Tag: mental-health

  • Sciatica

    Sciatica is a type of nerve pain caused by irritation or compression of the sciatic nerve, which runs from the lower spine through the buttocks and down the back of each leg. It usually affects one side and can range from mild discomfort to severe, debilitating pain.

    Causes & Transmission

    • Herniated or prolapsed disc pressing on nerve roots
    • Lumbar spinal stenosis (narrowing of spinal canal)
    • Piriformis syndrome (tight piriformis muscle compresses sciatic nerve)
    • Spondylolisthesis
    • Degenerative disc disease
    • Trauma or injury to the lower back or pelvis

    Symptoms

    • Sharp, shooting, or burning pain from lower back to buttock and down the leg
    • Numbness, tingling, or “pins and needles” sensation
    • Muscle weakness in the affected leg or foot
    • Pain worsens with prolonged sitting, bending, or coughing

    Clinical Examination

    • Straight Leg Raise Test (SLRT): The patient lies flat while the leg is lifted straight; if pain radiates down the leg between 30° and 70°, the test is considered positive, indicating nerve root irritation (commonly L4-S1).
    • Bragard’s Sign: Performed after SLRT. After lifting the leg, the foot is dorsiflexed (toes pulled toward the shin). Increased pain indicates sciatic nerve involvement and helps differentiate from hamstring tightness.

    Diagnosis

    • Clinical history and physical examination
    • MRI or CT scan to visualize disc herniation or nerve compression
    • X-ray to assess spinal alignment or degeneration
    • Nerve conduction studies in atypical or persistent cases

    Impact on Daily Life

    Sciatica can significantly impair daily activities such as walking, sitting, working, or even sleeping. Chronic pain may affect mood, productivity, and quality of life, leading to frustration, anxiety, or depression if left untreated. Early management and lifestyle adjustments are key to preventing long-term disability.


    Dietary Measures to Alleviate Pain

    • Limit inflammatory foods: Avoid refined sugars, trans fats, processed meats, and excessive caffeine
    • Anti-inflammatory foods: Turmeric, ginger, garlic, green leafy vegetables, and berries
    • Omega-3 fatty acids: Found in flaxseeds, walnuts, and fatty fish
    • Magnesium-rich foods: Almonds, spinach, bananas, which support nerve health and muscle relaxation
    • Stay hydrated: To maintain disc integrity and overall cellular function

    Conventional Treatment:

    • Rest with gentle movement; avoid prolonged sitting or standing
    • NSAIDs for inflammation and pain relief
    • Physical therapy, stretching, and strengthening exercises
    • Hot/cold packs

    Interventional:

    • Corticosteroid injections near the affected nerve root
    • Surgery in severe cases with nerve damage or loss of bladder/bowel control

    Homeopathic Perspective:

    Individualized treatment based on totality of symptoms.

    Focus on constitutional remedy to prevent recurrence.


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  • Verruca Vulgaris

    Verruca vulgaris, commonly known as a common wart, is a benign skin growth caused by the human papillomavirus (HPV), primarily types 2 and 4 (though other types can also be involved). It often appears on the hands, fingers, elbows, and knees as a rough, raised, and sometimes cauliflower-like lesion.

    Causes & Transmission

    • Direct skin contact with HPV (e.g., from infected surfaces or another person).
    • Small cuts or abrasions increase susceptibility.
    • Common in children, immunocompromised individuals, and those frequently handling wet surfaces (e.g., swimmers).

    Symptoms

    • Firm, rough, raised lesion with a rough surface.
    • May have black dots (thrombosed capillaries).
    • Usually painless but can be tender if on pressure areas.

    Clinical Examination

    Appearance:

    • Small, rough, firm papule with an irregular surface.
    • May have a cauliflower-like or hyperkeratotic texture.
    • Can be single or multiple.
    • Possible black dots (thrombosed capillaries) on the surface.

    Location & Distribution:

    • Often found on the eyelids, lips, forehead, cheeks or around finger nails.
    • Can be isolated or appear in clusters.

    Palpation:

    • Surface feels rough, unlike smooth skin lesions (e.g., molluscum contagiosum).
    • Non-tender in most cases, unless irritated.

    Diagnostic Confirmation (if needed)

    Dermatoscopy: Shows a papillomatous surface with red or black dots (capillary loops).

    Scraping Test: Gently scraping reveals pinpoint bleeding (confirming capillary involvement).

    Biopsy: Histopathology shows hyperkeratosis, papillomatosis, and koilocytes (HPV-infected keratinocytes).


    Differential Diagnosis

    • Seborrheic keratosis – More waxy and stuck-on appearance.
    • Molluscum contagiosum – Dome-shaped with central umbilication.
    • Actinic keratosis – More scaly and linked to sun exposure.
    • Basal cell carcinoma (rare in young patients) – Pearly edges, slow-growing.

    Conventional Treatment:

    • Cryotherapy (freezing)
    • Curettage (scraping)
    • Electrosurgery
    • Laser ablation
    • Often done for cosmetic reasons or irritation

    Homeopathic Perspective:

    Individualized treatment based on totality of symptoms.

    Focus on constitutional remedy to prevent recurrence.


    Schedule an appointment with us?


    Interested in reading more about other cases cured at RG’s Homoeopathy?

    Cases cured at RG’s Homoeopathy-