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OH DOCTOR MY KNEE HURTS

We often hear this term “Oh doctor my knee hurts”,mentioned by patients to their doctors, and often discussed amongst friend and families.

Today I will try to dilate on this subject, and try to show that what are the options available to the sufferers of this painful condition which of course will include homeopathic approach.

Our knee is one of the most important joint on which depends our mobility. Whether its, sitting, standing, squatting, running, jogging, all activities depend on our knees.

ANATOMY

Let me briefly discuss the anatomy of our knees. Our knee joint consist of four long bones, and is one of the largest and complex structural joint of human anatomy.

The thigh bone or the Femur is connected to the Tibia or the shin bone. There is one smaller bone also which runs along side named Fibula. Then we have the famous Patella.

The four bones are connected to each other by three ligaments, which help in movement of the knee in various positions.

To complete the assembly there exist two C shaped cartilages called meniscus. These soft bones act as shock absorbers. Beside these we have Bursae, which are fluid filled sacs which helps keep the movement of this masterpiece of a joint to run smoothly.

HOW KNEE DEGENERATES

Repetitive joint use over time irritates, inflames,the cartilages and discomfort sets in. degeneration sets in by flaking or forming crevasse .In advance cases there is total loss of cartilages in between bones. This loss causes friction,which leads to soreness and limited joint mobility. Cartilage inflammation stimulates new bone out growth,or spurs to form around the joints.

As mentioned early obesity definitely contributes to arthritis by increasing the the mechanical stress on the cartilages. Repeated trauma to joint tissue ( ligament,bones and cartilages )may lead to premature knee arthritis in runners,golfers, soccer players, and tennis players.

CAUSES,

Some of the leading causes for knee pain are swollen or torn ligaments, meniscus or cartilages, tears and runner,s knee. Other conditions are :

OBESITY: In my opinion this is another main cause today of many knee problem,which is due to sheer weight on ones knee. This is caused by bad food habit, challenging life style,and not paying attention to what our body is asking for.,where the body keeps sending message in various ways.

BURSITIS: A bursa is a sac of fluid that cushions and protects the joints. There are quite a few in different parts of the knee. Over use ,which could be due running,tennis,and other sports and lifestyle activities,resulting in repeated bending,or fall, can irritate the bursa, causing pain and swelling.

There are two types and they are called “House maids knee”,and “preachers knee”.since they are often caused by kneeling. Then we have “The bakers cyst” , a swelling of one of the bursa in the back of the knee. This can be the result of an injury or condition like arthritis.

TENDONITIS: It is the swelling of the tendons, which are tough bands of tissue that connect the bones and muscles. Over use can make the tendons inflamed and painful. One type is also named as “ Jumper,s knee”.

BONE CHIP: Some time a knee injury can break off pieces or fragments from the bone or cartilages. These pieces can get stuck in the joint causing it to freeze up. This can be the cause of swelling and pain.

KNEE OSTEOARTHRITIS: This is the most common form of arthritis affecting the knee. It can be the result of aging due wear and tear of the cartilages. The symptoms may include knee pain, stiffness and swelling.

GOUT: A form of arthritis caused by buildup of uric acid crystals in a joint. The knees can be affected causing episodes of severe pain and swelling.

Beside the above causes the other causes are, knee effusion, patella subluxation, rheumatoid arthritis,and patella tendonitis.

The above problems cause weakness, soreness, swelling ,pain and those cracking and creaking noises that some times comes out of our knee.

TREATMENT OPTIONS:

It should be borne in mind that once a knee problem is felt, it should be considered the “ Amber Light”and one should give it a serious thought and consider a line of treatment.

There are quite a few options one can think of beside the conventional treatment which envisages, drugs, physiotherapy, Arthroscopy, knee surgery and finally knee replacement.

There are other options also, such as acupuncture, prolotherapy, Yoga and of course homeopathy. These will depend on the condition of the knee and its severity.

In my opinion, if one opts for homeopathy in the early stages of the problem it can benefit the patient enormously. And one can prolong the use of the knee with age.

KNEE AND HOMEOPATHY

There are so many medicine for treating the knee and its various symptoms and it is not possible to include all of them.

Below I am giving some of the symptoms and the different type of pains that is often reported by the patients. These are being quoted from Murphy,s repertory. In each case,the total number of medicines are shown in bracket., and only grade 1 remedy included, where available,and if it has only grade 2 remedy that is mentioned. I have avoided grade 3 remedies as it would make the list exhaustive.

ARTHRITIS/NODOSITES (4): Bufo, Calc, Led, Nux Vom.---( grade 2)

BURSAE (8): Arn, Nat Mur, Sil, Stict, ( grade 1)

CLUCKING HOLLOW (1): Asar (grade3)

CRACKING JOINTS IN (42) Caust, R Tox, Sulph ( grade 1)

EXOTOSES PATELLA (1): Calc Flour ( grade 3)

HOUSE MAIDS KNEE /BURSAE : (9) Arn, Nat Mur, Sil , Stic (grade 1)

KNOCKED TOGETHER (13): Ars N, Caust, Colch, Con, Glon (grade 2)

STIFFNESS (90): Atro, Bry, Caust, Led, Lyc, Rhus Tox, Sil, Stry, Sulph, Thu, (grade 1)

SWELLINGS (58) : Berb,Bry, Calc, Hep, Led, Lyc, Puls, Rhus Tox, Sil. ( grade 1)

WEAKNESS (141): Arg Met, Calc, Con, Cocc, Nat Mur, Nat Sulph, Plb, Rhus Tox, Ruta,

Thuj (grade 1)

PAINS:

CUTTING PAIN: (16): Acon, Calc, Sul Acid, (Grade2)

PAIN HOLLOW OF (49): Alum, Hydrogen, Nat Carb, Nitric Acid, Plb. (grade 2)

PAIN KNEES (164): Aur, Ben Acid, Bry, Calc, Caust, Chel, Kali Carb. (grade 1)

PAIN PATELLA (27): Carb Acid, Nit Acid. (Grade 2)

SCRAPING PAIN (1) Samb ( grade3)

TEARING PAIN (100): Alum, Bar Carb, Kali Carb, Led, Lyc, Puls, Rhus Tox, Zinc (grade1)

TIP

Here I also wish to say that one medicine which is not generally considered for Knee is HECLA LAVA.

I have personally found it useful in the family that when used keeping in mind the following conditions

it has given very satisfactory results.

This tip comes from ASA HERSHOFF,S book “ Musculoskeletal healing” and is applicable in degenerative joint condition including knee.

“EXOTOSES,arthritic nodosities, spurs,deformity, bone tumors,growth of inflammation, hip joint disease ,worse touch, pressure, initial motion, rest, after injury”

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Comment by Dr. Wequar Ali Khan on July 22, 2013 at 2:34pm

Thanks, will keep it in mind.

Comment by faridul islam on July 22, 2013 at 10:34am

Late Dr. S P Kopikar mentioned one case of bony growth at shoulder joint of his uncle (who himself was a self -taught homeopath and one of the guru of Kopikar) who took  one dose of Aur. met. CM and left it to work.Nothing  happened for six week. Then  every bit of the trouble got cured in one week. He picked the indication from clarke's dictionary where it was written under Aur. met that " Gold is a great solvent----". I have tried in one case of lumbar osteophytes and got good result.

Comment by Dr. Wequar Ali Khan on July 22, 2013 at 9:47am

CALC FLOUR

Joint " mice"-----fragments or deposits of bone or cartilage in the joints (knee, wrist , ankles , etc)Bony growths at site of injury.

REF: MUSCULOSKELETAL  HEALING , Asa Hershoff 

Comment by Dr. Wequar Ali Khan on July 14, 2013 at 8:10am

Thank you very much for sharing your experience,i will keep that in mind.

Comment by faridul islam on July 14, 2013 at 7:13am

Thank u very much for this informative presentation. Here  I would like to add just three more  remedies which I have found extremely useful in my practice. When pt says, "doctor, I can not bend my knees, it takes away my life while I have to bend my knees " - prescribe confidently spigelia (for both sided). Off course start with 30c as it tends to agg . Then comes badiaga which is a boon for those whose knee hurt while ascending and  descending stairs. If  the knees hurt only descending then arg -met is the remedy.

Comment by Dr. Sayed Tahir Hassan on July 8, 2013 at 11:24am
I would add symphytum too, specially in advanced cases of OA.

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