Sciatalgia , Sciatic

Repertory

Radar rubric	Neurological disorders - sciatica: AGAR, bry, coloc, gnaph, lyc, mag-p, rhus-t
Position	Bending double amel: COLOC, Ars, graph, guaj, Kali-bi, Kali-i, Tell, Valer Bending backward agg: Rhus-t Bending forward agg: Aesc Flexing leg amel: Ars, coloc, graph, guaj, Kali-bi, Kali-i, tell, Valer Lying down: Am-m, Lach Stooping agg: Agar, Tell Stretching leg, agg: berb, Caps, cham, ferr, gauj, Valer
Time	Night agg: Gnaph, Kali-i Night , 4 A.M: Coloc Periodic pain, esp every 4 days: Lyc
Motion	Continued: Coloc Getting up from chair: Aesc Motion amel /Immobility agg: Agar, Kali-bi, Valer, Rhus-t, Lyc, Ferr Slow / Gentle moving amel: Ferr, Puls, Kali-p Start: Rhus-t Sudden movement agg: Tell
Touch	Massage / Physiotherapy amel: Aesc Pressure agg: Kali-i, Lyc, Nux-v Touch agg: Coloc, Lach
Quality	Bruising / Breaking / Lameness /Burning / Cutting: Rhus-t Neuralgic: Coloc Spinal irritation = Very sensitive to touch: Tell Tingling: Coloc, Gnaph Throbbing sciatica: Coloc, Lac-c Throbbing Back pain: Nux-v
Heat	Cold agg: Bry, Nux-v Cold + Wet agg: Rhus-t, Ruta Heat amel: Lyc, Ars, Mag-p, Nux-v Heat agg: Led Open air amel: Kali-i
Locality	Lumbar: Nux-v Shooting from hip to knee/Leg: Coloc, Lach, Lyc, Ruta Shooting from hip to Ankle: Aesc Shooting from hip Downward: Plb Sacrum: Rhus-t
Side	Left: Kali-i, Tell Right: Lyc, Tell Alternating sides: Gnaph
Etiology	Climate change: Lach Defecation: Nux-v, Aesc, Tell Direct pressure of the protruding disc: Agar, Tell, Hyper, Aesc, Bry Heavy lifting/ Difficult childbirth: Nux-v Masturbation: Nux-v Physical shock such as shaking: Nux-v, Tell, Bell Sleep after: Lach, Led Trauma: Arn, Hyper, Agar, Tell Urination: Tell Vexation agg: Coloc
Accompanied by	Dysuria: Agar Hemorrhoids: Nux-v, Aesc Muscle contraction: Nux-v Numbness / Tingling: Coloc Esp Feet: Nux-v Stiffness: Lyc, Nux-v

First line remedies

Left Side	Coloc	Pain starts in the lower back and radiates down the leg to toes. In some cases, the pain is located in the left hip or pain in the hip radiates to the knee. The pain may be drawing/tearing/ shooting in nature. In some cases, it may be lightening, shock- like or cramping. Pressure application may provide relief. Lying on the left side also offers relief in some cases. Some persons requiring Colocynthis may also get relief from warm applications. C30 BD or TDS or if needed 200C or 1M	Legs - SCIATICA, pain - burning, with: Ars. bufo, gels. Gnaph. laugh. lyc. Phos. Rhus-t. ruta (Coloc ₳ Rhus-t) Legs - SCIATICA, pain - numbness, with: cham. Coloc. GNAP. nux-v. Phyt. Rhus-t. Legs - SCIATICA, pain - flexing leg amel.: Ars, graph. guaj. Kali-bi. Kali-i. tell Valer. Legs - SCIATICA, pain - flexing leg amel. - abdomen, on the, amel Legs - SCIATICA, pain - hip to knee: elat. Lach. plan Hips - TEARING, pain - extending to - sciatic nerve, down to: calc, lyc Legs - SHOOTING, pain - extending, down sciatic nerve: lach, Ruta Legs - SCIATICA, pain - midnight - 4 a.m Legs - SCIATICA, pain - motion, agg (opposite to Rhus-t) (Coloc ₳ Rhus-t) Legs - SCIATICA, pain - walking, agg.: bar-c. Berb. Chinin-s. coff. Coloc. ign. laugh. Led. nat-act. nat-s. psor. Sulph. zinc. Legs - SCIATICA, pain - motion, agg. - continued, agg Legs - SCIATICA, pain - rising, from seat Throbbing sciatica (Lac-c) Legs - SCIATICA, pain - touch, agg: CHININ-S, LACH, ... Vexation agg Legs - SCIATICA, pain - right: carbon-s, chel, chinin-s, Dios, Lach, Lyc, Phyt, plan, Sep, Tell
Right Side	MP	Pain is cutting/ shooting/ stabbing or stitching in nature. Pain starts in the lower back and extends down the right hip, thigh, the hollow of knee and leg. Pressure or warm applications may offer relief. In some cases, uncovering the lower limb worsen the pain TDS or QID
Pain And Numbness	Gnaph	Sciatica pain Alternates with or Accompanied by numbness. Folding thighs towards the abdomen provides some relief. Pain is confined to the calves and feet. C30 BD
Worsens While Walking	Bry	The slightest motion may worsen sciatica in such cases. Lying down absolutely still provides some relief. Bryonia Alba is also prescribed when the person feels relief by lying down on the affected side. The hip and leg of the affected side may feel heavy. The pain is tearing in nature from the hip through the back of the thigh and into the calf. C30 TDS or QID or C200 or 1M
Painful With Rest	Rhus-t	Lying on the painful side could worsen the pain in such cases. Walking or movement of the affected limb offers relief. Along with severe pain, a burning sensation may be felt in the lower limbs. Rhus Tox also works wonderfully well in treating sciatica that arises from lifting any heavy weight. There is a cramp like pain in the leg. The patient has an inability to sit in one position for a long time.

Rhus-t

• Rhus-t has a special pain in sacrum. Its quality is between Stretching and Heaviness of Lach and neuralgic pain of Coloc.

• Feeling like Bruising / Heaviness / Breaking / Lameness /Burning / Cutting
• Aggravation with Sitting / Standing and at the start of movement
• Amel with movement (Nux-v, Puls)
• Pain location: Sacrum
• Bending Backward agg

BACK - PAIN - Sacral region - bending - backward

BACK - PAIN - cutting - Sacral region - bending - backward, when

Agar

• Neuralgic pain caused by direct pressure of the protruding disc. (Agar ₳ Tell)

Back - DISKS, syndrome, slipped or ruptured vertebrae: AESC, BRY, HYPER

• Amel with Movement/ Walking (FERR, LYC, RHUS-T) (Agar ₳ Kali-i)

• Agg with stooping (Tell)
• Accompanied by dysuria.
• Movement amel and Immobility agg (Kali-bi, Valer, Rhus-t, Lyc, Ferr) (Agar ₳ Ruta)

EXTREMITIES - PAIN - Lower limbs - sciatica - sitting - agg: AM-M, LYC

EXTREMITIES - PAIN - Lower limbs - sciatica - standing - agg

Gnaph

• Sciatica in with Numbness / Burning (Coloc ₳ Gnaph)

Legs - SCIATICA, pain - alternating, side - numbness, with

• Alternating side sciatalgia

• Lying down / Sitting agg
• Motion / Walking / Stepping agg
• Night agg (Like Kali-i)

Lyc

• Pressure agg: Lying / Sitting on the affected side, (Kali-i ₳ Lyc) (Lyc ₳ Rhus-t)

• Walking / Moving amel (Ferr ₳ Lyc) (Lyc ₳ Rhus-t)

• Heat amel, esp bed heat (Lyc ₳ Mag-p) (Lyc ₳ Rhus-t) (Ars ₳ Lyc)

• Stiffness + Sciatica (Lyc ₳ Nux-v)

• Burning Pain

• Periodic pain, esp every 4 days

• Right side

Kali-i

• Open air amel / Bed agg (Kali-i ₳ Puls)
• Pressure agg (Lyc): Sitting/ Standing/ Lying on pain side (Kali-i ₳ Lyc) (Kali-i ₳ Rhus-t) (Coloc ₳ Kali-i)

• Bending Leg amel (Coloc ₳ Kali-i) (Kali-i ₳ Valer)

Legs - SCIATICA, pain - flexing leg amel: Ars. coloc. graph. guaj. Kali-bi, tell Valer

• Motion / Walking amel (Kali-i ₳ Lyc) (Kali-i ₳ Rhus-t) (Ferr ₳ Kali-i)

• Night agg

• Left side (Opposite to Lyc)

Other remedies

Valer

• Hanging legs agg
• Bending legs amel (Coloc ₳ Valer)

Legs - SCIATICA, pain - flexing leg amel. Ars, coloc, graph, gauj, Kali-bi, Kali-i, tell

• Agg by extending and stretching the legs (Ferr ₳ Valer)

Legs - SCIATICA, pain - stretching, the leg, agg: berb, Caps, cham, ferr, gauj

• Night agg

Tell

• Sciatica due to lumbar disc rupture (Aesc, Agar, Bry, Hyper) (Agar ₳ Tell)

• Back injuries remedy along with Arn, Hyper, Nat-s

• Pain spreads like a needle from the back to the pelvis and legs

• Spinal irritation = Very sensitive to touch
• Agg by lying down, esp on the affected area (Bry, Kali-i, Lyc, Rhus-t)

• Chronic sciatica that causes Contraction / Chronic spasm

• Flexing limb amel (Kali-i, Valer)
• Sudden movement agg (Coughing / Laughing / Sneezing)
• Stooping, agg.
• Left / Right sided
• Night agg
• Stool / Urination agg

Bry

• Drawing pain
• Cold agg

Led

• Heat agg

Ruta

• Sciatica esp after trauma (Arn, Hyper, Agar, Tell)
• Sciatica when going up (Agar) or down stairs (Am-m)

• Burning Pain

• Agg by Cold + Wet (Rhus-t ₳ Ruta)
• Beginning of movement agg (Rhus-t ₳ Ruta)
• Agg with Sitting/ Lying down and Amel with movement (Lyc ₳ Ruta) (Ferr ₳ Ruta) (Rhus-t ₳ Ruta)

Aesc

• Neuralgic pain due to direct pressure of the protruding disc. (Aesc ₳ Agar)

• Hip / Lower limb pain travels to the ankle along the sciatic nerve

Hips - ACHING, pain - extending, along sciatic nerve – ankle: merc-i-r

Legs - SHOOTING, pain - extending, down sciatic nerve - downwards: PLB

• Agg when getting up from a chair
• Amel with Massage / Physiotherapy
• Sciatica + Hemorrhoids
• Lumbosacral pain:
  • Agg by bending forward
  • Agg after stool
  • Agg with standing

Ferr

• Slow / Gentle moving amel (Ferr ₳ Puls)

Legs - SCIATICA, pain - motion, agg. - slow, amel: kali-p

Lach

• Sciatica pain from hip to knee (Coloc)
• Burning
• Agg after sleep (Led)

Legs - SCIATICA, pain - sleep, after, agg: led

• Amel by lying down (Am-m)
• Climate change agg

Nux-v

• Sciatic Accompanying by
  • Muscle contraction
  • Hemorrhoids
  • Feet Numbness / Tingling
• Throbbing back pain
• Pain extends to
  • Groin
  • Upwardly
• Agg with
  • Wind exposure / Amel with Heat Application / Bed heat
  • Humiliated/ Offended
  • Lying on affected side (Kali-i ₳ Nux-v)
  • Standing
  • Raising up the leg
  • During / After defecation
  • Physical shock such as shaking (Tell, Bell)
• Nux-v is king remedy of Backache with many modalities such as
  • Masturbation
  • After / During difficult childbirth / Heavy lifting
  • Bending

Tissue Salt Remedies

• FP: Sciatica due to exposure to cold
• MP: Neuralgic pain, sharp and sharp, like an electric shock
• KP: Constant, dull, vague pain