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Sciatic Pain -Think Twice Before Spending Money For MRI

Mr H.K, a young energetic person, sales executive of a business firm, consulted me and said, “Doctor, I have disc complaint! Can you treat me?” I asked him, “Who has told you that there is disc complaint?” He said, “Recently I have read one health magazine, and I have all the complaints mentioned in one of the articles on disc prolapse!”

He then requested me to refer him for an MRI scan since his company pays the whole amount.

We of ten get such patients in our day-to-day practice who actually force us for investigations, even before we take the case and examine them. If we do not follow them, they usually go behind other doctors who are eager to refer for investigations.

I told him frankly that let me examine you first, and give some medicine. If it does not work, I will surely refer for further investigations and management. To my surprise, he agreed!

I took his case.

He had pain in the right side of low back that extends through the buttocks to the right thigh. The pain was getting worse by sitting continuously on the chair. There was also slight numbness of the affected parts. There was no muscle wasting, weakness and joint stiffness. No history of any injuries or sprains. He rides the bike regularly, but he never feels pain while riding the bike. The pain comes only while sitting on the chair. He is slightly obese, but no features of metabolic syndrome. He is fully engaged in his business and has a busy schedule, even on Sundays. He does not feel any pain during physical activities and exercise.

As usual, I decided to prescribe first, and do the investigations later. I prescribed Rhus tox 30, 3 doses to be taken on alternate days, along with placebo pills.

He came back next week, and reported no change. I prescribed Rhus tox 200, 3 doses, and asked to give the feed back.

Again he visited me and said still pain is persisting. I prescribed Gnaphalium 30, my favorite remedy for sciatic pain when the indicated remedy fails, three doses daily for seven days. He came back and reported improvement of his troubles. Then I prescribed placebo for one week. Next week he reported that the pain and numbness is less, but still present, especially while sitting. I decided to do investigations if he does not feel better by this prescription, and I again repeated Gnaphalium 30. While he was going out of my consultation room, I noticed his overly tight jeans, and also there was something inside his back pocket that causing an asymmetry due to bulging! I asked him to takeout the thing he had kept inside the pocket. He might have thought the doctor is crazy to ask his personal belongings! With great struggle, he took out the thing from his pocket. It was his wallet that was full of currencies, coins, visiting cards, bills, etc., and was almost like a newly purchased pillow. Immediately, an article about Wallet neuropathy or Wallet sciatica, accidentally found while browsing the internet, came to my mind like an electric shock! Eureka!!!! Yes, that gentleman was the victim of his own financial development. His wallet had been pressing the right sciatic never continuously during working hours. That could be the reason why he did not feel pain while riding the bike, because the seat of the bike might not compress the wallet. Whereas, sitting on the chair created problem. Apart from that, the change in the posture due to the asymmetry of the bottom created by the wallet can also stretch the spinal muscles and ligaments, which can create pain allover the back. I told him that he is suffering from wallet neuropathy, and I strongly suggested him to use plastic money, or else, keep the wallet inside the shirt pocket.

The pillow shaped wallet used by him!!!

He followed my instruction strictly. Believe me, the pain completely disappeared and is free from troubles till date.


Dr Hahnemann has very clearly told us to remove the ‘maintaining causes’ while treating the sick individual. Even in this modern developed world, each and every word in his Organon of Medicine remains valuable. A heartfelt salute to that great physician!


Dr Muhammed Rafeeque, BHMS.

Family Homoeopathic clinic



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Comment by Dr Muhammed Rafeeque on July 4, 2011 at 2:24am
Thank u dr. There are many new disorders related to our modern lifestyle. We should beaware of new things!
Comment by Dr. Sayed Tahir Hassan on July 3, 2011 at 9:21am

Credit goes to you only Dr. Muhammed Rafeeque, your vigilant eyes brought about a great incident to share with us and remind us to keep our eyes open whenever we have patients consulting us.

Getting to this reminds of new age disorders brought about by wearing certain clothing.

Comment by Dr Muhammed Rafeeque on June 27, 2011 at 11:54pm

Thanks. The credit goes to the Internet for providing the details about such conditions. Wallet neuropathy was not there in our syllabus (not even heard about it). I feel that it was not included in our Surgery and Medicine textbooks (I am not sure). The syllabus usually ignores “silly” things that can be diagnosed easily. But, for the patient, it is not that silly!

Comment by DR. Sushil Bahl on June 27, 2011 at 9:10am
Keen observation, Dr. Rafeeque. I feel I would have missed it.But your intelligent observation, saved the patient from unnecessary harassments.
Comment by Dr Muhammed Rafeeque on June 27, 2011 at 7:14am
Thanks for the comments.
Comment by Dr. Wequar Ali Khan on June 26, 2011 at 3:33pm
Very intelligent and keen observation.Thank you, for reminding to keep our eyes and mind open;
Comment by Dr Muhammed Rafeeque on June 25, 2011 at 6:11am
Seeing some school students carrying huge bags on the back, I often feel that they are going to climb Mount Everest!
Comment by Debby Bruck on June 25, 2011 at 2:39am
Congratulations! Great case and excellent recommendation. Some men even wear a carry bag over shoulder.

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