Lower Back Pain with Radiculopathy Materia Medica PDF

MATERIA MEDICA LO W E R B A C K PA I N W I T H R A D I C U LO PAT H Y AUTHOR: NMT150- Y1T2 Mahsa Asasi, Hom,Pharm.D  LEARNING OBJECTIVES...

MATERIA MEDICA LO W E R B A C K PA I N W I T H R A D I C U LO PAT H Y AUTHOR: NMT150- Y1T2 Mahsa Asasi, Hom,Pharm.D  LEARNING OBJECTIVES TO IDENTIFY KEYNOTES OF 3 REMEDIES LINKED TO LOW BACK PAIN WITH RADICULOPATHY KALIUM CARBONICUM (POTASSIUM CARBONATE) COLOCYNTHIS MAGNESIUM PHOSPHATE This Photo by Unknown author is licensed under CC BY-SA. This Photo by Unknown author is licensed under CC BY-SA-NC. This Photo by Unknown author is licensed under CC BY-SA-NC. RADICULOPATHY BA S ED ON MAYO C L I N I C The pain radiates from the low back down the buttock and leg. Numbness or tingling. These sensory changes may be present in leg/foot. Weakness in the leg/foot; patient notices they have trouble walking and they catch their toe on things. The symptoms associated with radiculopathy are typically unilateral (affecting one side of the body). The pain can worsen with prolonged sitting or walking, and sometimes with coughing or sneezing. GO TO THE BACK CHAPTER Find: pain; lumbar region REMEDIES FOR BACK PAIN WITH RADICULOPATHY Colocynth (bitter Kali-phos Mag-phos cucumber) COLOCYNTHIS Bitter Cucumber, Cucurbitaceae This Photo by Unknown author is licensed under CC BY-SA. C U C U R B I TAC I N This Photo by Unknown author is licensed under CC BY-SA-NC. It contains cucurbitacin glycosides that are also present in Bryonia Alba. This Photo by Unknown author is licensed under CC BY-SA. AFFINITY Smooth muscles of digestive tract: cramping pains accompanied with nausea or diarrhea. The peripheral nervous system and cranial nerves: Paroxysmal neuralgia localized particularly in the area supplied by the trigeminal or the femoral nerve and the sciatic nerve COLOCYNTH - SENSATIONS Violent cramping pain. Patient cries out and protests (Belladonna, Mag-Phos) Violent drawing, twitching pains in the region of the left hip, or sharp pains in the region of right hip, suddenly appearing and disappearing when walking. Drawing pain in one or the other thigh as far as the knee. (Patient might say "it's pulling" when you ask to describe the pain.) All the limbs become drawn up. COLOCYNTH-MODALITIES Aggravations: From annoying vexation (Ign., Staph.) Amelioration: Strong pressure (Bryonia) Flexing the thigh toward pelvis, bending double (Mag-phos) Heat, pain better in the warmth of the bed, but returned after a time.  COLOCYNTH- CONCOMITANTS Extreme irritability, anger and agitation during pain Suited for patients suffering from paroxysmal pain following confrontational situation that triggers violent anger or annoyance. Urinous odor of perspiration. (Berb.; Nit. Ac.) This Photo by Unknown author is licensed under CC BY. CLINICAL INDICATION-NEURALGIA Sciatica or femoral neuralgia: Acute shooting/cramping pain that are mostly on the left side. Accompanied by sensation of numbness This Photo by Unknown author is licensed under CC BY. KALIUM CARBONICUM POTASSIUM CARBONATE (K2CO3) BOERICKE'S MM In Radar Opus KALI-CARB - AFFINITIES Digestive and respiratory mucous membranes Circulatory system Central nervous system The articular system KALI-C. - SENSATIONS Shooting, stabbing, burning Hypersensitivity to noise Sensation of anxiety in epigastric pit (solar plexus) CHARACTERISTIC OF KALI GROUP This Photo by Unknown author is licensed under CC BY-NC-ND. The weakness characteristic of all Potassium Salts is seen especially in this, with soft pulse, coldness, general depression, and very characteristic stitches, which may be felt in any part of the body, or in connection with any affection. KALI-C. - MODALITIES Aggravation: Between 2 to 4 AM Slightest draft or cold weather Improvement: From heat When sitting, leaning forward During movement (Rhus tox.) KALI-C. - CONCOMITANTS Viscous secretion, difficult to expel Craving for sweets (Lycopodium) Sweating Anxiety felt in solar plexus Swelling around/above/below the eyes KALI-C. - MIND SYMPTOMS Alternating moods. Very irritable. Full of fear and imaginations. Anxiety felt in the solar plexus or stomach-epigastrium area. Never wants to be left alone. A very sensitive person, not just emotionally, but physically, too. CLINICAL INDICATION- RHEUMATOLOGY Lumbar pain, vertebral pain, joint pain with impression of weakness that the back of knees is giving way. Severe backache during pregnancy, and after miscarriage. Pain in nates and thighs and hip-joint. Lumbago with sudden sharp pains extending up and down back and to thighs. MAGNESIUM PHOSPHATE MAGNESIUM PHOS. BOERICKE'S MM MAG.PHOS  The Affinity of "Mg" cations for the nervous system and muscles gives spasmodic properties to Mag.phos. AFFINITIES The action is centered on the central nervous system MAGNESIUM PHOSPHORICUM The great anti-spasmodic remedy. Cramping of muscles with radiating pains. Neuralgic pains relieved by warmth. Especially suited to tired, languid, exhausted subjects. Indisposition for mental exertion. MAG.PHOS. Involuntary shaking of hands. Paralysis agitans Cramps in calves Sciatica; feet very tender Darting pains Twitching This Photo by Unknown author is licensed under CC BY-NC-ND. MAG.PHOS. - SENSATIONS Intense, shooting, flashing pains appearing and disappearing quickly (Colocynthis, Belladonna). MAG.PHOS. - MODALITIES Aggravation: Cold (Rhus tox) Improvement: Bending over double (Colocynth) From local pressure From heat MAG.PHOS. CONCOMITANTS Agitation, need to move constantly because of the pain. Remedies Colocynthis Kalium Carbonicum Magnesium Phos. Violent cramping pains Vertebral shooting pain with Intense, shooting, Sensations sensation of weakness flashing appearing and disappearing quickly (< ) Vexation () Bending Flexing the thigh (>) movement, heat, when double, local toward pelvis, bending sitting, leaning forward pressure, heat double, heat, Concomitants Anger, vexation, Viscous secretion, difficult to Agitation, need to Urinous odor of expel, Craving for move constantly perspiration sweets, Sweating, Weakness because of the pain. Anxiety felt in solar plexus REVIEW QUESTION #1 A 64-year-old female is experiencing a severe shooting pain in her back since a few days ago. She also feels weak, and her knee randomly gives out while walking. She is constantly worried about her health and family which gives her a butterfly sensation in the stomach. Which homeopathic remedy matches her symptoms most: 1) Kali carb. 2) Colocynthis 3) Bryonia 4) Mag.phos. REVIEW QUESTION #1 A 64-year-old female is experiencing a severe shooting pain in her back since a few days ago. She also feels very weak, and her knee randomly gives out while walking. She is constantly worried about her health and family which gives her a butterfly sensation in the stomach. Which homeopathic remedy resonates with her symptoms the most: 1) Kali carb. Shooting pain, sensation of 2) Colocynthis weakness while walking, along with anxiety in stomach 3) Bryonia is matching with Kali.c's 4) Mag.phos. picture the best. REVIEW QUESTION #2 Which of these symptoms are the keynote of Colocynth? 1) Aggravation between 2 to 4 AM 2) Strong weakness 3) Movement ameliorates 4) Strong anger and vexation REVIEW QUESTION #2 Which of these symptoms are the keynote of Colocynth? 1) Aggravation between 2 to 4 AM. 2) Strong weakness 3) Movement ameliorates 4) Strong anger and vexation REFERENCES 1- ALLEN T. F., A Primer of Materia Medica –Radar-Opus 2- BOERICKE W., Pocket Manual of Homeopathic Materia Medica-Radar Opus 3- Demarque D, Jouanny J, Poitevin B. Pharmacology and Homeopathic Materia Medica. Sainte-Foy-lès-Lyon: Boiron; 1997.