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Friday, October 10, 2014
Heel Pain - Causes and Homeopathic Treatment
Heel pain is a very common problem in present era. A number of patients knock at the door of Doctors daily for heel pain only. There are so many drugs under Homoeopathy for the same and very frequent failures are there in treating heel pain, and consequently the patient turn towards another sort of treatments. This is our lack of knowledge, nothing else. To over come these problems, we must first know the basic causes for heel pain.
First,
we must know the anatomy of heel. I am not going to take space here for
this point, as this is easily available in various textbooks on
anatomy. I am coming to causes of heel pain directly.
1- Attenuation of Achilles tendon.
2- Achilles tendon bursitis.
3- Stress fractures of bones in heel. (Diffuse tenderness).
4- Cyst formation.
5- Plantar fasciitis.
6- Haglund's disease (Prominent Posterio - superior calcaneal tubrosity.)
7- Reactive osteosclerosis of the posterio - inferior tuberosity ( Due to abnormal Achilles tendon insertion)
8- Calcaneal spur.
9- Plantar fat pad atrophy.
10- Traumatic disruption of plantar fat pad septa.
Now, we must we aware of the symptoms of each disorder stated above are different but all of them are localized to heel. Almost all the patients feel unable to explain their sufferings so clearly as to make distinction easy to the physician.
Here radiological diagnosis is of great value. After a very careful examination and investigation the doctor can reach to the cause of pain.
I am giving here a work on short repertorizations based upon various repertories. Only particular rubrics are used here to understand role of various remedies related to pain in heels. However, during prescribing Homoeopathically, all the rules must strictly be followed.
Main rubrics pertaining to Heel-Pain:
1. EXTREMITIES - PAIN - Foot - heel
2. EXTREMITIES - INFLAMMATION - Ankle
3. EXTREMITIES - PAIN - Ankle - tendo achillis
4. EXTREMITIES - PAIN - Ankle - malleolus - internal
5. EXTREMITIES - PAIN - Ankle - malleolus - outer
6. EXTREMITIES - PAIN - Ankle - malleolus - outer - walking
7. EXTREMITIES - PAIN - Ankle - jarring
8. EXTREMITIES - PAIN - Ankle - stepping, on
9. EXTREMITIES - PAIN - Ankle - walking, while
10. EXTREMITIES - PAIN - Ankle - motion
11. EXTREMITIES - PAIN - Ankle - pulsating
12. EXTREMITIES - PAIN - Ankle - rheumatic
13. EXTREMITIES - PAIN - Ankle - sitting
14. EXTREMITIES - PAIN - Ankle - standing
15. EXTREMITIES - PAIN - Ankle - step, from a false
16. EXTREMITIES - PAIN - Ankle - touch
17. EXTREMITIES - PAIN - Ankle - walking - amel.
18. EXTREMITIES - PAIN - Ankle - warmth - agg.
19. EXTREMITIES - PAIN - Foot - heel - ascending stairs
20. EXTREMITIES - PAIN - Foot - heel - bone
21. EXTREMITIES - PAIN - Foot - heel - elevating the feet amel.
22. EXTREMITIES - PAIN - Foot - heel - gouty
23. EXTREMITIES - PAIN - Foot - heel - nails under the skin; like
24. EXTREMITIES - PAIN - Foot - heel - pressure agg.; least
25. EXTREMITIES - PAIN - Foot - heel - resting, with boot off, amel.
26. EXTREMITIES - PAIN - Foot - heel - pulsating
27. EXTREMITIES - PAIN - Foot - heel - rheumatic
28. EXTREMITIES - PAIN - Foot - heel - rising from a seat
29. EXTREMITIES - PAIN - Foot - heel - rubbing amel.
30. EXTREMITIES - PAIN - Foot - heel - sitting
31. EXTREMITIES - PAIN - Foot - heel - splinter; as from a
32. EXTREMITIES - PAIN - Foot - heel - standing
33. EXTREMITIES - PAIN - Foot - heel - ulcerative
34. EXTREMITIES - PAIN - Foot - heel - walking
35. EXTREMITIES - PAIN - Foot - heel - walking - amel.
36. EXTREMITIES - PAIN - Foot - heel - warmth amel.
37. EXTREMITIES - INFLAMMATION - Foot - heel
38. EXTREMITIES - INFLAMMATION - Foot - heel - rheumatic
39. EXTREMITIES - INFLAMMATION - Foot - periosteum
40. EXTREMITIES - INFLAMMATION - Foot - bone
41. EXTREMITIES - INFLAMMATION - Joints - synovitis
42. EXTREMITIES - INFLAMMATION - Tendons
43. EXTREMITIES - INFLAMMATION - Foot - sole
44. GENERALS - INFLAMMATION - aponeurosis
45. GENERALS - INFLAMMATION - bones; of
46. GENERALS - INFLAMMATION - bones; of - periosteum; of
47. GENERALS - INFLAMMATION - bones; of - bone marrow; of
48. GENERALS - INFLAMMATION - bursae; of
49. GENERALS - INFLAMMATION - cartilages; of
50. GENERALS - INFLAMMATION - cellulitis
51. GENERALS - INFLAMMATION - joints; of - arthritis deformans
52. GENERALS - INFLAMMATION - muscles; of
53. GENERALS - INFLAMMATION - nerves; of
54. GENERALS - INFLAMMATION - synovial membranes; of
55. GENERALS - INFLAMMATION - tendons; of
These are the rubrics available in various repertories, which are related to heel- pain. However many among them can be related to numerous other problems, the synthesis of a particular rubric for heel- pain may need single or combination of one or many of these. A doctor can now reach to the point of illness and may diagnose and ascertain the real site or structures of involvement and use the given rubrics in making the similimum.
A Homoeopath, after very keen observation and very careful evaluation of the signs and symptoms taken, can most precisely make the similimum picture of the suffering and thenceforth can heal the ailments best.
1- Attenuation of Achilles tendon.
2- Achilles tendon bursitis.
3- Stress fractures of bones in heel. (Diffuse tenderness).
4- Cyst formation.
5- Plantar fasciitis.
6- Haglund's disease (Prominent Posterio - superior calcaneal tubrosity.)
7- Reactive osteosclerosis of the posterio - inferior tuberosity ( Due to abnormal Achilles tendon insertion)
8- Calcaneal spur.
9- Plantar fat pad atrophy.
10- Traumatic disruption of plantar fat pad septa.
Now, we must we aware of the symptoms of each disorder stated above are different but all of them are localized to heel. Almost all the patients feel unable to explain their sufferings so clearly as to make distinction easy to the physician.
Here radiological diagnosis is of great value. After a very careful examination and investigation the doctor can reach to the cause of pain.
I am giving here a work on short repertorizations based upon various repertories. Only particular rubrics are used here to understand role of various remedies related to pain in heels. However, during prescribing Homoeopathically, all the rules must strictly be followed.
Main rubrics pertaining to Heel-Pain:
1. EXTREMITIES - PAIN - Foot - heel
2. EXTREMITIES - INFLAMMATION - Ankle
3. EXTREMITIES - PAIN - Ankle - tendo achillis
4. EXTREMITIES - PAIN - Ankle - malleolus - internal
5. EXTREMITIES - PAIN - Ankle - malleolus - outer
6. EXTREMITIES - PAIN - Ankle - malleolus - outer - walking
7. EXTREMITIES - PAIN - Ankle - jarring
8. EXTREMITIES - PAIN - Ankle - stepping, on
9. EXTREMITIES - PAIN - Ankle - walking, while
10. EXTREMITIES - PAIN - Ankle - motion
11. EXTREMITIES - PAIN - Ankle - pulsating
12. EXTREMITIES - PAIN - Ankle - rheumatic
13. EXTREMITIES - PAIN - Ankle - sitting
14. EXTREMITIES - PAIN - Ankle - standing
15. EXTREMITIES - PAIN - Ankle - step, from a false
16. EXTREMITIES - PAIN - Ankle - touch
17. EXTREMITIES - PAIN - Ankle - walking - amel.
18. EXTREMITIES - PAIN - Ankle - warmth - agg.
19. EXTREMITIES - PAIN - Foot - heel - ascending stairs
20. EXTREMITIES - PAIN - Foot - heel - bone
21. EXTREMITIES - PAIN - Foot - heel - elevating the feet amel.
22. EXTREMITIES - PAIN - Foot - heel - gouty
23. EXTREMITIES - PAIN - Foot - heel - nails under the skin; like
24. EXTREMITIES - PAIN - Foot - heel - pressure agg.; least
25. EXTREMITIES - PAIN - Foot - heel - resting, with boot off, amel.
26. EXTREMITIES - PAIN - Foot - heel - pulsating
27. EXTREMITIES - PAIN - Foot - heel - rheumatic
28. EXTREMITIES - PAIN - Foot - heel - rising from a seat
29. EXTREMITIES - PAIN - Foot - heel - rubbing amel.
30. EXTREMITIES - PAIN - Foot - heel - sitting
31. EXTREMITIES - PAIN - Foot - heel - splinter; as from a
32. EXTREMITIES - PAIN - Foot - heel - standing
33. EXTREMITIES - PAIN - Foot - heel - ulcerative
34. EXTREMITIES - PAIN - Foot - heel - walking
35. EXTREMITIES - PAIN - Foot - heel - walking - amel.
36. EXTREMITIES - PAIN - Foot - heel - warmth amel.
37. EXTREMITIES - INFLAMMATION - Foot - heel
38. EXTREMITIES - INFLAMMATION - Foot - heel - rheumatic
39. EXTREMITIES - INFLAMMATION - Foot - periosteum
40. EXTREMITIES - INFLAMMATION - Foot - bone
41. EXTREMITIES - INFLAMMATION - Joints - synovitis
42. EXTREMITIES - INFLAMMATION - Tendons
43. EXTREMITIES - INFLAMMATION - Foot - sole
44. GENERALS - INFLAMMATION - aponeurosis
45. GENERALS - INFLAMMATION - bones; of
46. GENERALS - INFLAMMATION - bones; of - periosteum; of
47. GENERALS - INFLAMMATION - bones; of - bone marrow; of
48. GENERALS - INFLAMMATION - bursae; of
49. GENERALS - INFLAMMATION - cartilages; of
50. GENERALS - INFLAMMATION - cellulitis
51. GENERALS - INFLAMMATION - joints; of - arthritis deformans
52. GENERALS - INFLAMMATION - muscles; of
53. GENERALS - INFLAMMATION - nerves; of
54. GENERALS - INFLAMMATION - synovial membranes; of
55. GENERALS - INFLAMMATION - tendons; of
These are the rubrics available in various repertories, which are related to heel- pain. However many among them can be related to numerous other problems, the synthesis of a particular rubric for heel- pain may need single or combination of one or many of these. A doctor can now reach to the point of illness and may diagnose and ascertain the real site or structures of involvement and use the given rubrics in making the similimum.
A Homoeopath, after very keen observation and very careful evaluation of the signs and symptoms taken, can most precisely make the similimum picture of the suffering and thenceforth can heal the ailments best.
The Plantar Fascia or arch tendon is a broad,
thick band of tissue that runs from under the heel to the front of the
foot. A rupture can sometimes occur at the origin of the arch ligament
and result in inflammation and pain.
Plantar Fasciitis is an
inflammation (irritation and swelling with presence of extra immune
cells) of the thick tissue on the bottom of the foot that causes heel
pain and disability.
Cause of Plantar Fascitis
The cause of plantar fasciitis is unclear and
may be multifactorial. Because of the high incidence in runners, it is
best postulated to be caused by repetitive microtrauma. Possible risk
factors include obesity, occupations requiring prolonged standing, heel
spurs, pes planus (excessive pronation of the foot), and reduced
dorsiflexion of the ankle.
Sex-The condition occurs equally in both sexes
in young people. Some studies show a peak incidence may occur in women
aged 40-60 years.
Age-The condition can occur at any age. As mentioned, a peak incidence may occur in women aged 40-60 years.
Clinical features of Plantar Fascitis
Symptoms
• Pain beneath heel.
• Pain extends medially into sole.
• Pain worse on standing, walking.
Signs
• Marked tenderness at site of attachment of planter fascia to calcaneum.
• Tenderness at heel pad.
INVESTIGATION for Plantar Fascitis
X-Ray heel
• Usually no abnormality.
• Occasionally calcaneal spur is evident but its significance in causing pain is doubtful.
GENERAL MANAGEMENT for Plantar Fascitis
• Reassurance.
• Exercise.
• Avoid precipitating causes.
• Correct maintaining causes.
• Advise foot wears having soft rubber cushioned soles.
• Short wave diathermy helpful in relieving pain.
Homeopathy Treatment & Homeopathic Remedies for Pain in Feet, Soles, Heel
Homeopathy treats the person as a whole. It
means that homeopathic treatment focuses on the patient as a person, as
well as his pathological condition. The homeopathic medicines are
selected after a full individualizing examination and case-analysis,
which includes the medical history of the patient, physical and mental
constitution etc. A miasmatic tendency (predisposition/susceptibility)
is also often taken into account for the treatment of chronic
conditions. The medicines given below indicate the therapeutic affinity
but this is not a complete and definite guide to the treatment of this
condition. The symptoms listed against each medicine may not be directly
related to this disease because in homeopathy general symptoms and
constitutional indications are also taken into account for selecting a
remedy. To study any of the following remedies in more detail, please
visit our Materia Medica section. None of these medicines should be taken without professional advice.
Homeopathic Remedies
Causticum
Cramps in the feet. Pains in the instep, in
the ankle bones, in the soles of the feet, and in the toes, on walking.
Neuralgic pains in the soles of the feet. Contraction in the instep,
with tensive pain when stepping. Coldness of the feet. Swelling of the
feet. Pains in the varices. Tingling in the soles of the feet. Festering
vesicles and ulcerations on the heels.
Adapted to persons with dark hair and rigid
fibre; weakly, psoric, with excessively yellow, sallow complexion;
subject to affections of respiratory and urinary tracts.
Graphitis
Congestion in the legs and in the feet, when
standing upright. Swelling of the legs and of the feet, with hardness
and shooting pain. Stiffness of the instep. Shooting pain, like that of
an ulcer, in the heel and in the soles of the feet, on rising from the
sitting posture. Cold feet, even in the evening in bed. Feet burning.
Fetid sweat on the feet. Contraction of the toes. Swelling and
distortion of the toes.
Suited to – Excessive cautiousness; timid,
hesitates; unable to decide about anything. Fidgety while sitting at
work. Sad, despondent; music makes her weep; thinks of nothing but
death.
Medorrhinum
Burning in feet, wants them uncovered and
fanned. Cold feet with chills all over. Oedema of feet followed and
better by diarrhea. Soreness in ball of foot under toes. Cold, sweating
feet.
For the constitutional effects of mal-treated and suppressed Gonorrhoea.
For persons suffering from gout, rheumatism, neuralgia and diseases of the spinal cord and its membranes- even organic lesions ending in paralysis- which can be traced to a sycotic origin.
For the constitutional effects of mal-treated and suppressed Gonorrhoea.
For persons suffering from gout, rheumatism, neuralgia and diseases of the spinal cord and its membranes- even organic lesions ending in paralysis- which can be traced to a sycotic origin.
Pulsatilla
Painful sensation of numbness in soles of feet
and in balls of the toes. Red-hot swelling of feet, extending up to
calf, with stinging pain. Swelling of top of foot. Oedematous swelling
of feet, worse in evening. Piercing shootings and incisive pains in
heels (towards evening). Shootings in soles of feet and extremities of
toes. The complaints are worse when one allows the feet to hang down.
Adapted to persons of indecisive, slow,
phlegmatic temperament; sandy hair, blue eyes, pale face, easily moved
to laughter or tears; affectionate, mild, gentle, timid, yielding
disposition- the woman’s remedy. Weeps easily: almost impossible to
detail her ailments without weeping.
Sulphur
Shootings in feet. Coldness in feet,
especially in evening, in bed, or burning sensation, chiefly in soles of
feet. Burning in feet, wants to find a cool place for them, puts them
out of bed to cool them off. Burning in soles, on stepping after sitting
a long time, and itching, especially on walking, wants them uncovered.
Cramp in soles at every step. Soles cold and sweating. Sweat on right
foot. Swelling of feet, and especially of the ankles. Gnawing vesicles
on soles. Ulcer on instep.
Adapted to persons of a scrofulous diathesis,
subject to venous congestion; especially of portal system. Persons of
nervous temperament, quick motioned, quick tempered, plethoric, skin
excessively sensitive to atmospheric changes. For lean, stoop-shouldered
persons who walk and sit stooping like old men. Standing is the worst
position for sulphur patients; they cannot stand; every standing
position is uncomfortable. Dirty, filthy people, prone to skin
affections. Aversion to being washed; always <. after a bath.
Zincum met
Stiffness of joint of the foot after being
seated for some time. Wrenching pain in joints of feet and toes. Burning
sensation in feet. Inflammatory swelling of feet. Weakness and
trembling of feet. Feet sweaty and sore about toes, fetid suppressed
foot-sweat with much nervous excitement. Coldness of the feet at night.
Nervous, fidgety movement of the feet, after retiring and during sleep.
Tearing in margin of right foot. Ulcerative, boring pains in heels,
worse when walking than when sitting. Profuse sweat on the feet.
Persons suffering from cerebral and nervous
exhaustion; defective vitality; brain or nerve power wanting; too weak
to develop exanthemata or menstrual function, to expectorate, to
urinate; to comprehend, to memorize. Incessant and violent fidgety
feeling in feet or lower extremities; must move them constantly.
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