Abstract:
In clinical practise, arthritic disorders are
occurring more frequently than ever. Because it interferes with senior folks’
typical daily activities and walking habits, this condition poses a serious
challenge for them. As a result, they become disgusted with life. This
bothersome illness has very limited treatment options, even in modern medicine.
Even the most advanced knee surgery has no guarantee for them. In this
situation, homoeopathy may be able to slow the progression of the disease and
avoid further harm to the knee joints by reducing the most distressing
symptoms, stiffness, and immobility.
Keyword : Knee pain, Homeopathic management
Definition
People of all ages commonly complain about knee pain. An injury, such as a torn ligament or damaged cartilage, may cause knee pain. illnesses such as infections, gout, and arthritis.
Types
- Osteoarthritis.
- Rheumatoid arthritis.
- Gout.
- Pseudogout.
- Septic arthritis.
Symptoms
Pain that worsens during periods of active work but slightly improves after rest Knee joint swelling. A warm sensation in the joint (Hot sensation) Knee stiffness, especially in the morning or after prolonged sitting; decreased knee mobility, making it challenging to get in and out of chairs or cars, use the stairs, or walk; and a creaking sound when the knee moves.
Pathophysiology
- Pain
- Swelling
- Stiffness
- Decreased ability to move &
- Sometimes, formation of an extra bits of bone is known as Bone spurs. It is just like a hard lump & remains around the affected joint.
Diagnosis
The diagnosis of a joint effusion may involve a physical examination, imaging tests and lab evaluation of joint fluids.
- Physical examination
- It is very crucial to recognise the anatomical elements being palpated while palpating the knee. Palpating also makes muscle loss more noticeable.
- The synovium, or lubricating tissues between the joints, will feel sluggish if you have arthritis.
- Joint infections frequently generate exorbitant amounts of discomfort and redness.
- An acute swelling and inability to bear weight could be signs of a knee ligament tear or fracture.
- Synovial fluid aspiration
- Complete blood count (CBC) with differential [ white blood cells (WBC), polymorphonuclear leukocytes].
- Crystal examination of synovial fluid
- Culture and gram staining of synovial fluid
- Viscosity
- Imaging
- When there has been a history of trauma, an X-ray is helpful for locating bone fractures or joint dislocations. may exhibit osteoarthritis symptoms.
- Ultrasonography – Bone and connective tissues can be seen with this technique, which uses sound waves. It can be used to confirm arthritis or tendon or ligament irritation.
- Magnetic Resonance Imaging Imaging finds anomalies in the bone or knee joint, like cartilage, ligament, or tendon tears.
HOMEOPATHIC MANAGEMENT
Arnica montana
Great fear of being touched or approached. Pain in back and limbs, as if bruised or beaten. Sprained and dislocated feeling. Soreness after overexertion. Everything on which he lies seems too hard. Deathly coldness of forearm. Cannot walk erect, on account of bruised pain in pelvic region. Rheumatism begins low down and works up.
Bryonia alba
Knees stiff and painful. Hot swelling of feet. Joints red, swollen, hot, with stitches and tearing; worse on least movement. Every spot is painful on pressure. Constant motion of left arm and leg.
Colchicum autumnale
Tearing in limbs during warm weather, stinging during cold. Pins and needles in hands and wrists, fingertips numb. Pain in front of thigh. Right plantar reflex abolished. Limbs, lame, weak, tingling. Pain worse in evening and warm weather. Joints stiff and feverish; shifting rheumatism; pains worse at night. Inflammation of great toe, gout in heel, cannot bear to have it touched or moved. Tingling in the finger nails. Knees strike together, can hardly walk. Śdematous swelling and coldness of legs and feet.
Kalium carbonicum
Tearing pain in limbs with swelling. Limbs sensitive to pressure. White swelling of knee. Tearing in arms from shoulder to wrist. Lacerating in wrist-joint. Paralysis of old people, and dropsical affections. Limbs go to sleep easily. Tips of toes and fingers painful. Soles very sensitive. Itching of great toe, with pain. Pain from hip to knee. Pain in knees.
Pulsatilla pratensis
Drawing, tensive pain in thighs and legs, with restlessness, sleeplessness and chilliness. Pain in limbs, shifting rapidly; tensive pain, letting up with a snap. Numbness around elbow. Hip-joint painful. Knees swollen, with tearing, drawing pains. Boring pain in heels toward evening; suffering worse from letting the affected limb hang down (Vipera). Veins in forearms and hands swollen. Feet red, inflamed, swollen. Legs feel heavy and weary.
Rhus toxicodendron
Limbs stiff paralyzed. The cold fresh air is not tolerated; it makes the skin painful. Pain along ulnar nerve. Tearing down thighs. Sciatica; worse, cold, damp weather, at night. Numbness and formication, after overwork and exposure. Paralysis; trembling after exertion. Tenderness about knee-joint. Loss of power in forearm and fingers; crawling sensation in the tips of fingers. Tingling in feet.
References
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