Arthritis

Arthritis definitions

Synovitis	Periostitis	Enthesitis	Tendinitis / 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	Pain/ 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
Top remedy	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
Acute painful arthritis	Bry	Swelling, Hot, Redness, Touch / Pressure agg (Apis ₳ Bry) (Bry ₳ Led)		Amel with warm application Agg with any slight movement
	Apis	Acute and painful synovitis (Apis ₳ Bry) Severe Stretching / Tension of skin Warmness / Redness
	FP	Acute imflamatiom		Agg by movement Gentle movement amel (Puls, Lyc, Ferr)
Gout of toes+ Deposit	Colch	Rheumatism in Weak / Thin people Gout of toes esp big toe 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
Shortening / Contracture of tendons	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
Acute Arthritis esp in small joints	Led	Led swelling is more likely to Caust Stiffness (Painful Deposit / Nodosities) Acute Arthritis (Swelling , Hot) (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) Like to Rhus-t Tearing pain Sprained as if: Ruta	Motion agg: Bry, Colch Warmth / Bed / Heat agg: Puls, Merc, Rhus-t) Stiffness, cold water amel Arthritis after common cold: Guaj, Puls, Sec
	Caul	Small joints rheumatism such as Hands and Feet Joint stiffness with pain Aching / Drawing pain		Night pain Pregnancy / Childbirth arthritis
	Act-sp	Severe pain, heat and swelling Esp Feet, Hands and Wrist (Caul , Viol-o)		Agg with Walking / Movement / Slightest activity Agg by touch
	Viol-o	One-sided arthritis remedy esp in small joints such as Feet, Hands and Wrist (Caul, Act-sp)	Esp right wrist
Joint weakness	Ruta	Unsteadiness esp after Trauma / Heavy loads (Calc, Rhus-t) Bursitis: Apis, Sil Wrist ganglion (Ruta ₳ Sul)	Easily sprained Ankles / Knees (Led, Rhus-t)
	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)
Gout/ Arthritis				Chronic Arthritis caused by working in water Arthralgia esp Sharp pain, Cold agg (Calc-p, Dulc, Rhus-t)
	Sul	Small joints Gout + Deposits (Thuj, Med) / Contractor Gout accompanied by Smelly urine Alternating with Asthma / Pleurisy Headache	Metastatic gout Downward extending joint pain Rheumatism of the left shoulder (Sang) Gout/ Arthritis caused by Eating fatty food (Nux-v) Suppressing gonorrhea (Med)
Traumatic Arthritis	Arn	Rheumatism caused by intense muscle work Bruised pain, bruising when pounding in the involved limb	Rheumatism due to working in Cold / Damp place (Calc)	Touch agg Motion agg Rest agg

Other remedies

			Modalities
Arthritis + Muscles involvement	Cimic	Rheumatism of trunk muscles
	Aran		Wet agg (Aran ₳ Rhus-t)
Cardiac rheumatism	Puls	Wandering / Shifting poly Arthritis (Kalm, Benz-ac) Heart problems such as Endocarditis/ Pericarditis due to rheumatism (Kalm)
	Kalm	Valvular involvement Alternation with heart problems /Endocarditis (Puls) Arthritis 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)
Rheumatism + Dry / Horny callus / Nail problems	Ant-c	Fingers arthritis (Drawing pains) Rheumatism with chronic digestive problems Rheumatism + Skin Dryness / Cracking esp around the nails Dry /Brittle /Deformed nails	Agg with local cold / Amel with warm compress Agg of joints by drinking wine Rheumatism caused by working with water
Right shoulder rheumatism (Sul)	Sang	Muscular rheumatism: Stiff muscles (like a lizard), esp in Back / Neck muscles Sharp / Stinging pains which spreads Shoulder / Deltoid involvement (Ferr ₳ Sang)	Shoulder Agg by raising arm Nocturnal pain esp when rolling over in sleep
Weather changes agg	Rhod	Chronic rheumatism with paralytic weakness Small joints gout	Extreme sensitivity to weather changes and esp cold of winter Pain agg at rest
Emigrant arthritis	Benz-ac		Amel with heat Amel with large amounts of urine Motion agg Agg with wine
Knee Arthritis	Sal-ac	Joints Pain change position with movement	Agg at night Agg by touch and movement

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