{"id":35455,"date":"2019-04-11T06:40:18","date_gmt":"2019-04-11T06:40:18","guid":{"rendered":"https:\/\/www.homeobook.com\/?p=35455"},"modified":"2022-01-06T00:24:05","modified_gmt":"2022-01-06T00:24:05","slug":"lumbar-spondylosis-and-its-homoeopathic-management","status":"publish","type":"post","link":"https:\/\/www.homeobook.com\/lumbar-spondylosis-and-its-homoeopathic-management\/","title":{"rendered":"Lumbar Spondylosis and its Homoeopathic Management"},"content":{"rendered":"

Dr. Ruchi Singh<\/i><\/b>1<\/sup><\/i><\/b>, Dr. Priyanka Naraniya<\/i><\/b>2<\/sup><\/i><\/b>\u00a0,Dr. Anju Bishnoi<\/i><\/b>3<\/sup><\/i><\/b>,Dr.Chirag Mishra<\/i><\/b>4<\/sup><\/i><\/b>.
\n1<\/sup><\/i>\u00a0\u00a0\u00a0Associate Professor, Dr. MPK Homoeopathic Medical College Hospital & Research Centre (Under Homoeopathy University), Saipura,\u00a0\u00a0Sanganer , Jaipur. (Raj.)
\n<\/i>\u00a0<\/i>2,3\u00a0<\/sup><\/i>PG Scholar Department of Materia Medica, Dr. MPK Homoeopathic Medical College Hospital & Research Centre (Under Homoeopathy University), Saipura,\u00a0\u00a0Sanganer , Jaipur. (Raj.)
\n<\/i>4<\/sup><\/i>PG Scholar Department of Repertory, Dr. MPK Homoeopathic Medical College Hospital & Research Centre (Under Homoeopathy University), Saipura,\u00a0\u00a0Sanganer , Jaipur. (Raj.)<\/i><\/p>\n

KEY WORDS: <\/b>Lumbar spondylosis, Degeneration, Intervertebral disc, Osteophytes, Homoeopathy.<\/p>\n

INTRODUCTION: \u201c<\/b>Lumbar Spondylosis is degenerative <\/b>condition characterized by narrowing of intervertebral disc<\/b> & formation of abnormal bony growths known as osteophytes<\/b>.\u00a0 <\/span>SPONDYLO<\/b> is a Greek word meaning vertebra, LYSIS <\/b>refers to degeneration.\u00a0 <\/span>It has been used synonymously with arthrosis, spondylitis, hypertrophic arthritis, and osteoarthritis.\u201d<\/b> It is especially common in young athletes younger than 18 years who participate in sports that involve twisting or backward bending motions of the spine. Spondylosis is an aging phenomenon. With age, the bones and ligaments in the spine wear, leading to bone spurs (osteoarthritis).Also, the intervertebral discs degenerate and weaken, which can lead to disc herniation and bulging discs. Physical activity & occupation involving twisting, lifting, bending, and whole body vibration (such as vehicular driving) are factors which increase both the likelihood and severity of spondylosis.\u00a0<\/span> [1,2]<\/sup><\/p>\n

PROBLEM\u00a0 <\/span>STATEMENT: <\/b>Spondylosis occurs in 6-10%<\/b> of the general population and has been found to be as high as 25-60%<\/b> in athletes<\/b>.\u00a0 <\/span>In India -10.2%<\/b> of women and\u00a0 <\/span>6.6% <\/b>of men suffer from lumbar\u00a0 <\/span>spondylosis. The incidence and severity of low back pain were higher in women.[3]<\/sup> In\u00a0 <\/span>UK adult population<\/b> over age 50 years, 84% of men and 74% of women<\/b> demonstrate at least one vertebral osteophyte,<\/b> with increased incidence among individuals with more physical activity<\/b>, self reported back pain, or higher BMI scores.<\/b> That is men appear to have more significant degenerative changes than women.[4]<\/sup><\/p>\n

PATHO-PHYSIOLOGY WITH CORRESPONDING CLINICAL SYMPTOMS:<\/b>[<\/sup><\/b>1,2<\/sup> <\/b>]<\/sup><\/b><\/p>\n\n\n\n\n\n\n\n\n\n
\u00a0 <\/span>Pathophysiology<\/b><\/td>\nClinical features<\/b><\/td>\n<\/tr>\n
Loss of hydration & elasticity of intervertebral disc with age<\/td>\nLow back pain<\/td>\n<\/tr>\n
Bulging of annulus & overriding of facets<\/td>\nTenderness of back<\/td>\n<\/tr>\n
Hypertrophy of the facet joints & formation of osteophytes starts<\/td>\nConstant aching pain in back<\/td>\n<\/tr>\n
Narrowing of cross-sectional area of vertebral canal\u00a0<\/span><\/td>\nStiffness<\/td>\n<\/tr>\n
Compression of nerves<\/td>\n\u00a0<\/span>Numbness, burning, tingling & weakness<\/td>\n<\/tr>\n
Due to further hypertrophy osteophytes developed<\/td>\nRestricted movements & scoliosis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Physical examination:<\/b><\/p>\n

Following provocative tests for lumbar spondylosis <\/b>plays a very important role in identifying the site of lesion:<\/p>\n

    \n
  1. Straight leg raising test-<\/b>The patient is asked to lift the leg up with knee extended which causes pain at affected lumbo-sacral region.indiacting lesion at L5-S1 region.<\/li>\n
  2. Tripod Sign (L5-S1)- <\/b>The tripod sign is conducted while the patient is in the seated position & elevating one of the legs, a positive sign will elicit pain, from L5 region, in the back and should be accompanied by the patient’s natural tendency to decrease the pain by leaning back and resting both arms on the table to support him or herself, thus the creating a tripod.<\/li>\n
  3. Femoral Stretch Test (L2-4)- <\/b>With the patient in prone position, the leg is flexed at the knee while holding the base of the leg under the knee. Then the whole leg is lifted the up. If the patient complains of pain in the anterior thigh while the leg is lifted up, it indicates a positive test suggestlesion in the L2-4 region\u00a0<\/span><\/li>\n<\/ol>\n

    Diagnosis is based on X ray finding. CT and MRI help in an MRI of the lumbar spine shows the bones, disks, spinal cord, and the spaces between the vertebral bones where nerves pass through.<\/p>\n

    The Keele STarT Back Screening Tool (SBST) is a brief validated tool, designed to screen primary care patients with low back pain for prognostic indicators that are relevant to initial decision making.<\/p>\n

    GENERAL MANAGEMENT:<\/b><\/p>\n

    Exercise therapy (ET) remains one of the conservative mainstays of treatment for chronic lumbar spine pain, and may be tailored to include aerobic exercise, muscle strengthening, and stretching exercises.\u00a0<\/span><\/p>\n

    Lumbar back supports may provide benefit to patients suffering chronic LBP secondary to degenerative processes through several potential, debated mechanisms.\u00a0 <\/span>Supports are designed to limit spine motion, stabilize, correct deformity, and reduce mechanical forces. Van Tulder MW, Koes B, Malmivaara. Outcome of non-invasive treatment modalities on backpain: an evidence-based review. Eur Spine J. 2006;15(1):S64\u201381\u00a0<\/span><\/p>\n

    HOMOEOPATHIC\u00a0 <\/span>THERAPEUTICS:<\/b>[<\/sup><\/b>5]<\/sup><\/p>\n