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Homœopathic Links 2020; 33(01): 041-052
DOI: 10.1055/s-0040-1705142
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Effects of Homoeopathic Single and Minimum Dose on Non-Radiographic Axial Spondyloarthritis—BASDAI Assessment

Deepak Kumar
1   Department of Practice of Medicine, National Institute of Homoeopathy, Salt Lake, Kolkata, India
,
Eiphrangdaka L. Suchiang
1   Department of Practice of Medicine, National Institute of Homoeopathy, Salt Lake, Kolkata, India
,
Gautam Pal
1   Department of Practice of Medicine, National Institute of Homoeopathy, Salt Lake, Kolkata, India
› Author Affiliations
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Publication History

Publication Date:
10 April 2020 (online)

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Abstract

Early cases of ankylosing spondylitis do not have the typical presentation of radiographic sacroiliitis but present as non-radiographic axial spondyloarthritis (nr-axSpA) where both are varieties of axSpA. Homoeopathic prescription based on totality of symptoms offers a promising relief to nr-axSpA where peripheral joints are also affected. Here, a 27-year-old male patient presented with bilateral heel pain, pain in low back, pain on base of right toes, pain in neck with stiffness for 1 year had refractive response to conventional medication. Diagnosis was confirmed by Assessment of SpondyloArthritis International Society diagnostic criteria for axSpA. Single medicine and minimum dose of Silicea showed its effectiveness on the symptoms' improvement and Bath Ankylosing Spondylitis Disease Activity Index score whereby score of 8.8 (active disease) before treatment changed to 1.2 (inactive or mild disease) after treatment. Various other parameters were assessed accordingly before and after treatment. This case report encourages further exploring the beneficial effects of homoeopathic treatment in clinical condition like axSpA utilising validated scale.

Keywords

ankylosing spondylitis - homoeopathy - non-radiographic axial spondyloarthritis - single medicine

Financial Support and Sponsorship

Nil.


 

  • References

  • 1 Kundu A. Locomotor System. Bedside Clinics in Medicine Part 2. Academic Publishers; 2014: 218-226
    Google Scholar
  • 2 Ralston S, McInnes I. Rheumatology and bone disease. In: Walker B. , et al, eds. Davidson's Principles and Practice of Medicine. 22nd edition. London: Churchill Livingstone Elsevier; 2014: 1058-135
    Google Scholar
  • 3 Seiper J, Braun J. Clinicians' Manual on Axial Spondyloarthritis. London: Springer International Publication; 2013
    Google Scholar
  • 4 Malaviya AN, Shankar S, Arya V. , et al. Indian Rheumatology Association consensus statement on the diagnosis and treatment of axial spondyloarthropathies. Ind J Rheum 2010; 5 (01) 16-34
    PubMedGoogle Scholar
  • 5 Cowling P, Ebringer R, Ebringer A. Association of inflammation with raised serum IgA in ankylosing spondylitis. Ann Rheum Dis 1980; 39 (06) 545-549
    CrossrefPubMedGoogle Scholar
  • 6 Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 1994; 21 (12) 2286-2291
    PubMedGoogle Scholar
  • 7 Schroyens F. Synthesis Repertorium Homoeopathicum Syntheticum.7th edition. New Delhi: B. Jain Publisher; 1997
    Google Scholar
  • 8 Hahnemann S. The Chronic Diseases: Their Peculiar Nature and Their Homœopathic Cure. B Jain Publishers Pvt. Ltd; 2002
    Google Scholar
  • 9 Patel RP. Chronic Miasms in Homoeopathy and Their Cure with Classification of Their Rubrics/Symptoms in Dr. Kent's Repertory (repertory of miasms). Kerala: Hahnemann Homoeopathic Pharmacy; 1996
    PubMedGoogle Scholar
  • 10 Roberts HA. The Principles and Art of Cure by Homoeopathy. New Delhi: LPE India; B Jain Publishers Pvt. Ltd; 2002
    Google Scholar
  • 11 Deodhar SD. C-reactive protein: the best laboratory indicator available for monitoring disease activity. Cleve Clin J Med 1989; 56 (02) 126-130
    CrossrefPubMedGoogle Scholar
  • 12 Clunie GPR, Ralston SH. Rheumatology & bone disease. In: Ralston SH, Penman ID, Strachan MW, Hobson R. , Eds. Davidson's Principles and Practice of Medicine. 23rd edition. London: Elsevier Health Sciences; 2018: 982-1058
    Google Scholar
  • 13 Trull AK, Ebringer R, Panayi GS, Colthorpe D, James DC, Ebringer A. IgA antibodies to Klebsiella pneumoniae in ankylosing spondylitis. Scand J Rheumatol 1983; 12 (03) 249-253
    CrossrefPubMedGoogle Scholar
  • 14 Paterson J. The role of the bowel flora in chronic disease. Br Homeopath J 1949; 39 (01) 3-26
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Nayak C. Study on effectiveness of homoeopathic bowel nosodes in the treatment of cervical spondylosis on the basis of stool culture report. Ind J Res Homoeopath. 2008; 2 (01) 42
    PubMedGoogle Scholar
  • 16 Hering C. Condensed Materia Medica. New Delhi: B Jain Publishers Pvt. Ltd; 2017
    Google Scholar
  • 17 Mayer L, Saville J, Bhika R. The interrelationship between Tissue Salts and the Qualities of Tibb [Internet]. Johannesburg: The Ibn Sina Institute of Tibb; 2013 [cited 23 April 2019]. Available from: https://www.tibb.co.za/articles/Tissue_Salts_and_the_Qualities_of_Tibb.pdf
    PubMedGoogle Scholar