Myopathy

Clinic

• It is a disease of the muscle in which the muscle fibers do not function properly, therefore results in muscular weakness
• Muscle Cramps / Stiffness / Spasm / Tetany can also be associated with myopathy.
• Muscular disease can be classified as neuromuscular or musculoskeletal in nature.
• Some conditions, such as myositis, can be considered both neuromuscular and musculoskeletal.

Types

Inherited forms

• Myotonia: Neuromyotonia

Acquired

• Inflammatory / Autoimmune myopathies
• Dermatomyositis
• Polymyositis
• Myositis ossificans
• Rhabdomyolysis and Myoglobinuria

• Statin-associated autoimmune myopathy

Myocardium / cardio-myopathy

• Acute myocarditis
• Cardiomyopathy
• Endomyocardial (eosinophilic) disease
• Eosinophilic myocarditis
• Endomyocardial (tropical) fibrosis
• Löffler's endocarditis
• Endocardial fibroelastosis
• Endocrine and metabolic disorders – hypokalemia, hypocalcemia, hypercalcemia

Onset in adulthood

• Inflammatory myopathies – polymyositis, dermatomyositis, inclusion body myositis, viral (HIV)
• Infectious myopathies

Entities

• Myopathy : CMV
• Myositis: DHF, INFL, RTV, VZV
• General Myositis: CXA, CXB, ECHO
• Dermatomyositis: CXA, CXB, ECHO, WNE

1. BAR-C, SUL, LACH, MERC
2. Calc, Cic, Hep, Merc-c, Lyc, Bell
3. Aloe, Croc, Bufo, Sil, Sep

Remedies

Homeopathy is useful in inflammatory phase of myopathy which is myositis. In complicated phase when muscle destruction strarts, Homeopathic treatment has a lot of limitations

Polymyositis		Muscle weakness	Modality
Arn	A great medicine for cases where muscles are inflamed and mainly neck muscles are weak. With this pain is also there in neck muscles as if bruised. Soreness, lame feeling in the limbs is another guiding feature for using it. Pain in limbs and back also calls for its use. Here it feels as if the back and limbs are bruised and beaten.	Muscle weakness attended with sore, and bruised muscle pains. There is a loss of strength in the body. Arms feel weary, and the wrist feels powerless. He cannot use his arms. Hands / Legs muscles lack strength, weak, tired, heavy and ache with sore, bruised sensation. The muscles may twitch, and the person feels sluggish, with a strong desire to lie down. Tiredness, weakness, and exhaustion are other symptoms. Muscle weakness arising from overstraining the muscles
Caust	Progressive loss of muscle strength. It offers benefits where limbs feel heavy and weak. With this drawing, bruised and tearing pain in thighs can be present. Persons needing it feel soreness in the hips and thighs on the side laid upon that necessitate the need to turn over to the other side. Tearing pain in the neck and shoulder blades is also indicative of using this medicine.	Muscle weakness due to muscles and nerves pathology. It works particularly well for muscle weakness in the arms. There is a progressive loss of muscular strength in the arms, which feel weak and lame. A tearing, dull pain in the arms may be present. Muscle weakness in the hands and fingers. There appears fullness in hands when the person tries to grasp anything. Paralysis	Night Weakness in arms Fingers may also feel icy cold. High sensitivity towards cold air.
Gels	Muscle weakness and pain of limbs The muscle pain is deep seated in cases needing it. Aching, tiredness and soreness in the muscles. Muscle ache occurs from over exertion. There is deep seated pain in muscles of hips and bruised pain in the muscles of the neck for using it. Shoulder pain esp at night is also indicative of using it. Lastly there is drawing, contracting pain from thighs into toes. this gets worse when from motion or when walking. This is accompanied with great soreness of thighs.	Muscle weakness attended with deep-seated muscle pains Esp in the arm and leg muscles. The muscles lose their power to contract effectively. Arms feel powerless and numb. Trembling of hands and legs (that feel fatigued and tired from little exercise) are other symptoms. Difficulty in walking/ Unsteady gait from a weakness of the leg muscles. Drawing, contractive, cramping, and deep-seated muscular pains in the legs Calf muscles feel bruised, and there is a numbness in the limbs. General fatigue and weakness are also well-noted along with these symptoms.
Stan	Weakness and heaviness in thighs. The weakness is marked when going downstairs. Next, it is highly valuable for managing weakness of the upper arms. In such cases the arms  become fatigued easily from slight exercise. Weakness in the arms is also felt even from holding light weight that too for a short time. Other than above it is also significant to manage weakness in the nape of the neck.	Muscle weakness in limbs attended with heaviness. There appears to be a loss of power in the limbs. Arms feel weak and heavy. . Weakness and fatigue of arms arise from lifting a small weight, or from the slightest exercise. Unable to hold an object due to weakness. There may be twitching of muscles of the forearm and hand. The thighs also feel weak and heavy. Excessive weariness and fatigue with a desire to lie down may be present.	Motion worsens weakness / Heaviness. Walking worsens it, making the person want to sit down.
Rhus-t	Well indicated to manage muscle pain esp in Shoulders and also between shoulders. Constrictive pain in dorsal muscles. Painful tension between shoulder blades. Heavy weight like pressure on shoulders In some cases the arms feel lame. Tearing or drawing type of pain in the hip that extends to the knee.		Pain agg while sitting and bending forward
Bry	Weakness and pain in nape of neck together. Stitching pain in the upper back between scapula. Great weakness of the thighs that cause difficulty in going upstairs. Stitching pain in the hips. Lame and bruised sensation mainly in the right hip in morning time.
Phos	Weakness in upper arms + Drawing pan in muscles of Shoulder / Upper arm Severe pains in right shoulder muscles that extend to elbow. Weakness and heaviness in the lower limbs is present		Esp when going upstairs agg
Bell	Pain/ Drawing/ Tearing/ Heaviness / Pressure in Upper arm/ Thigh. Sometimes they have bruised pain in the upper arm. Pain in thighs as if it is beaten. Cutting or stitching pain in thigh		Mainly right side Sitting agg
Calc	Pain and weakness in the thigh muscles. Pain in the middle of thighs as if beaten when going upstairs. This pain may also be felt in the upper arms. Loss of muscle mass in thighs.		Morning on beginning to walk. agg
Aesc	Lameness and weakness in the back of the neck Pain in neck and between the shoulder blades Sometimes there is pricking sensation in Neck / Shoulders.
Pic-ac		Muscle weakness in legs. Great weakness in the legs along+ Heaviness. The legs feel weak from a short walk and feel heavy all the time. May be trembling/ Numbness/ Crawling/ Pricking sensation in legs Mental and physical weakness at the same time	Least amount of exertion agg
Kali-p		Muscle weakness attended with marked general fatigue Muscle weakness + Lameness throughout the body. Limbs feel weak and tired + Debility and weakness Chronic fatigue syndrome
Ars		Muscle weakness / Debility / Exhaustion that arises from the least amount of exertion. The entire body feels weary, with an aversion towards any effort. Limbs feel excessively weak and exhausted. Exhaustion confines the person to the bed. Other symptoms include sleeplessness, anxiety, and restlessness.
Con		Muscle weakness in the legs + Trembling. Loss of muscle power in legs + Extreme weakness from walking short distance Unable to walk + Staggering gait. Shooting pain+ Legs / Knees feel heavy and weary. Paralytic weakness in lower limbs that ascends upwards.
Plb		Severe muscle weakness that progresses rapidly. Marked Debility/ Weakness/ Lameness of arms. Muscles of the arm lack the power to move. Cramping in the calf muscles Paralysis of limbs + Atrophy of the muscles
Sarcol-ac		Muscle weakness + General tiredness. Restless at night. Tiredness felt in Neck/ Back/ Shoulders/ Wrist. Arms also feel tired and weak as if they lack strength.	Exertion agg the complaint, and the body feels sore.

Homeopathic Medicines for Muscle Weakness

Picric Acid, Causticum, and Gelsemium are the top remedies used to treat muscle weakness.

Homeopathic Remedies for Muscular Dystrophy

There are number of Homeopathic remedies for muscular dystrophy. The treatment is holistic and needs to be customised for every one suffering from muscular dystrophy depending on type, age, and symptoms. Most commonly the medicines that have been prescribed at Welling Homeopathy Clinics are

1. Plumbum Metallicum
2. Magnesium Metallicum
3. Sulphur
4. Phosphorus
5. Ars. Album
6. Lachesis
7. Lactic Acid
8. Carbolic Acid