ANKYLOSING SPONDYLITIS

Name
Aesculus
hippocastanum

Alloxanum

Aurum metallicum

Bacillus 7

Butyricum acidum

Calcarea carbonica
Carboneum
sulphuratum
Carcinosinum

Causticum

Colchicum autumnale

Cuprum metallicum
 Dichapetalum

Eupatorium
perfoliatum
Ferrum metallicum
Fluoricum acidum
Kalium iodatum

Mandragora
officinarum
Manganum-act. + -c.

Medorrhinum

Mercurius solubilis

Oleum jecoris aselli

Parathyreoidinum

Perhexilinum
maleatum

Phosphorus*

Radium bromatum

Rhus toxicodendron
Sarcolacticum acidum

Silicea terra

Sulphur

Thiosinaminum
Thuja occidentalis

Tuberculinum
residuum Koch

Viscum album

Wiesbaden aqua

Calc carb

Calc phos.
Phos acid.

Phosphorus.

Silicea.

Sulphur.

Symphytum.
From Robert field site

Nux vomica and

Sulphur

Example: ankylosis
spondylitis

Dr. Boyd writes, Acute

arthritis

Ankylosis (ang-ki-
losis)
Kali-iod-30

Kyphosis
 ANKYLOSING SPONDYLITIS
Symptom
Important remedy in ankylosing spondylitis. Marked stiffness and pain over the sacroiliac joint. Worse: Rising from a
seat or from stooping.

BACK – ANKYLOSING spondylarthritis

Serious or advanced rheumatism with marked stiffness. Rheumatism with stiffness or spasms of the chest wall.
Severe spasm or tearing pains. Pains also described as “paralytic.” An important remedy in ankylosing spondylitis.
Wandering arthritis; moving spot to spot from one week to next. Worse: Night. Morning in bed. Hip pain worse rising
from a seat or from walking. Chest wall pain and spasm worse first motion and inspiring. Better: Motion. Location:
Wandering arthritis. Back. Chest and ribs. Hip.

Sensation of stiffness and ankylosis of the articulations. Shoulders painful, stiff, movements limited and difficult.
Dorsal pains, aggravated by movements. Pains of all the articulations, drawing with the sensation of being drawn and
rigid, aggravated when waking up after a long rest. Aponeurotic and ligamentary retraction.
Morbus coxae senilis. Ankylosing spondylitis. Tired feeling and dull pain in small of back, worse walking. Pain in
ankles and up back of leg. Pain low down in back and limbs.
EXTREMITIES – ANKYLOSIS

EXTREMITIES – ANKYLOSIS

BACK- ANKYLOSING spondylarthritis

Extremities, Pain, Rheumatic, Chronic, Ankylosis, with.

Pain with ankylosis of the back and neck. Burning pain in the neck, ameliorated by movement. Pain in the renal
region. Pain in the left scapula, aggravated on waking, by movement, and by lying on the left side. Ankylosing arthritis
of the vertebral joints. Non-inflammatory chronic rheumatism of the hip and knee.

Cramps in calves and soles. Jerking, twitching of muscles in hands and feet. Clenching of thumb in palms. Cramps in
palms, calves and soles. Coldness of hands. Joints contracted. Great weariness of limbs. Ankles painfully heavy.
Ankylosis of shoulder joint. Knees double up involuntary when walking, bringing him down.
Fatigue and rheumatic pains in the limbs, and legs feel like rubber. Heaviness in the calves. Stiffness at the nape of
the neck , with pain starting at the 7th cervical vertebra, spreading up the nape and accompanied by right frontal
hemicrania. Pain between the shoulders. Pain in the right shoulder, spreading towards the neck. Dorsal pain and
stiffness, like ankylosis. Severe pain, and stiffness in the lumbar region, when seated or when walking. Pain in the
lumbar region , with drawing pains around the thighs. Drawing pains in the sacrum , ameliorated by urinating or
expelling wind, worse when standing.

EXTREMITIES – ANKYLOSIS

Partial immobility of the arm and slight ankylosis of the wrist.

EXTREMITIES – ANKYLOSIS – Fingers – Distal joint
Weakness, emaciation. Arteriosclerosis. Cachexia. Contraction of muscles and tendons, chronic arthritis with spurious
ankylosis.

BACK – ANKYLOSING spondylarthritis

Ankylosis spondylitis.

BACK – ANKYLOSING spondylarthritis

Local signs of inflammation, marked deformity, extreme atrophy of muscles, swelling of soft parts, subcutaneous
nodules, fibrous or bony ankylosis. Marked deformity, extreme atrophy of muscles, swelling of soft parts,
subcutaneous nodules, fibrous or bony ankylosis. Marked pain

Ankylosing spondylitis; lumbago.

Fouche’ noticed that the removal of the parathyroid gland improves the condition of patients with chronic ankylosing
rheumatism, but only temporarily.

Scapulo-humeral periarthritis, localized chiefly on the left. Rheumatoid polyarthritis. Ankylosing spondylitis.

Paralysis of spine, especially the sacrum, from spondylitis. The chest becomes rigid or immovable. Pain, heat and
burning in the spine and sciatic nerve. Sensitive, tender spinous process – especially the dorsal spine. An important
remedy in ankylosing spondylitis with rigid spine and fixed chest wall. Worse: Cold. Rising from a seat. Lying on the
left side. Laughing. Crossing the legs in bed. Better: Heat. Lying on right side or on back. Rubbing. Motion.

In Europe, Ra-224 [isotope with a half-life of about three and a half days] was used for more than 40 years in the
treatment of tuberculosis and ankylosing spondylitis. The treatment of children was abandoned in the 1950s, but the
ability to relieve debilitating pain from ankylosing spondylitis in adults has prolonged its use.

EXTREMITIES – ANKYLOSIS.

Numbness and formication, after overwork and exposure. Tension as from shortening of muscles. Numbness of limbs
on which he lies; esp. arms. Stiff and paralysed sensation in joints from sprains, overlifting and overstretching. Of
internal coldness in limbs. As if skin around diseased parts were too tight. PA Tearing, in tendons, ligaments and
fasciae. Rheumatic, spread over a large surface at nape, loins, and limbs; amel. motion [Agar.]. Soreness of condyles
of bones. 5 Rheumatic gnawing, & desire to move limbs frequently, which amel.. Drawing or tearing, in limbs during
rest. OB Hot, painful swelling of joints. Limbs stiff, paralysed. Paralysis; trembling after exertion. Paraplegia; after
parturition; sexual excess; fevers. Lameness, stiffness and pain on first moving after rest, or on getting up in morning;
amel. continued motion; but soon fatigued, requiring rest again. Cold hands and feet. Cracking of joints when
stretched. Synovitis; spurious ankylosis.
Cramping pains predominantly in the back and lumbar region, aggravated when standing. At the extremities : cramp,
paraesthesia, articular numbness and pains. Difficulty in brushing hair. Tiredness of the wrist when writing. Ankylosis ,
muscular contracture and jerking, paresis (partial paralysis) when trying to climb

Synovial cysts. Enlarged bursa over patella. Large cyst on patella; not inflamed but extremely sensitive. Chronic
synovitis of knee with great swelling and ankylosis. Icy coldness of feet; or foot-sweat, often very offensive; or
suppressed foot-sweat.

Continued use of large doses of sulphur, had caused a general emaciation with paralysis, ankylosis, contraction and
deformity of the extremities.

Are solvent, externally and internally, for dissolving scar tissue, tumors, enlarged glands; lupus, strictures, adhesions.
Ectropion, opacities of cornea, cataract, ankylosis, fibroids, scleroderma
Spinal Curvature-The spine from the fifth to the twelfth vertebra bent backwards, the lung dorsal muscles in the region
atrophied. The patient, a boy, æt. eleven, cannot stand erect, is bent forward and supports his body by putting his
hands upon his knees. When sitting upon a chair, he supports himself by holding fast to the back of the chair; when
sitting upon the floor, his head sinks down upon his knees. His hair is thin and of slow growth; the urethra is reddened;
his belly is enlarged (pot-bellied) and his nose is always stopped up. I gave Thuja 3c. A month after this he was much
better; he moves about more handily and can sit erect in a chair for a short time; the improvement continued, but the
restoration of the back to the normal state took about two years.-C. Kunkel.

Paralysis- A woman, aged twenty-two, of feeble constitution and earthy, pale countenance came to me with stooping
gait and faltering steps. Since her fourteenth year, she has had frequent vomiting and water-brash. For two months
the vomiting has ceased and she now complains of her back and legs being very weak, almost paralyzed; her
eyesight is very poor and she can only read a line at a time. For some time past she has had urinary tenesmus and
incontinence. Menstruation has always been irregular and is sometimes suppressed; she often has leucorrhoea.
Thuja 30th first relieved the urinary symptoms, then the leucorrhoea and menstruation returned regularly. Then the
paralytic symptoms were much relieved and there developed much desquamation of the skin. In four months the
patient was well, except slight anæsthesia of the legs.-Dr. Rueckert.

Acts primarily on the fibrous tissues and produces fibro-chondro-osteo-mesenchymatic sclerosis! Lean weak people
with grey colour of face and blue lips. Cicatrices. Dupuytren’s contraction. Chronic rheumatism with ankylosis.
Periarthritis. Arthrosis. Ankylosis of the vertebral column. Tubercular rheumatism.

Arthrosis. Painful post-traumatic osteoporosis, linked with vaso-motor and tropho-cutaneous complaints. Dupuytren’s
disease. Periarthrosis of the scapula and humerus. Arthrosis of the hip. Ankylosing spondylitis. Gonococcal
rheumatism. Juvenile growth disorders.

Rheumatism and gout. Abdomen full and tense. Passive or atonic gout. Contractions of muscles and tendons.
Complete ankylosis. Stiffness of old fractures.

Pain as if sprained; can scarcely rise; from overlifting. Pain between shoulder-blades, impeding breathing.
Rheumatism in lumbar region; weakness in small of back. Curvature of dorsal vertebrae. Nape of neck stiff and rigid.

Calc carb suits to person with Leucophlegmatic constitution, blond hair, light complexion, blue eyes, fair skin;
tendency to obesity in youth. Psoric constitutions; pale, weak, timid, easily tired when walking. Disposed to grow fat,
corpulent, unwieldy. Children with red face, flabby muscles, who sweat easily and take cold readily in consequence.
Large heads and abdomens; fontanelles and sutures open; bones soft, develop very slowly. Curvature of bones,
especially spine and long bones; extremities crooked, deformed; bones irregularly developed. Head sweats profusely
while sleeping.

Rheumatic pain and stiffness of neck with dulness of head, from slight drought of air. Cramp-like pain in neck first one
side then the other (right to left). Throbbing or jerking pains below scapula. Violent pain in region of back when making
the least effort. Backache and uterine pains. Sharp pains in sacrum and coccyx. Soreness as if separate in sacro-illiac
synchondrosis. Curvature of the spine to the left, lumbar vertebrae bend to the left, spina bifida. Soreness in sacro-
iliac symphysis, as if broken.

Calc phos suits to person with anaemic and dark complexion, dark hair and eyes; thin spare subjects, instead of fat.
Tension and cramp-like drawing in muscles of neck, especially on moving head. Miliaria on neck. Boring pain between
scapulae. Spondylitis of cervical vertebrae. Eruption, painful to touch, on back, shoulder-blades, neck, and chest.
Burning pain in a spot above small of back. Itching stitch in coccyx, fine stitches in coccyx and sternum. Crawling
(formication) tingling in back and loins.

Phos acid best suited to persons of originally strong constitutions, who have become debilitated by loss of vital fluids.

Rigidity of nape of neck. Pressure on shoulders. Swelling of neck. Engorgement of axillary glands and of those of
nape of neck and of neck. Paralysed sensation in upper sacrum and lower lumbar vertebrae. Contusive pain in loins
and back (as if back were broken), especially after having been seated a long time, hindering walking, rising up, or
making the least movement. Pain in small of the back when rising from a stooping position. Sensitiveness of spinous
processes of dorsal vertebrae to pressure. Softening of spine. Heat or burning in back, between scapula. Tearings
and stitches in and beneath both scapula. Pain in coccyx impeding easy motion, can find no comfortable position,
followed by painful stiffness of nape. Coccyx painful to touch as from an ulcer. Transient pain from coccyx though
spine to vertex that drew head back during the stool. Backache and palpitations prevail.

Phos best adapted to tall slender persons of sanguine temperament, fair skin, eyelashes, fine blond, or red hair, quick
perceptions, and very sensitive nature. Young people who grow too rapidly are inclined to stoop who are chlorotic or
anaemic; old people, with morning diarrhea. Nervous, weak; desires to be magnetized Oversensitiveness of all the
senses to external impressions, light, noise, odors, touch. Restless, fidgety; moves continually, cannot sit or stand still
a moment Burning: in spots along the spine; between the scapulae; or intense heat running up the back;of palms of
hands in chest and lungs; of every organ or tissue of the body generally in diseases of nervous system. Haemorrhage
diathesis; small wounds bleed profusely.

Silicea best adapted to the nervous, irritable, sanguine temperament; persons of a psoric diathesis. Persons of light
complexion; fine dry skin; pale face; weakly, with lax muscles. Constitutions which suffer from deficient nutrition, not
because food is lacking in quality or quantity, but from imperfect assimilation. Oversensitive, physically and mentally.
Scrofulous, rachitic children with large heads; open fontanelles and sutures; much sweating about the head.

Stiffness of neck, in nape, with paralytic, sprained pain. Child cannot hold head up neck muscles so weak. Tetters on
nape. Swelling and inflammation of glands of nape and of neck.Swelling and suppuration of axillary glands. Cracking
in vertebrae of neck, especially on bending backwards. Weakness and wrenching pains, or pain as from a bruise in
loins, coccyx, and in back, especially on walking, or rising from a seat. Gnawing pain in small of back. Pain in small of
back not permitting one to stand erect. Finds himself at night lying on back. Cannot lie on back on account of rush of
blood to head. Pain in back after manual labour. Shootings in loins, back, and shoulder-blades, sometimes with
obstructed respiration. Sharp and rheumatic pains, drawing, tension, and stiffness in loins, back,and nape. Pinching
and burning sensation between the shoulder-blades. Tension and bruised pain between scapulae and in nape, which
on moving head goes to shoulders. Stitches beneath scapulae which take away the breath. Drawing in right scapula,
evening on going to sleep. Tearing in left scapula while sitting. Needle-shoots at point of left scapula. Sprained pains
in back. During whole day aching in small of back, worse when urinating.Distortion (curvature) of spine. Vertebrae
softened. Cracking of vertebrae on bending head backward.

Sulphur Adapted to persons of a scrofulous diathesis, subject to venous congestion; especially of portal system.
Persons of nervous temperament, quick motioned, quick tempered, plethoric, skin excessively sensitive to
atmospheric changes. For lean, stoop-shouldered persons who walk and sit stooping like old men. Standing is the
worst position for sulphur patients; they cannot stand; every standing position is uncomfortable. Dirty, filthy people,
prone to skin affections. Aversion to being washed; always <. after a bath.

Pain in back from a fall, from sexual excess. Pott's disease after injury. Psoas abscess. Much used among herbalists
in caries of spinal and other bones. Symphytum facilitates union of fractured bones; lessens peculiar pricking pain;
favors production of callous; when trouble is of nervous origin. Irritability at point of fracture; periosteal pains after
wounds have healed.
I suffer from this disease since I am 20 and I am now 29. When I was 23, I went to see an homeopath and since then
I am completly healed (no pain and X-ray of the spine normal). I took the following preparation: rux tox, pulsatilla and
zinc met in low potencies (around 7CH)every day twice and as a ‘terrain’ remedy: Thuya 15CH and Sulfur 15CH, once
a week
Hope this help…it’s so good to be in good health!
Natacha, BA sociology and MD English

I appraciate the doctors comments on the said case.As for as my experience is concerned i found Rhutox.200(10
DROPS tds),Arnica.CM(Weekly),Kali phos.3x.These medicines give me 100 percent result in most of the cases

Recently there is a very interesting case on ankylosing Spondylosis in a middle aged man very successfully treated
with the constitutional remedies Nux vomica and Sulphur in low potencies with judicious repetitions. He is not using
steroids and enjoys normal health with no spells of pain with excellent mobility in the joints. The fused joints are slowly
getting movements.

I had a patient that had the serious disease ankylosis spondylitis, what is called the 'bamboo spine'. Interesting
enough, every single case of bamboo spine or ankylosis spondylitis I ever had, has responded wonderfully to
homeopathy, every single case. When I hear a patient has ankylosis spondylitis this really is a very serious disease,
but for some reason it is easy to treat with homeopathy. The response is very easy, as compared let's say to lupus.
This gentleman had this condition and he responded wonderfully to Nux vomica. His disease almost stopped
completely but it was still a bit there and I tried to find the remedy.

[sne1] He was an artist; a good artist. I couldn't find the remedy of this man, until I said we need some more
symptoms, because he presented a very nice picture of Nux vomica and Nux vomica almost completely cleared the
thing. There was a bit of inflammation left, and he had a few symptoms. I said there is something, there is a remedy
that follows Nux vomica that we are not perceiving yet. I gave him about six months to give me some symptoms and
he didn't come up with much. Except for this. He says: I don't know if it is going to interest you, but when I decide to
do something, let's say I am going to do a drawing, I go many times [in conversation with myself], 'I am going to start
that way', 'no you should do it that way'. There are constantly two voices in my head. And I said: 'Tell me more about
it, when else do you have this?' He told me more and then he discovered himself, as he was talking to me, that as
long as he can remember, he has two trains of thoughts constantly going on in his mind and he did not know that that
was abnormal. I said 'tell me more'. He started to tell me that he always has 'two people talking' in his head.

[sne1] I gave him Sepia. I looked in Hahnemann's materia medica, antagonism of the will and you have this exact
symptom. You know the first patient where Hahnemann found Sepia was in the artist, the drawer. One and one made
two and I looked at the case, it followed well Nux vomica, just a wonderful response, because he told me that he can
work now in peace of mind. Because you have no peace of mind, when you have two wills. That was a wonderful
cure. I think it is in the repertory under 'Antagonism'. You will find that symptom in Hahnemann, Chronic Diseases. It
describes in two or three sentences that tendency to have two wills.

. Sil. 200, one dose every week and Ruta. 30, and Calc.p. 30, in alternation after every 4 hours for long time in the
cases of ankylosis having great pain, stiffness and fixation of joints, worse by cold air, cold wet season, tearing,
stitching neuralgic pain in the affected part, may be given in the cervical hip-joint and lumbar ankylosis. It gives
curative relief.
The following trio be given for curing the ankylosis: [gtr1 - Ankylosis (ang-ki-losis)] Sil. 200, Ruta. 200, Calc.p. 200, be
given one dose per day in tbe given order and weight for three days. Repeat it every week when the improvement is
noted. This trio is given in chronic ankylosis with great stiffness and fixation of joints, with cold back, hips and
extremities, pains are aggravated by cold air, cold wet season, motion, better by warmth and hot fomentations on the
affected joint.

[gtr1 - Ankylosis (ang-ki-losis)] 4. The trio- Bry. 30, Guaicum. 30, Sul. 30, be given in tbe given order - three doses per
day for three days, first Bry, then Guaicum and lastly Sul. for one to two months, 200 potency be increased if 30 fails,
but one dose of each every week, be given in those cases of stiffness of joints with great contraction of muscles
connected with the joint, pain with hot joint, pains are aggravated by the warmth of the day, bed, sun, better by cold
air. Such symptoms may develop in a patient who has taken more allopathic and Ayurvedic drugs - which are having
mercury preparation. Here we say the ankylosis is due to the abuse of mercury. See one case under arthritis.

In chronic arthritis, with ankylosis, affecting periosteum, pains are worse at night, causing sleeplessness-gouty pains
with contracted limbs, always worse at the beginning of cold season, rheumatic pains in bones, and joints, especially
in knees which are swollen - with doughy feel - worse after the abuse of mercury and syphilitic affections.

Kyphosis is an excessive outward curvature of the dorsal spine, or it is a hunched back or round bend at the dorsal
vertabrae. A fixed kyphosis is due to osteoporosis, in which the vertebrae collapse, or due to ankylosing spondylitis
where the joints between the vertebrae fuse to form a rigid deformity. It causes chest infections and interfere with the
movement of the chest and breath.

Same as B.'s Tract. B.'s Disease, ankylosis of the vertebral column, associated, as a rule, with muscular atrophy and
sensory symptoms. B.'s Layer, the layer of fibers between, and parallel to, the tangential fibers and Baillarger's layer
in the cerebral cortex. B.'s Nucleus, the nucleus of the vestibular portion of the auditory nerve. B.'s Reaction, the
minimum strength of the electric current necessary to provoke muscular contraction requires a gradual diminution at
every interruption of the current or change in density, to prevent tetanic contraction which will occur if the initial
strength is maintained. It is observed in tetany. B.'s Sign, anesthesia of the popliteal space in tabes dorsalis. B.'s
Tract, the central tract of the tegmentum that passes between the mesial side of the superior olivary body and the
fillet. A syndrome described by Bruck as consisting of multiple fractures and marked deformity of bones, ankylosis of
most of the joints, and muscular atrophy.

[pet1] In many conditions dry hot air baths are much more effective than vapor baths, because a higher
temperature can be borne and for a much longer time. It has proved curative in many cases of rheumatism,
rheumatoid arthritis, gout, tubercular joint disease, etc. Relieves the pain of any parts treated that have
become hyperæmic, showing dilation of capillaries. Thus effusion and deposits of joints or anywhere else
will be absorbed and adhesions broken up. Ankylosis is removed, stiffened joints restored, inflammatory
condition relieved and certain pathogenic germs destroyed on account of intense heat. Betz bath is a good
apparatus, if well lined with asbestos.

dear sir, i have seen a number of cases of ankylosing spondylitis( chemically verified ones) at my teacher’s OPD
,most of the cases respond very well in terms of good symptomatic relief to Acid Flouricum, Argentum Met, Kali
Bichromicum , Medorrhinum & Rhododendron.. the potency game matters here out of sheer trial & error , but most
commonly ascending scale of potency works the best. it is important to remember though that this is an autoimmune
malady hence careful prescribing is a must . also make a note that development of eye & repiratory symtpoms are
part of its natural history lest some Homoeopaths make it a mockery of suppression! (point is read it up from a good
standard text book of clinical medicine )
Rhododendron is my most frequently used remedy with good results in this malady( sorry about not being classical &
sorry about stating a favorite remedy but this is a sharing platform )
Dear Friends,

Spondylosis is a condition that refers to the disorders resulting from the chronic inter-vertebral disc(s) degeneration.
This condition is specially liable to interfere with the blood supply in the spinal cord and thus lead to further damages.
It is usually characterized by back pain and stiffness relieved by movements.

In my experience some homoeopathic remedies play well:

1. Arnica-200, 2. Acid phos-200 (both twice daily)and Ginseng-Q + China-Q (10 drops each in 1/2 cup lukewarm
water should be taken twice a day for best result). Besides the remedies; exercise, deep breathing, sleeping over
hard-bed (without pillow), warm fomentation nutritional diet and avoiding strains are also advised.

Sarvey Santu Niramayah…

Greetings

Concerning this degenerative disease approached in your last

newsletter I have a brief remark to make on it:

Appliance of Organotherapics as Ligaments and Cartilages 4CH to

improve regeneration of structures affected by the disease and
negativation of the remaining mechanisms of ths disease by
prescription of miasmatic remedies associated to once a week of teh
constitutional remedy of the patient in single doses 200CH.

This is my sucessful experience on the matter as a retired prof.of

homeopathic therapeutics…

I suffer from this disease since I am 20 and I am now 29. When I was 23, I went to see an homeopath and since then
I am completly healed (no pain and X-ray of the spine normal). I took the following preparation: rux tox, pulsatilla and
zinc met in low potencies (around 7CH)every day twice and as a ‘terrain’ remedy: Thuya 15CH and Sulfur 15CH, once
a week
Hope this help…it’s so good to be in good health!
Natacha, BA sociology and MD English.

Dear Doctors and Patients:

I appraciate the docto,s comments on the said case.As for as my experience is concerned i found Rhutox.200(10
DROPS tds),Arnica.CM(Weekly),Kali phos.3x.These medicines give me 100 percent result in most of the cases.
subcutaneous nodules, fibrous or bony ankylosis (fibrous union). Marked pain, complete crippling in 10 per
cent of cases. In this disease, usually articular cartilage is involved. It is attacked both from above and below.
The synovial membrane grows over it from the side, forming a thick vascular covering which becomes
adherent to the cartilage and eats it away.
[nsk1 - Arthritis] It differs from rheumatoid arthritis in almost every respect. It is as common in men as in
women, especially the form which affects the hip-joint; it is a disease of the later period of life; there are no
general symptoms; there is no evidence of a toxic factor; the large joints are commonly involved, often only
one joint; there is no true ankylosis. The hip-joint offers an excellent example of the monoarticular form
occurring in elderly men. The small joints of the hands and feet may also be involved. The knuckles become
greatly swollen and knobby. There is degenerative condition of cartilage and bone. Heberden's nodes which
are much common in women are often present; these are small bony outgrowths at the sides of the terminal
phalangeal joints. In the early stage the node is a soft nodule containing a bead of mucoid material (mucus),
and arises as a result of degeneration of the periarticular soft tissue with subsequent ossification. Movement
may be much limited by osteophytic outgrowths, but there is no ankylosis (osteophyte = a bony excrescence
or outgrowth, unduly branched in shape). The cause of the degeneration is unknown. The onset is always
gradual. Similar changes are found in the knee joint with advancing age. Erosion of cartilage in these knee
joints is commonest over areas of contact subjected to the greatest movement, strain, weight bearing and
injury. No constitutional disturbances, no local inflammation, deformity not marked, muscular atrophy only
from disuse, soft parts not swollen. Heberden's nodes and no true ankylosis. Little or no pain. Complete
crippling rare.
[nsk1 - Arthritis] Osteoarthritis is a degeneration of articular cartilage and bone; in this it differs from
rheumatoid arthritis which is primarily an inflammation of synovial membrane. The cartilage, both its cells
and matrix, degenerate, (matrix = the intercellular substance of a tissue), and the smooth substance becomes
roughened. The cartilage cells swell, burst, and the matrix undergoes a perpendicular fibrillation which
accounts for the velvety surface. The softened cartilage is gradually worn away until the underlying bone is
exposed. In a hinge-joint (elbow, knee) the process of attrition (a rubbing against, a chaffing or abrasion) is
irregular, so that parallel furrows and ridges are formed. The periphery of the cartilage has a much better
blood supply than the central part and survives the general downfall. The bone degenerates together with the
cartilage, but the exposed surface undergoes a curious process of condensation and hardening, as a result of
which it becomes polished like ivory. Deep under the condensed layer the bone is degenerated, rarified, and
becomes absorbed, so that the greater part of head and neck of the femur may disappear. In addition to
SE 7 Right hand and forearm as if constricted and larger in size [11 it seeming to him
at times to be larger than his whole body] and not under control of will. 11 Numbness
and lameness of arms and hands. Numbness of arms during lying-in time. Numbness
of hands during palpitation of heart. PA Cramps in palms. 11 Drawing, in arms,
during headache. Stitching, rending or drawing, in upper limbs. In middle finger, as if
pricked with a needle, followed the next day by jerking of finger, which soon
extending to all fingers, to first one arm then the other, and finally there was not a
muscle in body which didn't occasionally jerk involuntarily. OB Coldness of hands.
Clenched thumbs. 2 Ankylosis of shoulder-joint. 11 Tetter with yellow scabs in bend
of elbow, itching violently, agg. evening. Little vesicles on fingertips, oozing watery
fluid. Twitching in fingers, extending to into hands, arms and body, to diaphragm;
after overwork and mental anxiety; paroxysms excited by laughing, talking, or any
exciting emotion; at no time did the convulsive shaking or trembling extend below
waist. Left arm convulsively jerked as by an electric shock. Left arm drawn
involuntarily close to body, during epileptic spasm. Inflammation of lymphatic
vessels from hand to shoulder, & swelling of hand. Can hold nothing in hand, objects
fall to the ground. Long-lasting trembling and shaking of r. hand. Bluish fingers.
Ringworm on point of r. elbow, and crusts in bend of left. Formication and tearing in
r. hand, before epileptic attack.
Also suspect Medorrhinum in rheumatoid arthritis and ankylosing spondylitis. Think
of Medorrhinum in a case with asthma and arthritis. Think of Medorrhinum in cases
with rheumatoid arthritis, hot feet and hands, and restlessness of feet.
SE 11 Tight feeling around chest, as if tied in with tape. Pressure at lower sternum as
from a stone. General sensation of weakness in chest; can hardly speak. As if a hand
grasped sternum. PA Stitches in chest extending to back. 5 Bruised, in chest on
coughing; can't breathe deeply without pain. 11 Sore, in lungs. Excruciating deep-
seated, in chest. Sticking, in chest on inspiration. Pressive, in sternum extending to
pit of stomach. OB Slow recovery after pneumonia. Rattling in chest. Stonecutters'
affections; 11 consumption. Emphysema after pleurisy. Neglected pneumonia.
Painless throbbing in sternum. Axillary glands swollen, enlarged. 11 Eruption like
varicella, covering chest and itching violently. Offensive axillary sweat.
Inflammation of lungs resulting in suppuration. Congestion to chest, & coldness of
body. Necrosis of acromioclavicular articulation with complete ankylosis of l.
shoulder-joint.

Morgani, for instance, relates the case of an individual, who had lost his reason, in
consequence of the continued use of this drug ; * and Olmsted, relates a case, where the
continued use of large doses of sulphur, had caused a general emaciation with paralysis,
ankylosis, contraction and deformity of the extremities.
The same authors have tried through special therapeutic effects of sulphur in chronic joint diseases, from chemical
analyses of the joint cartilage of dogs before and after the injection of sulphur and from human joint exudates, to
gain an insight into the local metabolism. They found in dogs, after injections of sulphur, a decrease in total sulphur
in the cartilage, primarily through a decrease of chondroitin-sulphuric acid, as well as a decrease in the swelling of
the cartilage. A joint exudate from a patient with chronic polyarthritis, who had received an injection of sulphur six
days before, contained more sulphates than are found as a rule in normal blood and essentially more than in the
vast preponderance of pathologic exudate studies. So far as the sparing observation available at present permits a
conclusion, it may be assumed that, after injection of sulphur, a type of destruction occurs in the specific material of
the joint cartilage which manifests itself colloido-chemically in a decreased swelling of the joint cartilage tissue.
Accordingly, under the influence of an injection of sulphur, the cartilage tissue, rich in chondroitin-sulphuric acid,
would liberate sulphate compounds and they would be found in the joint fluids. Also, the possibility that through an
excessively strong action of sulphur a previously healthy joint can be damaged, has been indicated by Meyer-Bisch.
An example of ankylosis of the shoulder after SO2 poisoning has naturally only conditional value of proof that it was
concerned with an action of SO2. Of great interest is the fact that, not only in this SO2 poisoning but also in two
patients who had received sulphur injections, a transient pleuritis appeared. That in persistent pleuritis, as generally
in serous exudates, sulphur is often homeopathically indicated and at the same time acts as a resorptive agent, is
the contrast of this. The trend to serous membranes appears naturally only with large doses of sulphur.
Motion, inability :-

Position :-
soreness

Spasm

Stiffness

Tension

Weakness
Weariness

Wry (torticollis)
Erect, cannot hold :- Abrot., Æth., CALC-P., Gels., Zinc.
Turn, cannot :- Ang.
Turn, cannot, to left and backward :- Chr-ac.
Drawn, as if, forward :- Sang.
Drawn, as if, forcibly backward :- Chel.
Drawn back, with rigidity of muscles of neck and back :- Tab.
Drawn backward :- Tarent.
Drawn, repeatedly and rapidly, downward and backward :- Mosch.

Bending back, with tension in neck, meningitis :- Spong.

Bent down on chest (hysteria) :- Ter.
Bent forward when aroused :- Cic.
Bent forward, has to sit up (induration of pancreas) :- Bar-m.
Fall down, as if it would, heaviness :- Zin
Sensation of balancing, requiring constant effort to keep it erect, it is inclined to fall forward as on going to sleep :- Glon.

Pressed, outward in back, something were :- Ruta.

ressed, inward from both sides, small of back or sacrum were :- Kali-c.
Pressed, against sacrum, hard mass were :- Chin-s.
Pressing, from within, a piece of wood stretched across back (before menses) :- Nux-m.
Pressing, on small of back, an iron bar were :- Elaps.
Rod passed up spine to atlas and around neck, leaving a charred feeling, red hot iron :- Cann-i.
Rod, of iron were thrust in lower vertebræ :- Alum.
Short, on bending head forward, neck muscles were :- Hyos.
Short, tendons in sides of neck were too :- Nux-v.
Short, back and neck muscles were too :- Sulph.
Short, neck were too :- Lac-ac.
Sprained, nape of neck were :- Ars., Coloc., Lyc., Nicc., Ruta, Sulph.
Squeezed, neck were being :- Ferr.
Stiff, neck were :- Pall., Zinc.
Stiff, cervical vertebræ were :- Calc-c.
Stiff, and bruised, neck were :- Sol-n.
Stiff, nape of neck were :- Rhod.
Weight, great, on nape of neck and shoulders :- Par.
Weighted down by a heavy weight on shoulder :- Carb-s.

Notably sterno-mastoid, drawing chin firmly down to breast :- Med.

Sterno-mastoid muscles, in region of attachments of :- Brach.

Chin suddenly drawn to sternum, 3 or 4 days, then relaxed :- Cann-i.

Æsc., AGAR., Anan., Arg-m., Ars., Arum-t., Bapt., BAR-C., BELL., Brach., Calc-p., Canth., Carbn-s., CAUST., Chel.,
Chin., Con., Cor-r., Cupr-ar., Ferr., Form., Ind., Jatr., Lac-ac., LACH., Mag-c., Meny., Merc-i-f., Mez., Nat-ar., Nat-c.,
NIT-AC., Petr., Phyt., Rhus-t., Rhus-v., Sep., Sil., Spig., Squil., Tarent., Zinc., Zing.

Board, feels as stiff as a :- Puls.

Head backward, cannot bend :- Stram.

Head, on moving :- Chel.

Head, when moving, in muscles of nape :- Coloc.

Head, to back of, painful, worse from least motion :- # Form.

Head, on turning :- Carb-ac., Sel.

Head, cannot turn, on account of pain, of one side :- Sil.

Left side, worse on moving head :- Ars-i.

Nape, in, on bending head :- Kali-bi.

Rigid, head drawn back :- Tab.

Rigid, on moving head :- Com.

Rigid :- Fl-ac., Hell., Stram.

Rheumatic pain in cervical vertebræ, with :- Calc.

Tensive :- Cham.

Turn all morning, unable to :- Ang.

Turned around, if :- Par.

Weight were lying upon them, with sensation as if a :- Vinc.

Muscles, of :- Agar., CIC., Viol-o.

Muscles, in anterior cervical :- Zinc.

Muscles of nape, in :- Chel.

Muscles, in, as if too short on bending neck :- Hyos.

Painful, in muscles, with sensation as if a weight were lying upon them :- Vinc.

Tightening around (cerebro-spinal meningitis) :- Glon.

Nape, of, head inclines forward :- Plat.

Heavy load, as from a, of nape :- Par.

Ars., BELL., Calc., Chin-b., Cina, Colch., Dulc., Eup-pur., Lac-c., Lach., LACHN., LYC., Nux-v., Rhus-t., Sulph.

Fright, after, due to spinal disease :- Nux-v.

Spondylitis suboccipital is, from :- Asaf., Mez., Nat-m., Phos., Sil., Sulph.
eep :- Glon.
Bowing brain
- Pain in upper portion of spine and medula oblongata, running upward and expanding through the brain to near its surface,
especially on stooping or bending head forward, as if in bowing or kneeling. Cereus Bonplandii (A)
Clothes damp
- Sensation as of damp clothes on the spine. Bacillinum (JHC)
Convexity dorsal
- Sensation in dorsal region of the spine, as if its convexity were anterior and drawn far forward. X-Ray (HCA)
Crushed spine

- Contractive pain from superior angles of the scapula, passing to the seventh dorsal vertebra and extending straight down
the spine to the ninth vertebra, drawing the shoulders back tight as if the bones would be crushed. Medorrhinum (HCA)
Ear charred
- Sensation as though a red-hot iron rod was passed from sacrum up the spine to the atlas, around the occiput, over the
eyes from right side stopping at left ear, leaving a feeling as if charred. Cannabis Indica (A)
Hinges spine
- It hurts to move as if the spine were made of rusty hinges. Magnetis Polus Australis (CA)
Inflammation groins
- Pains in spine, extending into the lumbar vertebrae and then into both sides above crests of ilia and into inguinal regions,
where a pain as of inflammation is felt. Paraffinum (JHC)
Kneeling spine
- Pain in the upper portion of spine and medulla oblongata, running upward and expanding through the brain to near its
surface, especially on stooping or bending head forward, as if in bowing or kneeling. Cereus Bonplandii (A)
Loins painful
- The knees bend when standing and the dorsal spine is painful, especially in the region of the loins as if he had taken a
long ride. Baryta Carbonica (H)

- Drawing or tensive pain extending from the nape of the neck down the whole spine, as if in the spinal marrow. Ratanhia
(A)
Nape drawn
- Tearing in the nape of the neck as if it were drawn backwards. Magnesia Carbonica (H)
- Tearing tension in the nape of the neck as if the tendons were drawn up, extremely painful and frequently recurring.
Strontium (A)
- Sensation of softness in abdomen, and as if its front walls were drawn in towards the spine. Ptelea Trifoliata (A)
Saphenic action
- Except in the spine, where the pain is not constant, it appears as if the action could be traced along the anterior branches
of the saphenic nerves. Brachyglottis (A)

- Impossibility to be straight and upright; it seems as if the head and chest would break the spinal column. Sarracenia (A)
Spine fall
- When sitting long it feels as if the spine would fall in. Baryta Carbonica (H)
Spine pain
- Violent pain in the spine, as if after sudden rising up after long stooping. Arnica (A)
- Pains, as if in the spinal cord. Hippomanes (A)
- Pain between the shoulders, as if in the spine. Naja (A)
Spine pressed
- Sensation as if the wall of the stomach would be forcibly pressed toward the spine and as if the spine would be made
painful from that place downward. Arnica (A)
- Pressure upon the whole upper part of the head and on the spinal column as if it was pressed together like an elastic
body, so that he stretched himself involuntarily and bent forward. Benzoic Acid (A)
Spine retraction
- Contractions and drawings in the spine, with sensation of retraction and twisting of this part. Curare Appendix (A)
Spine thread
- Vertigo, with a kind of nausea; associated with a pressive, somewhat throbbing, headache, over the whole posterior
portion of the head, with some drawing, as if with a thread, extending into the spine as far down as the first lumbar vertebra.
Moschus (A)
- Drawing or tensive pain extending from the nape of the neck down the whole spine, as if in the spinal marrow. Ratanhia
(A)
Throbbings spine
- Uneasiness and sensation of swelling in spinal cord and nape of neck, chiefly on left side, slight prickings and throbbings
as if about to inflame, excited and increased by heat. Sumbul (A)
Torn spine
- Pain across the spinal column, from one brim of the pelvis to the other, as if the flesh were torn and pulled toward the
outer side. Asarum (A)
nother way to define pain is based on what source in the body is causing the pain. These kinds of pain can be either chronic or
one of the following categories:

Neuropathic pain. Also called nerve-injury pain, this kind of pain happens because of damage to some part of the nervous syste
nerves, the spinal cord, and the brain. For example, it can be caused by compression of a nerve, nerve damage, or injury to the
pain is burning, feels like a dagger, or the feeling is associated with numbness or tingling, then it's neuropathic pain," says Dr. S

Radicular pain. This is a type of neuropathic pain where pressure on nerve roots causes the pain to travel directly down the pat
that nerves in the neck or spine are being compressed or irritated and the pain shoots down the leg or arm," explains Steven S
of the Center for Pain Management at the Rehabilitation Institute of Chicago, and assistant professor in the department of phys
rehabilitation at Northwestern University Medical School.
Somatic pain. This kind of pain is caused by the stimulation of pain receptors on either the surface of the body or in the muscul
body. The source of pain can be tissues such as the skin, muscle, tendons, bones, and ligaments.
Myofascial pain. A type of somatic pain, myofascial pain essentially describes muscle pain. It can include either a single muscle
component of this pain involves the muscles, fascia [connective tissue that covers the muscles], or soft tissues," says Dr. Santo
problem that is often overlooked."
Visceral pain. This form of pain is related to the internal organs of the body's main cavities, such as the heart, lungs, bladder, an
vague kind of pain — sometimes we don’t know where it comes from," says Schneider.

Below is a list of words which may describe your pain. Choose the word which most accurately describes the pain you are feeli

There may be no true pain but a feeling of altered sensation - this may produce a feeling of numbness, a tingling sensation, a c
walking over you, a sensation of heat or cold, or a feeling of tightness.

Dull pain - this may be a feeling of pressure or tightness, a heavy feeling, or a tingling sensation.

Sharp pain - this may feel like a stabbing, shooting, tearing, or piercing pain.

The pain may be constant, throbbing (pounding), or come and go at regular or irregular intervals of time (intermittent).

The pain may be felt only when the area is touched - this is called tenderness.

WORDS USED TO DESCRIBE PAINAching

Burning
Crawling
Crushing
Heaviness
Icy coldness
Intermittent Numbing
Piercing
Pounding
Pressure
Sharp
Shooting Sore
Stabbing
Tearing
Tenderness
Throbbing
Tightness
Tingling
Physically painful and describing pain
achy adjective

if a part of your body feels achy, you feel a pain there that is continuous but not very strong
acute adjective

used for describing pain that is very strong and sharp

agonising

a British spelling of agonizing

agonizing adjective

very painful
angry adjective

an angry wound (=cut in your skin) is very red and painful

bad adjective

used about a part of your body that is causing you pain or is not working well
burning adjective

painful, and feeling as if a part of your body is touching something hot

chapped adjective

chapped skin or lips are dry and painful, especially because of cold weather
chronic adjective

a chronic illness or chronic pain is serious and lasts for a long time. A serious illness or pain that lasts only for a short time is de
crippling adjective

causing a lot of pain or other health problems

dull adjective

a dull pain is not very strong but continues for a long time
excruciating adjective

causing extreme physical pain

gnawing adjective

continuously causing you pain or worrying you

griping adjective

a griping pain is a sharp and sudden pain in your stomach

heavy adjective

if a part of your body feels heavy, it is not comfortable and you cannot move it easily
inflamed adjective

a part of your body that is inflamed is swollen, red, and painful because of an infection or injury
irritated adjective

painful, red, or swollen

itchy adjective

if you feel itchy, you have an unpleasant feeling on your skin that makes you want to scratch it (=rub it with your nails)
painful adjective

if part of your body is painful, you feel pain there

painful adjective

making you feel physical pain

painfully adverb

in a painful way
raging adjective

very serious, painful, or strong

raw adjective

if your skin is raw, it is very sore

severe adjective

a severe pain, injury, or illness is serious and unpleasant

sharp adjective

a sharp pain is sudden and severe

sore adjective

painful and uncomfortable, usually as a result of an injury, infection, or too much exercise
stabbing adjective

a stabbing pain is a sudden, very strong pain

stiff adjective

if you are stiff, or if a part of your body is stiff, you feel pain in your muscles and cannot move easily
stinging adjective

hitting you hard

tender adjective

if a part of your body is tender, it has been injured and is painful when you touch it
thumping adjective

a thumping headache (=pain in your head) is very severe

tight adjective

if your chest or another part of your body feels tight, it feels as if it is being squeezed
torturous adjective

causing extreme physical pain

unendurable adjective

too unpleasant or painful to bear

vice-like adjective
holding or squeezing you very tightly in a painful way
violent adjective

painful and difficult to control

agonizingly adverb
excruciatingly adverb
where it hurts

in a way that causes most pain or problems

EYESTRAIN

Overuse
Injury
Eyes red, hot, burning
Dim vision
Pressure deep in eyeball or over eyebrow

HEADACHE

Following eyestrain
Pain as if from nail
Heaviness, as if weight in forehead

INJURIES TO BONES

Bruised, lame sensation all over

Periosteum (bone covering) bruised

DENTAL PROBLEMS

Deep aching
Dry socket

SPRAINS

Tendons & ligaments sore

Feet & ankles painful
Aching in heel tendon
Painful stiffness in wrists and hands

SCIATICA

Worse at night while lying down

Pain from back down hips and thighs

BACKACHE

Deep pains
Thighs feel broken
Relieved lying on back, by pressure
Weak, bruised feeling in low back
Better from:

Lying on back, Motion, Warmth

Worse from:

Cold, wet weather, Being at rest, Lying down,

Cold, Overexertion, Cold wind, Sitting

It is also a useful remedy after surgeries involving tendons, connective tissue, cartilage, joints, and coverings of the bones. It ca
recovery after surgery on knees, wrists, shoulders, elbows, ankles, hips, etc. It eases discomfort if deep stiffness is felt in joints and muscle
ness is felt in joints and muscles after surgery. Recent research works showed that Ruta Graveolens has some immobilization effect on hum
mobilization effect on human sperm and it paves a new hope for male contraception. Pathak et al investigated that Ruta 6 induces severe t
t Ruta 6 induces severe telomere erosion in cancer cells but has no effect on normal lymphocytes. Banerji and Banerji reported that Ruta w
nerji reported that Ruta was effective for intracranial cysticercosis.
Take a moment to increase your pain vocabulary It’s been said that the Inuit have over a hundred words to describe snow. Ling
significant about how we see the world. The Inuit and Eskimo encounter snow much more frequently than the average Spanish
it with more words. But it also gives insight into our life experiences. When an Inuit sees snow, he sees more than you or I do. S
medicine and pain. We see a bunch more pain than the average everyday Joe. We learn to evaluate pain more deeply and we
we would have more words to describe pain. Most of us are pretty efficient at evaluating pain. We push, we prod, we ask our O
going on. But sometimes we come up short when it comes to describing what we’ve found. When it’s time to hand off to anothe
when our palette of pain words run dry. I had a similar moment recently while teaching. A student asked me to help with a natio
regarding the nature of “parietal pain”. I drew a blank. I picked through some likely possibilities for the definition but each time I
told them that I recalled learning the term but couldn’t remember the exact meaning of parietal pain. The moment inspired me t
medicine to describe pain. You will certainly encounter and evaluate plenty of pain in your EMS career. You’ll get to know pain t
to help you through the blizzard. Colicky Pain The word colicky is often used to describe fussy babies, especially when we susp
discomfort. But the term can be used to describe any abdominal pain that is generalized, achy and comes and goes in waves.
hollow organs of the abdomen and anyone who has had an obstructed or upset bowel is familiar with the achy waves of pain kn
body is pinched or damaged it tends to send off random, disrupted electrical impulses. These do not stay in the localized area o
length of the nerve fiber. This can be very uncomfortable for the sufferer of nerve pain. Neuralgia and sciatica are examples of n
national registry! Parietal pain is associated with infections involving the abdominal peritoneal lining or the pleural lining of the c
increases on inspiration, palpation and movement. The pain from pleurisy, or “pleuritic chest pain” is the type of pain most comm
Infection of the peritoneal lining in the abdomen (peritonitis) also produces parietal type pain. Rebound Tenderness This one is
peritoneum. When the lining of the abdomen is irritated from infection it adopts a unique characteristic. The examiner can gentl
significant pain, but when the pressure is quickly removed, the pain increases dramatically. This is known as rebound tenderne
close to the surface of the skin. What singles out referred pain is that it occurs in an area of the body that is remote from the ac
is not the same as pain that radiates. Radiating pain travels from one area to another, like the way a heart attack victim may fee
pain is isolated and separate from the actual area of irritation and is often considered a separate complaint. It’s useful to learn c
dismissing it as a secondary injury. For example, both an inflamed gallbladder, or bleeding in the abdominal cavity can produce
skin, muscles, joints, ligaments and solid organs tend to produce somatic pain. It is sometimes called skeletal pain. This pain is
through movement of the area involved. Visceral Visceral pain is a vague, deep, achy pain that is poorly localized. It can be col
movement. This pain is experienced during blockage of hollow organs. Bowel obstruction, cholecystitis and early appendicitis a
you wade forward into the snow storm of human pain hopefully you’ll have a few more words to help you explain and documen
useful in describing your pain assesments? How do you describe the snow? Leave a comment and let us know. - See more at:
pain/#sthash.WrqgnsHA.dpuf