Date

Symptoms

Treatment

7/11/05

Back pain L3. could work for 30-45 min, then pain +. > lying. < tight. Thigh pain 0. knee pain+. Dosage reduced as pt much better. Not stopped as it was too acute

Bry 1M 3 P, HS

10/11/05

Back pain < work. > rest. Advised rest. SLR: Right and Left 45 degree.

Bry 1M 4P HS

14/11/05

Worked for 6 hours. > tying, > hot3, < lying on right side. Tongue coated. Stools normal.SLR: R: 75, L: 80.Refer to do MRI

Ct all

MRI report: posterior and Rt paracentral herniation of L4/L5 disc compressing the thecal sac and both L5 nerve roots, right more than left.Rt paracentral protrusion of L5/S1 disc indenting the thecal sac and right S1 nerve root.Posterior bulging of L3/L4 disc indenting the thecal sac.Lt paracentral bulging of L2/L3 disc intending the thecal sac

17/11/05 

Took orthopedic opinion. Was advised to do surgery. But pt was scared to go for surgery. Could now go back to work and sit throughout the day with the brake of 2 hours.She had similar kind of backache in Dec'03 which was better by Rhus-t for 3 yrs

Rhus-t 200 7P, 1P=3, 1 dose every 6 hourly

21/11/05

We took another opinion of a conservative Orthopaedic who advised a belt compulsory. He visited her home, showed on site, modifications and exercise, pt has to avoid weight gain. Cannot eat non-veg. Rest for 1 week.SLR(with belt): Rt: 80, L: 86

Rhus-t 200 7P, 1P=2, 1 dose 12 hourly

26/11/05

Back >2, but tired and bored due to rest

Arn 30 TDS

29/11/05

Discomfort due to belt.SLR(with belt): R 84, L:86.

Arn 30 7P, HS

10/12/05

Resumed work since 29/11. pain +. Takes break for half an hour after every 6 hours

Rhus-t 200 7P HS

19/12/05

Danced for 2 hours with no <, no backache.

Kali-i 200 1 dose

10 Feb 06

Stress at work: 1 team member cheated, so whole ream warned. Like sword hanging - all could get fired. Stress and anger  mild twinge in back.

Kali-iod 200 rptd as deep acting.

11 Feb 06

Better

Conclusion: Of course, we are here on a safe ground as the Orthopaedic surgeon is in advisory capacity and feels that it can be managed without a laminectomy. He also feels that MRI will not change even if pain is better, so we have so far not repeated the MRI. But we will do it when she has been pain free for 6 mths. Here Homoeopathy has shown tremendously quick results and even took care of this slight twinge in Feb, within hours. .