Homoeopathic Arthritis Management Part 1
Homoeopathic Arthritis Management depends on individualisation of the patient based on present symptoms, past history, family history and constitution of the patient.
In arthritis cases it is necessary to take into account the following points:
- When it started, that is since how long its been there.
- How was the onset when it appeared first time.
- Wether the complaints had incidious progression or it was sudden.
- Which joint is involved, wether its single joint or multiple, wether its bilateral and symetrical or diagonal.
- Particulars like which part was affected first, which side it started first and how much time it took for progression to other side or other joints, sequence in which joints were involved.
- How and when it gets triggered, aggravation pattern morning stiffness , aggravation on rest/ motion, relation to climate winter/monsoon/summer, relation to heat and cold, aggravation to any particular type of food.
- Wether its constant or intermittant.
- The joint is warmer than rest of the body or not.
- Wether there is swelling around the joint or not.
- Nodes or nodosities on or around any joints. or any other signs of disfigurement.
- Movement or other disability in joint.
- Patient has fever or not or h/o fever before or during the episode of joint pain started.
- Presence of any concomittants or accompanying symptoms and wether those symptoms are of Psychotic, Syphilitic or Psoric nature.
- Wether he has any other systemic complaint especially any other autoimmune or metabolic disorder.
- History of injury, surgery especially affecting neurons or musculoskeletal structure.
- Nature of work the patient does , postural habits, structural anomalies disfigurements.
- Diet sleep and exercise routine water intake should also be noted carefully.
- It is important to note family history of patient wether first degree relative had any autoimmune or metabolic disorder.
- Wether patient was or is under any long term medication.
A careful history of all communicable ailments should be recorded in sequence as they had been contracted by patient, as it helps us evaluate when and how was the vital force deranged in past and wether the present condition is manifestation of some past ailment, that is any deep seated miasm, also it helps to establish wether its some inherited genetic condition or its acquired condition also it helps differentiate between
- Vector borne conditions like post viral arthralgia/arthritis and Group A streptococcal borne post pharyngitis systemic autoimmune condition AND
- Other Systemic autoimmune conditions like Rheumatoid Arthritis SLE psoriatic arthritis.
These basic question will lead you towards a broader vision in the case and will let you reach upto some conclusion that under what category of arthritis it should be classified.
As I have mentioned in my other arthritis articles that basically I divide all types of arthritis into four major categories based on their pathogenesis.
To be continued in part 2 of Homoeopathic arthritis management.