This document discusses neck pain and its homoeopathic treatment. It begins by describing the common causes of neck pain including injuries, muscular problems, and nerve compression. It then outlines the most frequently involved cervical nerve roots and their corresponding symptoms. Several homoeopathic medicines are discussed in detail for treating neck pain, with Rhus tox, Calc carb, Medorrhinum, Sycotic co, and Syphilinum cited as the five most common. The presentation provides key indications, modalities, and symptoms for selecting these and other less commonly used remedies. Constitutional and location-specific approaches in homoeopathic treatment are emphasized.
Agricus muscaris Homoeopathic materia medica slide show presentation by Dr.Ha...Dr.hansraj salve
Agricus muscarius Homoeopathic materia medica slide show presentation by Dr.Hansraj salve.Learn whole homoeopathic Materia medica in new style with Dr.hansraj salve.
For daily new drug update visit to our Website – hmmslideshow.esy.es
Alumina Homoeopathic materia medica slide show presentation by Dr.Hansraj salveDr.hansraj salve
Alumina Homoeopathic materia medica slide show presentation by Dr.Hansraj salveLearn whole homoeopathic Materia medica in new style with Dr.hansraj salve click on the linkTo start study Or For daily new drug update visit to our Website – hmmslideshow.esy.es
Ammonium muriaticum homeopathic materia medica slide show presentation by Dr....Dr.hansraj salve
Ammonium muriaticum homeopathic materia medica slide show presentation by Dr.hansraj salveLearn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study, And For daily new drug update visit to our Website hmmslideshow.esy.es
I like to introduce my first slide share for students of homeopathy to help them in studying mateia medica easily and playfully from today onward I will post 1 materia medica drug slide show every day and my new slide show presentation with new drug will come soon so keep in touch.
Dr.Hansraj salve
Here is short description of acetic acid as per allens keynote symptoms
ACETIC ACID ( ACETICUM ACIDUM ).
Glacial Acetic Acid. (CH3COOH.)
Physical make up:
• Adapted to pale lean persons with lax, flabby muscles; face pale, waxy(Fer.).
General symptom:
• Haemorrhage; from every mucous outlet, nose, throat, lungs, stomach, bowels, uterus (Fer., Mill.);
• Great prostration; after injuries (Sulph. ac.); after surgical shock; after anaesthetics.
• Thirst; intense, burning, insatiable even for large quantities in dropsy, diabetes, chronic diarrhoea; but no thirst in fever.
• Cannot sleep lying on the back (sleeps better on back, Ars.); sensation of sinking in abdomen causing dyspnoea; rests better lying on belly (Am. c.).
Perticular generals:
• metrorrhagia; vicarious; traumatic epistaxis (Arn.). Marasmus and other wasting diseases of children (Abrot., Iod., Sanic., Tub.).
• Sour belching and vomiting of pregnancy, burning water-brash and profuse salivation, day and night (Lac. ac., salivation < at night, Mer. s.).
• Diarrhoea; copious, exhausting, great thirst; in dropsy, typhus, phthisis; with night sweats. True croup, hissing respiration, cough with inhalation (Spong.); last stages.
• Inhalation of vapor of cider vinegar has been successfully used in croup and malignant diphtheria.
• Hectic fever, skin dry and hot; red spot on left cheek and drenching night sweats.
Remedy relationship:
It antidotes anaesthetic vapors (Amyl.); fumes of charcoal and gas; Opium and Stramonium. Cider vinegar antidotes Carbolic acid.
Follows well; after Cinchona, in haemorrhage; after Digitalis, in dropsy. It aggravates; the symptoms of Arn., Bell., Lach., Mer., especially the headache from Belladonna
ARSENICUM IODATUM Homoeopathic materia medica slide show presentation by Dr.H...Dr.hansraj salve
ARSENICUM IODATUM Homoeopathic materia medica slide show presentation by Dr.Hansraj salve.Learn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study And For daily new drug update visit to our Website – http://hmmslideshow.esy.es
Agricus muscaris Homoeopathic materia medica slide show presentation by Dr.Ha...Dr.hansraj salve
Agricus muscarius Homoeopathic materia medica slide show presentation by Dr.Hansraj salve.Learn whole homoeopathic Materia medica in new style with Dr.hansraj salve.
For daily new drug update visit to our Website – hmmslideshow.esy.es
Alumina Homoeopathic materia medica slide show presentation by Dr.Hansraj salveDr.hansraj salve
Alumina Homoeopathic materia medica slide show presentation by Dr.Hansraj salveLearn whole homoeopathic Materia medica in new style with Dr.hansraj salve click on the linkTo start study Or For daily new drug update visit to our Website – hmmslideshow.esy.es
Ammonium muriaticum homeopathic materia medica slide show presentation by Dr....Dr.hansraj salve
Ammonium muriaticum homeopathic materia medica slide show presentation by Dr.hansraj salveLearn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study, And For daily new drug update visit to our Website hmmslideshow.esy.es
I like to introduce my first slide share for students of homeopathy to help them in studying mateia medica easily and playfully from today onward I will post 1 materia medica drug slide show every day and my new slide show presentation with new drug will come soon so keep in touch.
Dr.Hansraj salve
Here is short description of acetic acid as per allens keynote symptoms
ACETIC ACID ( ACETICUM ACIDUM ).
Glacial Acetic Acid. (CH3COOH.)
Physical make up:
• Adapted to pale lean persons with lax, flabby muscles; face pale, waxy(Fer.).
General symptom:
• Haemorrhage; from every mucous outlet, nose, throat, lungs, stomach, bowels, uterus (Fer., Mill.);
• Great prostration; after injuries (Sulph. ac.); after surgical shock; after anaesthetics.
• Thirst; intense, burning, insatiable even for large quantities in dropsy, diabetes, chronic diarrhoea; but no thirst in fever.
• Cannot sleep lying on the back (sleeps better on back, Ars.); sensation of sinking in abdomen causing dyspnoea; rests better lying on belly (Am. c.).
Perticular generals:
• metrorrhagia; vicarious; traumatic epistaxis (Arn.). Marasmus and other wasting diseases of children (Abrot., Iod., Sanic., Tub.).
• Sour belching and vomiting of pregnancy, burning water-brash and profuse salivation, day and night (Lac. ac., salivation < at night, Mer. s.).
• Diarrhoea; copious, exhausting, great thirst; in dropsy, typhus, phthisis; with night sweats. True croup, hissing respiration, cough with inhalation (Spong.); last stages.
• Inhalation of vapor of cider vinegar has been successfully used in croup and malignant diphtheria.
• Hectic fever, skin dry and hot; red spot on left cheek and drenching night sweats.
Remedy relationship:
It antidotes anaesthetic vapors (Amyl.); fumes of charcoal and gas; Opium and Stramonium. Cider vinegar antidotes Carbolic acid.
Follows well; after Cinchona, in haemorrhage; after Digitalis, in dropsy. It aggravates; the symptoms of Arn., Bell., Lach., Mer., especially the headache from Belladonna
ARSENICUM IODATUM Homoeopathic materia medica slide show presentation by Dr.H...Dr.hansraj salve
ARSENICUM IODATUM Homoeopathic materia medica slide show presentation by Dr.Hansraj salve.Learn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study And For daily new drug update visit to our Website – http://hmmslideshow.esy.es
The power point presentation discusses here the drug picture of Pulsatilla Nigricans with emphasis on its mental generals. Pulsatilla has been compared with Chamomilla, Bryonia, Kali sulph, Cyclamen and Natrum mur with regards to its mental and physical generals.The respective source has been provided alongside the symptoms to enhance its authenticity.
AURUM METALLICUM Homoeopathic materia medica slide show presentation by Dr.H...Dr.hansraj salve
AURUM METALLICUM Homeopathic materia medica slide show presentation by Dr.Hansraj salve. Learn whole homeopathic Materia medica in new style with Dr.hansraj salve click on the linkTo start study and For daily new drug update visit to our Website - hmmslideshow.esy.es
Ammonium carbonicum homeopathic materia medica slide show presentation by Dr....Dr.hansraj salve
Ammonium carbonicum homeopathic materia medica slide show presentation by Dr.hansraj salveLearn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study, And For daily new drug update visit to our Website - hmmslideshow.esy.es
Anacardium orientale HOMOEOPATHIC MATERIA MEDICA SLIDE SHOW PRESENTATION BY...Dr.hansraj salve
Anacardium orientale Homoeopathic materia medica slide show presentation By Dr.Hansraj salve. Learn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study And for daily new drug update visit to our Website - hmmslideshow.esy.es
Detailed history and its evaluation , examination of spine in general and local with special tests in cervical , thoracic outlet syndrome , lumbar spine and SI joint with diagrams, neurological examination both sensory and motor.
The power point presentation discusses here the drug picture of Pulsatilla Nigricans with emphasis on its mental generals. Pulsatilla has been compared with Chamomilla, Bryonia, Kali sulph, Cyclamen and Natrum mur with regards to its mental and physical generals.The respective source has been provided alongside the symptoms to enhance its authenticity.
AURUM METALLICUM Homoeopathic materia medica slide show presentation by Dr.H...Dr.hansraj salve
AURUM METALLICUM Homeopathic materia medica slide show presentation by Dr.Hansraj salve. Learn whole homeopathic Materia medica in new style with Dr.hansraj salve click on the linkTo start study and For daily new drug update visit to our Website - hmmslideshow.esy.es
Ammonium carbonicum homeopathic materia medica slide show presentation by Dr....Dr.hansraj salve
Ammonium carbonicum homeopathic materia medica slide show presentation by Dr.hansraj salveLearn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study, And For daily new drug update visit to our Website - hmmslideshow.esy.es
Anacardium orientale HOMOEOPATHIC MATERIA MEDICA SLIDE SHOW PRESENTATION BY...Dr.hansraj salve
Anacardium orientale Homoeopathic materia medica slide show presentation By Dr.Hansraj salve. Learn whole homoeopathic materia medica in new style with Dr.hansraj salve click on the link To start study And for daily new drug update visit to our Website - hmmslideshow.esy.es
Detailed history and its evaluation , examination of spine in general and local with special tests in cervical , thoracic outlet syndrome , lumbar spine and SI joint with diagrams, neurological examination both sensory and motor.
by, Gurpreet kaur, BPT 3rd year, DPSRU
Neck pain- it is very common nowadays that can be found in 75% cases of people. neck pain can be seen in any age group person. and most important way to correct is the right erganomics
Homeopathy Treatment for frozen ShoulderMahavratPatel
At cosmic homeo healing centre, under the guidance of senior homeopath Dr. Mahavrat Patel, our team of experts have helped thousands of cases of frozen shoulder with homeopathic medicine for permanent and long lasting relief.
Can read freely here
https://sethiortho.blogspot.com/
Thoracic outlet syndrome
Neurovascular symptoms in the upper extremities due to pressure on the nerves and vessels in the thoracic outlet area
The specific structures compressed are usually the nerves of the branchial plexus and occasionally the subclavian artery or subclavian vein
Anatomy
Thoracic outlet
Entrance/ Exit region of the upper limb
The thoracic outlet is defined as the interval from the supraclavicular fossa to the axilla that passes between the clavicle and the first rib
Anatomy - Scalane triangle
Anatomy of the costoclavicular space
Pectoralis minor space
Located inferior to the coracoid process
anterior to the second through fourth ribs
posterior to the pectoralis minor muscle
The cords of the brachial plexus
Axillary artery
Axillary vein.
Soft-tissue Causes (70%)
Scalene muscle
Variations in insertion
Hypertrophy
Accessory scalenus minimus muscle
Anomalous ligaments or bands
Soft-tissue tumors
Osseous Causes
Cervical rib
Prominent C7 transverse process
Displacement or callus from first rib fracture
Malunited clavicle or first rib fracture
AC or SC joint injury or dislocation
Osseous tumor
Poor posture
Drooping the shoulders
Holding the head in a forward position
Repetitive activity
Athletes and swimmers
Neurogenic TOS
Compression – scalene triangle and costoclavicular space
May be associated with normal anatomy
Traction of the lowest trunk of the brachial plexus
Often in association with arterial TOS
Features of Lower brachial plexus compression - Common
Female predominance
Appearance of Amedio Modigliani painting
Complains of pain and paresthesia extending from the shoulder /down the ulnar aspect of the arm into the medial two fingers
Neurogenic TOS
Upper brachial plexus compression C5,C6 and C7
Less common
Compression mainly occurs in scalene triangle
Symptoms
Unilateral occipito-frontal headache
Facial or jaw pain
The Gilliatt-Sumner hand
A characteristic finding of neurogenic TOS, is described as atrophy of the abductor pollicis brevis and, to a lesser degree, the hypothenar musculature and the interossei.
Venous TOS
Causes
Hypertrophy of the subclavius muscle,
Chondroma formation
Clinical presentation
Most patients are sportsmen, musicians or manual workers undertaking repetitive arm movements.
The condition occurs more commonly in the dominant limb
Male predominance
Clinical presentation
Acute presentation -
Swollen and tensed upper limb
Upper limb aching pain
blueish- purple arm due to venous engorgement
Collateral veins may be visible
Feeling of heaviness that is worse after activity
Symptoms are precipitated by working with the arms elevated and are relieved by dependency, a pathognomonic feature of vTOS.
Arterial TOS
Rare but has more devastating consequences
Caused by
Intermittent subclavian arterial compression - Costoclavicular compression with normal anatomy.
Describing some of the most important disorders of the shoulder area: frozen shoulder, biceps tenosynovitis, biceps tendon tear, rotator cuff tear, impingement syndrome, Rotator Cuff Calcified Tendonitis
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
Neck Pain
1. NECK PAIN AND ITS
HOMOEOPATHIC APPROCH
with Indication of some less
common used drugs
A Short Presentation by
Dr. Madhusudan Sahoo
Medical officer (H)
Dte. Of AYUSH, Govt. of Delhi
2. • Neck pain is the one of the most common
problem that one encounters in day to day life
It is so common as like common cold.
• Most people will experience neck pain at some
point in their life.
• Neck pain, which usually arises from diseases
of the cervical spine and soft tissues of the
neck, is common.
• Also can be caused by an injury, muscular
problem or by nerve compression between
vertebrae.
3. Common causes of neck pain
• Cervical spondylosis
• Trauma to cervical spine (fractures, atlantoaxial subluxation)
• Whiplash injury (from automobile accidents)
• Herniation of cervical inter-vertebral disk
• Postural (prolong work in front of computer)
• Vertebral artery dissection
• Osteoporosis
• Osteosclerosis (paget’s disease)
• Rheumatoid arthritis (RA) of the cervical apophyseal joints
• Ankylosing spondylitis
• Infections (osteomyelitis and epidural abscess)
• Torticolis
• Fibromyalgia
• Referred pain from other visceral disease
4. • Neck pain arising from the cervical spine is
typically precipitated by movement and may be
accompanied by focal tenderness and limitation of
motion.
• Pain arising from the brachial plexus, shoulder, or
peripheral nerves can be confused with cervical
spine disease, but the history and examination
usually identify a more distal origin for the pain.
• The nerve roots which are most commonly
affected are C6 and C7.
5. CERVICAL
NERVE ROOTS
INVOLVEMENT
AREA OF DISTRIBUTION OF PAIN
COMMONLY SYMPTOMATICALLY
INDICATED MEDICINE
C5 Lateral side arm, medial side of scapula CHEN ANT. HEL (Rt side)
CHELIDONIUM (Rt side)
JUG. CINE (Rt side)
OLEUM ANI (Rt side)
CHEN GL. AP
ONOSMODIUM (Lt side)
ZINC CHROM (Lt side)
C6 Lateral side of forearm, thumb, index finger GYMNOCLADUS
ANAGALIS
C7 Posterior side of arm, dorsal side of forearm,
lateral side of hand
PARIS QUAD
KALMIA
RHODIUM
C8 4th and 5th finger, medial forearm PARIS QUAD,
LACHANTHES
KALMIA
RHODIUM
T1 Medial side of arm, axillary region GUAICUM,
INDIUM
ASPARAGUS
SANG. CAN,
STRON. CARB
FERR MUR
PALLADIUM
6. • Cervical spondylosis is a ‘wear and tear’ of the
cervical vertebrae and cervical intervertebal discs is a
common degenerative condition of the cervical spine
and is the most common cause of neck pain.
• Inappropriate working like doing desk work or sitting
for hours in front of computer in one posture or
sleeping posture can also be the cause of neck pain.
Mobility of the spine is dependent on several small
joints, the derangement of the functioning of any one
of them cause neck pain and reduced movement of
neck.
7. • Pain in the neck may spread to the base of the skull and
shoulders. Movement of the neck may make the pain
worse (Bry). The pain sometimes spreads down to an
arm, to a hand or fingers. This is caused by irritation of a
nerve which goes to the arm from the spinal cord in the
neck (Sang., Kalmia) . Sometimes neck stiffness
occurs(Strych.) , particularly after a night's rest.
• Headaches from time to time. The headaches often start
at the back of the head just above the neck and travel
over the top to the forehead.
• Numbness, pin pricking or weakness may occur in any part of
the arm or hand. These symptoms may indicate a problem
with a 'trapped nerve'.
• The presence of neurologic symptoms (e.g., weakness,
numbness, clumsiness, long-tract signs, or evidence of
bladder and bowel dysfunction) requires expeditious
investigation.
8. • A complete physical examination is essential for
evaluation of the patient with neck pain. Inspect
neck region for normal characteristics as well as
pathology, including masses, muscular asymmetrie
scars, discolorations, and cutaneous lesions. On
Physical exam, the physician may identify tender
spots along the neck and evaluate ability to move th
neck in various directions. The function of the
nerves and muscles in the arms and legs may be
tested.
• Imaging like X-rays and MRI studies may be used
to show any other abnormalities and reveal the
extent of damage to the cervical spine.
9. Goal of treatment.
• Relief of pain, prevention of recurrence, and
improved neurologic function
• Rest to neck – there may be need to wear a soft
cervical collar to limit neck motion to relieve
nerve irritation.
• Physiotherapy - Hot and cold cervical traction or
active exercise program to relieve pain
symptoms.
• Lifestyle modifications are needed in some cases.
10. Homoeopathic approach to patient
suffering from neck pain
Medicines are prescribed on basis of.
• Constitutional Picture :- GOOD PRESCRIBING SYMPTOMS like
Prominent modality RELATED TO WEATHER, POSTURE,
MOVEMENT, generalities etc available.
• Location wise specific drugs :- POOR PRESCRIBING SYMPTOMS lack
of prominent modalities
But constitutional medicines are very effective in treatment of neck pain.
• Common polychrest medicines that are frequently used in case of neck
pain are Bryonia, Rhus tox, Kalmia, Cal. carb , Ruta, Cimicifuga, Arnica,
Medorrhinum, Thuja, Tuberculinum, Syphilinum, Graphites, Nat mur,
Causticum, Sycotic co. etc.
11. 5 most common medicines which cover
majority of Neck pain cases are
Rhus tox
Cal carb
Medorrhinum
Sycotic co.
Syphilinum
12. RHUS TOX CALC. CARB / SYCO. Co.
Commonly indicated - Calc. comes when Rhus tox. Fails(Nash).
Rhus tox Very often abused, hence fails in 70% of cases.
So intercurrently - Rhus.t Calc. carb / Syco co. Rhus.t
– may be helpful.
DEPTH OF ACTION OF CALC. & SYCO.CO IS MORE THAN
RHUS.TOX
If RHUS.TOX INDICATED but failed in chilly patient think of
Calc Carb and Syco. Co.
13. Medorrhinum
• When indicated drugs fail
with Sycotic history.
• > -Sea shore, damp weather.
• Craves alcohol.
• Desire -salt, sweet, ice.
• Intense thirst.
• Forgetful, weeping, hurried.
• Intense burning sensation
in hand wants to covered
and fanned.
• Pain in back between
scapulae, spine sore to
touch
• When indicated drugs like
R.Tox., Ferr.m., Thuja fails.
• Chilly patient, covers always
• < -1st motion, rest, night,
cold weather.
• > - heat, motion.
• Eggs nauseates.
• Desire - Salt ,Sweet, Sour.
• Mental :-Tense, Restless,
fearful .
Sycotic co.
14. Cimicifuga
• Rheumatic pain in muscles
of back & neck.
• Feels stiff, lame contracted.
• Using piano, typing &
sweeing.
• < - morning, cold, mense.
• Depressed.
• With menstrual abnormality.
• Desire - Cold milk
• When indicated remedy fails
with F/H of Syphilis
• Insertion of Deltoid muscle
• Raising arm laterally.
• <-night, summer, sea shore
• >- day, moving slowly
• Washing mania.
• Craves alcohol.
• Pain appears gradually &
disappear gradually.
Syphilinum
15. • Neck drawn to rt. side with
stiffness extends to head upto
nose.
• Sensn. of sprain
• < - turning to side & back.
• Chill between scapula.
• With sorethroat
Lachnanthes
Graphites
• Pain in nape of neck,
shoulders & limbs.
• Left hand numb
• < - looking up
• Constipation
• Aversion - meat &
sweet
• Chilly patient
16. PAIN IN NECK EXTENDS TO ARM & FINGERS
RIGHT side
• SOLANUM LYCO.
• FERR. PIC.
LEFT side
• PARIS QUAD
• KALMIA
• RHODIUM
MOST COMMON INVOLVEMENT C6, C7, C8 & T1 SPINAL
NERVES
SOLANUM
LYCOPERSICUM
Rheumatic pain in rt. Elbow,
wrist & hand, RT deltoid,
pectoralis region
< open air, motion, jar, noise.
• > warm room, tobacco
• With dust allergy.
FERRUM PICRIC
* Spondylosis due to over
exertion in the aged.
* Dark haired plethoric
person.
* Associated with B.H.P.
* Right side neck pain and
down right arm
17. Pain in neck
Nape of Neck
•Radium Brom
•Fagopyrum
•Menyanthes
•X-ray
•Lachnantes
•Fel tauri
Extends to Occiput
• Chin sulph
• Latrodactus Mactans
• Eup. Purp.
• Zinc phos.
NECK PAIN WITH RADIATING SHOULDER REGION
Left shoulder Right shoulder
* Guaicum, * Indium
* Asparagus
* Sang. can, * Stron. carb
* Ferr mur * Palladium
18. GUAICUM
Pain - shoulder, arms &
hands
* < - heat, pressure,
cold weather, motion.
INDIUM
• Stiff neck & Lt. Shoulder down
left arm.
• Violent pain in head when
straining at stool.
• Frequent seminal emission.
ASPARAGUS
* Pain in shoulder, left
acromian process, clavicle
down the arm
* < -motion, with heart &
bladder symptoms.
19. Besides these medicine Few Rare medicines used
with very excellent result in case of neck pain :-
AZADIRCHTA INDICA FOLIA :-
Stiffness of shoulders < morning. Pain in left
forearm & fingers <left side, pressure, on
waking, movement, raising arm, picking
things up, > by pressure. Pain extends to
palm. Excellent remedy in frozen shoulder of
left side. Sudden cramping pain in right side
of neck which extends to right shoulder &
arm < walking while.
VISCUS ALBUM :-
Pain in cervical region with stiffness <
movement, radiating to both arms with
numbness of fingers < exertion, > rest. Pain
in right shoulder joint < 1st movement, > hot
fomentation. Shooting and tearing pain in
both shoulder joint < raising head, <
movement, with difficulty in taking hand
back. Shoulder pain < raising arm and at
night.
TARENTULA CUBENSIS :-
Pain in upper limb and right shoulder,
as if carrying a heavy load, <
movement, bending forward, morning
till night, > lying down, standing erect.
Pain in cervical region < turning head,
jerking, evening.
LAPIS LAZULI :-
Pain in cervical region when
turning the head to right side.
Cramping pain in scapular
region < motion. Stiching pain
in cervical region extending to
head. Stiching pain in right
shoulder with coldness feeling in
hand.
20. CASSIA SOPHERA :-
Lightening pain in cervical region especially
on moving head to left side. Numbness and
stiffness of right shoulder, upper arm,
middle finger < movement, cold application >
rest, warmth. Pressing pain in right upper
arm, fingers and thumb < movement, cold
application, > pressure, massage, rest,
warmth. Tearing pain in left arm <
movement, raising the arm.
PARIS QUADRIFOLIA:-
• Sensation of weight and weariness is
mostly marked in nape of neck.
Stiffness and numbness in upper
arm and fingers. C4 supply , Lt.
Intercostal region extending to Lt.
arm.
• Numbness of fingers & arms
• < -exertion , evening, touch. > -
Open air, rest.
STRYCHINUM :-
Rigidity of cervical muscles is
prominent. Sharp pain in nape of
neck and cervical spine along with
stiffness and jerking.
XANTHOXYLUM :-
Pain in nape of neck extending downward.
Numbness of left arm with papalysis.
Associated Occipital headache.
PSILOCYBE SEMILANCEATA:-
Numbness and tingling in upper arm
especially right forearm. Parasthesia
affecting the left arm, but without associated
weakness. Tremor of triceps muscle is
prominent.
21. FAGOPHYRUM: -
Shoulder pain radiating to fingers with
occipital headache. Stiffness and bruised
sensation in muscles of neck with sensation
as if nape of neck could not support head.
NICOTIANA RUSTICA :-
Aching pain and stiffness in cervical region
extending to shoulders. Tingling sensation in
hand. Weakness and trembling of shoulder
and hand. All complaints < in morning while
waking.
RADIUM BROM :-
Soreness and pain in cervical vertebrae <
bending head forward > standing or sitting
erect
ORYCTOLAGUS CUNICULUS :-
Soreness of neck , aching across shoulder.
Numbness and tingling in arm with
sensation as if arms are not there. Stabbing
pain between shoulder and neck with
bruised feeling. Coldness of hands.
GYMNOCLADUS
* Violent pain lt. Forearm in radius &
index finger as if bones are crushed.
* < cold & walking
* > leaning against something & rest.
ANAGALIS
* Pain in shoulder, arm with
cramps in balls of thumb &
fingers.
* < touch
22. Bibilography
• Fauci, Longo et all; Back and neck pain; 18th
edition; Harrison's Principles of Internal
Medicine The McGraw-Hill Companies.
• Boericke W. A. ;Pocket Manual of
Homoeopathic Materia Medica; New Delhi, B.
Jain Publishers
• Allen H.C. Keynotes Of Materia Medica; New
Delhi, B. Jain Publishers
• Personal PG Class Notes