Low back pain

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Repertory

Modalities

Position

  • 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

Accompanied by

Extending/ Radiating

Quality

Locality

  • Small of back: Hyper
  • Ileum pain: Agar, Ruta
  • Lower back / Between the shoulders: Ox-ac
  • 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

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
Top remedy

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
Motion agg

Bry

Bryonia Alba is another majorly indicated medicine for treating back pain. A prominent symptom that decides in favour of Bryonia Alba as the best medicine is that the back pain gets worse with motion. Walking also worsens back pain. Rest brings relief. Bryonia Alba is also the most suitable medicine for treating back pain that becomes more severe with stooping and standing.
Sacrum region

Aesc

  • Pain may extend to the hip along with sacrum back.
  • Rising from a sitting position agg
  • BACK - PAIN - Lumbar region - rising - seat; from a: BERB , CALC , CAUST , PHOS , PULS. , RHUS-T , SULPH
  • Intense stiffness is observed in the sacrum and hip region
  • Walking agg (Aesc ₳ Sep), Pain spreads when walking.
  • Pregnancy, esp Walking / Bending agg
  • Getting up from chair agg
  • Bending/ Stooping agg
    • BACK - PAIN - Lumbosacral region - stooping, on
    • BACK - PAIN - Lumbar region - stooping, on: SULPH
  • Vague back pain in the lumbosacral and pelvic region
  • Severe / Continuous pain
  • Heaviness / Weakness
  • Sensation of paralysis in Spinal cord / Lower limbs
  • Back pain with hemorrhoids (Aesc ₳ Nux-v)
  • First chills and cold, then back pain
  • BACK - PAIN - Lumbar region - chill - before : Eup-p , PODO
Post Childbirth

Kali-c

  • Prolonged Sleep agg and orces 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 pain Forces him to walk bent over (Kali-c ₳ Sul)
    • BACK - PAIN - Lumbar region - walking - bent; compelled to walk Am-m , Sep , Sul
  • 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
  • Radiating to the Left chest / Heart
    • BACK - PAIN - Lumbar region - extending to - Heart
    • BACK - PAIN - Lumbar region - extending to - Chest - left
Cervical (neck) Region

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
Injury

Arn

  • Back pain arising from falls blows of both recent and remote origin
  • Sore, bruised pain in the back as after being beaten.
Pain with lameness in the back.

Hyper

  • Pain in the back with extreme sensitivity which makes it impossible to walk or stoop.
  • Coccyx pain arising from a fall over the coccyx.
  • Vague / Stinging pain in Small of back
  • Due to Surgery / Trauma
  • Due to carry a heavy load up and down the stairs. (Hyper ₳ Rhus-t)
Back Pain from Sitting

Cob

  • Pain usually radiates from the lower back down the legs and feet.
  • Weakness in the legs may be felt.
Walking amel

Phos

  • Prolonged sitting leads to back pain.
  • Weakness in the back may also be felt.
Burning sensation in the spine
Back Pain Radiating Down Lower Limbs

Coloc

  • Back pain radiating down the limbs on the left side.
  • Amel from pressure.
  • The pain can be tearing or drawing in nature.

MP

  • Lower back pain that radiates down the right lower limb.
  • The pain can vary from sharp, shooting, lightning-like or cramping in nature.
  • Warm applications amel
Cervical Back Pain Radiating Down the Arm/Hands

Kalm

Radiating pain is accompanied by weakness, tingling, numbness in the arm or hands

Par

  • Sensation of weight in the neck,
  • Agg from exertion (either mental/physical) and numbness in fingers.

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

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

LBP + other complains

Abrot

Weather changes agg

Rhod

  • 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
  • Pain radiating to arms

BACK - PAIN - Lumbar region - extending to - Arms

Ileum pain (Agar)

Ruta

  • 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