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 and		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.

Polymyositis only
Rhus-t	Very suitable to manage muscle pain in these cases. Firstly it is well indicated to manage pain in shoulders and also for pain between the shoulders. Secondly it is helpful for constrictive pain in dorsal muscles. This worsens while sitting and bending forward where it is required. With this there may be painful tension between shoulder blades. Heavy weight like pressure on shoulders is another attending symptom. In some cases the arms feel lame. Thirdly it is useful for managing tearing or drawing type of pain in the hip that extends to the knee.
Bry	Well indicated for cases having 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 is present. Along with this drawing pan in the muscles of shoulder and upper arm accompanies. Severe pains in the muscles of the right shoulder are present, and they extend to the elbow. Apart from above it is also used in cases where weakness and heaviness in the lower limbs is present. This is most marked when going upstairs.
Bell	Pain in upper arm and thigh. Drawing, tearing, heaviness and pressure in the upper arms. Sometimes they have bruised pain in the upper arm. Next they may have pain in thighs as if it is beaten. Lastly they can have cutting or stitching pain in thigh mainly right side when sitting.
Calc	Pain and weakness in the thigh muscles. For using it the weariness of muscles is felt in the morning on beginning to walk. This is attended with pain in the middle of thighs as if beaten when going upstairs. This pain may also be felt in the upper arms. Along with above symptoms there may be loss of muscle mass in thighs.
Aesc	Lameness and weakness in the back of the neck is present. In cases needing it pain in neck and between the shoulder blades is also there. Sometimes there is pricking sensation in the neck and shoulders.

Muscle weakness only
Pic-ac	Muscle weakness in the legs. The person needing Picric Acid experiences great weakness in the legs along with a feeling of heaviness. The legs feel weak from a short walk and feel heavy all the time. There may be trembling in the legs, numbness, crawling, and a pricking sensation. Feel tired by the least amount of exertion. Both mental and physical weakness may be present.
Kali-p	Kali Phos is a natural cure for muscle weakness attended with marked general fatigue. There is muscle weakness with lameness throughout the body. The limbs feel weak and tired, and there is debility and weakness. Use of Kali Phos is also considered in cases of muscle weakness present in chronic fatigue syndrome.
Ars	Arsenic Album is an excellent medicine for muscle weakness 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. The person may experience debility and exhaustion from the slightest amount of over-work.
Con	Conium Maculatum is a suitable medicine for muscle weakness in the legs attended with their trembling. Loss of muscle power in legs and extreme weakness from walking short distance is present. The person is unable to walk and has a staggering gait. Shooting pain in the legs may arise. Legs feel heavy and weary. Knees also feel weak. Conium Maculatum is also an indicated medicine for paralytic weakness in lower limbs that ascends upwards.
Plb	Plumbum Met is a natural cure for severe muscle weakness that progresses rapidly. There appears marked debility, weakness, and lameness of the arms. Muscles of the arm lack the power to move. Muscle weakness is severe and progressive. Cramping in the calf muscles may also be present. Plumbum Met is also a prominently indicated medicine for paralysis of limbs along with atrophy (wasting) of the muscles.
Sarcol-ac	Muscle weakness along with general tiredness. Exertion aggravates the complaint, and the body feels sore. The person remains restless at night. There is tiredness felt in the neck, back, shoulders and wrist. Arms also feel tired and weak as if they lack strength.

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