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hip osteoarthritis

Hello Doctor,
Namaskar.

My wife age 47 is having right hip pain problem since last 5 years. After doing MRI report recently, the findings are stated as below. Doctor, could you please kindly suggest if Ayurveda treatment would be possible. The MRI has been taken recently and forwarding you the report and image file.
Kindly review the case and suggest us for appropriate cure.
Thank You.
Ashok

MRI of Right Hip Joint was performed without contrast enhancement

Procedure: T1, T2 weighted and Stir Multi planar Image,

Joint space is reduced on the right hip Joint. Gross osteophytes are noted.
Focal depression is seen in the superior aspect of the formal head. However, no marrow edema is seen. Articular cartilage loss is seen with subchrondrol sclerosis.
Subchondral cyst is also seen. Marrow edema is not seen.

T1 and T2 hupointense focal signal loss is seen in the subchodral acetabulum suggesting sclerosis. Edema is seen in the acetabulum.

Left hip joint normal in alignment, left femoral head, neck and the acetabulum are normal. No joint effusion.

Muscles and fat planes show normal signal characteristics.
Both SI joints are normal. No gluteal mass or collection.
Urinary bladder is normal. Uterus and ovaries appear normal. Flee fluid is seen in POD

IMPRESSION:
Features suggest osteoarthritis of right hip joint.
Free fluid is seen in POD.
 
  ashok sinya on 2014-06-01
This is just a forum. Assume posts are not from medical professionals.
will analyze and come back
 
Zady101 5 years ago
Dear Doctor,

I thought, we need to get you more updates about the condition and information of the patience’s.

The Hip pain started sometimes back in 2002. The condition of hip is painful during the walk and climbing stairs. The pain is felt more before going to sleep and it is experienced more during cold season and monsoon period. She tends to limp little bit when walking, this started since a year ago. Since the pain started way back in 2002, she had hip examined by number of ortho pediatric doctors and performed number of hip X-rays. The doctors have been suggesting only hip exercise. The exercise did not help much; She has been attending number of physiotherapists also. She has been taking some pain killer medicines whenever there is severe pain. She has not taken any steroid so far. But only recently some doctors are suggesting for hip replacement surgery which we want to avoid at any cost.

She has normal and regular stool functions. I have normal and regular urine functions. Complains are none. Her sleeping is very sound but bit excessive sleep. Her other health situation is fine.

She just had a blood sample test of few vitamins and minerals if these might be important and the findings are

Glucose Random ---- 113 mg/dl
Calcium ----------9.3 mg/dl
Phosphorus… 3.9

Thyroid Function test

fT3….5.11
fT4…. 1.47
Ultra sensitive TSH … 2.26

Vitamin D,25OH …. 13.10


Please kindly answer to our problem and It could be only our last option.

Thank You very much.
 
ashok sinya 5 years ago
Ok, i will reply within a day. Sorry for the delay.
 
Zady101 5 years ago
Please take Calc Phos 6X and Calc Flour 6X for 1 wk and update me.

4 tabs Calc Phos 6X + 4 tabs Calc Flour 6X

Take it morning, afternoon and evening.

Update after 1 wk.
 
Zady101 5 years ago
Thank you so much doctor, In fact we are from Nepal and we have limited homeopathic clinics, medicines and its services. Your prescribed dose for Mrs.Sunita commenced from yesterday but with different potency as below. Hope its okay with these. Its only available in the market.I forgot to inform you that as she has deficiency of Vit D, with 13 nlg . She is given a strong dose of Vitamin D3 – 60000 for two months, started from last week. Hope it’s okay with that also to continue with the homeopathic medicines. I will update you the effect of it after a week of time. Thank you or the kind support.

Available in the store.
-Cal Phos 12X – 4 tabs –two times a day for 1 week
-Cal Flour - 4 tabs - two times a day for 1 week

ABC prescribed.
- Please take Calc Phos 6X and Calc Flour 6X for 1 wk

- Thank you once again.
Ashok
------------------------------
Dear Doctor,

I have also a problem in my knee which started from heavily running exercise a year ago. I immediately stopped the exercise. The pain occurs on the right and left side of my left leg knee. Currently, I am in home rest with limited movements with wearing a knee cap. I (Ashok) am 51 years old, weigh 78 kg with height 5 feet 6inches involved in tourism trekking business. The allopathic doctors could not diagnosis what went wrong. The x ray could not even detect what went wrong, however the cartilages seems eroded a bit. I am also taking Vitamin D3 as the blood sample test detected severe deficiency of Vit D3 with 9.9 nlg. Could you please look into the matter and recommend some medicine for me as well.
I appreciate your kind help.
Ashok
 
ashok sinya 5 years ago
Twice a day is fine.

You also take twice a day same meds for 1 wk.
[message edited by Zady101 on Sat, 07 Jun 2014 11:02:49 BST]
 
Zady101 5 years ago
Dear Doctor Zady,

Today is 15th June 014 which makes completion of following one week of medication for Sunita .

- Calc Flour - 6X – three times a day
- Calc Phos - 6X –three times a day

Symptom/ Effect

The above medicine has not shown any effect or symptom for betterment of hip arthritis.I hope you have received the MRI image and report that I included in my previous mail. Since the report shows featuring of arthritis along with formation of bone spurs, Flee fluid seen in POD and formation of thinning of cartilage, could you please kindly suggest for different homeopathic medicines that I read in different post such as argentums Metalicum , symphytum, Causticum, Helka lava, Ruta G , Bryonia, Tongo, Please pardon,doctor I am just been little impatience .

I would like to inform you that since sometimes she has been taking crushed Parijat ( Nyctanthes arbortris) boiled - juice as a home based remedy as directed by Dr. Deoslok in his post for the treatment of osteoarthritis. I hope it is okay with that. Also she is taking Glucosamine.
-There is no swelling or inflammation in her hip portion.
-She can still walk but cannot rotate the hip portion in a full angle.

Sunita’s background :
]
- Family back ground: Husband and 12 years old daughter.Fair complexion
- Education: Master’s degree in home science.
- Weigh 78 Kg to her height 5.5 feet
- Non vegetarian type, desire for oily based food and sweets.
- Not craving for any particular food or taste.
- Poor water drinking habit. Less appetite for food.
- No indigestion problem No BP, No thyroid, No blood sugar or ESR.
- Non smoking of cigarette or drinking of alcohol.
- Normal order of sleeping, Normal function of Urine and stool.
- Practices light yoga and Pranayam every morning
- Never has been seriously ill.
- Vitamin D3 deficiency and presently Vit D3- 60000 dose for 8 weeks course.
- Runs a boutique based in resident based.
-Often visited by friends.
-Sensitive to cold
- No homeopathic treatment taken in past.
-Normal health condition is fine.
- Less energetic since arthritis attack

------------------------------

Today is 15th June 014 which makes completion of following one week of medication for Arun.

- Calc Flour - 6X – three times a day – One week
- Calc Phos - 6X –Three times a day - One week


a.I still feel there are some friction, pain and heating/ piercing sensation while walking. There might be wound/ tear inside due to running heavily. I have taken an x ray, but the report does not show any abnormality, except narrowing space a bit between the bones. My knee feels still week but no swelling so far.
b.Could you please suggest for next medicines.


Arun’s background :

a.Three family members with wife and daughter.
b.Strict vegetarian only recently started eating eggs.
c.Do not eat much but habituated eating chili.
d.Do not smoke cigarette or drink alcohol.
e.Practice light yoga and Pranayam every morning.

f. Arun’s background :

a.Three family members with wife and daughter.
b.Strict vegetarian only recently started eating eggs.
c.Do not eat much but habituated eating chili.
d.Do not smoke cigarette or drink alcohol.
e.Practice light yoga and Pranayam every morning.
f.Other health condition is very fine. Normal order of sleeping, Normal function of Urine and stool.
g.Never seriously ill.
h.No RA (Rheumatism) factor
i.Vitamin D3 severe deficiency.
j.Life had been extremely and continuously challenging but due to my strong will power and positive attitude, I have been successfully managing any hindrances.
k.Presently involved with NGO and working in the capacity of Project manager.
l.Taking Glucosamine - No homeopathic treatment taken in past. other health condition is very fine. Normal order of sleeping, Normal function of Urine and stool.
g.Never seriously ill, only during my childhood with joint problems (gout) and was cured with local Ayurvedic medicine.
h.Do not have any RA (Rheumatism) factor as I had a recent blood sample test.
i.Vitamin D3 severe deficiency.
j.Life had been extremely and continuously challenging but due to my strong will power and positive attitude, I have been successfully managing any hindrances.

Thank you.
 
ashok sinya 5 years ago
Please stop Kali Bich. No medicine for 3-4 days.
 
Zady101 5 years ago
We have never taken any kali bich neither you prescribed us this medicine. Think you are posting to the wrong patient.
 
ashok sinya 5 years ago
waiting for your reply sir
 
ashok sinya 5 years ago
Yes I don't know but that post was for another patient. You are expected to continue with Calc Flour 6X.
 
Zady101 5 years ago
OK, Arun can you please once again answer the following for your WIFE :

1) What are the exact locations of the pain? And what's the problem there?

2) Does the pain become better after rest or does it become better walking? Although you have answered this question but I am asking again.


3) Is there muscle/tendons rupture anywhere? If yes, state the location.


4) Is there any fluid collection anywhere? If yes, state the location.

5) Can you describe the pain? stabbing, burning, shooting, dull continuous etc.
 
Zady101 5 years ago
Okay, I will continue with Calc Flour.

I will answer to your question by tomorrow in regards to my wife.

Thanking you.
 
ashok sinya 5 years ago
Sir,

Please find the answer to the questions from the post of 16th June.

1) What are the exact locations of the pain? And what's the problem there?

The exact location of the pain is at the joint of the right hip. The pain is felt around and upper portion of the thigh and also at back of the hip buttock.

2) Does the pain become better after rest or does it become better walking? Although you have answered this question but I am asking again.

It used to be painful even walking for a shorter distance. But now the pain aggravates while walking for a long distance only. However, since few months back, she started walking with limping leg , even when making for a short distance. Upon asking the reason for limping, she thinks the body system has become habituated. The MRI report does shows thinning of her joint cartilage.

The pain is felt more especially at the night time before going to sleep. But that is only is she is walking for a longer distance on the particular day. During cold weather and monsoon period it is painful.


3) Is there muscle/tendons rupture anywhere? If yes, state the location.

There seems to be no muscle or tendon rupture around the hip. The MRI report does not explain any abnormalities of the muscle or Tendons.

4) Is there any fluid collection anywhere? If yes, state the location.

The outer look of the hip does not show any sign of swollen or inflammation. However, the MRI report explains the collection of free fluid in POD. Features suggest osteoarthritis of right hip joint.

5) Can you describe the pain? stabbing, burning, shooting, dull continuous etc.

The pain is felt like stabbing kind and sometimes it is dull.

Please check below the MRI report of my wife.

MRI of Right Hip Joint was performed without contrast enhancement

Procedure: T1, T2 weighted and Stir Multi planar Image,

Joint space is reduced on the right hip Joint. Gross osteophytes are noted.
Focal depression is seen in the superior aspect of the formal head. However, no marrow edema is seen. Articular cartilage loss is seen with subchrondrol sclerosis.
Subchondral cyst is also seen. Marrow edema is not seen.

T1 and T2 hupointense focal signal loss is seen in the subchodral acetabulum suggesting sclerosis. Edema is seen in the acetabulum.

Left hip joint normal in alignment, left femoral head, neck and the acetabulum are normal. No joint effusion.

Muscles and fat planes show normal signal characteristics.
Both SI joints are normal. No gluteal mass or collection.
Urinary bladder is normal. Uterus and ovaries appear normal. Flee fluid is seen in POD

IMRRESSION:
Features suggest osteoarthritis of right hip joint.
Free fluid is seen in POD.

Dr. Kritanjali Koirala MD
Consultant Radiologist




Thank You.
 
ashok sinya 5 years ago
Ok, i will come back to u.
 
Zady101 5 years ago
Rhus Tox 200C

Dissolve 2 drops/5 pills in 3 tablespoons water in a disposable cup, stir a few times and drink.

Do this once a day for 3 days and stop.

Update me after 5 days.

Arrange Calc Flour 6X, Silicea 6C and Hecla Lava 6X

Please note the C and X potencies.
 
Zady101 5 years ago

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