7/7/22, 3:33 PM Homeopathic Management of Spinal disorders

Homeopathic Management of Spinal disorders

Dr Mansoor Ali.

The most important basic requirement for getting a better result in spinal disorders is that case taking should be
perfect. If you neglect making careful examinations, the patient will be the first sufferer, and then you also suffer
from it and ultimately homoeopathy also.

We are going to discuss a methodology, the methodology that everybody can follow with ease with which we
can improve our practice with very high success rate with limited failures.

A case of IVDP

Female 35 Years   IP No.202    DOA : 28.09.06

Presenting Complaint

Pain in lumbosacral region – < since  2 months

< walking, standing

> lying on sides

HPC : Complaints started 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

Past History

R/C tonsillitis, UTI and Chicken Pox

Mental General

Desire to be alone
Irritability during pain

Angered easily

Physical Generals

Chilly pt ,bathing in warm water

Appetite decreased
Easy satiety

Desire chillies, pickles

Hard insufficient stool

Offensive perspiration

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Dreams of falling from height 

Particulars :

HA from exposure to sun, eyestrain, crowd

Emptiness not > eating

Cramps from cold

White coated tongue 

Miasmatic Expression

Symptom Psora Sycosis Syphilis

Pain back < Walking< motion< standing< lying on ++++

back

Gets angered easily + + +

Irritability on pain + +

Desire to be alone +

Appetite less,easy satiety +

Desire chillies +

Hard insufficient stool +

Offensive perspiration +

HA < Sun exposure to +

Emptiness not > eating +

If you are doing a miasmatic cleavage like this, you can find out the dominant miasm and also the correct
antimiasmatic remedy.

Physical Examination :

SLR +ve below 40 on both sides

PSLR +ve below 40 on both sides

Gaenslen’s 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 

Repertorial Totality :

Mind. Company aversion to

Stomach. Appetite easy satiety

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Stomach. Desire pungent things

Sleep. Dreams falling from high places
Perspiration. Odor offensive
Stomach. Emptiness eating not >
Head. Pain. Sun from exposure to
Back. Pain Walking while
Back. Pain Standing while

 We had not considered lack of desire for stool, urinary complaints ect. Since these are the common symptoms of
IVDP

Result :

Sulphur 16/7
Sepia 14/7

Lyco 13/6
Thuja 13/6
Phos 12/7

 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

Prescription

28.09.06 Sepia 200

05.10.06 Can walk with less pain,other symptoms persist SL

12.10.06 Can walk but with pain Sepia 1M

26.01.07 < of pain Sepia 1M

24.03.07 Pain if walked and exerted much SL

Inference

Pain is not relieved within a week. After two week she could walk, but with pain,intensity rezuced 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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We had verified in several patients in our OPD & IPD that – higher potencies yield much better results in
both acute and chronic spinal disorders.

IVDP- Related rubrics

We have to consider the following rubrics in addition to the mental generals and physical generals of the patient
to get a better result.

1.Back pain:   Cervical region

Lumbar region

Lumbosacral region

Sacral region

Coccyx

We have to select specific location where actually the pain is, then we will get the correct  remedy which have
specific action on that location

2.Sciatica :  Extr. Pain.Lower limb. Sciatica

3.Stiffness : Back. Stiffness- Cervical

Nape of neck

Lumbo sacral

Sacral

4.Numbness : Back. Numbness.

Cervical

Scapulae

Lumbo sacral

Sacral

5.Weakness  : Back. Weakness

Extr. Weakness

6.Paralysis    : Extr. Paralysis

Prescribing on Etiology offers excellent results

If the cause is removed effect goes off by themselves

Cervical pain over lifting from   : Calc.c

From false position in sleep  : Rhus.tox
Back Pain after LSCS  : Hypericum

Fall on Coccyx : Hyper, Silicia, Sitting <: Kali.bich

Lumbago after injury : Agaricus

Fall on  sacral region : Kali.C

 Sciatica

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Acute Management  and  Chronic Management

We have to give immediate relief to the pain in sciatica 

Give importance to

    Side :  Right : Coloc, Lach, Lyc, Gnaph

               Left   : Phos, Spigelia

    Modality : Flexing limb < : Colocynth

                      Standing <, motion > etc

   Concomitance :  Accompanied by….

                               Haemerrhoids : Aesc

                               Numbness with : Gnaph

   Extension :

  Aetilogy : Injuries after : Arn, Hyper, Ruta (We got much result from Hypericum  higher potency than other
remedies)

Therapeutics in sciatica: We found the following remedied highly useful, but never limit your prescription to
these remedies)

Sciatica on both side : Chamomilla mother tincture offers immediate relief to pain

Deformed vertebra : Calc.Phos

Parts cold to touch, periodicity : Ars.alb

Lumbago + Sciatica : Rhus.tox- It  is  the best remedy for a  combination    of  lumbago  and sciatica. Sciatica
arising from over-exposure to wet  or  from   lifting, wrenching  and  over-exertion.  Great relief from  warmth.

Sitting <,Walking>,Lying down OK : Amm.m

Pain < by sitting & standing: Valeriana

Pain from buttock to ankle, least movement aggravates, with perspiration, lying on painful side > : Bry

Murphy’s Repertory : Readers are requested to read carefully the following chapters in Murphy’s repertory that
contain so many useful rubrics for our day to day practice.

Emergency : Back. Injuries after

Leg : Sciatica

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A Case Cervical Spondylosis

Male 50 years admitted in our IPD

Pain in neck with stiffness, can’t turn to left ,<jar++,moving,yawning

>Warm bathing,lying on sides

Fish selling in bicycle, stopped since 6 months

Concomitant : Numbness of palms, weakness of hands
Extension : Shoulder, chest,dorsal region

Repertorial Totality :

Mind. Contradiction Intolerant of

Gen.F&D. 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
Phos. 15/7
Lyc. 15/6
Sulphur. 14/8
Nux. 13/9

Calc. 10/6 

PDF

Renal calculi
Cervical region
Warm bathing >
Lying head high < 

Prescription :  Lyc. 200/

Lyc 200 prescribed – not much improvement for pain within one week

So we prescribed Lycopodium 1M – with in next one week much relief to pain

Then  prescribed and raised the potency   infrequently at longer intervals- since Lycopdium is a long acting
remedy – If we are repeating Lycopodium and Phosphorous   like remedies in chronic cases frequently that may
spoil the entire case – so called as double edged swords.

This case we got immense relief within 2 months and now he is again ding his fish selling in bicycle.

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Important remedies for cervical spondylosis verified in our college

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,<sitting, exertion,> warmth application

Lycopodium : Pain + Urinary + GIT   Acute : Berberis .v  mother tincture

Rubrics to be considered in cervical spondylosis

Give importance to

•          Side   Right : Sang, Kalmia

                    Left : Conium

Modality

        Looking up <  : Graph

        Stooping <      : Rhus.t

        Coughing on    : Sulphur

        Turning <  : Agaricus, Aesc, Bry, Sulph etc.

Extension : Consider this also

Look for the associated complaints like

    Vertigo
    Tinnitus
    Blurring of vision  and select additional rubrics 

Role of Physiotherapy in Homoeopathy

We are doing physiotherapy in the following conditions in our college

Pain- all types

Paralysis
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Nerve Injury
Deformities
Muscle weakness
Stiffness
Post traumatic cases
Soft tissue injury
Arthritis
OA Knee
Gynaecological pain
Cx & Lumbar spondylosis
Fibromyositis
Migraine
Frozen shoulder
Bell’s palsy
Tennis elbow

Plantar fasciitis
Muscle spasm/cramps 

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….

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.

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.

Kent

Never apply local heat or oils to relive pain- really worse for the patient

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But good in stiffness & paralysis (Homeopathic materia medica- Kalmia)       

Farrington

Salt application- to relieve pain, weakness of muscles & nerves

May prevent deformities  (Natrum family- Clinical materia medica) 

Remember : The accessory management or accessory life saving measures are not the monopoly of any of the
medical system. Try to incorporate it in your practice, which offers faster and better results.

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

Lastly

This is only a methodology. Study the subject in detail. Homoeopaths should see opportunity in every difficulty…  
but not difficulty in every opportunity. We must have good vision, loyalty and dedication. Take homoeopathy in
to greater heights.

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