Arthritis

Arthritis definitions

Synovitis	Periostitis	Enthesitis	Tendonitis / Tendinopathy
Movement agg Local inflammation Hard lump Touch agg Classic remedy: Bry	Tenderness (Sensitive to touch) Painful swelling of the bone Classic remedy: Symph	Agg with Over-Working Amel with little activity Morning agg (Sleep / Rest) No pain in passive motion. Classic remedy: Rhus-t	ain/ Swelling + Impaired function Crackling joints Pain in active movement of joint Common regions: Shoulder (Rotator cuff, Biceps) Elbow (Tennis elbow, Golfer's elbow) Wrist, Hip, Knee (Jumper's knee) Ankle (Achilles tendinitis) Etiology: Common: Injury / Repetitive activities Less common: Infectious arthritis, Gout, Thyroid disease and Diabetes Classic remedy: Ruta, Rhus-t, Arn

Clinic

• Poly arthritis often needs Chronic / Miasmatic remedy. Acute remedy plays a transient palliation role.

• In CTS, life style recommendations are very effective and Caust is the classic remedy.

• Small joints Arthritis (like toes): Colch, Led

• Wrist Arthritis small remedies: Caul, Act-sp

• Knee arthritis: Led

• Muscular rheumatism: Rhus-t, Calc
• Gout

Modalities	Etiology	Accompaniment
Cold agg: Bry, Calc-p, Rhus-t , carb-v, Colch, Dulc, Kali-bi, Kalm, nit-ac ,Nux-v, Ph-ac, Phos, Puls, Rhod, sul-ac, Tub (Bry ₳ Rhus-t) Joints - RHEUMATISM, general - cold, weather, after years: BRY, CALC-P Night / Heat agg, drags him out of bed: Cham, Rhus-t Poly arthritis Upward extension:Kalm, LED Downward extension: Kalm Wandering pain: Puls	Common cold: acon. arn. Bry. Calc-p. calc. Coloc. Dulc. gels. Guaj. Merc. Nit-ac. ph-ac. Rhus-t. sulph. Acute heart problem: Colch Gonorrhea suppression: Thuj then Clem.	Heart disease: Cact, Colch, coll, Kali-c, KALM Alternating with heart disease: KALM Endocarditis: Kalm Painful heart disease: Aur Perspiration: FORM, Merc, Sul, Till

First class remedies

		Pain types	Modalities
Rhus-t	The best blind remedy esp in Ligaments: Kali-i Tendons: Agar, Anac, Arg-m, Bry, Calen, Caust, Rhod, RUTA Bursitis: Apis, Ruta Poly Arthritis esp left to right: Lach Arthritis + Gastritis: Puls Blunt trauma (Over-stretching and twisting)	Coldness: Calc-p, Camph, Nat-m, Petr, Sumb Contraction: Sul Cracking On Bending / Stretching: Lyc, Thuj Joint redness Sever pain as if bruised Sore pain: Nux-v, Tub Tearing pain: Chin Weakness / Lameness: Ruta	Pain: Cold agg: Calc-p, Dulc Motion amel: Aur 10 P.M -6 A.M: Pain drags him out of bed: Cham, Merc Warmth amel: ArsStiff joints Heat amel On rising: Agar, Calc, Carb-an, staph Wet cold agg Standing up agg + Movement amel
Bry	Acute painful arthritis (Swelling, Hot, Redness, Touch / Pressure agg) (Apis ₳ Bry) (Bry ₳ Led)		Amel with warm application Agg with any slight movement
Colch	Rheumatism in Weak / Thin people Gout of toes (esp big toe) + Deposit If the patient does not respond to Apis and Ars, then Colch is indicated.	Neuralgic / Drawing / Tearing pains Arthritis + Contraction / Cramp Joints are Swollen and Dark red Pain shifts from one joint to another, esp left to right
Caust	Chronic rheumatism and its complications Bursa cyst: Graph, iod, kali-br, Sil, Sul Gouty deposits have caused joint contracture: Colch Synovitis: Apis, Bry, Phyt, Rhus-t	Shortening / Contracture of tendons Bry, calc, coloc, guaj, Kali-i, rhus-t, Sil, SUL, thuj (Caust ₳ Guaj) (Caust ₳ Sul) Unbalanced gait	He likes to Stretch / Bend / Crack his joints regularly (Rhus-t) Stiff / Deformed joints: Esp after lying down or while sitting: (Caust ₳ Rhus-t) Painful joint after common cold Chronic Arthritis after Blunt trauma
Led	Led swelling is more likely to Caust Stiffness (Painful Deposit / Nodosities) Acute Arthritis (Swelling , Hot) (Like Bry) (Bry ₳ Led) Bry has Diffuse / Large effusion but Led is more Stiff / Dry Arthritis esp small joints (Act-sp, Caul, Colch) such as Ankles	Upward extending arthritis (Opposed to Kalm) Rheumatism alternate with chest problems (like Kalm)	Both are Motion agg: Bry, Colch Warmth / Bed / Heat agg: Puls, (Merc, Rhus-t) Stiffness, cold water amel Arthritis after common cold: Guaj, Puls, Sec Like to Rhus-t Tearing pain Sprained as if: Ruta
Ruta	Main remedy of Joint weakness / Unsteadiness esp after Trauma / Heavy loads (Calc, Rhus-t) Bursitis: Apis, Sil Wrist ganglion (Ruta ₳ Sul)	Easily sprained Ankles / Knees (Led, Rhus-t)
Sul	Small joints Gout + Deposits (Thuj, Med) / Contractor Gout accompanied by Smelly urine Alternating with Asthma / Pleurisy Headache Gout/ Arthritis caused by Eating fatty food (Nux-v) suppressing gonorrhea (Med)	Metastatic gout Downward extending joint pain Rheumatism of the left shoulder (Sang)
Calc	Crackling / Stiffness joints Cramp joints (Plat) Gout + Contracture (Sul) (Calc ₳ Sul)	Weak joints esp due to Blunt Trauma / Overstretching (Rhus-t, Ruta) Muscle rheumatism (Calc ₳ Rhus-t) (Calc ₳ Cimic)	Chronic Arthritis caused by working in water Arthralgia esp Sharp pain, Cold agg (Calc-p, Dulc, Rhus-t)
Arn	Rheumatism caused by intense muscle work Rheumatism due to working in Cold / Damp place Bruised pain, bruising when pounding in the involved limb		Touch agg Motion agg Rest agg

Other remedies

			Modalities
Cimic	Specific remedy for rheumatism for trunk muscles
Aran	Rheumatic remedies (Tendency to involve joints and muscles) +		Wet agg (Aran ₳ Rhus-t)
Act-sp	One-sided arthritis remedy esp in small joints such as Feet, Hands and Wrist (Caul , Viol-o)	Severe pain, heat and swelling	Agg with Walking / Movement / Slightest activity Agg by touch
Puls	Painful Swelling / Informative Arthritis Heart problems such as Endocarditis/ Pericarditis due to rheumatism (Kalm)	Main remedy of wandering / Shifting poly Arthritis (Kalm, Benz-ac)
Kalm	Cardiac rheumatism Valvular involvement Alternation with heart problems Endocarditis (Puls) Due to suppression of heart problems Hot (Led) / Red (Rhus-t) joints	Rheumatism of all joints close to each other (Kali-bi) Joints - RHEUMATISM, general - acute - all, joints, in nearly Rheumatism starts from one joint and spreads to the lower joints, and the Wandering arthritis (Puls) that suddenly change location (Kali-s, Lac-c) esp extending Downward(opposed to Led)	Joint pain after cold exposure (Calc-p, Dulc, Rhus-t) pain gets worse as night approaches (Bry)
Caul	Main palliative remedy for small joints rheumatism such as Hands and Feet	Joint stiffness with pain Aching / Drawing pain	Night pain Pregnancy / Childbirth arthritis
Viol-o	Right wrist arthritis One-sided arthritis remedy esp in small joints such as Feet, Hands and Wrist (Caul, Act-sp)
Ant-c	Fingers arthritis (Drawing pains) Rheumatism with chronic digestive problems Rheumatism + Dry / Horny callus Rheumatism + Skin Dryness / Cracking esp around the nails, Rheumatism + Nail problems (Dry /Brittle /Deformed nails)		Agg with local cold / Amel with warm compress Agg of joints by drinking wine Rheumatism caused by working with water
Sang	Best remedy for shoulder rheumatism (Sul) esp right Shoulder / Deltoid (Ferr ₳ Sang)	Muscular rheumatism: Stiff muscles (like a lizard), esp in Back / Neck muscles Sharp / Stinging pains which spreads	Shoulder Agg by raising arm Nocturnal pain esp when rolling over in sleep
Ferr-p	Sub-acute Arthritis		Agg by movement Gentle movement amel (Puls, Lyc, Ferr)
Rhod	Chronic rheumatism with paralytic weakness Small joints gout		Extreme sensitivity to weather changes and esp cold of winter Pain agg at rest
Arn
Benz-ac	Emigrant arthritis		Amel with heat Amel with large amounts of urine Motion agg Agg with wine
Sal-ac	Arthritis esp knees Joints Pain change position with movement		Agg at night Agg by touch and movement
Apis	Acute and painful synovitis (Apis ₳ Bry) Severe Stretching / Tension of skin Warmness / Redness

Tissue Salt Remedies

FP

Main drug for rheumatism in general

KM

• As a second remedy for rheumatism, when the pain subsides or is relieved by FP, it should be prescribed alternately with FP.

NP

• In inflamed rheumatism (Red, Painful and Warm) it is better to alternate FP with NP
• Either alone or with SIL can resolve gout and urate deposits.

KP

• Chronic rheumatism

Miasms

ALPH, B19, EBV, ECH, HAV, HBV, HSV-1, HSV-2, HTLV-1, INFL, LBB, MMP, MTB, RBL, VZV

• Fingers: ALPH, RBL
  • Finger Tenosynovitis: ALPH
  • Metacapophalangeal: LCM
  • Proxymal interphalangeal: LCM
• Knees: HAV, RBL
• Monoarticular: HSV-1, HSV-2, MMP
• Polyarticular: ALPH, HAV, HBV, RBL
  • Migratory: MMP
  • Nodosa: HBV
  • Symmetrical : ALPH
• Wrist: HAV, RBL