Injury Cases Quantified
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Sep / Oct VOL 4 NO 5.
Dr Navin Pawaskar
Dr Ashish Ranade
Dr Subodh Naik
'Arn / Symp / Symp / Symp / Calc-f / Calen / Mer-sol

Editor Introduction: These are cases of Routine Remedies, Yes, but with an Insight. We all treat so many cases of injury with phenomenal results, so much so that we have forgotten to be amazed at the results, and take them as a routine. So when an orthopaedist, newly appointed to a Homoeopathic hospital sees these results and documents them scientifically, we can once again look at these cases with the satisfaction of a job well done. And in addition, give Homoeopathy its rightful due.

CASE 1:
Mrs Tarabai Dhanu, 50 yrs, fell from a chair 6 days ago and injured the upper 1/3 of her Right tibia. She immediately developed pain and a swelling 33 cm in diameter. The swelling continued to gradually increase in size. 3 days later she also got fever for a short period. She was brought to the Palghar Rural Hospital.
The Orthopaedic opinion: Haematoma, chances of secondary infection.
Advised: leg elevation, crepe bandage - for compression bandage.
Action: Arnica 30 QDS
Explanation:
- A/F: Old injuries
- Pathology of Haematoma formation
- Arnica acts on the blood vessels. It has the capacity of absorption of blood. It handles complications of recent as well as old injuries.
Here susceptibility is low; there are no local modalities or characteristic present. The sensitivity at mind and level of nerves is also low.
Now we want to achieve the resolution of haematoma and facilitate the fibrosis. Considering low susceptibility and low sensitivity, Arnica 30 was started in frequent repetitions.

7/11/02	Swelling > 25-30%, softness (+) No secondary infection	Arnica 30 QDS x 5 d
12/11/02	Swelling fluctuant (+) no warmth Pain >3	Arnica 30 QDS X 1 d
13/11/02	Swelling > pain (+) Considering short duration of amelioration 30 200	Arnica 200 QDS x 4 d
16/11/02	Swelling > pain >3	Arnica 200 QDS x 7 d
23/11/02	Swelling >2 pain >3 tenderness>3

Orthopaedic opinion: - complete fibrosis has taken place and the case file can be closed as cured.

CASE 2
Mr Raju, 32yrs, was passing by the hospital on Nov 7 2002, and as luck would have it, had a vehicular accident in front of hospital, with attention at hand immediately. X-ray showed fracture at junction of medial 1/3 and lateral 2/3 of Rightt clavicle.
Action:
There is recent H/O trauma; A/F: Injury
The pathology is of active bleeding. Arnica covers both; Arnica handles complications of active bleeding from injury.
It’s Sphere (SOA) of Action is on vessels and capillaries.
Severe pain indicates high sensitivity.
The pathology of active bleeding and local acute inflammation points to high susceptibility.
Acute inflammation demands frequent repetitions.
So Arnica 1M QDS was given for 4 days, and a figure of ‘8’ bandage applied.
12/11/02 Swelling >², tenderness >³, pain >² 50%.
Now bone union promotion is the focus of attention

• A/F: Injury
• Pathology of the fracture of bones
• Symphytum acts on the periosteum and promotes callus formation.
• It controls bony pain after injuries.
  Symphytum 1M QDS given to promote bone union.

CASE 3:
Mrs H P, 56 yr, came with injury to Right wrist after a fall the previous tday.
X-ray Colles’ fracture of right wrist Radio-Ulnar variance normal.
AP X-ray shows normal radial tilt.
Lateral view: showed articular angle to long axis of Radius 10 degrees in dorsiflexion (which is normally 0 to 6 degrees) volarwards fracture of lower end of radius; extra articular with dorsal communition-(means totally crushed to powder) # Rt wrist. Due to condition of the bone, Close Reduction had to be done and a speical cast applied on 24/10/02. (The cast was of a material which would not loosen when haematoma and swelling reduced.
Action:
A/F: Recent injury to Right wrist
Pathology of active bleeding following injury leading to haematoma formation, with swelling, tenderness and acute pain. We checked our records and also with orthopaedician that this patient had heamatoma. He confirmed that colles fracture also develop haematomas although not frequently.
Arnica is known to have action on blood vessels and, capillaries. It has absorbent action on bleeding parts.
It controls after pains following haemorrhages.
So considering cause, pathology and its state, sphere and mode of action of remedy, Arnica was given.
Acute inflammation following trauma and the severe pain points out high susceptibility and high sensitivity which demands higher potency in frequent repetitions.
Arnica 1M QDS was given for 2 days.
Local swelling on dorsal part of the hand and fingers was better.
Pain >>² 50%. Tenderness >³
Now we have to promote bone union process: Considering bone fracture following trauma and Symphytum’s action of promoting bone union, symphytum was selected.
State of acute inflammation of bone soft tissue and haematoma around bone, demanded high potency in frequent repetitions as the Master has said.

She was put on Symphytum 1M QDS from 26/10/02 for 6 weeks.
Gradually pain showed daily reduction.
X-rays taken on:
a) 31/10/02 showed reducing satisfactory results
b) 4/12/02 showed completely healed fracture ie within 6 weeks.
Then patient was put on her constitutional remedy which was Silicea 200 1P/weekly with expectation to harden the callus. The last x-ray on 20/1/03 (12 weeks) showed completely united bone as normal ( dorsal tilt corrected and with accepted reduction), pretty good going for a post-menopausal woman of 56 years!

Continue Reading...

Back