HOMOEOPATHIC APPROACH Neurospinal Disorders

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HOMOEOPATHIC APPROACHNeurospinal Disorders

• Dr.K.R.Mansoor Ali
• Tutor. Govt. Homeopathic Medical College.
  Calicut
• Director Chief Editorwww.similima.com

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Give a man a fish and you feed him for a day.
Teach a man to fish and you feed him for a life
time
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Basic requirements for Best Result Case taking
should be perfect

• If you neglect making a careful exam. The
  patient will be the 1st sufferer, but in the end
  you yourself will suffer from it .. and
  Homeopathy also

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IVDP

• 
  Female 35 Years
• IP No.202 DOA 28.09.06
• Presenting Complaint
• Pain in lumbosacral region lt since 2 months
• lt walking, standing
• gt lying on sides
• .

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HPC

• 4 years back as pain in lumbosacral region on
  turning in bed. Took allopathic treatment with
  transient relief.
• Numbness appeared in lower limbs, no touch
  sensation, no desire for stool.
• Diagnosed as IVDP at L4-L5 and L5-S1 and advised
  surgery

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Past HistoryR/C tonsillitis, UTI and Chicken Pox

• Mental General
• Desire to be alone
• Irritability during pain
• Angered easily

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Physical Generals

• Chilly pt ,bathing in warm water
• Appetite decreased
• Easy satiety
• Desire chillies, pickles
• Hard insufficient stool
• Offensive perspiration
• Dreams of falling from height

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Particulars

• HA from exposure to sun, eyestrain,crowd
• Emptiness not gt eating
• Cramps from cold
• White coated tongue

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Miasmatic expression
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Physical Examination

• SLR ve below 40 on both sides
• PSLR ve below 40 on both sides
• Gaenslens test ve
• X-ray
• Space reduction b/n L4 L5, L5 S1
• MRI
• Posterior postero lateral disc prolapse at
  L4-L5 causing thecal sac L5 root compression
• Posterior disc bulge at L5-S1 with minimal thecal
  compression
• Spinal canal stenosis at L5

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Repertorial totality

• Sulphur 16/7
• Sepia 14/7
• Lyco 13/6
• Thuja 13/6
• Phos 12/7

• Mind. Company aversion to
• Stomach. Appetite easy satiety
• Stomach. Desire pungent things
• Sleep. Dreams falling from high places
• Perspiration. Odor offensive
• Stomach. Emptiness eating not gt
• Head. Pain. Sun from exposure to
• Back. Pain Walking while
• Back. Pain Standing while

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PDF

• Gets angered easily
• Cramps from cold
• Chilly patient
• Basis of selection
• Offensive perspiration,mental picture of the
  patient and particular modality pointed to Sepia

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Prescription
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Inference

• Pain is not relieved with in a week. After two
  week she could walk, but with pain,intensity
  reduced after Sepia 1M.
• After 1 month she could stand without pain.
• After 6 months pain comes only if walked for a
  long distance and if she exerted much.

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IVDP- Related rubrics
1.Back pain Cervical region Lumbar
region Lumbosacral region
Sacral region Coccyx 2.Sciatica
Extr. Pain.Lower limb. Sciatica 3.Stiffness
Back. Stiffness- Cervical
Nape of neck
Lumbo sacral
Sacral
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4.Numbness Back. Numbness.
Cervical
Scapulae
Lumbo sacral
Sacral 5.Weakness Back. Weakness
Extr. Weakness 6.Paralysis
Extr. Paralysis Etiology Cervical pain over
lifting from From false position in sleep
Back Pain after LSCS Fall on Coccyx
Hyper, Silicia, Sitting lt Kali.bich
Lumbago after injury Agaricus Fall on
sacral region Kali.c
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SCIATICA
Acute Management Chronic Management Give
importance to Side Right Coloc, Lach,
Lyc, Gnaph Left Phos,
Spigelia Modality Flexing limb lt
Colocynth Standing lt,
motion gt etc Concomitance Accompanied by.
Haemerrhoids
Aesc Numbness with
Gnaph Extension Aetilogy Injuries
after Arn, Hyper, Ruta
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Sciatica

• Sciatica on both side Chamomilla
• Deformed vertebra Calc.Phos
• Parts cold to touch, periodicity Ars.alb
• Lumbago Sciatica Rhus.tox
• Sitting lt,Walkinggt,Lying down OK Amm.m
• Pain lt by sitting standing Valeriana
• Pain from buttock to ankle, least movement
  aggravates, with perspiration, lying on painful
  side gt Bry

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Murphys repertory

• Emergency Back. Injuries after
• Leg Sciatica

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Cervical Spondylosis

• Male 50 years
• Pain in neck with stiffness, cant turn to left
  ,ltjar,moving,yawning
• gtWarm bathing,lying on sides
• Fish selling in bicycle, stopped since 6 months
• Concomitant Numbness of palms, weakness of
  hands
• Extension Shoulder, chest,dorsal region

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Repertorial Totality

• Mind. Contradiction Intolerant of
• Gen.FD. Sweets desire
• Sleep.Sleeplessness noise from
• Mouth. Cracked tongue
• Ext.throat. Torticollis
• Back.Pain. Cervical region moving on
• Back.Stiffness. Cervical region
• Extr. Numbness hand

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• Phos. 15/7
• Lyc. 15/6
• Sulphur. 14/8
• Nux. 13/9
• Calc. 10/6
• PDF
• Renal calculi
• Cervical region
• Warm bathing gt
• Lying head high lt
• Prescription Lyc. 200/

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A lazy man has no place in homeopathy.Read
daily a drug two on Sundays
_M.L.Tyler
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Cx SpondylosisImportant medicines

• Cimicifuga Most suitable for IT professionals
  stenos with stiffness pain in neck
• Nux.v Sedentary, constipation, alcohol,burning
  spine, turning difficult
• Lachananthes Torticollis with severe muscle
  spasm, numbness- specific action- acute remedy
• Calc.carb Most successful remedy in several
  cases with rigidity stiffness in morning,
  turning difficult and tendency to strain easily
• Kalmia Rt. Ext. down, with numbness, C5-C7
• Rhus.tox Pain from false position,ltsitting,
  exertion,gt warmth application
• Lycopodium Pain Urinary GIT Acute
  Berberis .v

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Rubric Selection

• Side Right Sang, Kalmia
• Left Conium
• Modality
• Looking up lt
• Stooping lt
• Coughing
• Turning lt
• Extension

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Associated symptoms in Cervical Spondylosis

• Vertigo
• Tinnitus
• Blurring of vision

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• Homoeopaths should see opportunity in every
  opportunity but not difficulty in every
  opportunity

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Physiotherapy in Homoeopathy
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Treatment available

• Pain
• Paralysis
• Nerve Injury
• Deformities
• Muscle weakness
• Stiffness
• Post traumatic cases
• Soft tissue injury
• Arthritis
• OA Knee

• Gynaecological pain
• Cx Lumbar spondyls
• Fibromyositis
• Migaine
• Frozen shoulder
• Bells palsy
• Tennis elbow
• Plantar fasciitis
• Muscle spasm/cramps

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• Never apply local heat or oils to relive pain
• - really worse for the
  patient
• But effective in stiffness paralysis
• 
  - Dr.Kent
• (Lecturers on Homeopathic materia
  medica- Kalmia)

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Farrington

• Salt application- to relieve pain,
• weakness of muscles nerves
• May prevent deformities
• (Natrum family-
  Clinical materia medica)

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Local applications not good ?

• 194 (a)
• It is not useful, either in acute local diseases
  of recent origin or in local affections that have
  already a long time, to rub in or apply
  externally to the spot, an external remedy,
• Even though it be the specific homoeopathicity,
  even although it should be at the same time
  administered internally for the acute topical
  affections.
• Which have not been caused by external injury of
  proportionate violence, but by dynamic or
  internal causes.

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Internal External together- not good?

• 197  
• the simultaneous local application, along
  with the internal employment, of the remedy in
  diseases whose chief symptom is a constant local
  affection, has this great disadvantage, that, by
  such a topical application, this chief symptom
  (local affection) will usually be annihilated
  sooner than the internal disease, .. a perfect
  cure or at least it will be difficult, and in
  some cases impossible.

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Reduction, bandage,local application
- Good in

• 186
• Those so-called local maladies which have been
  produced a short time previously, solely by an
  external lesion, .. the whole living organism
  sympathizes .
• The treatment of such diseases is relegated to
  surgery but this is right only in so far as the
  affected parts require mechanical aid, .. by the
  reduction of dislocations, by bandages, by the
  extraction of foreign bodies etc. then the
  services of the dynamic physician and his helpful
  homoeopathy come into requisition

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• We must have good Vision, Loyalty and Dedication
• Only we can do
• something about it !!!!

Take homeopathy into greater heights
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Summary

• Homeopathy offers effective treatment for
  Neurospinal disorders
• Detailed case taking and proper repertorisation
  are essential
• Aetiological prescription offers immediate relief
• Higher potencies are useful both in acute
  chronic
• Homeopathic remedies along with accessory mgt
  offers excellent, speedy recovery
• It is better to avoid external applications to
  relive pain

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