About 15 days eariler this patient came with acute complaint of diarrhea for one day.
Upon questioning she revealed that she had eaten a dish of butter (paneer) and drink some whay also.
As she is a regular patient of mine and she is basically Pulsatila lady and presenting today characterstics of Puls i.e. aggravation form butter and somewhat tearful.
I gave her Puls 30 C three doses to be taken at 10 minute interval.
After 5 days she reported that not only her diarrhea as well as her pain from De Quervain Tendinitis also improved about 95%. She is no longer using any pain medication for last seven days.
Upon asking thumb spica she answered that she had not ordered it yet as things seems to improving. I asked her to call or visit if her pain returns and avoid to wash clothes and holding his baby as much as possible.
So Constitutional treatment as always helps in any disease condition.
If you suffer from DeQuervain syndrome and want some homoeopathic or medical advise from me, please do not hesitate to ask. You just have to post your query via comment section.
Please note DeQuervain syndrome is not a easy problem to solve and living with it. Please share your experience, sign, symptoms, causing factors, treatments your trying and its results, and other informations for its better management. In this way you can help others who are suffering from this disease
Case of De Quervain tendonitis Homeopathic Constitutional treatment Helped a lot
Labels: De Quervain tendonitis homeopathy, De Quervain's syndrome treatment, De Quervain's tendinitis, De Quervain's tendinitis homoeopathy |
Follow-Up on de quervain's tendonitis
Labels: Bryonia, De Quervain's tendinitis, Finkelstein maneuver, Thumb_Spica_Splint |
The patient returns for followup visit after 15 days. She is about 15 days status post her last Bryonia 30C dose. Meanwhile, she saw an orthopedic surgeon who performed the same manuever Finkelstein maneuver, which i had performed on her and told her to suffering from tendinitis, which is caused by taking care of her baby and washing cloths. She advised her some anti-inflammatory medication and calcium and avoid to holding her baby with care and with appropriate hand position, avoiding washing, and certain household activities. She was given a prescription for gloves and physical therapy at patient's request.
She consulted physical therapist for gloves ant PT, but was unimpressive about gloves as they were not same as shown by me and also about physical therapist as she asked to do some maneuver, but not that which i have done and the orthopedic surgeon and said that your problem is very mild and would be cured completely in 10 days physical therapist so she did not go ahead with any of these.
She is taking the anti-inflammatory medication when the pain is severe. She consulted me on 31 December because she started to have periods and has some breast pain after breastfeeding. Now, she has noticed that her pain is worse at night, with eating sour things, and overuse of hands. She states that her pain is somewhat better with measurements taken by her, Bryonia, and anti-inflammatory medication (Paracetamol) when pain is quite severe.
She is asked to take Bryonia 30C three dose once again and visit for followup visit in 10 days. She was also shown the Thumb_Spica_Splint image which should used and this link to purchase online Thumb_Spica_Splint online in India was shown. She was very appreciative of the care and shown interest to purchase the Thumb_Spica_Splint from http://www.tynorindia.com/.
Follow-up on De Quervain's tendinitis case
Labels: De Quervain's tendinitis, physical therapy |24 hour after the dose of Bryonia, The patient told to have no effect on pain or anything else happened. She was advised to take three times a day at 3-4 hour interval for five days because it has benefited for breast pain of same nature in past. On third day, the patient reported some painful lump in the breast and the patient was advised to stop the Bryonia as not to take anything else. She was also described about this possibility and now she said to me that she would stay on homoeopathic treatment as if it also treated allopathically it may appear once again whenever she takes any homoeopathic treatment for anything else. I asked her to report in 24 hour and she reported only mild pain relief, which does not progressed yet any more on December 9, 2008.
I told her to wait for two days more and report me after that. I think due to presence of exciting cause i.e. taking care of her baby, which she cannot avoid and other activities of daily living she is not progressing much.
I once again suggested to take complete rest at least three days. I also suggested trying physical therapy also.
Follow-up on case of De Quervain’s tendinitis
Labels: Bryonia, De Quervain's tendinitis |De Quervain’s tendinitis Homoeopathic Treatment
It was about a week after the dose of Phos, but the patient felt no benefit.
She is avoiding using wrist and thumb so she has now less pain. Gloves could not be purchased, but she wears regular bike leather gloves at night.
She reported she is now also trying some home trick including warm salt-water application for last few days.
On today she reports about cold extremities in cold weather in comparison to others. She also recall family history of polyneuropathy. She has also used her Puls and Sulphur in the past months with no benefit. She has also used Rhus Tox in starting with no benefit and she was on Arnica for healing after C-section when she started to have this pain.
The patient also told that she has taken Bryonia 30C for accumulation of milk in breast which resolved overnight, but later she had some shooting breast pain for which see take some homoeopathic treatment then Allopathy after that once again homoeopathy and finally the pain gone with 7-day course of antibiotic and pain killers. During these she developed this bilateral wrist pain which is progressively getting worse.
Considering Bryonia has helped in the past for shooting pain in this patient and pain in thumb caused by slight motion Bryonia 30C 3 dose at 10 minute interval was prescribed.
A running case of De Quervain’s tendinitis
Labels: De Quervain's tendinitis, Finkelstein maneuver, postpartum thumb pain, wrist pain |
Name. JS
Age: 30 Years
Sex: Female
Presenting Complaint: Bilateral lateral wrist pain.
History of Present Illness: The patient is a 30-year-old female who is 7 months postpartum via C-section. The patient developed bilateral wrist pain after 3 months after the delivery. It was gradual in onset. She tolerated this for some days and then taken some ibuprofen which were of benefits for sometime but after that nothing. After the gap of some days, she started to have breast lump and pain possibly due to obstruction of milk for which she take some nimsulide and serratopeptidase which in addition to her breast pain also relieved her lateral wrist pain of both hands quite significantly in starting then moderately and now she is getting mild relief from her nimsulide and serratopeptidase which she started to take on a prn basis for her pain, not for breast pain. There was pain with the use of hand and thumb. She applied ice on that side 1 but it cause her aggravation in pain. Pain is worse after use of hands and wrist and relieved by rest. She is a nursing and working woman.
Past Medical History: None of .
Past surgical history: C-section 7 months ago.
Medication: Nimsulide and serratopeptidase.
Allergies: No known drug allergies.
Social history: Married. Does not smoke or drink.
Family history: Noncontributory.
Physical examination: The patient is a 30-year-old pleasant female in no acute distress. Height: 4'9". Weight: 45 Kg. Vital signs were normal.
On examination of the wrist, she was tender on lateral side of both wrist at thumb area. Extension of thumb was painful and there is mild swelling. On palpation, it was tender also. Finkelstein maneuver was performed which was positive.
Diagnosis: De Quervain’s tendinitis.
Homoeopathic Evaluation:
The patient is affectionate (asked who loves she and whom she hates, answered many for love and none for hate), mild irritable (asked about anger episodes, she has a few anger episode but with reasonable reason), cheerful (by observation), desires company, no delirium, no delusion, no fear in excess, no forgetfulness. She takes deep sleep, dreams of daily working, family members, mostly unremembered, and sometime amorous. These days she has no particular desire or aversion to any foods.
After analyzing the case thoroughly, we reached to Phos, Puls, Sulph, Nat Mur, and Nux Vomica
Phos 30 C 3 doses at 10 minute interval prescribed to patient on November 26, 2008 and asked to report in 1 week and advised to avoid using wrists and hands as much as possible and try to purchase gloves to help with pain shown on PC on Glove type-1 . glove should suppor both wrist and thumb glove type-2 glove picture-3.
