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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 99: Oh! Doc my Heel hurts me!

ABSTRACT: This case is one of calcaneal spur which responds very well to the homoeopathic treatment especially is the result quick if the patient follows the auxiliary measures of special shoes and slippers and of hot /cold soaks for 30 mins a day.

Mrs PVS, 46yrs old, Vegetarian Hindu Maharashtrian, Married works as a CTO in Bank, came on 05/02/04 with the following complaints, mainly the hip pain.

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
HEEL, Right
Since 2001 ↑ Dec 03
Pain Throbbing3+ Continuous3+ Swelling 2+ < Night3+
< Walking 2+
< Pressure 3+
< Initial Movement3+
< Morning
 
RESPIRATORY TRACT
Since childhood
1/month
Since 20th Jan04→
Allergic Rhinitis
Sneezing
Watery discharge
Dry cough
Hoarseness
< Dust3+
< Construction work
< Talking
Drowsiness3+
NECK
Cervical vertebra
Since Nov 00
Cervical spondylosis > Exercise
> Yoga
 
CVS
Since 2001
Hypertension   Tab. Amlong A 50mg OD
GIT
Since 2003
OD
Flatulence < Evening
< After sunset
< Pulses
Appendicectomy in 1981

PATIENT AS A PERSON
BUILT: Stocky
WEIGHT: 58kg, gained 4kg in 6month
ANAEMIA: ++
APPETITE: Good
HAIR: Hair fall 50-70/wash
DESIRES: Curd, Hot food, Milk3+ , Spicy2+ , Pickles2+ ,
AVERSION: Sweets2+
TONGUE: Dry, White2+
THIRST: 5-6 gl/day
PERSPIRATION: Scanty2+ , armpits and face
HEAT: Palms and soles
STOOL: 1/day.
URINE: 5-6/day
MENSES: FMP →Apr 1971. LMP → 25/01/2004 Regular, Heavy flow, Black. 3/23-24 days cycle. Back pain at the beginning of menses > Yoga.
BATH: Tepid water
THERMAL: C2H3. Wears tight clothes, Needs covering, Likes open air, fan, breeze and warm room <.
SLEEP: 7hrs. Refreshing
DREAMS: Works which are not finished
MIND: Reserved, Alone >. Timid, Irritability at rifles, Anticipation, Anger violent, Fastidious, Courageous

OBSTETRIC HISTORY
G3P2A1
1983→1st FTND. Spotting so bed rest advised. Hearing defect in child
1987→ Abortion at 3rd month
1989 → FTND

LIFE SPACE INVESTIGATION: The pt is monosyllabic! She talked so little and answered in just one words. She was born in 1958 in Mumbai. Wehre she spent her childhood. She is the 3rd among 4 ie 3 sisters and 1 brother. Fa was a Scientist in BARC and Head of the division. He was very disciplined, strict and punctual. Mo was cool and understanding. All the siblings are very close to each other. She got 74% in SSC and 58% in B.Com. In 1980 met her H would-be who was working in the same bank as hers. H was from the lower middle class and poor. H had hatred for girls due to his past experiences in the college. She proposed to him in 1982 and they married same year. Hs parents were not ready but her parents had no objection. But later the in-laws accepted her as the H was the eldest and the only earning member in the family. It was a joint family. In 2001 the family broke up and gradually all the members got separated. She delivered one deaf child who studied in a Dadar school.

REPERTORIAL TOTALITY

  • Reserved
  • Alone >
  • Timid
  • Irritability at trifles
  • Anticipation
  • Anger violent
  • Fastidious
  • Courageous
  • Speech monosyllabic
  • Beans and peas <
  • Heel, Rt. Pain < Walking

TREATMENT
Rt sided pain, the fastidious and bold nature with physical < of beans and dals lead to the conclusion of Lycopodium as the constitutional remedy. The modalities pointed clearly to Rhus-tox

FOLLOW-UP

DATE SYMPTOM REMEDY
5/12/04   Rhus-t 200 HS
NIH pills 200 3-3/days
12/02/04 > 50%. Gas >. Calcaneum spur L5, Swelling L0, Sneezing L0/week, Hair fall + Lyc 200 1st dose
NIH 200 6P
NIH pills 200 3-3/days
Rhus-t 200 3P; SOS for Heel pain
19/02/04 Pain ↑ since yesterday. Swelling and Sneezing L0/ 2weeks. Hair fall L5. Dry mouth +. Took SOS only once after 14/2/04. BP 110/80mmhg 1st week
Thuj 200 1st dose
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days
04/03/04 Calcaneum spur and heel pain L0/week. Hair fall L5. Irritability L7. BP 120/80mmhg 1st week
NIH 200 3P
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days
Rhus-t 200 3P; SOS for Heel pain
18/03/04 Swelling, SnezingL0 since 1 month. Heaviness in Rt. Heel. BP 120/80mmhg ? some block to action of the remedy? Anti-sycotic given 1st week
Thuj 200 2nd dose
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days
01/04/04 >. Hair fall L3. Irritability L7. Cramps in legs L0 1st week
NIH 200 3P
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days
15/04/04 Heel pain < long distance walk, Hair fall L3. Swelling and Sneezing L0/9weeks 1st week
Thuj 200 3rd dose
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days
30/04/04 >3+. Heel pain L1, LMP 21/04/04, 3/21days 1st week
NIH 200 3P
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days
20/05/04 Very much better. BP 120/80 mmHg. Given 2 weeks medicine and asked to report only if any problem recurs. 1st week
NIH 200 3P
NIH pills 200 3-3/days
2nd week
NIH 200 3P
NIH pills 200 3-3/days

Remedy :
Rhus-tox → R
Lycopodium → L
Thuja → T

Diagnosis :
Calcaneal spur → C
Allergic Rhinitis → A, R
Cervical Spondylosis → C, S
Hypertension → H

Dr Satish Kanojia

Case 98: A case of Fibroids

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