Low back pain

Repertory

Modalities	Position
Cold agg / Warm amel: Nux-v Cold and wet agg: Rhus-t, Cimic, Berb, Bry, Nux-v Massage amel: Phos, Kali-c Menses agg: Kali-c Pressure amel: Nat-m, Rhus-t Slightest touch agg: Arn Wet agg: Rhod, Rhus-t, Dulc	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, he should sit straight and then turn: Nux-v Walk bent over, Forces him to: Kali-c, Am-m , Sep , Sul Walking agg. The pain spreads when walking: Aesc, Sep
Motion	Agg with continued movement: Gnaph (opposite to Rhus-t) Motion amel / Sitting Agg: Rhod, Rhus-t Standing up agg: Rhus-t Starting to move:Rhus-t
Etiology	Trauma / Surgery: Agar, Kali-c , Hyper, Arn General fatigue causes Back muscles weakness: Kali-c , Sep Due to sexual excesses: Nux-v, Staph Mortification / Humiliation / Vexation: Nux-v During pregnancy: Aesc Heavy lifting: Hyper, Rhus-t
Accompanied by	Testiclular pain: Abrot Pleurisy: Abrot Hemorrhoids + Sacral pains: Abrot, Nux-v, Aesc Irritability: Nux-v Stiff neck / Torticollis: Nux-v Back pain + Spine / Lower limb problems / Sciatalgia: Nux-v Shaking chills: Nux-v Muscle pain + Restlessness+ Insomnia: Cimic Uterine problems: Cimic, Sep
Locality	Small of back: Hyper Ileum pain: Agar, Ruta Lower back / Between the shoulders: Ox-ac
Extending	Pain radiating to arms: Rhod Neuralgic /Downward : Kali-c, Cimic Downward and Upward : Kali-c Radiating to the Left chest / Heart: Kali-c Upwards: Nux-v Spreading to the Hips / Thighs: Aesc, Berb, Nux-v, Ruta Pain extending around the body: Cimic, Caust Pain extending sacrum: Cimic Pain spread to Abdomen: Berb, Bry , Sep , Sulph, Ruta
Quality	Severe as if broken back: Rhus-t Bruise in deep muscles of Back: Rhus-t, Arn, Nux-v Drawing / Tearing: Nux-v Sudden shooting in the back: Nux-v Heaviness / Weakness in Lumbosacral / Pelvic region: Aesc Severe / Continuous pain: Aesc Sensation of paralysis in Spinal cord / Lower limbs: Aesc Muscular pain: Cimic Spinal excitability, esp the neck area + Highly sensitive to pressure Chronic /Debilitating pain: Gnaph, Sul, Rhus-t, Pic-ac Back Weakness: Ox-ac Back stiffness, as if he had been sitting upright for a long time: Led, Rhus-t
Time	Morning agg: Nux-v Night, Lying in bed agg: Nux-v
Consequence	First Chills / Cold, then back pain: Aesc, Eup-p , PODO
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 class remedies

Rhus-t

• Severe pain like a broken back is the most important feature
• Severe / Vague pain similar to a bruise in deep muscles of Back
• Dull pain when standing up and worse when starting to move
• Better with pressure, 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)
• Amel by bending over backwards
• Worse in bed

Kali-c

• Agg with sleeping a lot and forces the patient 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 the pain

• 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

• In massage amel, Phos is first and then Kali-c

BACK - PAIN - Lumbar region - rubbing amel : PHOS

• Back muscles 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

• Pain extending down and up simultaneously

BACK - PAIN - Lumbar region - extending to - downward - upward; and

• Pain radiating to the Left chest / Heart

BACK - PAIN - Lumbar region - extending to - Heart

BACK - PAIN - Lumbar region - extending to - Chest - left

• Back pain forces him to walk bent over (Kali-c ₳ Sul)

BACK - PAIN - Lumbar region - walking - bent; compelled to walk : Am-m , Sep , Sul

Abrot

• Pain in the testicles + Back pain
• Pleurisy + Back pain
• Hemorrhoids + Sacral pains

Nux-v

Why?

• Due to cold (Working in a cold place), which agg in morning and amel with heat
• Due to sexual excesses (Staph)
• Due to prolonged sitting
• Due to Mortification / Humiliation / Vexation
• In 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

How?

• Drawing / Tearing and / Bruising pain
• Sudden shooting in the back
• Back pain spreading upwards
• Back pain spreading to the Hips / Thighs (Berb)

With

• Irritability is constantly increasing
• Stiff neck and torticollis
• Back pain + Hemorrhoids (Aesc ₳ Nux-v)
• Back pain + Spine / Lower limb problems
• Back pain + Shaking chills
• Throbbing Back pain + Sciatalgia

When

• Morning agg, the longer he stays in bed, the more it hurts.
• Night, Lying in bed agg

Aesc

How?

• Vague back pain in the lumbosacral and pelvic region
• Pain extends to hip
• Severe / Continuous pain
• Heaviness / Weakness
• Sensation of paralysis in Spinal cord / Lower limbs

Why?

• Agg with walking (Aesc ₳ Sep), The pain spreads when walking.
• During pregnancy, esp agg by Walking / Bending.
• Back pain when getting up from a chair

BACK - PAIN - Lumbar region - rising - seat; from a: BERB , CALC , CAUST , PHOS , PULS. , RHUS-T , SULPH

• Agg with bending

BACK - PAIN - Lumbosacral region - stooping, on

BACK - PAIN - Lumbar region - stooping, on: SULPH

When

• First chills and cold, then back pain

  BACK - PAIN - Lumbar region - chill - before : Eup-p , PODO

With

• Back pain with hemorrhoids (Aesc ₳ Nux-v)

Cimic

With

• Muscle pain with restlessness and severe insomnia
• Women's back pain related to uterine problems (Cimin ₳ Sep)

How?

• 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

• 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

Hyper

Why

• Due to Surgery / Trauma
• Due to carry a heavy load up and down the stairs. (Hyper ₳ Rhus-t)

How

• Vague / Stinging pain in Small of back

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

Arn

• Bruised feeling
• The slightest touch intensifies the pain
• Evidence of trauma

Second class remedies

Rhod

Why?

• 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

How?

• Pain radiating to arms

BACK - PAIN - Lumbar region - extending to - Arms

Ruta

• Ileum pain (Agar)

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)

Third class remedies

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