Non Surgical Homoeopathic
Treatment for Avascular Necrosis of Femoral Head
My colleague, Homoeopathic Doctor, 42Yrs, Male, called me on
5th August 12, having severe pain in Right Hip Joint since 2 months.
Actually, he took some Anti-inflammatory medicines without any effect. Being a
Doctor & worked with the Orthopedician, and observing a recent case of
Osteo-Sarcoma in his OPD, he was worried about the Cancer. He himself has done
at first X-Rays of both hips AP & LATERAL views which looked absolutely
normal. He took Ars Alb, Thuja, Rhus Tox as suggested by some senior
homoeopaths without any result. As pain was increasing affecting his daily work,
not able to squat or sit down & limping due to severe pain, he has done MRI
of both HIPS which was showing:
·
Altered
marrow signal in the right femoral head & the neck is most likely
suggestive of transient bone marrow oedema or early changes of Avascular
necrosis of femoral head.
·
Moderate
right hip joint effusion.
His chief
complaint was
·
Right
Hip Joint Pain: Heaviness as well as throbbing
< by cold draft
< by squatting
< at the start of motion
> continued motion
·
Right
Hand, Dorsally a flat wart since 6 months.
Past
history:
·
H/O
Bilateral Renal Calculi
·
Left
heel Corn operated in childhood
Family
History:
·
Diabetes:
Father & mother
·
BEP:
Father
·
Paralysis:
Father
·
Hypertension:
Mother
·
Herpes
Zoster: mother
State of
Disposition & Mind:
Being a Homoeopath, he has explained his mental state very
nicely in a descriptive style. He started explaining his past disappointment in
love before marriage around in 1993-94 which made a lot of impact on him. He
got married with a Doctor in 1996. He has 2 daughters. He has explained
regarding his past life to his wife. As a result of depression of the
disappointment in love, he joined a Religious commune & got much attached
with it thereafter till today. Because of his attachment with the religious
commune, he was spending much time in the temple. This has created some
disputes between him & his wife. She was expecting his responsibility
regarding the daughters as well as his attention at home which she was missing.
There used to be some fights or quarrels between them. Whenever there used to be
a dispute, he used to escape from home to temple. He told that he is much lazy
& not proper in following the timings. Because of the disappointment &
dispute, he became indifferent towards everything. He used to be much
conscientious regarding every little matters as well as relations with parents
as well as with patients. During the interview, he asked me number of
questions. He used to frown a lot while talking.
Before the MRI was done, he had a fear of Cancer in his mind
& when the diagnosis Avascular Necrosis was found, he started worrying
about the future. Due to pain, he was saying – ‘when these pains will stop, I
am fade-up from these pains.’ While talking, he told number of his thoughts,
theories regarding his life.
He was seen by the Orthopedician who advised him to take
Anti-inflammatory along with complete rest till the pain settles, avoid sitting
down, squatting etc.
Physical
Examination:
Weight: 66.5 Kg
P: 78/Min
B.P.: 127/79 MM Hg
Face: Greasy, has a big religious mark on
his forehead, brown spots on his face.
Clinical
Examination:
·
Not
able to lift the Right Leg easily as it was much painful
·
Not
able to bend his right leg & thigh on abdomen.
·
Not
able to squat in lying down position
·
Tenderness
+++ in Right Hip Anteriorly
Miasmatic
Background: SYCO-SYPHILITIC
Result of the Repertorisation:
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Homoeopathic
Management:
12/08/2012:
·
No
restriction of the movements
·
Asked
him to do all the activites
·
Sepia
1M 3 Doses
·
Bio-combinaton
No.26 BD 15 Days
This is my
personal 20 years experience that Bio-chemic Salts when used on the basis of
their pathogenetic actions, works very fast & hasten the cure process.
Bio-combination No.26 by name is for Easy Parturition but it contains following
tissue salts which cover the patient’s pathology perfectly.
Bio-combination no.26
·
Calc
Flour 6X Degenerative Pathology & Vascular affection
·
Mag
Phos 6X Spasm & Pain
·
Calc
Phos 6X For Regeneration & remodeling
·
Kali
Phos 6X Homoeopathic Tranquilizer
This
combination is very useful in all types of Degenerative Bony & Muscular
Pathologies such as Osteo Arthritis, Cervical & Lumbar Spondylosis etc.
The question
always arises that why not Sepia only?
This is definitely a debatable issue. My
answer to the question is that Sepia alone can also be sufficient but it will
take its own time to work even though you used it in any potency. The group of
the patient generally I use to see is not that much capable of understanding
the difference between the Palliation & the Cure. They want the difference
in the pain & an early result. This was not the issue for this case but as
a routine I prescribed it to him also. And why not we should be result
oriented? Since 20 years I am working on these Bio-chemic Salts & those being
the semi dynamic, found to produce very fast results at the cellular level. If
the marrow oedema settles immediately, patient becomes very comfortable to
continue the treatment for long duration. Calc Fluor is the medicine which has
the capacity to dissolve the osteophytes. I have experienced it number of times
regarding this action. In cases of Osteo-arthritis, Spondylosis, Spinal Canal
Steniosis one must think of this remedy.
Follow-Ups
28/08/2012:
·
Pain
in right hip: 80% better; occasionally <
start of motion > continued motion
·
Limping
while walking still persist
·
Able
to squat 70% on lying down
·
Able
to bend the hip
·
Tenderness
on Right Hip: Absent
·
Wart
on right hand decreased in size
·
Homoeopathic Management:
·
Asked
him to try squatting in sitting posture
·
Bio-combination
No.26 BD continued
24/09/2012:
·
Pain
in Right Hip: Absent
·
Able
to squat in sitting as well as lying down posture
·
Limp
absent
·
He
danced in religious commune without any trouble
·
Able
to bend his Hip
·
One
hour played a Tabala in squatting position
·
Very
much happy as he was able to perform all his duties & enjoy the hobbies
·
Homoeopathic Management:
·
Asked
to continue all the activities
·
Bio-combination
No.26 HS continued
DISCUSSION
As this case was very Acute & Recent in appearance (Even
though the disease is chronic in nature), proper Homoeopathic Management can
bring such patients very fast in a gentle way.
Now a day, I am treating Avascular Necrosis cases often &
what I observed is Lachesis, Sepia & Calc Fluor appeared commonly in those
cases. So, I studied the cases in retrospective manner to find out that whether
I am becoming prejudiced in prescribing? But it was not the case. So, I
studied the action of all three remedies & found that all of them have an
action on Vascular System, Circulation, Venous System. I think, we must study
the actions of our medicines even at cellular & tissue level so that we can
make our Materia Medica more rich & more perfect.
