Cervical Spondylosis and Homoeopathic Management

Dr Dinesh Kumar  

Abstract:
Cervical spondylitis is a permanent degenerative state of the cervical spine that affects the vertebral tracts and intervertebral discs of the neck (for instance, disk herniation and spur formation), in addition to the substance of the spinal cord (nerve roots or potential spinal strings). A few changes additionally include the degenerative changes in the bone joints, longitudinal tendons, and ligamentum flavum. However, homeopathy treatment can help in cervical spondylitis cure the same.

Introduction:
Disorder resulting from chronic cervical disc degeneration, dislocation. Cervical spondylosis (CS) is a chronic degenerative condition that presents with chronic neck pain and stiffness with radiation of pain to the occiput or upper limbs and a sensation of numbness or tingling. Conservative treatment only provides short term relief.

Etiology:

  • Rheumatic arthritis
  • Postural defects
  • Psychological
  • Hormonal
  • Age early adult life.

Symptoms and signs:

  • It depends on laternal herniation of disc and dorso-medial herniation.
  • Onsent is insidious
  • Pain brachial neuralgia.
  • Limitation of movement of the neck
  • Sensory loss in upper limbs is Common. The pain and temperature sensation
  • may be lost when spinothalamic tract is involved.
  • Feeling of tingling and numbness in upper limbs.
  • Vertigo.
  • ‘Band’ like headache.

Investigation:

  • Narrowing of disc spaces.
  • Plain X-ray: Osteophytes formation with loss of the normal cervical lordosis.
  • Oblique view: Shows encroachment by osteophytes on the intervertebral foramina.
  • Myelography: Herniation of disc.

Differential diagnosis

  • Coronary artery disease.
  • Tumor of spinal cord.
  • Multiple sclerosis.
  • Syringomyelia.
  • Sub-acute combined degeneration of cord.
  • Motor neuron disease.

Role of Homoeopathy:

Organon: Indispositional diseases.

Miasmatic Background: Psora-Syphilitics-Sycosis miasmatic diseases i.e.,

(Mixed miasmatic diseases).

Treatment and Managements

  • Early stage: Rest in bed with immobilization of neck with collar.
  • Spine fit therapy: After homoeoepathic medicine with Ciragem Spine fit therapy is very helpful for all complaints.

Rubrics Related to Cervical Spondylosis

[KENT] [BACK] PAIN: CERVICAL REGION: (167) 1 Abrot, 2 Acon, 2 Aesc, 2 Aeth, 2 Agar, 1 Ail, 1 All-c, 1 All-s, 2 Alum, 1 Alumn, 2 Am-c, 1 Am-m, 1 Ambr, 2 Anac, 1 Ang, 1 Ant-c, 2 Apis, 1 Arg-m, 1 Arn, 3 Ars, 3 Bell, 1 Carb-ac, 1 Carb-an, 2 Carb-v, 1 Carbn-s, 1 Card-m, 3 Caust, 2 Chel, 2 Chin, 1 Chin-ar, 2 Chin-s, 3 Cic, 1, 3 Gels, 2 Glon, 3 Graph, 1 Grat, 2 Guai, 3 Lac-c, 2 Lach, 1 Lachn, 1 Lact, 1 Myric, 1 Naja, 1 Nat-m, 2, 3 Par, 1 Petr, 3 Ph-ac, 2 Phos, 1 Phys, 2 Phyt, 1 Pic-ac, 1 Pip-m, 1 Plb, 1 Podo, 1 Psor, 2 Puls, 2 Ran-b, 1 Raph, 1 Rat, 3 Rhod,

[KENT] [BACK] STIFFNESS: CERVICAL REGION: (144) 1 Acon, 2 Aesc, 3 Agar, 1 Alum, 1 Am-c, 2 Am-m, 3 Anac, 1 Anan, 2 Ang, 2 Ant-t, 2 Apis, 3 Arg-m, 2 Ars, 1 Arum-t, 1 Asar, 1 Aur, 1 Bad, 2 Bapt, 3 Bar-c, 3 Bell, 1 Berb, 1 Brach, 2 Brom, 2 Bry, 1 Calad, 3 Calc, 2 Calc-p, 1 Calc-s, 1 Camph, 1 Cann-i, 2 Canth, 1 Caps, 1 Carb-ac, 1 Carb-an, 2 Carb-v, 1 Carbn-s, 1 Caul, 3 Caust, 2 Cedr, 3 Chel, 2 Chin, 1 Chin-ar, 3 Cic, 3 Cimic, 2 Cocc, 1 Colch, 2 Coloc, 3 Euph, Guai, 3 Hell, 2 Hep, 1 Hura, 1 Hyos, 3 Ign, 3 Ind, 2 Kali-bi, 3 Kali-c,  3 Lach, 3 Lachn, 1 Laur, 2 Led, 3 Lyc, 2 Lyss, 3 Mag-c, 2 Manc, 1 Merc-i-f, 2 3 Nit-ac, 3 Nux-v, 1 Ol-an, 1 Pall, 2 Par, 2 Petr, 1 Ph-ac, 2 Phos, 2 3 Rhus-t, 2 Rhus-v, 2 Sang, 1 Sec, 1 Sel, 2 Sep, 3 Sil,.

[KENT] [BACK] PAIN: DRAWING: CERVICAL REGION: (82) 3 Chel, 2 Chin, 1 Cic, 3 Cimic, 1 Clem, 1 Coc-c, 1 Cocc,2 Tep, 1 Ter, 3 Thuj, 1 Viol-o, 1 Zinc,

[KENT] [BACK]TENSION: CERVICAL REGION (SEE SPASMODIC DRAWING): (71) 1 Agar, 1 Aloe, 3 Alum, 1 Am-m, 1 Ant-c, 2 Apis, 1 Aur, 2 Bar-c, 3 Bell, 1 Berb, 1 Bov, 2 Bry, 1 Calc, 1 Camph, 1 Carb-an, 2 Carb-v, 2 Carbn-s, 2 Caust, 2 Chel, 3 Cic, 3 Cimic, 1 Cinnb,

[KENT] [BACK] PAIN: SORE, BRUISED, BEATEN: CERVICAL REGION: (58) 1 Acon, 2 Aesc, 3 Nat-s, 2 Nit-ac, 1 Nux-m, 1 Nux-v, 3 Ph-ac, 2 Phos, 1 Phys, 1 Podo, 1 Psor, 1 Puls, 1 Ruta, 1 Sabin, 1 Sang, 1 Sep, 3 Sil, 1 Sol-n, 1 Stram, 1 Sulph, 1 Tarent, 1 Tep, 2 Thuj, 2 Zinc,

[KENT] [BACK] PAIN: TEARING: CERVICAL REGION: (55) 3 Acon, 1 Aeth, 3 Am-m, 1 Arn, 1 Asaf, 1 Aur, 1 Berb, 2 Calc, 1 Calc-caust, 1 Camph, 2 Canth, 2 Caps, 3 Carb-v, 1 Carbn.

[KENT] [BACK] PAIN: STITCHING, SHOOTING: CERVICAL REGION: (52) 1 Acon, 1 Aeth, 1 Agar, 1 Alum, 1 Ang, 1 Arn, 1 Aur, 1 Bad, 1 Bar-c, 2 Bov, 1 Bry, 1 Calc, 2 Carb-an, 1 Carb-v, 1 Carbn-s, 1 Chel, 2 Chin, 1 Coc-c, 1 Cocc, 1 Con, 1 Dig, 1 Elaps, 1 Ferr-p, 1 Guai

Pain and stiffness in neck: Aconite, Bell., Bry., Caust., Cim., I, Dulc., Guaiac., Lachnanth., Merc. i, Puls., Sticta.

Neuralgia (Cervicol-brachi): Acon., Bry., Kal., Nux. v., Rhus. tox., Sang. C, Spig.

Vertigo: Absinth., Gels., Nat. mur., Nux. V., Theridion.

[KENT] [BACK] PAIN: PRESSING: CERVICAL REGION: (44) 1 Agar, 1 Agn, 1 Ambr, 2 Anac, 1 Ant-s, 2 Ars, 2 Bar-c, 3 Bell, 1 Benz-ac, 1 Bry, 1 Canth, 2 Carb-v, 1 Card-m, 2 Chel, 2 Lyss, 1 Merc, 1 Mosch, 2 Nat-m, 2 Nat-s, 1 Nit-ac, 1 Ol-an, 3 Par, 1 Ph-ac, 3 Phos, 2 Puls, 1 Samb, 1 Sars, 1 Sil, 1 Spong, 2 Staph, 1 Tarax, 1 Thuj,

[KENT] [BACK] SPASMODIC DRAWING: CERVICAL REGION (HEAD BENT BACK): (38) 2 Acon, 1 Alum, 1 Ant-c, 2 Apis, 3 Bell, 1 Calc, 1 Camph, 1 Cann-i, 1 Cedr, 2 Cham, 1 Chin, 3 Cic, 3 Cimic, 3 Op, 2 Phel, 1 Samb, 1 Stram, 2 Tab, 1 Verat-v, 2 Zinc,

[KENT] [BACK] PAIN: CERVICAL REGION: RHEUMATIC: (37) 1 Acon, 1 Ambr, 1 Anac, 2 Ant-c, 1 Bapt, 1 Berb, 1 Bism, 1 Bor, 2 Bry, 1 Calc, 2 Calc-p, 1 Carbn-s, 1 Caust, 3 Cimic, 3 Ran-b, 2 Rhod, 3 Rhus-t, 2 Sang, 2 Sil, 2 Staph, 1 Stict, 2 Sulph, 1 Tarent, 1 Verat,

[KENT] [BACK] PAIN: CERVICAL REGION: MOVING HEAD: (36) 2 Aesc, 2 Agar, 2 Alum, 1 Am-m, 1 Asaf, 1 Bad, 1 Bapt, 2 Bell, 1 Brach, 2 Bry, 1 Cann-s, 1 Canth, 2 Chel, 1 Chin, 2 Cocc, 1 Colch, 2 Coloc, 2 Dros, 1 Form, 1 Glon, 2 Hyper, 1 Ip, 1 Kali-bi, 1 Merc, 1 Mez, 1 Nat-s, 1 Nux-v, 1 Podo, 2 Ran-b, 2 Rhus-t, 1 Sabad, 1 Sars, 1 Stram, 2 Sulph, 2 Tarent, 1 Verat-v,

[KENT] [BACK] PAIN: ACHING: CERVICAL REGION: (31) 1 Acon, 2 Aesc, 1 Ambr, 1 Bar-c, 1 Bell, 2 Calc, 2 Calc-caust, 1 Cann-i, 1 Carb-v, 2 Cimic, 1 Con, 1 Dig, 1 Dios, 3 Gels, 2 Guai, 1 Hell, 1 Ign, 1 Iod, 1 Lil-t, 2 Merl, 1 Myric, 1 Naja, 1 Nat-m, 1 Petr, 1 Ran-b, 1 Rhus-v, 1 Sep, 2 Syph, 2 Verat-v, 1 Vesp, 2 Zinc,

[KENT] [BACK] PAIN: CERVICAL REGION: EXTENDING: SHOULDERS, TO: (23) 1 Alum, 1 Bor, 1 Calc-p, 1 Camph, 1 Caust, 1 Crot-h, 1 Daph, 1 Dios, 1 Gels, 1 Graph, 1 Ip, 1 Kali-n, 1 Kalm,

[KENT] [BACK] PAIN: CERVICAL REGION: EXTENDING: TO BACK, DOWN THE: (21) 1 Aeth, 1 Am-c, 1 Chel, 1 Cimic, 2 Cocc, 1 Glon, 1 Graph, 1 Guai, 2 Kalm, 1 Lil-t, 1 Mag-c,

[KENT] [BACK] HEAVINESS, WEIGHT: CERVICAL REGION: (18) 2 Agar, 1 Asar, 2 Calc-p, 1 Cann-i, 1 Carb-ac, 2 Chel, 1 Kali-c, 1 Meny, 1 Nux-v, 3 Par, 2 Petr, 2 Phos, 1 Plb, 3 Rhus-t, 1 Samb, 1 Sep, 1 Tab, 1 Verat,

[KENT] [BACK] STIFFNESS: CERVICAL REGION: TURNING HEAD, ON: (14) 1 Alum, 1 Am-c, 2 Am-m, 1 Aur, 2 Bry, 1 Calad, 2 Calc, 2 Chel, 2 Coloc, 2 Dulc, 1 Kali-n, 1 Par, 1 Rat, 1 Tarent,

[KENT] [BACK] PAIN: SPRAINED, AS IF: CERVICAL REGION: (11) 2 Agar, 2 Ars, 2 Calc, 1 Cinnb, 2 Con, 1 Lyc, 1 Nat-m, 1 Nicc, 2 Ruta, 1 Sep, 2 Sulph,

[KENT] [BACK] PAIN: CERVICAL REGION: BENDING HEAD BACKWARD: ON: (8) 1 Bell, 1 Chel, 1 Cic, 1 Cinnb, 1 Kali-c, 1 Laur, 1 Lyc, 1 Valer,

[KENT] [BACK] PAIN: CERVICAL REGION: BENDING HEAD BACKWARD: AMEL: (5) 1 Cycl, 1 Lac-c, 2 Lyss, 1 Manc, 1 Syph,

Homoeopathic medicines:

  1. Agar: Jerking, twitching, trembling, and itching are strong indications. Stiff all over. Pain over hips. Rheumatism better motion. Weakness in loins. Uncertain gait. Trembling. Itching of toes and feet as if frozen. Cramp in soles of feet. Pain in shin-bone. Neuralgia in locomotor ataxia. Paralysis of lower limbs, with spasmodic condition of arms. Numbness of legs on crossing them. Paralytic pain in left arm followed by palpitation. Tearing painful contractions in the calves.
  2. Bell: Pain worse light, noise, jar, lying down and in afternoon; better by pressure and semi-erect posture. Boring of head into pillow; drawn backward and rolls from side to side. Constant moaning. Hair splits; is dry and comes out. Headache worse on right side and when lying down; ill effects, colds, etc; from having hair cut. Shooting pains along limbs. Joints swollen, red, shining, with red streaks radiating. Tottering gait. Shifting rheumatic pains. Phlegmasia alba dolens. Jerking limbs. Spasms. Involuntary limping. Cold extremities.
  3. Calc: Rheumatoid pains, as after exposure to wet. Sharp sticking, as if parts were wrenched or sprained. Cold, damp feet; feel as if damp stockings were worn. Cold knees cramps in calves. Sour foot-sweat. Weakness of extremities. Swelling of joints, especially knee. Burning of soles of feet. Sweat of hands. Arthritic nodosities. Soles of feet raw. Feet feel cold and dead at night. Old sprains. Tearing in muscles.
  4. Chel: Pain in arms, shoulders, hands, tips of fingers. Icy coldness of tips of fingers; wrists sore, tearing in metacarpal bones. Whole flesh sore to touch. Rheumatic pain in hips and thighs; intolerable pains in heels, as if pinched by too narrow a shoe; worse, right. Feels paralyzed. Paresis of the lower limbs with rigidity of muscles.
  5. Cimic: Uneasy, restless feeling in limbs. Aching in limbs and muscular soreness. Rheumatism affecting the belly of muscles, especially large muscles. Choreic movements, accompanied by rheumatism. Jerking of limbs. Stiffness in tendo-Achilles. Heaviness in lower extremities. Heavy, aching, tensive pain.
  6. Caust: Left-sided sciatica, with numbness. Paralysis of single parts. Dull, tearing pain in hands and arms. Heaviness and weakness. Tearing joints. Unsteadiness of muscles of forearm and hand. Numbness; loss of sensation in hands. Contracted tendons. Weak ankles. Cannot walk without suffering. Rheumatic tearing in limbs; better by warmth, especially heat of bed. Burning in joints. Slow in learning to walk.
  7. Gels: Headache, with muscular soreness of neck and shoulders. Headache preceded by blindness; better, profuse urination. Scalp sore to touch. Delirious on falling asleep. Wants to have head raised on pillow. Loss of power of muscular control. Cramp in muscles of forearm. Professional neuroses. Writer’s cramp. Excessive trembling and weakness of all limbs. Hysteric convulsions. Fatigue after slight exercise.
  8. Glon: Confusion, with dizziness. Effects of sunstroke; heat on head, as in type-setters and workers under gas and electric light. Head heavy, but cannot lay it on pillow. Cannot bear any heat about head. Better from uncovering head. Throbbing headache. Angio-spastic neuralgia of head and face. Very irritable. Itching all over, worse extremities. Pain in left biceps. Drawing pain in all limbs. Backache.
  9. Lach: Pain through head on awaking. Pain at root of nose. Pressure and burning on vertex. Waves of pain; worse after moving. Sun headaches. With headache, flickerings, dim vision, very pale face. Vertigo. Relieved by onset of a discharge (menses or nasal catarrh). Sciatica, right side, better lying down. Pain in tibia (may follow sore throat). Shortening of tendons.
  1. Lyc: Pain in temples, as if they were screwed toward each other. Premature baldness and gray hair. Heaviness of arms. Tearing in shoulder and elbow joints. One foot hot, the other cold. Chronic gout, with chalky deposits in joints. Profuse sweat of the feet. Pain in heel on treading as from a pebble. Painful callosities on soles; toes and fingers contracted. Sciatica, worse right side. Cannot lie on painful side. Hands and feet numb. Right foot hot, left cold. Cramps in calves and toes at night in bed. Limbs go to sleep. Twitching and jerking.
  2. Nat- m: Pain in back, with desire for some firm support (Rhus; Sep). Every movement accelerates the circulation. Palms hot and perspiring. Arms and legs, but especially knees, feel weak. Hangnails. Dryness and cracking about finger-nails. Numbness and tingling in fingers and lower extremities. Ankles weak and turn easily. Painful contraction of hamstrings (Caust). Cracking in joints on motion. Coldness of legs with congestion to head, chest, and stomach.
  3. Nat-s: Swelling of axillary glands. Inflammation around root of nails. Burning in soles; œdema of feet; itching between toes. Gout. Pain in limbs, compels frequent change in position. Run-arounds. Pain in hip-joints, worse left, worse, stooping. Stiffness of knees, cracking of joints. Rheumatism, worse in damp cold weather.
  4. Nux v: Arms and hands go to sleep. Paresis of arms, with shocks. Legs numb; feel paralyzed; cramps in calves and soles. Partial paralysis, from overexertion or getting soaked (Rhus). Cracking in knee-joints during motion. Drags his feet when walking. Sensation of sudden loss of power of arms and legs in the morning.
  5. Rhus t: Hot, painful swelling of joints. Pains tearing in tendons, ligaments, and fasciæ. Rheumatic pains spread over a large surface at nape of neck, loins, and extremities; better motion (Agaric). Soreness of condyles of bones. Limbs stiff paralyzed. The cold fresh air is not tolerated; it makes the skin painful. Pain along ulnar nerve. Tearing down thighs. Sciatica; worse, cold, damp weather, at night. Numbness and formication, after overwork and exposure. Paralysis; trembling after exertion. Tenderness about knee-joint. Loss of power in forearm and fingers; crawling sensation in the tips of fingers. Tingling in feet.
  6. Sil: Sciatica, pains through hips, legs and feet. Cramp in calves and soles. Loss of power in legs. Tremulous hands when using them. Paralytic weakness of forearm. Affections of finger nails, especially if white spots on nails. Ingrowing toe-nails. Icy cold and sweaty feet. The parts lain on go to sleep. Offensive sweat on feet, hands, and axillæ. Sensation in tips of fingers, as if suppurating. Panaritium. Pain in knee, as if tightly bound. Calves tense and contracted. Pain beneath toes. Soles sore (Ruta). Soreness in feet from instep through to the sole. Suppurates.
  7. Sulph: Trembling of hands. Hot, sweaty hands. Rheumatic pain in left shoulder. Heaviness; paretic feeling. Rheumatic gout, with itching. Burning in soles and hands at night. Sweat in armpits, smelling like garlic. Drawing and tearing in arms and hands. Stiffness of knees and ankles. Cannot walk erect; stoop-shouldered. Ganglion.
  8. Thuj: Tips of fingers swollen, red, feel read. Muscular twitchings, weakness and trembling. Cracking in joints. Pain in heels and tendo-Achilles. Nails brittle. Ingrowing toe nail.

Conclusion: Homoeopathic intervention with predefined medicines is effective in managing acute pain due to cervical spondylosis. Further studies can be taken up with longer follow-ups, to show the efficacy of homoeopathic medicines in cervical spondylosis pain management.

References:

  1. Golwalla’s Medicine For Students_25th EditionPractice of medicines Spondylitis 658, 177, 653, 659.
  2. Babu Nagendra “COMPREHENSIVE STUDY OF ORGANON” First Edition: 2009, 1st Impression: 2009
  3. Boreickes W. Boreickes M. Materia Medica and Repertory, B. Jain Publication’s
  4. Shah Jawahar, Hompath Zomoeo Ultimate, Repertorization.

Dr. Dinesh Kumar BHMS, MD. (Hom.) Scholar
Dept. of Case Taking and Repertory Bakson Homoeopathic medical college and hospital Greater Noida, UP.

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