HOMOEOPATHIC REMEDIES FOR DIABETIC FOOT

If you have diabetes, your blood glucose, or blood sugar , levels are too high. Over time, this can damage your nerves or blood vessels. Nerve damage from diabetes can cause you to lose feeling in your feet. You may not feel a cut, a blister or a sore. Foot injuries such as these can cause ulcers and infections. Serious cases may even lead to amputation. Damage to the blood vessels can also mean that your feet do not get enough blood and oxygen. It is harder for your foot to heal, if you do get a sore or infection.

You can help avoid foot problems. First, control your blood sugar levels. Good foot hygiene is also crucial:-Check your feet every day,Wash your feet every day, Keep the skin soft and smooth, Smooth corns and calluses gently,If you can see, reach, and feel your feet, trim your toenails regularly. If you cannot, ask a foot doctor (podiatrist) to trim them for you.,Wear shoes and socks at all times,Protect your feet from hot and cold, Keep the blood flowing to your feet

HOMOEOPATHIC REMEDIES

SECALE COR 30- An excellent remedy for diabetic gangrene . Dry gangrene of toe. Dusky blue tinge. Skin feels cold to touch yet covering not tolerated. Warmth aggravation

ARSENICUM ALBUM 30- Diabetic gangrene. Burning and soreness , relieved by warmth. Fetid smell from the wound.  Restlessness.

APIS MELLIFICA 30-Spreading cellulitis with burning stinging pain. Sensitive. Blebs are seen

ANTIMONIUM CRUDUM 30- Callosities are seen. Dry gangrene

CARBO VEGETABIS 30- Carbuncles and boils  becomes gangrenous. Wet , purple and icy cold gangrene.Moist gangrene. There is great prostration

HEPAR SULPH 30- Blebs are seen. Very sensitive to touch

LACHESIS 200-Bluish purple surroundings around gangrene. Traumatic

RHUS TOX 30- Spreading cellulitis

SULPHURIC ACID-30- Blue and purple surroundings of the gangrene. Bleeding under the skin

THIOSINAMINUM 30-Specific for callosities. Dry gangrene

TARENTULA CUB 30- Painful and inflamed abscess with a tendency to gangrene

ECHINACEA Q- Emitting a foul smell from gangrene . 5 drops in a little of water every 2 hours . Externally wash with a Echinacea lotion. It  act as a cleaning and antiseptic agent.

Compression Neuropathies Vid

For those of you who are not so squeamish and like seeing parts of the body from the inside, today's Vimeo video (see link below), looks at the pathology of compression neuropathies. Compression neuropathy is basically nerve damage caused by trapped nerves due to injury, or diseases like arthritis, herniated discs etc. Once again, the results can feel like most neuropathies, with tingling,burning, movement impairment and pain but the difference is that if caught early enough, a compression neuropathy may be able to be reversed through surgical procedure.


2014 CRN – Compression Neuropathies
from Nerve Surgery Plus

Authors: Susan E. Mackinnon MD, Andrew Yee BS
Date: 3/12/2014

This presentation is part of the 2014 Comprehensive Review of Neurosurgery video lectures. Specifically, this presentation discusses compression neuropathies and includes topics of patient evaluation, thoracic outlet syndrome, ulnar nerve compression at the cubital tunnel and wrist, and median nerve compression in the forearm and wrist.





2014 CRN – Compression Neuropathies from Nerve Surgery on Vimeo.


Table of Contents
00:00:14 COMPRESSION NEUROPATHY
00:00:20 Types of Presentation
00:01:05 Histopathology
00:04:14 Progression of Compression Neuropathy
00:06:40 Double Crush Syndrome
00:07:24 PATIENT EVALUATION
00:07:47 Pain Evaluation
00:08:33 Peripheral Nerve Worksheet
00:09:47 Provocative Tests
00:11:47 Scratch Collapse Test
00:19:24 Sensory Examination
00:22:07 Rate of Recovery
00:24:27 THORACIC OUTLET SYNDROME
00:24:44 Conservative Management
00:30:33 Surgical Management
00:35:15 CUBTIAL TUNNEL SYNDROME
00:35:27 Controversy of Cubital Tunnel Surgery
00:37:49 Patient Evaluation
00:43:58 Surgical Management
00:49:32 Post-operative Management
00:50:28 Transmuscular Transposition of Ulnar Nerve
00:54:55 Revision Transposition of Ulnar Nerve
00:59:36 Supercharge End-to-side Nerve Transfer
01:05:18 FDP Tenodesis
01:06:01 GUYON’S CANAL COMPRESSION
01:06:03 Guyon’s Canal Release
01:07:45 CARPAL TUNNEL SYNDROME
01:08:38 Carpal Tunnel Release
01:12:28 Revision Carpal Tunnel Release
01:20:25 MEDIAN NERVE FOREARM COMPRESSION
01:21:00 Median Nerve Release in the Forearm

https://vimeo.com/89133743

Do People Really Understand Their Neuropathic Pain

Today's post from healthskills.wordpress.com (see link below) asks the question as to whether people really understand the nature of their neuropathic pain. It's a very interesting study which concludes that people do much better with their problem if they receive a cogent explanation of what's happening to them. Unfortunately, with neuropathy that's rarely the case, as doctors assume that the medical science is often too complex for their patients to understand. It is pretty much a given that patients can cope much better with symptoms if they know why they are happening and what's going on inside their bodies. After that, an explanation of any treatment is also useful.

How well do people understand their neuropathic pain? 
 Martin, S., Daniel, C. Williams,  (2014)

When coming to terms with a chronic pain problem, one of the important steps involves obtaining a diagnosis that fits with both the individual’s personal experience of their pain, and also their knowledge (drawn from what is available in the general population). If the label doesn’t square with their experience, people continue searching until they find something that does.

There has been an enormous wave of excitement about giving people good “pain education”. I’ve always been a bit anxious about the term “education”, because it can so often mean giving an information dump, leaving the person being “educated” with little or no relevant knowledge about their personal concerns – and it’s the individual and unique concerns that influence how a person interprets what is happening, and how they respond. As a result, I prefer “helping people to develop a personal pain formulation” or “reconceptualising” their pain. Putting the pedantics aside, it seems really important for health professionals to not only understand what people with pain already know about their health condition, but also to understand how people interpret what they’re told – if they’re told anything.

In this study, 75 people with neuropathic pain were asked to sort a series of statements about neuropathic pain according to their level of agreement with them. This is known as Q-methodology. The sorted statements are then analysed to identify common features amongst them.

 Four factors were identified:
Neuropathic pain is a nervous system problem, psychology influences the pain experience and acceptance, and being open to psychological interventions – this group of respondents had tried psychological treatments, their pain was on average about 6 – 7 years.

Neuropathic pain is nerve damage, psychology is irrelevant in pain experience, neutral about psychological treatments – this group of people had not tried psychological treatments, but had tried surgery and medications.

Neuropathic pain is irreparable nerve damage, symptom management is needed, psychological factors play a part in pain perception but psychological treatment is not OK – this group of individuals had pain for an average of 10 years, and they had used breathing, positive thoughts, medications and physical treatments.

Neuropathic pain cause should be identified, psychological influences may play a part, and treatment can include both medical and psychological – this group had pain for an average of 1 -2 years, and they had tried a range of medications, physical methods, yoga, meditation and complementary therapies.

The authors point out several limitations of this study – people were not recruited on the basis of an particular characteristics, there could be a number of recruitment biases, and they were all identified via online recruitment processes, therefore it’s hard to generalise. What it does indicate is that there is no coherent biopsychosocial explanation put forward by participants, they appeared to have received very little explanation about their problem, and this affected their readiness for psychological or self management interventions.

Another interesting point is how many of these participants, across all the four factor groups, described experiencing being given psychosomatic explanations of their pain. The authors write :”Across all accounts, participants’ comments indicated that they had received psychosomatic explanations of their pain and had been distressed and offended, consistent with other studies which use open-ended methods to sample patients’ experiences. (p. 353).” The influence of psychological factors was found to be associated more with adjusting to chronic pain, rather than to developing an integrated model of pain. Factor 1 were the only group to endorse the notion of acceptance, or learning to live with pain – and the groups in Factors 3 and 4 were strongly against the idea that pain could be lived with.

I find this study interesting, not so much in what it has discovered, but rather more in terms of the discussion about psychological factors and medical factors – but nothing on social factors. I find myself wondering again whether we have a biopsychological model of pain, rather than a more complex biopsychosocial model.

That being said, I agree with a point made in the conclusion: people with chronic pain value a coherent explanation for their pain, it helps resolve their worry and enables them to approach their pain differently. The problem facing people with chronic pain is how to access evidence-based and accessible information about neuropathic (or indeed any type of) pain. Often people find out about neuropathic via biomedical models, and they rarely get exposed to the complexity of a biopsychological model, let alone a biopsychosocial one.

We desperately need to understand the best ways to personalise an explanation for an individual with chronic pain. I think a case formulation approach is the most useful, but I’ve found that many clinicians think this takes “too long” and is “too complex”. I wonder about this. A formulation might take a couple of sessions, but it’s a lot less expensive and has lower risk than surgery.

In light of the very limited range of interventions for people with neuropathic pain, perhaps taking the time to respond to the person’s unique questions about their pain would be time and money well spent.

People who have chronic pain are often very reluctant to consider the influence of psychological factors on their pain, reflecting their fear that by accepting this, their pain is being dismissed as “not real”, or not legitimate. This means people may not accept (or indeed be referred for) psychological interventions. Treatment approaches based on a cognitive behavioural approach have good evidence to support them, but they don’t do much good if people are not ready for them, or even referred for them.

Martin, S., Daniel, C., & Williams, A. (2014). How do people understand their neuropathic pain? A Q-study PAIN®, 155 (2), 349-355 DOI: 10.1016/j.pain.2013.10.021

http://healthskills.wordpress.com/2014/03/11/how-well-do-people-understand-their-neuropathic-pain/

River Songs

The morning was hot and muggy, drawing me both to my garden for some messy work and towards a heat-induced crabby mood. Of course the kids had it right, donning their bathing suits before I could finish my inertia driven weeding. It was time to go to the cool water and take the afternoon in for ourselves. I pulled my swimsuit onto my sticky skin and grabbed my bag and towel. We walked by the Sumac and wood chipped hill to the path to the river. I hung my things on a little branch and headed in for healing relief. While I waded through the clear water, I saw reflections of various moments in time. The iron red rocks of my menarche, the fool's gold of broken promises, the polished quartz of river touched memories. I fingered the pebbles in secret hope of finding specimens of our indigenous gemstone Prehnite, an ancient, frosty ice blue-green stone formed inside the trap rock of this river. I have some pieces already.

The swallows dove through the air in acrobatic arcs, the mourning doves cooed from tree boughs. The half sun toasted my shoulders as the current turned me from human to translucent being. The Mother part of me watched my children in the swimming spot. The other girl in me surrendered every stress and logic to the river that held me in place as long as I leaned towards it. An old haunting melody began to swim through me, one I remember sucking thirstily from the cassette until it hardly worked. Her songstress spell began to come back, as if delivered through the alchemy of blood and river water merging. 'down river' she sings, into my legs and back, into my skin and muscles and heart. I feel my throat swell, threatening tears. This precious moment in time, bringing such bliss it nearly hurts.

I let it sing to me, every note as clear as the water, a nature hymn in perfect harmony with today, with where I am in my life. I press my feet gently into the sandy side, next to the great blue herons footprints, peering in to see if I can see what she does. The raccoon prints follow closely behind.

I live down river. Of course I never knew that I would, back 17 years ago when I wore that tape to shreds to render her songs. I live at the base of a 90 mile yet small river, formed by prehistoric volcanoes, and filled with water primarily from rainfall. The crevice of land left to run water for me today, was in fact created during the time when Connecticut was a tropical land in the middle of Pangaea. I feel that loss, the memory, in my bones. That separation of land and that ancient climate change that seems to be recreating itself in new ways today. the memories of water are immortal; as a finite element on this planet, water knows everything. Perhaps the water I soaked in today was Cleopatra's last drink, or the water from the bottom of the Red Sea. Perhaps the water is a direct informant. A hard swims distance down along the summer cottages and giant sycamores, my river spills into the big river, where the serene world of rocky pure water changes into suburban water sport.

Treat yourself to a taste of watery acoustic poetry by Erica Wheeler, download her or use one of your fancy gadgets, you won't regret it. Or you can see a little bit of her on youtube. It's as if you took Allison Krauss and Walt Whitman and squished them together. Or perhaps she's the female John Denver ... but either way, her ability to sing the reverence for nature feels long overdue and unsurpassed. Her first album, From that Far, is the one I speak of above.

HOW THE FRUIT FLY COULD HELP US SNIFF OUT DRUGS AND BOMBS

A fly's sense of smell could be used in new technology to detect drugs and bombs, new University of Sussex research has found.

Brain scientist Professor Thomas Nowotny was surprised to find that the 'nose' of fruit flies can identify odours from illicit drugs and explosive substances almost as accurately as wine odour, which the insects are naturally attracted to because it smells like their favourite food, fermenting fruit.

Published today (15 October 2014) in the journal Bioinspiration and Biomimetics, the study brings scientists closer to developing electronic noses (e-noses) that closely replicate the sensitive olfactory sense of animals.

The hope is that such e-noses will be much more sensitive and much faster than the currently commercially available e-noses that are typically based on metal-oxide sensors and are very slow, compared to a biological nose.

Professor Nowotny, Professor of Informatics at the University of Sussex, led the study alongside researchers from Monash University and CSIRO in Australia. He said: "Dogs can smell drugs and people have trained bees to detect explosives. Here we are looking more for what it is in the nose -- which receptors -- that allows animals to do this.

"In looking at fruit flies, we have found that, contrary to our expectation, unfamiliar odours, such as from explosives, were not only recognised but broadly recognised with the same accuracy as odours more relevant to a fly's behaviour."

Professor Nowotny and his collaborators recorded how 20 different receptor neurons in fruit flies responded to an ecologically relevant set of 36 chemicals related to wine (the 'wine set') and an ecologically irrelevant set of 35 chemicals related to hazardous materials, such as those found in drugs, combustion products and the headspace of explosives (the 'industrial set').

By monitoring the 'firing rate' of each neuron, they were able to assess which smells elicited the strongest reactions from the flies. They then used a computer program to simulate the part of the fly's brain used for recognition to show that the receptor responses contained enough information to recognise odours.

Of the wine set, 29 out of the 36 compounds elicited clear excitatory responses in at least one receptor neuron. They were surprised to find, however, that the flies also responded to 21 out of the 35 substances related to drugs and explosives.

Professor Nowotny adds: "The long-term goal of this research direction is to 'recreate' animals' noses for technical applications. As well as the detection of explosives, chemical weapons and drugs, there is a broad array of other possible applications, such as measuring food quality, health (breath analysis), environmental monitoring, and even geological monitoring (volcanoes) and agriculture (detecting pests).

"And, of course, the fly's success in identifying the 'wine set' might prove useful for those in the winemaking industry.

"But it would be quite difficult to recreate the entire nose; even adopting all sensors would be too difficult. One may be able to do five or maybe 10, out of 43 in the fruit fly or hundreds in the dog. So the question is, which 10 should we use and would it work? In this paper we show that it could work with as little as 10 fruit fly receptors and we identify the most likely candidates to use."

Restless Legs During Pregnancy

Home Reme S Restless Leg Syndrome

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Restless Leg Syndrome

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HOMOEOPATHIC REMEDIES FOR MYOSITIS OSSIFICANS

Myositis ossificans is an extra-osseous non neoplastic growth of new bone.  There are several clinical subtypes of myositis ossificans. Myositis ossificans circumscripta refers to new extra-osseous bone that appears after trauma, and occasionally without injury. Progressive myositis ossificans (also known as fibrodysplasia ossificans progressiva) is a rare, inherited disorder characterized by fibrosing and ossification of muscle, tendon and ligaments of multiple sites often in the upper extremities and back that is disabling and ultimately fatal. Myositis ossificans is also a recognized complication of paralysis that occurs below the level of spinal cord injury

Myositis ossificans presents as a rapid enlargement and significant pain one to two weeks after injury. The patient has swelling and warmth at the site as well as an increased ESR and serum alkaline phosphatase.

HOMOEOPATHIC REMEDIES

ARNICA30-  -Bad effects of mechanical injuries with sore, lame bruised feeling of body as if lacerated. For traumatic affection of muscle. For injury with blunt instruments. Everything on which he lies seems too hard and keeps moving from place to place in search of a soft place. For concussions and contusions without laceration of soft parts.

CAL.FLOUR-   30--Indurations threatening suppuration is characteristic. Swelling or indurated enlargements having their seat in the fasciae and capsular ligament of joint or  in tendons. Indurations of stony hardness. Chronic lumbago < on beginning to move. For rachitic enlargement of femur in infants.

SULPH.ACID-- 30-Bad effects from mechanical injuries with bruises. Echymosis, cicatrices turn blood red or blue and are painful. Hemorrhage of black blood. Pain of gradual and slowly increasing intensity which ceases suddenly at its height and is repeated. Pain as if pressure by blunt instrument. Tendency to gangrene following mechanical injuries.

BRYONIA30- Aching of muscle, characteristic pain – stitching, tearing worse by motion and better by rest Cracking and dislocation of hip joint when walking. Paralysis of legs, painful stiffness of knees. Red and shining swelling of knees with violent shootings esp. on walking. Insupportable pain on touching and moving with sweat of the body.

MEZERIUM30-Long bones inflamed, swollen. Nightly pains going from above downwards, after abuse of Hg, after venereal disease. Pain in periosteum of long bones < at night in bed, least touch, damp weather

RHUS.TOX 30--Pains tearing in tendons, ligaments and fascia. Limbs stiff, paralysed,.Cold fresh air is not tolerable, it makes the skin painful. Tearing pain in the thigh, paralysis trembling after exertion. Pain as if sprained, as if a muscle or tendon was torn from its attachment. Pain as if bones were scraped with a knife.< midnight, wet rainy weather.

RUTA 30-Bruised lame sensation after a fall or blow, worse in limbs and joints. Parts of body he lies are painful as if bruised. Restlessness – turns and changes position when lying. For bruised and other mechanical injuries  of bones and periosteum.

NAT.SULPH 30--For mental traumatism. Mental effects from injury to head. Pain in limbs, compels frequent change in position. Must change position frequently but it is painful and gives little relief. Feel every change from dry to wet. Pain in hip joint, worse left, stooping. Tearing and drawing in legs, esp. in tendo Achilles and calf.

BADIAGA 30-Several hard, small lumps along the shin bone. At night violent lancinating pains in limbs.

CONIUM 30-Muscular weakness esp. lower extremities. Putting feet on chair relives pain. Dragging pain in hips, < on beginning to walk after sitting, with a sensation as if tendons were too short.

HEP.SULPH 30-Pain as from a bruise on thighs. Painful tension in thighs which prevents sleep. Sudden lassitude of limbs when walking.

LACHESIS 30-Sensation of contraction of tendons of ham. Nocturnal pain in hip and thigh. Sensation of heaviness, paralysis, of numbness and trembling in thigh and knees.

PULSATILA 30-Pain as from bruise or ulceration. Pain in coxi-femeral articulation with painful jerks as in a wound extending as far as knees. < during repose.

SULPHER 200--Pain as from bruise  in hip on least movement, with shooting pains in legs esp. at night in bed. Heaviness of legs, with lesion in thigh and knees esp, at night.

MERC.SOL 30-Sharp lancinating pain in hip joint, thigh and knees esp. at night and during movement, with sensation of coldness in diseased parts. Tearing in hip joint and knees. < at night with pulsating pain.

BELLIS PERENNIS 30-Left sided. Joints sore, muscular soreness. Pain down anterior of thighs. Itching on back and flexor surface of thigh.

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