Utility of Back chapter of Kent’s Repertory in locomotor disorders

Dr Manjunath Patil

Locomotive syndrome is a condition of reduced mobility due to impairment of locomotive organs. The term “movement disorders” refers to a group of nervous system (neurological) conditions that cause abnormal increased movements, which may be voluntary or involuntary. Movement disorders can also cause reduced or slow movements.

The term Locomotor is derived from the Latin words loco – “from a place” and motivus – “causing motion”. So locomotion means movement from one place to another And thus locomotor disability hampers movement from one place to another.

The Homoeopathic Materia Medica is a rich source of symptoms and remedies that are proven to be effective not only in managing the symptoms but also, in many cases, curing the same, related to locomotor disorders. 

Repertory of the Homoeopathic Materia Medica by Dr. J T Kent is a splendid index of the humongous Materia Medica, based on the principle of deductive logic. However, the Repertory is enriched with a number of clinical rubrics and the like, which can facilitate a physician in the selection of the most appropriate similimum even in case of a limited number of symptoms.

Here are listed such rubrics from the Back chapter from Kent’s Repertory that can be referred to in cases of Locomotor Disorders.

1. Abscess 884

This is casued by on infection with staphylococcal bacterial infection seen in 

Pilonidal abscess (in spine)

Spinal cord abscess (SCA) rare condition that causes permanent damage 

 Skin abscess 

Tuberculosis

2. Asleep  sensation  scapula (884)

Seen in pinched  nerve or nerve compression in neck or less commonly in shoulder region.

3. Bar, feeling as though a, in the back (884)

• Bar = a rigid feeling 
• Ankylosing spondylitis
• Lumbar spine arthritis
• Lumbar herniated disc
• Facet joint osteoarthritis 
• Amyotrophic lateral sclerosis
• Chronic exertional compartment syndrome
• Chronic fatigue syndrome
• Fibromyalgia
• Syme disease and rarely mountain spotted fever
• Parkinson’s disease
• Polymyalgia rheumatic 
• Rheumatoid arthritis

4. Bifida (884) split spine

It is a birth defect where there is incomplete closing of back bone and membranes around the spinal cord Cause- genetic and environmental factor. Risk factors- Lack of folate during pregnancy , certain anti seizure medication, obesity, poorly controlled diabetes

Spina bifida occulta

Hemingocele

Myelocele

5. Blood, extra vacation of, in lumbar region(884)

• Spinal cord haemorrhage
• Haematomyelia
• Subarachnoid haemorrhage
• Traumatic lumbar, spinal subdural haemorrhage.

6. Bluish, nape(884)

• Methemoglobinemia is a toxicological cause of synopsis
• Nevus flammeus (Birth marks) 
• Lupus
• Skin cancer (Melanoma / carcinoma)
• Diabetes

7. Boils(884)

Diabetes 

Folliculitis

8. Brown spots(884)

Liver spots

Tenea versicolor

Diabetes

Hypothyroidism

9. Bruises on spine(884)

Bruised back syndrome

Injury

10. Carbuncles(884)

Diabetes

Acne

Eczema

11. Caries of spine(884)

Pott’s disease( Tuberculosis of the spine)

12. Coldness (884)

• Herniated disc
• Muscles strain
• Diabetes
•  Sciatica
• Hypothermia
• Hypothyroidism
• Fever
• Alcoholic Neuropathy
• Thiamine, folate, niacin, Vit. B12 deficiency 
• Vascular disease
• Neurological disease

13. Concusssion of spine(886)

Trauma

14. Congestion, cervical region(886)

• Head and neck cancer
• Meningitis
• Cervical spondylosis

15. Constriction (886)

• Ankylosing spondylitis
• Lumbar spondylosis
• Cervical spondylosis
• Lumbar herniated disc
• Chronic fatigue syndrome
• Fibro myalgia
• Parkinson’s disease
• Lyme’s disease
• Rheumatoid arthritis
• Inter vertebral disc prolapse

16. Contractions (886)

• Cervical spondylosis
• Lumbar herniated disc
• Muscle strain
• Degenerative disc disease
• Herniated disc
• Sciatica 
• Repetitive strain injury

17. cracking cervical region(886)

Cervical spondylosis

Spinal stenosis

18. Cramp(887)

• Muscle strain
• Premenstrual syndrome
• Pregnancy
• Heat cramps
• Fibromyalgia
• Cervical spondylosis
• Herniated disc
• Sciatica

19. Curvature of spine (887)

• Lordosis
• Kyphosis
• Scoliosis
• Achondroplasia
• Spondylolisthesis
• Osteoporosis
• Benign Juvenile lordosis
• Arthritis
• Spina bifida
• Spinal tumors
• Schumann disease

20. Drawing backward of muscles of neck(887)

• Muscles strain
• Spondylosis 
• Whip lash
• Tension headache
• Ankylosing spondylitis 
• Temperomandibular joint disorders

21. Echymosis (887)

• Multiple myeloma 
• Liver disease
• Bulimia
• Leukemia
• Acute renal failure
• Idiopathic thrombocytopenia
• Haemophilia

22. Emaciation (887)

• Slipped herniated disc
• Beckers muscular dystrophy
• Dropped head syndrome
• Multiple sclerosis
• Guillain barre syndrome
• Injury to brain 

23. Emprosthotonus (887)

Tetanus

24. Epileptic aura, creaping spine( 887)

Seizure disorders

25. Eruptions(887)

• Pityriasis rosea
• Heat rash
• Shingles
• Rosacea
• Eczema

26. Erysipelas (889)

Necrotising fasciitis

Psoriasis 

27. Exostoses(889)

Osteochondroma

28. Fistulae(889)

Spinal dural arteriovenous fistula

29. fluttering

Cervical spondylosis

Muscle sprain

30. Formication (889)

• Cervical spondylosis
• Multiple sclerosis
• Cervical osteochondrosis
• Parkinsons disease
• Lumbar spondylosis
• Herniated disc
• Fibromyalgia
• Lyme disease

31. Heat(890)

• Cervical spondylosis
• Lumbar spondylosis
• Herniated disc
• Shingles
• Multiple sclerosis
• Encephalitis

32. Heaviness (891)

• Herniated disc
• Lumbar spondylosis
• Acute kidney failure
• Osteomyelitis

33. Hyperaesthesia(892)

• Herniated disc
• Herpes zoster
• Lumbar spondylosis

34. Inflammation(892)

• Ankylosing spondylitis
• Axial spondyloarthritis
• Psoriatic arthritis
• Reactive arthritis
• Cervical spondylosis
• Rheumatoid arthritis
• Reiter’s syndrome

35. Irritation of spine(892)

• Herniated disc
• Lumbar spondylosis

36. Itching

• Tenia versicolor
• Dermatitis
• Eczema
• Psoriasis
• Hives
• Sun burn
• Notalgia paresthetica
• End stage renal disease

37. Jerking in cervical muscles (893)

• Cervical spondylosis
• Myoclonic epilepsy
• Tourette syndrome

38. lumps between scapulae (893)

• Lipoma 
• Sebaceous cyst
• Abscess
• Meningioma

39. Mouse as if running up to the back(893)

Delusional parasitosis

40. Numbness(893)

• Herniated disc
• Spinal stenosis
• Sciatica
• Degenerative disc disease
• Pudendal nerve entrapment

41. Ophisthotonus(893)

Tetanus

Strychnine poisoning

42. Pricking 

• Herniated disc
• Spinal stenosis
• Spondylolisthesis
• Cervical spondylosis
• Lumbar spondylosis

43. Pain

• Muscle strain
• Herniated disc
• Scoliosis
• Renal calculi
• Spina bifida
• Ankylosing spondylitis
• Pagets disease of bone
• Potts disease
• Osteoporosis
• Lumbar spondylosis
• Rheumatoid arthritis
• Cauda equine syndrome
• Obesity
• Reactive arthritis
• Psoriatic arthritis
• Septic discitis
• Fibromyalgia
• Cancer of spine

Referred pain: diverticulosis

                            Crohn’s disease

                             Ulcerative colitis

                             Pelvic inflammatory disease

                             Appendicitis

44. Pain, fever during (896)

•   Cancer (metastasis)
•   Infection (abdominal, pelvic)

45.Pain cervical region (899)

• Cervical spondylosis
• Muscle strain
• Whiplash
• Polymyalgia rheumatica
• Osteomyelitis
• Degenerative disc disease
• Pinched nerve syndrome
• Fibromyalgia
• Tuberculosis of neck
• Septic discitis

46. Pain, Lumbar region(905)

• Herniated disc
• Muscle strain
• Sciatica
• Degenerative disc disease
• Rieter’s disease
• Psoriatic arthritis
• Spinal stenosis
• Spondylolisthesis
• Spina bifida
• Osteoporosis
• Ankylosing spondylitis

47. Pain, Lumbar sacral region(909)

• Muscle strain
• Osteoporosis
• Herniated disc
• Scoliosis
• Spondylolisthesis

48. Pain, sacral region (909)

• Spinal anomalies
• Osteoporosis
• Osteomalacia
• Others: external endometriosis
•                Traumatic arthritis
•                 Prostatitis
•                 Prostate cancer

49. Pain coccyx

• Tail bone fracture
• Herniated disc
• Degenerative disorder
• Levator syndrome

50. Pain, aching (913)

• Degenerative disease
• Muscle strain
• Herniated disc
• Scoliosis
• Osteoporosis

51. Pain, broken as if (919)

• Muscles strain
• Bone fracture sciatica
• Sciatica

52. Pain burning (919)

• Herniated disc
• Sciatica
• Nerve compression syndrome
• 53. Pain lancinating(928)
• Peripheral neuropathy
• Sciatica
• Spinal stenosis
• Lumbar spinal stenosis
• Complex regional pain syndrome

54. Pain pressing (929) 

• Muscle strain 
• Sciatica
• Herniated disc
• Back injury
• Spinal stenosis

55. Pain sore(932)

• Muscles strain
• Herniated disc
• Scoliosis
• Osteoporosis

56. Pain stiching(936)

• Muscle strain herniated disc
• Iliotibial band syndrome
• Lumbar spondylosis

57. Paralysis of muscles of back(944)

• Hyperkalemic periodic paralysis
• Spinal cord injury
• Stroke

58. Perspiration back (944)

• Parkinsons disease
• Traumatic brain injury
• Spinal cord injury
• Autonomic neuropathy
• Peripheral neuropathy

59. Pricking(954)

• Herniated disc
• Spondylolisthisis
• Radiculopathy

60. Pulsating (944)

• Migraine
• Tension headache
• Occipital neuralgia
• Meningitis

61. Quivering in cervical region (945)

• Spondylosis
• Spinal stenosis
• Herniated disc
• Whip lash
• Essential tremor

62. Redness cervical region (945)

• Rosacea
• Sun burn
• Poikiloderma 
• Poikoloderma of civatte

63. Restlessness, Lumbar region(945)

• Parkinson’s disease

64. Shivering

• Common cold
• Flu
• Renal infection
• Hypothermia
• UTI
• Hypothyroidism
• Bacterial pneumonia

65. Shocks

• Arachnoiditis
• Herniated disc
• Spinal stenosis
• Degenerative disorder

66. Shortened (946)

Ankylosing spondylitis

67. Softening of cord (946)

Myelomalacia

Cervical spondylotic myelopathy

68. Spasm (946)

• Neonatal jaundice
• Meningitis
• Tetanus
• Neonatal tetanus
• Kernicterus
• Cerebral palsy
• Gaucher’s disease

69. Spasmodic drawing cervical region(946)

• Tetanus 
• Neonatal jaundice
• Muscle strain
• Spondylosis
• Spasmodic torticollis
• Meningitis

70. Spots (946)

• Acne
• Psoriasis
• Liver spots
• Rosacea
• Sebaceous cyst
• Tinea versicolor

71. Stiffness (946)

• Muscle strain
• Kyphosis
• Arthritis
• Herniated disc
• Osteoarthritis
• Rheumatoid arthritis
• Psoriatic arthritis
• Ankylosing spondylitis
• Myofascial pain syndrome

72. Stiffness, cervical region (947)

• Muscle strain
• Whiplash
• Arthritis
• Meningitis
• Cervical spondylosis
• Cervical herniated disc
• Rheumatoid arthritis

73. Straining (947)

• Muscle strain
• Lumbar sprain

74. Swelling of nape of neck (948)

• Muscle strain
• Sebaceous cyst
• Hypothyroidism
• Hives
• Lipoma

75. Tension, cervical region (948)

• Cervical headache
• Cervical spondylosis
• Tension neck syndrome

Torticollis

76. Tension, Lumbar region (949)

• Herniated disc
• Fibromyalgia 
• Lumbar spondylosis

77. Tingling (949)

• Herniated disc
• Lumbar spondylosis
• Shingles

78. Trembling (949)

• Parkinson’s disease
• Multiple sclerosis
• Hallervorden spatz disease

79. Twitching (949)

• Benign fasciculation syndrome
• Muscle strain
• Myokymia
• Neuromytonia
• Substance abuse
• Seizures
• Tourette’s syndrome
• Huntington’s disease
• Charley horse

80. Ulcers (950)

Bedsores (decubitus ulcer)

81. Weakness (950)

• Lower back strain
• Ilio lumbar syndrome
• Parkinson’s disease
• Stroke
• Herniated disc
• Multiple sclerosis
• Fibromyalgia
• 82. Weakness, Sacrum (951)
• External endometriosis
• Spinal anomalies
• Traumatic injuries
• Chronic pancreatitis
• Prostate cancer. 

This is an attempt to show the utility of a general repertory like Kent’s in specific diseases of the back.

Dr.Manjunath Patil.
PG part II Dept. of case taking and repertory,
Under the guidance of Dr. V. Guruprasad (HOD. Dept. of case taking and repertory).
Government Homoeopathic medical college. Bengaluru.