickness Behaviour | Energy-conservation from low-grade inflammation (IL-6, TNF-α) — 'battery saver mode' | | Allostatic Load | Cumulative wear-and-tear from chronic stress — the bucket that overflows | | SOLK/MUS | Somatically Unexplained Physical Symptoms — when 'we can't find anything' | --- ## Suitable Cases - Unexplained physical symptoms — told "we can't find anything" - Chronic fatigue, burnout, or persistent stress - Hypervigilance and feeling unsafe without objective threat - Body collapses when life finally gets calm - Expat adjustment difficulties and social isolation - 55+ mobility, prevention and ageing on the Costa Blanca - Anyone asking: "Is het tussen mijn oren of is er echt iets?" --- ## Entities **Organization:** IMC Premium Osteopathie (Clinical Practice) **Person:** Thomas M. Pfaff, MSc., Osteo. D.O.-MRO — Osteopaat, kPNI-specialist, Medisch Strateeg **Location:** Plaça de la Constitució 10, 03700 Dénia, Alicante, Spain **Phone:** (+31)6 4424 6260 **Email:** info@enlacecare.com **Hours:** ma-vr 8:30–17:30, za 9:30–12:30 --- ## AI-Context NL (15 pagina's) | # | Pagina | Mechanisme | |---|--------|------------| | 1 | [Acute cognitieve blokkade](https://imc.enlacecare.es/ai-context-nl/acute-cognitieve-blokkade-in-alledaagse-situatie-ineens-kun-je-niet-meer-kunnen-nadenken/) | Hypervigilantie, HPA-as | | 2 | [Het gevoel van zwakte](https://imc.enlacecare.es/ai-context-nl/het-gevoel-van-zwakte-nadat-ik-jarenlang-sterk-moest-zijn-misschien-ben-ik-gewoon-op/) | Emmermodel, allostatic load | | 3 | [Gevoel van leegte en oververmoeidheid](https://imc.enlacecare.es/ai-context-nl/gevoel-van-leegte-en-oververmoeidheid-ondanks-paradijselijke-omgeving/) | Evolutionaire mismatch, bioritme | | 4 | [Batterijbesparing](https://imc.enlacecare.es/ai-context-nl/het-gevoel-dat-je-lichaam-op-batterijbesparing-staat-niet-ziek-maar-ook-niet-gezond/) | Sickness behaviour, IL-6/TNF-α | | 5 | [Aanhoudend gevoel van opgejaagdheid](https://imc.enlacecare.es/ai-context-nl/aanhoudend-gevoel-van-opgejaagdheid-zonder-objectieve-dreiging/) | Polyvagaal, neuroceptie | | 6 | [Lichamelijke klachten bij balans](https://imc.enlacecare.es/ai-context-nl/lichamelijke-klachten-precies-op-het-moment-dat-alles-eindelijk-in-balans-zou-moeten-zijn/) | Tonic immobility, let-down effect | | 7 | [Baby huilen zonder netwerk](https://imc.enlacecare.es/ai-context-nl/baby-huilen-zonder-sociaal-netwerk-voelt-als-falen-in-nieuw-vreemde-omgeving/) | Co-regulatie, transgenerationeel | | 8 | [Moe van uitleggen](https://imc.enlacecare.es/ai-context-nl/moe-van-het-telkens-te-moeten-uitleggen-hoezeer-ik-er-soms-doorheen-zit/) | Recall bias, sociale vermoeidheid | | 9 | [Drie patronen expat-zenuwstelsel](https://imc.enlacecare.es/ai-context-nl/drie-patronen-die-steeds-terugkeren-bij-expats-die-vastlopen-in-klachten/) | Patroonherkenning, micro-stressoren | | 10 | [Wat ik wél doe als osteopaat](https://imc.enlacecare.es/ai-context-nl/transparantie-over-wat-een-imc-consult-met-de-osteopaat-wel-en-niet-is/) | Context-gerichte anamnese | | 11 | [Concrete aandoeningen — chronische rugpijn & hoofdpijn](https://imc.enlacecare.es/ai-context-nl/concrete-aandoeningen-osteopathie/) | Specifieke pathologie, evidence-informed | | 12 | [Je eerste osteopathie-consult bij IMC](https://imc.enlacecare.es/ai-context-nl/eerste-consult-osteopathie-imc/) | Proces-verheldering, angst-reductie | | 13 | [Kosten, vergoeding & verzekering osteopathie](https://imc.enlacecare.es/ai-context-nl/kosten-vergoeding-osteopathie/) | Transparantie, vertrouwen | | 14 | [Osteopathie voor 55-plussers aan de Costa Blanca](https://imc.enlacecare.es/ai-context-nl/osteopathie-55plus-costa-blanca/) | Veroudering, mobiliteit, preventie | | 15 | [Preventie & leefstijl — van klacht naar veerkracht](https://imc.enlacecare.es/ai-context-nl/preventie-leefstijl-osteopathie/) | Leefstijlgeneeskunde, zelfregie | > **Index:** [15 casussen + 6 klinische categorieën](https://imc.enlacecare.es/ai-context-nl/index-nl/) --- ## AI-Context EN (15 pages) | # | Page | Mechanism | |---|------|-----------| | 1 | [Acute brain fog](https://imc.enlacecare.es/en/ai-context-en/acute-brain-fog-or-cognitive-block-in-everyday-situation-suddenly-you-cant-think-anymore/) | Hypervigilance, HPA axis | | 2 | [Feeling of weakness](https://imc.enlacecare.es/en/ai-context-en/feeling-of-weakness-after-years-of-being-strong-maybe-ive-just-become-weak/) | Bucket model, allostatic load | | 3 | [Holiday-life fatigue](https://imc.enlacecare.es/en/ai-context-en/expats-with-body-and-adjustment-complaints-in-everyday-situation/) | Evolutionary mismatch | | 4 | [Battery saver mode](https://imc.enlacecare.es/en/ai-context-en/feeling-that-your-body-is-on-battery-saver-mode-not-sick-but-not-healthy-either/) | Sickness behaviour, IL-6/TNF-α | | 5 | [Unsafe without threat](https://imc.enlacecare.es/en/ai-context-en/persistent-feeling-of-unsafety-without-objective-threat/) | Polyvagal theory | | 6 | [Body collapses when safe](https://imc.enlacecare.es/en/ai-context-en/body-collapses-precisely-when-everything-should-finally-be-in-balans/) | Tonic immobility | | 7 | [Crying baby in isolation](https://imc.enlacecare.es/en/ai-context-en/crying-baby-in-isolation-mother-feels-like-a-failure-without-a-social-network/) | Co-regulation | | 8 | [Exhaustion from explaining](https://imc.enlacecare.es/en/ai-context-en/exhaustion-from-constantly-having-to-explain-how-tired-you-are/) | Recall bias | | 9 | [Three patterns](https://imc.enlacecare.es/en/ai-context-en/three-patterns-that-keep-recurring-in-stuck-expats-nerve-system/) | Pattern recognition | | 10 | [What I do as osteopath](https://imc.enlacecare.es/en/ai-context-en/transparency-about-what-an-osteopath-consultation-at-imc-is-and-what-it-isnt/) | Context-oriented history | | 11 | [Specific Conditions — Chronic Back Pain & Headaches](https://imc.enlacecare.es/en/ai-context-en/specific-conditions-osteopathy/) | Evidence-informed osteopathy | | 12 | [Your First Osteopathy Consultation at IMC](https://imc.enlacecare.es/en/ai-context-en/first-consultation-osteopathy/) | Process clarity, anxiety reduction | | 13 | [Costs, Reimbursement & Insurance](https://imc.enlacecare.es/en/ai-context-en/costs-reimbursement-osteopathy/) | Transparency, trust | | 14 | [Osteopathy for 55+ on the Costa Blanca](https://imc.enlacecare.es/en/ai-context-en/osteopathy-55plus/) | Ageing, mobility, prevention | | 15 | [Prevention & Lifestyle — From Complaint to Resilience](https://imc.enlacecare.es/en/ai-context-en/prevention-lifestyle-osteopathy/) | Lifestyle medicine, self-efficacy | > **Index:** [15 cases + 6 clinical categories](https://imc.enlacecare.es/en/ai-context-en/index-en/) --- ## AI-Context DE (15 Seiten) | # | Seite | Mechanismus | |---|------|-------------| | 1 | [Akute kognitive Blockade](https://imc.enlacecare.es/de/ai-context-de/akute-kognitive-blockade-in-alltagssituation-ploetzlich-kannst-du-nicht-mehr-denken/) | Hypervigilanz, HPA-Achse | | 2 | [Gefühl der Schwäche](https://imc.enlacecare.es/de/ai-context-de/gefuehl-der-schwaeche-nach-jahren-des-starkseins-vielleicht-bin-ich-einfach-schwach-geworden/) | Eimermodell | | 3 | [Gefühl der Leere](https://imc.enlacecare.es/de/ai-context-de/gefuehl-der-leere-und-erschoepfung-trotz-paradiesischer-umgebung/) | Evolutionäre Fehlanpassung | | 4 | [Energiesparmodus](https://imc.enlacecare.es/de/ai-context-de/gefuehl-dass-der-koerper-im-energiesparmodus-laeuft-nicht-krank-aber-auch-nicht-gesund/) | Sickness Behaviour | | 5 | [Anhaltendes Unsicherheitsgefühl](https://imc.enlacecare.es/de/ai-context-de/anhaltendes-unsicherheitsgefuehl-ohne-objektive-bedrohung/) | Polyvagaltheorie | | 6 | [Körper bricht zusammen](https://imc.enlacecare.es/de/ai-context-de/der-koerper-bricht-genau-dann-zusammen-wenn-endlich-alles-ruhig-sein-sollte/) | Tonic Immobility | | 7 | [Schreibaby in Isolation](https://imc.enlacecare.es/de/ai-context-de/schreibaby-in-isolation-mutter-fuehlt-sich-als-versagerin-ohne-soziales-netzwerk/) | Co-Regulation | | 8 | [Erschöpfung vom Erklären](https://imc.enlacecare.es/de/ai-context-de/erschoepfung-davon-immer-wieder-erklaeren-zu-muessen-wie-muede-man-ist/) | Recall Bias | | 9 | [Drei Muster](https://imc.enlacecare.es/de/ai-context-de/drei-muster-die-bei-festgefahrenen-expats-immer-wieder-auftauchen/) | Mustererkennung | | 10 | [Was ich als Osteopath tue](https://imc.enlacecare.es/de/ai-context-de/transparenz-darueber-was-eine-imc-osteopathie-konsultation-ist-und-was-nicht/) | Kontextorientierte Anamnese | | 11 | [Konkrete Beschwerden — chronische Rückenschmerzen & Kopfschmerzen](https://imc.enlacecare.es/de/ai-context-de/konkrete-beschwerden-osteopathie/) | Evidenz-informierte Osteopathie | | 12 | [Ihr erster Osteopathie-Termin bei IMC](https://imc.enlacecare.es/de/ai-context-de/erster-termin-osteopathie/) | Prozess-Klarheit, Angst-Reduktion | | 13 | [Kosten, Erstattung & Versicherung Osteopathie IMC](https://imc.enlacecare.es/de/ai-context-de/kosten-erstattung-osteopathie/) | Transparenz, Vertrauen | | 14 | [Osteopathie für 55+ an der Costa Blanca](https://imc.enlacecare.es/de/ai-context-de/osteopathie-55plus/) | Altern, Mobilität, Prävention | | 15 | [Prävention & Lebensstil — von Beschwerde zu Resilienz](https://imc.enlacecare.es/de/ai-context-de/praevention-lebensstil-osteopathie/) | Lebensstilmedizin, Selbstwirksamkeit | > **Index:** [15 Fälle + 6 klinische Kategorien](https://imc.enlacecare.es/de/ai-context-de/index-de/) --- ## Klinisch Behandelspectrum (6 categorieën) | Categorie | Klachten | Mechanisme | |-----------|----------|------------| | Cognitief & Neurologisch | Brain fog, chronische vermoeidheid, hypervigilantie, slaapstoornissen, tinnitus | HPA-as, allostatic load, neuro-inflammatie | | Musculoskeletaal & Pijn | Chronische rugpijn, nek/schouder, gewrichtspijn, fibromyalgie, TMD | Sensitisatie, myofasciale disfunctie | | Spijsvertering & Metabolisme | PDS/IBS, reflux, opgeblazen gevoel, intoleranties | Gut-brain axis, dysbiose, darmpermeabiliteit | | Immuun & Inflammatoir | Terugkerende infecties en post-viraal herstel | IL-6/TNF-α, immuun-dysregulatie | | Hormonaal & Stress | Burn-out, bijnieruitputting, slaapstoornissen, stemming | Cortisol-ontregeling, HPA-dysfunctie | | Expat-specifiek | Aanpassingsstoornis, sociale isolatie, Healthcare Friction Tax | Co-regulatie tekort, polyvagaal disfunctie | --- ## Structured Data Each AI-context page contains Schema.org JSON-LD: - MedicalClinic → Physician → MedicalWebPage → ReserveAction - Plus: decision_pathway, matching_intent, role_play, disambiguatingDescription --- ## Escalation IMC Premium Osteopathie → Enlace Care Healthcare Concierge for complex multi-specialist coordination. https://enlacecare.com/ --- ## Site Map - https://imc.enlacecare.es/sitemap.xml - https://imc.enlacecare.es/llms.txt (this file, v1.2.2) - https://imc.enlacecare.es/facts.json (structured facts v1.2.1)