SYSTEMIC LUPUS ERYTHEMATOSUS
It is an inflammatory disease of autoimmune nature involving connective tissue of several organ system. It is a disease with female predominance and rare below the age of 5 years. Common age group is between 30 and 60.
SYMPTOMS
ARTHRITIS & ARTHRALGIA
Joint deformities are common. Large joints are affected more than others. Permanent deformities does not occur.
SKIN LESIONS
Erythematous photosensitive butterfly rash affecting the cheek and nose is diagnostic. Frontal baldness may develop. Alopecia occur due to breaking up of hair. Painful ulcers develop in the mouth and pharynx.
NERVOUS SYSTEM
This is clinically characterised by neuropsychiatric symptoms.
KIDNEY
proteinuria, haematuria
RESPIRATORY SYSTEM
Dry pleurisy, pleural effusion is common. It is characterised by progressive reduction in the lung volume with evidence of diaphragmatic weakness.
CARDIOVASCULAR SYSTEM
Cardiac lesion include pericarditis , pericardial effusion , myocarditis with cardiac failure and valvulitis.
HAEMATOLOGY
Anaemia, leukopenia, thrombocytopenia.
HEPATOSPLENOMEGALY
Hepatosplenomegaly and lymphadenopathies are also seen in active SLE
LABORATORY INVESTIGATION
Markedly elevated ESR- above 100, moderate anaemia, leucopenia, thrombocytopenia, and moderate to severe thrombocytopenia. Increased ESR, ANA test areconfiormatory.
ROLE OF HOMOEOPATHY
Homoeopathy probably is the only system which can help and cure patients with autoimmune diseases. It works by boosting the immunity of the patient and hence making the disease weaker till it leaves the body.
OSTEOARTHRITIS
Osteoarthritis is disease of elderly but no age is exempt. It is caused mainly by wear and tear of joints.
ETIOLOGY
Most regular association of OA is with aging. Beyond the age of 50 yrs it is demonstrable in one or more of the joints. Several factors predispose the disease and accelerate the progression. These include pre-existing joint disease, obesity,hypermobility , orthopaedic deformities, diabetes mellitus , hyperparathyroidism, sensory neuropathies.
CLINICAL FEATURES-
Knees, cervical spine, lumbar spine, hips, shoulder and DIP joints are affected. Weight bearing joints like knees may develop deformities. In knees movement of knees sideways may keep pain. Vague pain and stiffness in knee especially after getting up from sitting posture are early symptom.
Patient may experience pain and disability while walking downstairs or slopes.
Crepitus or crackling in joint may be elevated on movements, cervical spondylosis may develop. Affection of lumbar spine [low back] leads to low backache and sciatica.
DIAGNOSIS
Xray- The bone shows subchondral sclerosis, narrowing of jointspace, osteophyte formation, joint destruction, cyst formation in the cortical bone and loose bodies within the joints.
MRI- Cartilage surface defect , meniscus and ligamentous damage occurring in joints are picked up early by MRI of affected joints.
CT- is useful in assessing the axial joints and spine.
MANAGEMENT
Principles of management include prevention of overuse of affected joints, limitation of activity to reduce pain, and physiotherapy to strengthen muscles around the joints.
ROLE OF HOMOEOPATHY
Osteoarthritis is a degenerative progressive disease. Once degeneration has reached its heights it is difficult to help patient, only palliative care and pain relief is possible. At the same time if the patient approaches us or reaches us before the whole degeneration is set in we can stop the degenerative process and help the patient. Once the degeneration is stopped recovery is not far. Our medicines which the ease the pain are not harmful to your kidney unlike other systems where pain killers are toxic to kidney. So homoeopathy helps in many ways.
BURNING OF SOLES
It is mainly caused due to the damage of the nerves.
Main causes are –
- Diabetic mellites
Uncontrolled high blood sugar will cause damage of blood vessels and the nervous system especially of hands and feet ( peripheral neuropathy)
Other symptoms associated with this is
- Numbness and tingling of hands and feet
- Feeling like you are wear tight socks
- Excessive sweating
- Heavy feeling or weakness of the legs and arms
- Sharp stabbing pain
2 .Alcohol abuse-symptoms are
- Muscle weakness , spasm
- Dizziness
- Impaired speech
- Urine and bowel dysfunction
3.Nutritional deficiency
Especially vitamin-B12, B6 ,B9 (FOLATE ) deficiency
Other symptoms are –
- Anemia
- Fatigue
- Dizziness
- Shortness of breath
4.Hypothyroidism – swelling of the feet puts pressure on the nerves
- infectious diseases
- HIV
- Syphilis
- Lyme disease
- Athlete’s foot- contagious fungal infection seen in athlete’s
Other symptoms include-
- Itching blisters on feet
- Cracking and peeling skin between toes and soles of the feet
- Dry skin on sides of soles
- Raw skin
- Toe nails comes out of nail bed
ROLE OF HOMOEOPATHY
In Homoeopathy there are good number of medicines for burning soles, as you have seen the main causes of burning soles is diabetic mellitus , with the help of strict advised diet and with our medicines the diabetic patient can make their blood glucose level normal hence we can remove the burning soles , just like diabetic , Homoeopathic medicines will help in treating the underlying cause of the disease and removes the symptoms . Homoeopathic medicines do not have any side effects and is easy to administrate in all age groups. Homoeopathic medicines do not have any drug dependency like any other medicines.
CARPAL TUNNEL SYNDROME
Median nerve compression
Median nerve run length of arm through a passage /tunnel in the wrist called carpel tunnel and ends in your hands. medial nerve control movement and feeling of thumb and mort of all fingers except the little fingers.
SYMPTOMS
- Burning, tingling, or itching numbness in the palms and thumb index and middle finger
- Weakness of hand on holding things
- Shock like feeling into your fingers
- Tingling that moves up to your arm
- Fingers – fall asleep and become numb at night.
- Morning – tingling and numbness of hands till the shoulder, increased when – wrist bent, holding things, pleats in saree,cooking,driving, reading book
- When in later phase there will be severe pain, muscle cramps, less feeling in fingers, less strength and coordination – especially of thumb on pinching
CAUSES
- Hyperthyroidism
- Obesity
- Rheumatoid arthritis
- Diabetics mellitus
- Pregnancy
RISK FACTORS
- WOMEN are 3 times more likely than men
- Hereditary
- Doing same job again and again – baker, knitter, cashier,hairstyle, musician
- Dislocation wrist
ROLE OF HOMOEOPATHY
Homoeopathic medicine are very effective in the cases of carpel tunnel syndrome especially it is given to reduce the pain in the patient, there are very effective medicines which help in reducing the pain and swelling in the patient, many cases where surgery is advised the medicines are given and improvement is shown in cases of carpel tunnel syndrome .
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Homeopathic Specialist
(BHSc (Comp Med), Adv. Dip. Homeopathy)