Pott’s Disease - homeopathy360

Pott’s Disease

Definition – Tuberculosis of the vertebral column is called Pott’s disease.

Age Between 3 to 5 years.
Site Most common in the lower thoracic region or thoraco-lumbar junctional region.
Route of Infection Blood-borne infection is the commoner type.


  1. Central – Starting as diffuse osteomyelitis in the middle of the body.
  2. Metaphyseal Tuberculosis – Where disease arises near the epiphysis of the bone and therefore close to the intervertebral disc.
  3. Anterior or Periosteal Variety.
  4. Appendiceal Tuberculosis.

Clinical Features

  1. Constitutional Features – Like deterioration in general health, loss of weight, poor appetite, lassitude and evening rise of temperature.
  2. Pain – Initially, it is dull aching in nature while standing or jolting. Gradually, it becomes acute and stabbing in character, situated over the affected vertebrae.
  3. Stiffness – Patient’s spine becomes increasingly stiff as the disease progresses.
  4. Swelling – Reveals spinal carries.

Physical Signs
General Examination – May demonstrate other signs of tuberculous infection. The patient is malnourished.

  • Attitude and Gait
    • In upper cervical disease, head position is like that of torticollis, but face is not rotated.
    • In lower cervical disease, head moves backwards and to one side.
    • In upper thoracic disease, shoulders are raised and arms are drawn backwards.
    • In lower thoracic disease, thorax and head move backwards and the abdomen moves forward.
  • Spinal Deformities – Appear late in the disease:
    • Kyphosis.
    • Scoliosis.
    • Lordosis.
  • Rigidity of the Spine.
  • Examination for Cold Abscess.

X-ray ( AP and lateral view) of the spine.


  1. Appropriate symptomatic treatment.
  2. Surgery – If no sign of improvement is noticed after 6 to 8 weeks of the disease, spinal fusion operation is advised –
    1. Albee’s operation.
    1. Brittain’s operation.

Reference: A Handbook of Surgery by Dr Mansi Sharma

About the author

Dr Yashika Arora

B.H.M.S. (NHMC, D.U.), M.D. (Hom.) Scholar.
Organising secretary of DREAMS Innovative Homoeopaths.
Managing Editor of The Homoeopathic Heritage (Peer-reviewed journal).
Editor, DREAMS (e-journal).
Content Developer of website, www.homeopathy360.com.
Former President of Homoeopathic Medical Association, Delhi, 2017-18.
AD’s Controller in DARE Journal.
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