Managing osteoarthritis
homeopathically
Winter has
approached. It brings along all the joint pains aggravated. It will not be a
surprise for physicians to see the chronic arthritic patients making frequent
visits these days. Researchers indicate that the decrease in the barometric or atmospheric
air pressure during winter is the culprit for this worsened pain. Due to this
reduction in pressure, tissues around the joints swell. This ultimately increases
the arthritic pain. Osteoarthritis (OA), the most frequent joint disease in
India, is not an exception.
Osteoarthritis
is a degenerative joint disease, which is sometimes also called degenerative
arthrosis or osteoarthrosis. It is the most common form of arthritis mostly in
obese and middle age. Menopausal women suffer more than others due to hormonal
changes, especially the oestrogen deficiency, followed by the rapid reduction
in bone mineral density. But it occurs more or less frequently in both sexes.
The degenerative form due to age is present in almost everyone by the age 70.
Modification in diet, reduction of weight in the overweight patients and a few
tone-up exercises help considerably along with the medication. Weak vital force
due to ageing leads to degeneration of cartilage and hypertrophy of bone at
articular margins. Hereditary,
metabolic, genetic, chemical, and mechanical factors also play a role in its
development. Other causes are injury and infection. There are some cases
suspected due to hypersensitivity (allergies), fungal infections, etc., which
need to be considered in management of the disease. This article gives an over
on the disease and its general and homoeopathic management.
Signs and symptoms
The onset is
insidious. Initially there is articular stiffness, later develops pain on motion
of affected joint and palpable crepitus. Other symptoms like limitation of
joint, mild joint effusion and mild signs of inflammation may also be noticed.
Tests and their findings in
osteoarthritis
X-ray will show some indications of the condition. Loss
of cartilage, subchondral sclerosis, sharpened articular margin, narrow joint
space, presence of osteophytes are the impressions usually found in the
radiological reports suggesting OA. RA factor will usually be negative and ESR
and other blood tests will also be normal.
General management during winters
People with OA has to wear warm clothes always. Some additional items
like thermal underclothes, turtleneck, hat, scarf and gloves will be helpful
during peak winters. Exercises
like walking and swimming, maintenance of optimum body weight,
proper rest, required physiotherapy are recommended. Running on
hard surfaces is to be avoided. Active people who are into heavy weights and
contact sports can develop arthritis early due to the large forces that their
joints are subjected to. Once it sets in, activities like squatting, kneeling
and sitting cross-legged on the floor should be avoided. Experts suggest
avoiding junk food and maintaining a healthy eating helps osteoarthritis
patients. Diet rich in calcium, protein, vitamin D and vitamin C are always
recommended by nutritionists. Though calcium may not prevent osteoarthritis, it
allows the bone beneath the degenerated surface to resist deforming forces.
Engaging in some sort of physical activity at least three to four times a week
is helpful. This will keep the weight in check and also strengthen the muscles,
which in turn helps slowing down the progression of the condition.
The joints
should not be subjected to sudden jerks and physical overload. Incorrect
exercises can even be worse. Care must be taken in subjecting the bones to
stress. People with low bone density and those suffering from osteoporosis must
be extra cautious as they have higher risks of a joint damage. They have to be
advised to take necessary supplements. Sportspersons are usually suggested to
wear proper joint guards such as knee pads and other joint protections even
during the practice. People with OA history in their family must take extra
care of their joints. Yoga can be of help for the people who cannot do hardcore
gymnasium- based exercises.
Integrative approach
The
concept of integrative approach is increasing. Integrative approach is managing
the patient with multi-system therapies. Homoeopathy, Yoga and naturopathy, Ayurveda/Siddha,
Acupuncture, physiotherapy can be combined along with occasional intervention
of conventional system as and when the need arises.
Homoeopathic remedies often used for
osteoarthritis
Abrotanum
|
Osteoarthritis
with excessive pain before the swelling commences; joints stiff, swollen,
with pricking sensation; wrists and ankle-joints painful, inflamed, very lame
and sore.
|
Arnica
montanna
|
Osteoarthritis
due to injury; arthritic pain with fear of being touched; Feels bed on which
he lies too hard; extreme coldness of forearm.
|
Apis
mellifica
|
Arthritis
with oedema of the hands and feet without thirst with sensitiveness to touch;
character of pain: burning, stringing, sore and suddenly migrating from one
part to another.
|
Belladonna
|
Shiny,
swollen joints of first stage inflammation; shooting pain shifting rapidly;
affected joint is with heat, redness, throbbing and burning pain; arthritic
affection with subcutaneous red streak
|
Benzoicum
acidum
|
Pain with
cracking sound on motion; tearing and stitching pain with redness and
swelling of joints, worse at night.
|
Berberis
vulgaris
|
Pain with
extreme tiredness of affected joints after walking a short distance;
osteoarthritis with uric acid diathesis
|
Bryonia
alba
|
Stitching
and tearing pain worse at night; osteoarthritic symptoms worse by motion, and
better by absolute rest and lying on painful side.
|
Calcarea
carbonica
|
Osteoarthritis
of knee due to obesity; coldness of inflamed joint; pain after exposure to
wet
|
Causticum
|
Dull tearing
pain in the affected joint.
|
Cobaltum
metallicum
|
Pain with
fatigue worse in the morning.
|
Colchicum
autumnale
|
Drawing,
tearing and pressing pain during beginning of winter with cold air; pain
shifts from right to left; patient screams when touching the affected joint
|
Dulcamara
|
Arthritis pain
from exposure to cold, damp and rainy weather or changes in hot weather;
arthritic affection alternates with diarrhoea; arthritis follows acute skin
eruptions.
|
Kalmia
|
Affection
of multiple joint and intense pain shifts from one joint or another; joints
hot, red and swollen, worse form least motion.
|
Lycopodium
|
Arthritis
with drawing and tearing pains; sometimes with gastric and hepatic disorder.
|
Medorrhinum
|
Arthritic
pain with sore feeling of whole body; arthritic patient with past history of
suppressed venereal disease; pain especially when walking; arthritis with
intense restless of legs and feet.
|
Phytolacca
|
Pain shifts
rapidly like electric shock; nature of pain is shooting, lancinating and
flying to other part; pain better by stretching the limbs.
|
Pulsatilla
|
Pain with
tearing and drawing pain in back muscles; pain shift rapidly with
restlessness and sleeplessness; type of pain: drawing, tearing and tensive.
|
Rhododendron
|
Osteoarthritis
of acute stage; drawing and tearing pain worse at rest and in wet cold, windy
weather.
|
Rhus
toxicodendron
|
Arthritis
after over lifting; pain on first motion and better by continued motion;
complaints worse in rainy weather and affected parts sore to touch; joint
pain better by motion, therefore cannot keep the extremities in one position.
|
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