Low back pain

Repertory

Modalities	Position
Cold agg / Warm amel: Nux-v Cold and wet agg: Rhus-t, Cimic, Berb, Bry, Nux-v Massage amel: Phos, Kali-c Menses agg: Kali-c Pressure amel: Nat-m, Rhus-t Slightest touch agg: Arn Wet agg: Rhod, Rhus-t, Dulc	Bending / Stooping agg: Aesc, Sul Getting up from a chair: Aesc Lying on affected side agg: Kali-c Rest amel esp with lying back on: Gnaph Sleeping agg, forces him to get up: Rhus-t, Kali-c Sitting Prolonged agg: Nux-v Turning in sleep, Sits straight then turn: Nux-v
Motion	Etiology
Continued movement agg: Gnaph (opposite to Rhus-t) Motion amel / Sitting Agg: Rhod, Rhus-t Standing up agg: Rhus-t Starting to move agg:Rhus-t Walk bent over, Forces him to: Kali-c, Am-m , Sep , Sul Walking agg. The pain spreads when walking: Aesc, Sep	General fatigue causes Back weakness: Kali-c , Sep Heavy lifting: Hyper, Rhus-t Mortification / Humiliation / Vexation: Nux-v Pregnancy: Aesc Sexual excesses: Nux-v, Staph Trauma / Surgery: Agar, Kali-c , Hyper, Arn
Accompanied by	Extending/ Radiating
Chills (Shaking): Nux-v Hemorrhoids + Sacral pains: Abrot, Nux-v, Aesc Irritability: Nux-v Pleurisy: Abrot Restlessness+ Insomnia: Cimic Sciatalgia: Nux-v Stiff neck / Torticollis: Nux-v Testis pain: Abrot Uterine problems: Cimic, Sep	Abdomen: Berb, Bry , Sep , Sulph, Ruta Arms: Rhod Body Around : Cimic, Caust Downward (Neuralgic pains): Kali-c, Cimic Downward and Upward: Kali-c Hips / Thighs: Aesc, Berb, Nux-v, Ruta Left chest / Heart: Kali-c Sacrum: Cimic Upwards: Nux-v
Quality	Locality Small of back: Hyper Ileum pain: Agar, Ruta Lower back / Between the shoulders: Ox-ac
Back Weakness: Ox-ac Back stiffness, as if he had been sitting upright for a long time: Led, Rhus-t Broken back as if: Rhus-t Bruise in deep muscles: Rhus-t, Arn, Nux-v Continuous / Severe pain: Aesc Debilitating pain: Gnaph, Sul, Rhus-t, Pic-acDrawing / Tearing: Nux-v Heaviness / Weakness in Lumbosacral / Pelvic region: Aesc Muscular pain: Cimic Paralysis in Spinal cord / Lower limbs, as if: Aesc Spinal excitability, esp in neck area + Highly sensitive to pressure Sudden shooting: Nux-v
	Time Morning agg: Nux-v Night, Lying in bed agg: Nux-v
	Peculiar Acute panel: Severe cutting pain in the anterior cervical nerves. Agg with lying down and. Amel with sitting: Gnaph Acute: Acon Agg with Thinking of pain: Ox-ac First Chills / Cold, then back pain: Aesc, Eup-p , PODO

First class remedies

		Etiology / Modality	Quality / Concomitant
Top remedy	Rhus-t	Bending over backwards Amel Bed agg Dull pain when standing up and worse when starting to move Pressure amel, likes to sleep somewhere hard. (Nat-m ₳ Rhus-t) BACK - PAIN - Lumbar region - lying - back, on - hard amel.; on something: NAT-M Rheumatic (Cold, Humidity)	Chronic back pain (Acon for acute back pain) (Acon ₳ Rhus-t) Back pain that suddenly takes away all the patient's power to move (Rhus-t ₳ Sul) Severe pain like a broken back is the most important feature Severe / Vague pain similar to a bruise in deep muscles of Back
Motion agg	Bry	Bryonia Alba is another majorly indicated medicine for treating back pain. A prominent symptom that decides in favour of Bryonia Alba as the best medicine is that the back pain gets worse with motion. Walking also worsens back pain. Rest brings relief. Bryonia Alba is also the most suitable medicine for treating back pain that becomes more severe with stooping and standing.
Sacrum region Stiffness on walking	Aesc	Pain may extend to the hip along with sacrum back. Rising from a sitting position agg BACK - PAIN - Lumbar region - rising - seat; from a: BERB , CALC , CAUST , PHOS , PULS. , RHUS-T , SULPH Intense stiffness is observed in the sacrum and hip region Walking agg (Aesc ₳ Sep), Pain spreads when walking. Pregnancy, esp Walking / Bending agg Getting up from chair agg Bending/ Stooping agg BACK - PAIN - Lumbosacral region - stooping, on BACK - PAIN - Lumbar region - stooping, on: SULPH Walking nearly impossible Back also feels weak and lame. Pain and stiffness in lower back and hip related to ankylosing spondylitis.	Vague back pain in the lumbosacral and pelvic region Severe / Continuous pain Heaviness / Weakness Sensation of paralysis in Spinal cord / Lower limbs Back pain with hemorrhoids (Aesc ₳ Nux-v) First chills and cold, then back pain BACK - PAIN - Lumbar region - chill - before : Eup-p , PODO
Post Childbirth	Kali-c	Prolonged Sleep agg and orces him to get up and move around 3 A.M. (Rhus-t) BACK - PAIN - Lumbar region - night - midnight - after - 3 h - driving him out of bed Lying on the affected side agg Menses agg Walking during agg, the pain forces him to lie down BACK - PAIN - Lumbar region - lying - back, on - amel Trauma: Agar is first and Kali-c the second BACK - PAIN - Lumbar region - injury, after: AGAR Massage amel, Phos is first and then Kali-c BACK - PAIN - Lumbar region - rubbing amel : PHOS Back pain Forces him to walk bent over (Kali-c ₳ Sul) BACK - PAIN - Lumbar region - walking - bent; compelled to walk Am-m , Sep , Sul Back weakness from general fatigue (Kali-c ₳ Sep) BACK - PAIN - Lumbar region - fatigue; as from	Downward extending BACK - PAIN - Lumbar region - extending to - Legs: Berb, Borx, Kali-bi, Sil Shooting pains in the hips BACK - PAIN - Lumbar region - extending to - downward: cimic, kali-bi, med BACK - PAIN - Lumbar region - extending to - Glutei muscles and thighs BACK - PAIN - Lumbar region - extending to - Nates Down and up extending simultaneously BACK - PAIN - Lumbar region - extending to - downward - upward Radiating to the Left chest / Heart BACK - PAIN - Lumbar region - extending to - Heart BACK - PAIN - Lumbar region - extending to - Chest - left
Cervical stiffness Stiff, Contracted Back Pain Radiating down the Thighs	Cimic	Muscular pain Rheumatic pain of (Damp / Cold agg) BACK - PAIN - Lumbar region - rheumatic : BERB , BRY , NUX-V , RHUS-T Spinal excitability, esp the neck area + Highly sensitive to pressure Neuralgic / Radiating back pain spreading down (Cimic ₳ Kali-c), BACK - PAIN - Lumbar region - radiating BACK - PAIN - Lumbar region - extending to - downward Heaviness and weight in lower back.	Muscle pain + Restlessness/ Insomnia Uterine problems (Cimin ₳ Sep) Pain extending around the body (Caust) or sacrum BACK - PAIN - Lumbar region - extending to - Body - Around the : acon.k caust.k cham.k Cimic.k BACK - PAIN - Lumbar region - extending to - Sacrum
Injury	Arn	Back pain arising from falls blows of both recent and remote origin Sore, bruised pain in the back as after being beaten.	Pain with lameness in the back.
	Hyper	Pain in the back with extreme sensitivity which makes it impossible to walk or stoop. Coccyx pain arising from a fall over the coccyx. Vague / Stinging pain in Small of back	Due to Surgery / Trauma Due to carry a heavy load up and down the stairs. (Hyper ₳ Rhus-t)
From Sitting	Cob	Pain usually radiates from the lower back down the legs and feet. Weakness in the legs may be felt.	Walking amel
	Phos	Prolonged sitting leads to back pain. Weakness in the back may also be felt.	Burning sensation in the spine
Radiating Down Lower Limbs	Coloc	Back pain radiating down the limbs on the left side. Amel from pressure. The pain can be tearing or drawing in nature.
	MP	Lower back pain that radiates down the right lower limb. The pain can vary from sharp, shooting, lightning-like or cramping in nature. Warm applications amel
Cervical Back Pain Radiating Down the Arm/Hands	Kalm	Radiating pain is accompanied by weakness, tingling, numbness in the arm or hands
	Par	Sensation of weight in the neck, Agg from exertion (either mental/physical) and numbness in fingers.
	Nux-v	Cold (Working in a cold place)Heat amel Morning aggMortification / Humiliation / Vexation Sexual excesses (Staph) Sitting prolonged Turning from side to side in his sleep, he should sit straight and then turn. Turning agg: It is impossible for him to turn his back BACK - PAIN - Lumbar region – turning: BRY BACK - PAIN - Lumbar region - turning - bed, in - impossible; almost: BRY BACK - PAIN - Lumbar region - turning - body; when turning Morning agg, the longer he stays in bed, the more it hurts. Night, Lying in bed agg	Drawing / Tearing and / Bruising pain Sudden shooting in back Back pain spreading upwards Back pain spreading to the Hips / Thighs (Berb) Irritability is constantly increasing Stiff neck and torticollis Hemorrhoids with(Aesc ₳ Nux-v) Lower limb pain with Chills Shaking with Throbbing Back pain + Sciatalgia
	Gnaph	Chronic panel The more chronic the pain, the more indicated this remedy is. Dull / Tired / Debilitating pain that reduces the patient's motivation and strength. (Sul, Rhus-t) Amel with rest esp with lying back on Agg with continued movement. (opposite to Rhus-t)	Acute panel Severe cutting pain in the anterior cervical nerves Agg with lying down and Amel with sitting
Stiff /Painful Back from	Calc-f	Esp from strains Pain gets worse after rest and is better by movement. Warmth over back also tends to bring relief. Tiredness and restlessness in the back are also present.
	Sil	Agg upon Rising Agg upon rising from the seat. Right side of the spine is most stiff. Agg on rising from the seat. May be shooting, throbbing or aching in nature. Pain in back arises that confines the patient to the bed.	Stiffness of back from exposure to a draught of air
	Berb	Agg upon Stooping. If stooped there appears difficulty in standing up due to a rigid, tensed and intensely stiff lower back. Pain in the lower back that sometimes extends down the lower limbs. Pain is most times of bruised or tearing nature. The pain tends to get worse on sitting and lying, and the back may also feel heavy.
	Ruta	Stiff Back following Muscle or Ligament Strain

Second class remedies

LBP + other complains	Abrot	Pain in the testicles + Back pain Pleurisy + Back pain Hemorrhoids + Sacral pains
Weather changes agg	Rhod	Amel with movement / Agg when sitting (Rhod ₳ Rhus-t) Agg with weather changes, esp humidity (Rhod ₳ Rhus-t) (Dulc ₳ Rhod) BACK - PAIN - Lumbar region - weather - change of BACK - PAIN - Lumbar region - weather - wet; in : Calc , DULC , Ran-b , Rhus-t	Pain radiating to arms BACK - PAIN - Lumbar region - extending to - Arms
Ileum pain (Agar)	Ruta	BACK - PAIN - Lumbar region - Ilium Pain spread to Abdomen / Knees / Hips / Thighs BACK - PAIN - Lumbar region - extending to - Abdomen: Berb, Bry , Sep , Sulph BACK - PAIN - Lumbar region - extending to - Hips : Aesc , Nux-v , Sep , Sil sulph. BACK - PAIN - Lumbar region - extending to - Knee: Sulph BACK - PAIN - Lumbar region - extending to - Thighs : Agar , BERB , Bry , Coloc , Dulc , Nux-v. , Ox-ac , Sep , Sulph	Stiff back that arises from muscle or ligament strain. Aching pain and soreness is felt in the back. Amel by lying on the back and by applying pressure. Back also feels weak along with stiffness and pain Rheumatic pain in the back that is worse in the morning.
	Ox-ac	Back Weakness Pain is associated with Weakness / Numbness in limbs Dull pain in the Lower back / Between the shoulders Point pain Agg with Thinking of pain
	Pic-ac	Low back pain + Heaviness feeling
	Led	Back stiffness, as if he had been sitting upright for a long time (Led ₳ Rhus-t)
	Dulc	Due to common cold (Dulc ₳ Rhus-t) BACK - PAIN - Lumbar region - cold - taking; from : RHUS-T	Due to long stooping BACK - PAIN - Lumbar region - stooping; as after long : bism. chin. graph
	Sep	Due to Fatigue /Weakness (Kali-c ₳ Sep) BACK - PAIN - Lumbar region - fatigue; as from Menses after agg (Sep) Pressing and dragging sensation in the sacral region. Back is also tender to touch	Walking amel the stiffness and pain Amel by pressure or by pressing back against something hard. Sitting upright amel.
	Agar	Due to exertion BACK - PAIN - Lumbar region - exertion: Calc-p. phys.
	Lyc	Amel with Flatus passing BACK - PAIN - Lumbar region - flatus amel.; passing
	Berb	Agg with lying (Berb ₳ Rhus-t) BACK - PAIN - Lumbar region - lying - while : RHUS-T Menses after agg (Sep) BACK - PAIN - Lumbar region - menses - after Pain extends to thighs / Abdomen BACK - PAIN - Lumbar region - extending to - Thighs BACK - PAIN - Lumbar region - extending to - Abdomen
	Sul	Due to Standing bent, Agg with straightening up BACK - PAIN - Lumbar region - standing - bent over BACK - PAIN - Lumbar region - straightening up : carb-ac. kali-bi. nat-c. nat-m. Sulph. Pain extends to thighs / Abdomen
	Ferr	Amell with gentle moving (Ferr ₳ Puls) BACK - PAIN - Lumbar region - walking - slowly amel