Treating joint pains in the aging population A Homeopathic approach

Transcription

1 Treating joint pains in the aging population A Homeopathic approach Payam Hakimi DO Medical Director Body of Harmony Medical Director American College of Integrative & Functional Medicine Clinical Assistant Professor of Family Medicine WUHS-COMP Adjunct Assistant Professor OMM & Family Medicine Touro University Teaching Faculty Center for Education & Development of Clinical Homeopathy

2 Introduction About 1 out of every 5 US adults has doctor-diagnosed arthritis. The term arthritis includes more than 100 different rheumatic diseases and conditions, the most common of which is osteoarthritis. CDC The number of adults with arthritis is expected to increase to more than 60 million in the next decade. Almost half of patients with heart disease, diabetes, or high blood pressure have arthritis. Based on CDC, in 2003, medical expenditures and lost earnings due to arthritis and other rheumatic conditions in the US were about $128 billion.

3 Introduction As Homeopathic physicians we need to do our part to prevent and treat joint pains to have physically active patients. Our clinical observation suggested the hypothesis that Homeopathic medications are an under-recognized but significant part of treating joint pains.

4 Method A group of patients in our practice were treated with Homeopathic medicines as part of the treatment of their joint pains. Homeopathic medications were chosen based on location, sensation, modality, concomitants of Herring s cross. Patients were given 6C, 9C, 15C or 30C dilution of the medication 2 to 3 times daily. Single or multiple medications were prescribed based on patients symptoms and the severity and acuteness of their conditions. Medications were chosen based on their corresponding joint location. Follow up consultations were on a weekly basis for at least 4 sessions. Patients symptoms were then re-evaluated and discomfort was questioned on a subjective percentage-improvement basis and objective evaluation of the joint(s) mobility and discomfort with movements.

5 Results Most patients receiving Homeopathy reported faster recovery in acute conditions like pain, joint trauma and inflammation, by using acute medication(s). Due to the acuteness and severity of some of the conditions regular western medications were preferred and so no evaluation was performed on severe pain cases. Most frequently used medications were: Arnica Montana, Bryonia Alba, Chamomilla, Hypericum Perforatum, Rhus Toxicodendron, and Ruta Graveolens.

6 Conclusion Our observation suggests favorable results by using Homeopathic medication in an acute and sub-acute level of joint pain. However, since this was based on a convenience-sample survey, further testing is needed to quantify outcome measures. We suggest a case-series based on a specific joint and the medications related to that joint or a randomized controlled study based on a specific joint and its corresponding medications.

7 Practice Integrative Medicine Family Medicine Osteopathy Homeopathy And more Osteopathy 90% & Homeopathy

8 Chosen Homeopathic Meds Need for having a systematic approach Based on CEDH material Based on Hering s Cross Based on experimentation and observation of results

9 Parameters Patient report - % improvement Based on 1 st visit being 100% pain Osteopathic evaluation Tenderness Asymmetry Range of motion Tissue texture change tendons, muscles Duration Number of visits, treatments Need for NSAIDS, Pain meds, muscle relaxers

10 Observation Trauma Acute Habits Sleep, Physiology Genetics, metabolites 5th International CEDH Conference - June 24-26, 2016

11 Key medications 5th International CEDH Conference - June 24-26, 2016

12 Trauma Arnica Montana Pain Bruising Inflammation Ecchymosis

13 Joint Inflammation Apis Bryonia Arnica Apis: pink edema > cold Bryonia: immobile & > heat

14 Mobility Rhus Tox > after movement

15 Mobility Bryonia Stays still

16 Sprains Ruta Graveolens Tendons Joint pains Periosteum < rest > after movement

17 Sprains Rhus Tox Peri-articular

18 Tendons Ruta Graveolens Rhus Tox Causticum

19 Severe Pain Chamomilla Bryonia Sulphur Iodatum < any exertion Arnica

20 Based on location 5th International CEDH Conference - June 24-26, 2016

21 Head and Neck TemporoMandibular Joint Dysfunction Ruta Graveolens Rhus Tox Arnica Causticum Mag Phos Aconite

22 Head and Neck Cervicalgia Lachnanthis Whip lash Cimicifuga Periods Radium Bromatum Flouroscopy radiation + Causticum + Hypericum

23 Upper Limb Shoulder Solanum Malacoxylon Ruta Graveolens Causticum Bryonia Rhus Tox

24

25 Upper Limb Elbow Lateral Epicondylitis Kalium Bichromicum Ruta Graveolens Rhus Tox Arnica

26 Upper Limb Wrist Ruta Graveolens

27 Upper Limb Hand Ruta Graveolens Caulophyllum Interphalangeal intermittent & erratic pains

28 Upper Limb Fingers Causticum Trigger Finger Dupuytren s Ruta Graveolens

29

30

31 Spine Thoracic Cimicifuga

32

33 Spine Lumbo-Sacral Ruta Graveolens Bryonia Rhus Tox Colocynthis -Sciatica

34 Pelvic Sacro-illiac Ruta Graveolens Bryonia Rhus Tox Kalium Bichromicum

35

36 Pelvis Coccyx Kalium Bichromicum Hypericum Perforatum Ruta Graveolens

37 Pelvis Hip Causticum Natrum Sulphuricum Bryonia Rhus Tox Hypericum

38

39 Lower Limb Knee Arnica Apis Bryonia Rhus Tox Kalium Carbonicum

40 Lower Limb Shin Symphytum Causticum Bryonia

41 Lower Limb Ankle Natrum Carbonicum If recurrent sprains by history Ruta Graveolens + Causticum Achilles Tendonitis Arnica Bryonia Ruta Graveolens Rhus Tox

42

43 Lower Limb Heel Hekla Lava Bone spur Ruta Graveolens Causticum

44 Lower Limb Foot Causticum Plantar Fasciitis Ruta Graveolens Plantar Fasciitis Dupuytren s Ledum Palustre Gout > cold applications

45

46 Neuropathy Thoracic Outlet Syndrome Hypericum Magnesia Phosphorica Aconite Lachnanthes

47

48 Neuropathy Carpal Tunnel Syndrome Causticum Hypericum Perforatum Magnesia Phosphorica

49

50 Neuropathy Thorax Hypericum Perforatum

51

52 Neuropathy Sciatica Hypericum Perforatum Kalmia Latifolia Gelsemium

53 Consideration Acute Meds have been coverd Other routes to add: Etiology Emotional CRM Constitution Metabolic

54 Thank you!! Payam Hakimi, DO