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
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
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
Kali-c	Sleeping prolonged agg, Forces 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 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; and Pain radiating to the Left chest / Heart BACK - PAIN - Lumbar region - extending to - Heart BACK - PAIN - Lumbar region - extending to - Chest - left Forces him to walk bent over (Kali-c ₳ Sul) BACK - PAIN - Lumbar region - walking - bent; compelled to walk Am-m , Sep , Sul
Aesc	Walking agg (Aesc ₳ Sep), Pain spreads when walking. Pregnancy, esp Walking / Bending agg Getting up from chair agg BACK - PAIN - Lumbar region - rising - seat; from a: BERB , CALC , CAUST , PHOS , PULS. , RHUS-T , SULPH Bending agg BACK - PAIN - Lumbosacral region - stooping, on BACK - PAIN - Lumbar region - stooping, on: SULPH First chills and cold, then back pain BACK - PAIN - Lumbar region - chill - before : Eup-p , PODO	Vague back pain in the lumbosacral and pelvic region Pain extends to hip Severe / Continuous pain Heaviness / Weakness Sensation of paralysis in Spinal cord / Lower limbs Back pain with hemorrhoids (Aesc ₳ Nux-v)
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	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
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

Second class remedies

Abrot

• Pain in the testicles + Back pain
• Pleurisy + Back pain
• Hemorrhoids + Sacral pains

Hyper

Why

• Due to Surgery / Trauma
• Due to carry a heavy load up and down the stairs. (Hyper ₳ Rhus-t)

How

• Vague / Stinging pain in Small of back

Arn

• Bruised feeling
• The slightest touch intensifies the pain
• Evidence of trauma

Rhod

Why?

• 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

How?

• Pain radiating to arms

BACK - PAIN - Lumbar region - extending to - Arms

Ruta

• Ileum pain (Agar)

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

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 (Kali-c ₳ Sep)

BACK - PAIN - Lumbar region - fatigue; as from

• Menses after agg (Sep)

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