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Case of Leg Cramps

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A case of 47 yrs old lady who came to us with calf muscle pain along with warts on the neck and hair fall problem. However, her main complaint and concern was the calf muscle pain which was unbearable for and was almost an everyday thing for her since a long time.

She also had a Vitamin D deficiency, for which she had taken Vitamin D injections

Earlier when the patient’s case was taken, she was given Arsenicum Album, Nat Mur, Sepia, Lachesis & Lycopodium.

Out of which Sepia worked out quite well for her, but there was no desired relief as such, after which again a retake was taken which is as follows:

 

CASE HISTORY AS GIVEN BY THE PATIENT:

Chief Complaint:

Pain in the calf muscles. There is uneasiness, restlessness when there is pain.

Pain starts especially at night, when I am relaxed and in bed.

The pain increases by draft of air and especially at night.

I feel better when I cover myself with a blanket or stretch my body, which relieves the pain

I am very particular about dressing. Lipstick matches the exact colour of the dress.

It’s an inbuilt quality.

Pain is 60 - 70% ok.

Sometimes it hurts, sometimes it doesn’t.

Worse at night, especially when I think that I should not get the pain. I get the pain.

Agg at rest, by draft of air

Amel by stretching. Pull for the muscle.

My routine is generally busy.

Nothing hard work as such.

I do my husband's documentation work at home.

I like to remain busy.

 

NATURE:

How do I say...??

In my childhood I used to Run from studies.

Used to get tense of the result.

After marriage no pressure as such by grace of God.

I like to go to family gatherings, but I am ok being alone also.

I don't like to be on phone calls or on mobile.

I AM BETTER WHEN I AM OUT OF MUMBAI.

Maybe because I am mentally free. No daily routine.

But I am mentally disturbed when I have to go somewhere like when I have to catch a flight or travel in a train. Tension aata hai.

My working speed is fast.

Family -- Fun → Masti, Mazak karna

I don’t get bored when I am alone. I keep myself busy.

If I have to keep myself busy, I get mentally tense that I have to do that work.

Outside Food → Swelling in hands

Sitting for long hours → Swelling of hands and feet.

 

FEARS:

No fears.

As a child, I didn’t used to work at all.

Pampered child.

Didn’t like outdoor sports.

Abhi toh sochke bhi darr lagta hai.

CREATURES ON DISCOVERY CHANNEL I DON’T LIKE.

I am a very emotional person.

Drama or Comedy I see.

I don’t like violent, action movies.

Sensitive to → Husband and son.

I get very tense when my son gets sick.

He once got fit, when he had a fever in childhood.

Very attached to my son.

Prepare myself mentally when he gets married → I will keep my distance

No one will like interference practically.

 

 

HOBBIES:

Family Person - I feel happy about that.

No extra hobby -- totally housewife → I take all the responsibilities → I decide things → But I also take opinions of them also.

I AM A VERY ORGANIZED PERSON.

I LIKE CLEANLINESS.

 

 

SADDEST MOMENT:

When my son was sick.

Mentally disturbed.

His brain was affected.

Disturbed that he should get well.

Should not become mentally retarded.

 

 

PHYSICAL GENERALS:

STOOL: Good motions → After having beetroot.

CRAVINGS: Sandwiches, Burgers.

AVERSION: Sweet food

TASTE: Medium Spicy.

THIRST: Normal

PERSPIRATION: Especially on face and back

THERMALS: HOT

SLEEP: Disturbed

 

 

 

OTHER COMPLAINTS:

Hair fall, Dandruff, Warts, Double Nails, Crack, Brittle.

Nail Biting

 

 

STAGE PERFORMANCE:

I can’t do that.

I don’t have that confidence.

I lack it.

How will I talk...??  → Mentally disturbed

 

ANGER:

When things don’t go my way.

I am LOUD only.

I scream.

Express what I feel.

 

 

MIL: This is wrong. This is right.

Stop telling. Make distance with them.

 

Until the person doesn’t break the relationship. I don’t.

 

 

CASE ANALYSIS:

A very family-oriented person.

Sensitive person

Restlessness

Nervous Anticipation when she has to go somewhere

Wants to be busy all the times, otherwise gets bored

Very much attached to her son.

Lack of confidence, can’t do public speaking

Cleanliness

Likes everything Organized

Health Conscious

Nail Biting

Very LOUD+++

Agg: at night, uncovering

Amel: Stretching, Covering

 

 

 

REMEDY ANALYSIS:

Medorrhinum is a nososde. It represents the sycotic miasm.

The main feeling of the sycotic miasm is “I am OK as long as my weakness is covered up”

The fear of being exposed in Medorrhinum is seen in its fear and anxieties.

The person is always anticipating that something will happen. She has this anticipation whenever she has to go somewhere out.

Time passes too slowly for the person especially when she is travelling, therefore she doesn’t like travelling

There is a constant inner anxiety and restlessness of feet and constant biting of nails.

In order to cover up her inner weakness, the Medorrhinum patient can take the opposite stance, in that she can become quite egoistic, critical, rude, selfish, insensitive, extravagant and act as if nothing really scares, bothers or affect her.

Anxious when the time is set, and may be very hurried and impatient.

They have a very fixed way of doing things.

 

RUBRICS:

Ailments from anticipation

Sensitive, reprimands, to

Anxiety, time is set, if a

Hurry

Time passes too slowly, appears longer.

 

 

 

 

PHYSICAL SYMPTOMS:

Desires sweet and sour combination

Greasy face

Restlessness, feet

 

 

BOERICKE:

Worse when thinking about the ailment

 

 

KENT:

Restlessness of feet

Greasy Face

 

 

PHATAK:

Sensitive, nervous, impulsive, abrupt, rude, mean, cruel

 

 

 

PRESCRIPTION:

Medorrhinum 200 [4 Powders]

2 powders BD for 2 days

SL 3 BD for 7 days

 

 

FOLLOW UPS:

 

1 WEEK FOLLOW UP:

I am 70 - 75% better.

Pain is better.

Now it is only there in the right calf and when I press it I feel the pain.

Pain is also there in the elbows and back.

Pain in the elbow joint is also there.

I have gained weight. My clothes also feel tight nowadays.

It was a sudden weight gain in the past 1 month.

Rx:

SL [4 Powders]

2 BD x 2 days

SL 3 BD x 15 days

 

 

15 DAYS FOLLOW UP:

I am better 80 - 85%

But still the day before yesterday there was pain, because of over exertion.

But I did not take the SOS medicine.

So, it subsided the next day.

Got my menses today.

Maybe because of that there is pain (12/02/2020 - LMP)

Sometimes there is no pain at all.

I feel loose and become happy.

Pain in the arm is there, but is little less than earlier.

Rx:

Medorrhinum 200 [4 Powders]

2 BD x 2 days

SL 3 BD x 7 days

SL [2 Powders] – SOS

 

 

1 MONTH FOLLOW UP:

I am 80 – 85% better

Still sleep is a problem.

Calf pain has greatly reduced

There is pain due to exertion and tiredness

Rx:

Medorrhinum 200 [1 Powder]

Today

SL 3 BD x 15 days

Medorrhinum 200 (Small Bottle) - SOS