Arthritis

Arthritis definitions

Synovitis

• Movement agg
• Local inflammation
• Hard lump
• Touch agg
• Classic remedy: Bry

Bursitis

• Crackling joints
• Pain in active movement of joint
• Classic remedy:

Periostitis

• Tenderness (Sensitive to touch)
• Painful swelling of the bone
• Classic remedy:

Enthesitis

• Agg with Over-Working
• Amel with little activity
• Morning agg (Sleep / Rest)
• No pain in passive motion.
• Classic remedy: Rhus-t

Tendonitis / Tendinopathy

• Pain/ Ewelling + Impaired function.[3][1]
• Movement agg
• 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

Modalities

• Cold agg: Bry, Calc-p, Rhus-t (Bry ₳ Rhus-t)

Joints - RHEUMATISM, general - cold, weather, after years: BRY. CALC-P. carb-v. Colch. Dulc. Kali-bi. Kalm. nit-ac. Nux-v. Ph-ac. Phos. Puls. Rhod. RHUS-T. sul-ac. Tub.

• Night / Heat agg, drags him out of bed: Cham, Rhus-t

• Poly arthritis
  • Upward extension :Kalm, LED
  • Downward extension: Kalm
  • Wandering pain: Puls

Etiology

• Rheumatism after a 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 and then Clem. con. Cop. crot-h. daph. Kalm. Lyc. Med. Phyt. psor. Puls. Sars. Sept. Sulph

Accompaniment

• 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

Rhus-t

• The best blind remedy esp in
  • Ligaments: Kali-i
  • Tendons: Agar, Anac, Arg-met, Bry, Calen, Caust, Rhod, RUTA
  • Bursitis: Apis, Ruta
• Pain types:
  • Sever pain as if bruised
  • Sore pain: Nux-v, Tub
  • Tearing pain: Chin
  • Weakness / Lameness: Ruta
• Modalities
  • Cold agg: Calc-p, Dulc
  • Motion amel: Aur
  • 10 P.M to 6 A.M: Rheumatic pain drags him out of bed: Cham, Merc
  • Warmth amel: Ars
• Complication
  • Joint redness
  • Contraction: Sul
  • Coldness: Calc-p, Camph, Nat-m, Petr, Sumb
  • Cracking On Bending / Stretching: Lyc, Thuj
• Stiff joints
  • Heat amel
  • On rising: Agar, Calc, Carb-an, staph.
  • Wet cold agg
  • Standing up agg + Movement amel
• Poly Arthritis esp left to right: Lach
• Arthtitis + Gastritis: Puls
• Blunt trauma (Over-stretching and twisting)

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 the toes (esp big toe) + Deposit
• Neuralgic / Drawing / Tearing pains
• Arthritis + Contraction / Cramp
• Joints are Swollen and Dark red
• Pain shifts from one joint to another, esp left to right
• If the patient does not respond to Apis and Ars, then Colch is indicated.

Caust

• Chronic rheumatism and its complications
  • Stiff / Deformed joints: Esp after lying down or while sitting: (Caust ₳ Rhus-t)
  • Shortening / Contracture of tendons (Kali-i) (Caust ₳ Guaj) (Caust ₳ Sul) Bry, calc, coloc, guaj, rhus-t, Sil, SUL, thuj
  • Unbalanced gait
  • Bursa cyst: Graph, iod, kali-br, Sil, Sul
  • Gouty deposits have caused joint contracture: Colch
• He likes to Stretch / Bend / Crack his joints regularly (Rhus-t)
• Synovitis: Apis, Bry, Phyt, Rhus-t
• Painful joint after common cold
• Chronic Arthritis after Blunt trauma

Led

• Led swelling is more likely to Caust Stiffness (Painful Deposit / Nodosities)
• Like Bry: Acute Arthritis (Swelling , Hot) (Bry ₳ Led)
  • Bry has Diffuse / Large effusion
  • Led is more Stiff / Dry
  • Both are Motion agg: Bry, Colch
• Arthritis esp small joints (Act-sp, Caul, Colch) such as Ankles

• Like Kalm
  • Upward extending arthritis
  • Rheumatism alternate with chest problems

• 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)
  • Easily sprained Ankles / Knees (Led, Rhus-t)
• Bursitis: Apis, Sil
• Wrist ganglion (Ruta ₳ Sul)

Sul

• Small joints Gout + Deposits (Thuj, Med) / Contractor
• Gout accompanied by
  • Smelly urine
  • Alternating with Asthma / Pleurisy
  • Headache
  • Gout caused by eating fatty food (Nux-v)
  • Arthritis after suppressing gonorrhea (Med)
• Metastatic gout
• Downward extending joint pain
• Rheumatism of the left shoulder (Sang)

Other remedies

Cimic

• Specific remedy for rheumatism for trunk muscles

Calc

• Crackling / Stiffness joints
• Weak joints esp due to Blunt Trauma / Overstretching (Rhus-t, Ruta)
• Muscle rheumatism (Calc ₳ Rhus-t) (Calc ₳ Cimic), Cramp joints (Plat)
• Gout + Contracture (Sul) (Calc ₳ Sul)
• Chronic Arthritis caused by working in water
• Arthralgia esp Sharp pain, Cold agg (Calc-p, Dulc, 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

• Main remedy of wandering / Shifting poly Arthritis (Kalm, Benz-ac)
• Painful Swelling / Informative Arthritis
• Heart problems such as Endocarditis/ Pericarditis due to rheumatism (Kalm)

Kalm

• Cardiac rheumatism
  • Valvular involvement
  • Alternation with heart problems
  • Endocarditis (Puls)
  • Due to suppression of heart problems
• Hot (Led) / Red (Rhus-t) joints
• Joint pain after cold exposure (Calc-p, Dulc, Rhus-t)
• 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 pain gets worse as night approaches (Bry)
• Wandering arthritis (Puls) that suddenly change location (Kali-s, Lac-c) esp extending upward (Led) (opposed to Kalm)

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
• Agg with local cold / Amely with warm compress
• Agg of joints by drinking wine
• Rheumatism + Dry / Horny callus
• Rheumatism + Skin Dryness / Cracking esp around the nails, caused by working with water
• Rheumatism + Nail problems (Dry /Brittle /Deformed nails)

Sang

• Best remedy for shoulder rheumatism (Sul) esp right Shoulder / Deltoid (Ferr ₳ Sang)
  • Agg by raising the arm
  • Nocturnal pain esp when rolling over in sleep
• Muscular rheumatism: Stiff muscles (like a lizard), esp in Back / Neck muscles
• Sharp / Stinging pains which spreads

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

• 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

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

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

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
• KP: Chronic rheumatism
• KS