AllYouWantedtoKnowAboutYourSpine
AcompleteGuidetotheDiagnosisandAlternativeTreatment
BY
Dr.RahulK.Singh
ISBN9789354584527©Dr.RahulK.Singh2021PublishedinIndia2021byPencilAbrandofOnePointSixTechnologiesPvt.Ltd.123,BuildingJ2,ShramSevaPremises,WadalaTruckTerminal,Wadala(E)Mumbai400037,Maharashtra,INDIAEconnect@thepencilapp.comWwww.thepencilapp.comAllrightsreservedworldwideNopartofthispublicationmaybereproduced,storedinorintroducedintoaretrievalsystem,ortransmitted,inanyform,orbyanymeans(electronic,mechanical,photocopying,recordingorotherwise),withoutthepriorwrittenpermissionofthePublisher.Anypersonwhocommitsanunauthorizedactinrelationtothispublicationcanbeliabletocriminalprosecutionandcivilclaimsfordamages.
DISCLAIMER:TheopinionsexpressedinthisbookarethoseoftheauthorsanddonotpurporttoreflecttheviewsofthePublisher.
Authorbiography
Dr.RahulK.Singhisaregisteredhomeopathicphysicianandagraduateofthe“BharatiVidyapeethHomoeopathic MedicalCollege”,Pune,andpost-graduatedfromtheBritishInstituteofHomoeopathy,London.Heispracticinghomeopathysince2005inDelhiandalsoworkingasaseniormedicaladvisorin“BhargavaPhytolabPvt.Ltd.”(OldesthomoeopathicdrugsmanufacturerinINDIA),wherehehasbeenformulatedmanynewhomeopathiccombinationmedicinesincluding“AGUENIL”syrup,awell-knownhomoeopathicmedicineforthemanagementofDenguefever.
His achievementshavebeenrecognizedbydifferentawards,includingtheChikitsaSevaRatanAward(2020)byAkhilBhartiyaChikitsakAssociation,Lifetimeachievementaward(2019)byDelhiHomoeopathicFederation,Specialappreciationaward(2018),Appreciationaward(2017),andDr.Hahnemannaward(2016)byBoardofHomoeopathicSystemofMedicine,DelhiandSafehandaward(2016)byDr.LalFoundation,etc.
Dr. RahulhasagoodexperienceinR&D.Hehasinvolvedinconductingmany‘clinicaltrials'ofhomoeopathicmedicines.Recently,hehadsuccessfullyconductedaclinicaltrialonahomoeopathiccombinationfor‘efficacyofhomoeopathiccombinationsyrupinCovid-19patients’,conductedatNIMShospital,Jaipur.Hewasalsotheprimaryinvestigator(P.I)inthisstudy.
His curedcasesandwrite-upshavebeenpublishedindifferentNationalandInternationaljournalsandmagazines.Inadditiontotheclinicalpractice,healsoorganizesfreehealthcheck-upcampsindividuallyorinassociationwithdifferentNGOsfortheneedyandpoorpatients.HeismorespecializedintreatingSkindisorders,G.I.T.disorders,Endocrinedisorders,Sexualproblems,andInfertility.
Contents
CHAPTER1
CHAPTER2
CHAPTER3
CHAPTER4
CHAPTER5
CHAPTER6
CHAPTER7
CHAPTER8
CHAPTER9
CHAPTER10
CHAPTER11
Foreword
FOREWORD
It givesmeimmensepleasureinwritingtheforewordforthisbookon“SpinalDisordersanditsManagement”byDr.RahulKumarSingh. HavingknownDr.RahulSinghforabouttwodecades,Ihavealwaysadmiredhisempatheticattitudetowardspatients.Ifindthisbookaculminationofhiscontinuouseffortstowardsalleviatingpatient’ssufferings. Inthisbook,theauthorhasexplainedthediseasesofspineanditshomoeopathictreatmentinsuchanicemannerthatthisbookwillprovetobeofgreathelpforstudentsandpractitionersboth. Today,diseasesofspinehavebecomeamajormedicalproblem.Italsohasconsiderablesocialandeconomicimpactonthelifeofpatients.Thishighlightstheneedforsuchabookwhichtellsushowhomoeopathicmedicinescanbeabetterwayinmanagingthesediseases.Inmypractice,Ihavemanyatimesfoundpatientshavingaperceptionthata“spinaldisorder”necessarilymeansoneisdestinedforlifelongpainandsuffering.IamhappytofindthatthroughthisbookDr.RahulSinghhassuccessfullybrokenthismythandhasestablishedthefactthathomoeopathyisthebestanswertosuchconditions. Iamconfidentthatthisbookisgoingtobeagreatsuccess.Icongratulatetheauthorforthisendeavourandwishtoseemoreandmoresuchcontributionsfromhiminfuture.
Dr.MonikaSrivastava
BHMS, MD,PhD(scholar)
Homoeopathic MedicalOfficer
Preface
PREFACE
I havebeenpracticinghomoeopathyforover17 years.Afterwatchingsomanypatientsfordifferentailmentsincludingacuteandchronicones,Irealizedthatjointsandbackpainisthemajorreasonfordisabilityandagonyinmostofthepatients.Thisworldisfullofsufferingandweasadoctorcanprovidedifferenttreatmentstrategiesthatcouldbeusedtohelptheailingpopulation.Idecidedtowritethisbooktodescribethedifferentdisordersrelatedtothespineandtheirmanagementbyyoga,diet,andhomoeopathytohelpthepatientsandotherhealthprofessionalsforbetterunderstanding.Backpainisthecommonestreasonforabsencefromworkandforseekingmedicaltreatment.Itcanbeuncomfortableanddebilitating.Everymovementseemstomakeitworse.Itcanresultfrominjury,activityandsomemedicalconditions.Backpaincanaffectpeopleofanyage,fordifferentreasons.Aspeoplegetolder,thechanceofdevelopinglowerbackpainincreases,duetofactorssuchaspreviousoccupationanddegenerativediskdisease.Duetotheanatomyofthespine,thedescriptionofthelocationofthebackproblemsareveryconfusingforpatients,andevenforhealthcareprofessionalswhodealwithbackproblemsonaregularbasis.Patientswithbackproblemsarealltoooftenconfusedaboutwhatispinchingwhere,andhowthebackproblemrelatestotheirsymptoms.Evenwhenspinespecialistsspendagreatdealoftimeexplainingtheproblem,itisstilloftenhardtounderstand.Thisisacommonproblemthatisdifficulttodescribeanddifficulttounderstand.Thisbookdiscusseshowterminologyusedforspinalanatomyrelatestocommondiagnosesandsourcesofbackproblemsforpatients.Thepurposeofpresentingthisbookistocompileallthedisordersrelatedtothespineatonepointforabetterunderstandingofthereaders.Inthisbook,Ihavetriedtoexplainallthedisordersrelatedtothespine,theircause,riskfactor,symptoms,diagnosis,andsuggestivetreatment.Thisbookisforeveryonewho'sstrugglingtogetridofthebackproblemandotherdisordersrelatedtothespine.Thisbookwillexplainthenaturaltreatmentmethodsandbestpracticestomanagethedifferentspinaldisorders.Thebookalsohighlightstheimportanceofphysicalexercise,yoga/asanaanddiet®imeninmanagingSpinaldisorders.Italsoelaboratestheroleofhomoeopathyintreatingspinaldisorders.Thisbookisdividedintotenchapters.Thefirstchapterdescribesthefunctionsofthespine,theanatomyofthespine,differentpartscontributingtothestructureofthespineandtheirindividualfunctions.Thesecondchapterdealswiththehistoryofspinaldisorders,spinalinjuries,anddifferentspineproblems,typesofspinalcurvatures,theircauses,symptomsandtheirdiagnosis.Thethirdchapterdescribesdifferenttypesofspondylopathiesincludinginflammatoryandnon-inflammatory.Italsodescribesthepott’sdisease.Inthefourthchapter,intervertebraldiscdisordershavebeendescribedincludingSchmorl’snodes,Degenerativediscdiseases,andSpinaldischerniation.ThefifthchapterdealswiththepainsrelatedtospinaldisorderslikeSciaticapainanddifferentradiculopathies.SixthchaptertalksaboutdifferentdiagnostictestperformedtodiagnosethespinaldisorderslikeHistory&physicalexaminationofpatient,differentlaboratoryinvestigationforruleoutanyinfection,X-ray,Myelogram,Magneticresonanceimaging(MRI),Computedtomography(CTscan),Nerveconductionvelocity(NCV),Electromyography(EMG)andSpinaltapetc.Theseventhchapterisdedicatedtodifferentposesofyogaandasanaforspinalhealth.Yogaisanaturalandside-effectfreeremedyforSpinaldisorders.Regularpracticeofyogaanddifferentasanaleadstoaflexiblebody,calmmindandapositiveattitudetowardslife.Theeighthchaptersuggestssometipstokeepyourspinehealthyandfit.Itdescribesabouttherightpostureduringsitting,totakeprecautionduringbendingandlifting,importanceofwaterintake,importanceofexercise,restandsoundsleepformaintainingthehealthofspineandback.Intheninthchapter,theimportanceofdietandnutritionforspinehealthisdescribed.Theimportanceofcalciumdietandsourcesofdietarycalciumisalsodiscussedinthischapter.Thetenthchapterisdedicatedtotheroleofhomoeopathyindifferentspinaldisorders.Homoeopathicmedicinesareequallyeffectiveinacuteaswellaschronicconditionsofspinedisorders.Insomeconditionswherereversalofdiseaseisnotpossible,homoeopathymanagesthecomplicationsoftheparticularproblemandpreventsfurtherdamagetojointsandmaintainsthewellbeingofthepatientwithoutanyharmfuleffectsonthebody.Inthissection,indicatedsymptomsofmedicineshavementionedalongwithmodalitiestogiveareadyreferencefortheselectionofremedy.TheEleventhchapterincludestheshortrepertoryforquickreference.Thisbookdoesnotsetouttocompetewiththestandardbooksonorthopedicsandsurgeryneitheritisanalternativetoanyotherbookrelatedtothetreatmentofspinedisorders.Thisisalsonotahomoeopathic‘MateriaMedica’.Mymainpurposetocompilethisbookistogiveabasicunderstandingofspinedisorders.Thebookhighlightstheimportanceofalternativetherapiesinspinedisorders.Itdescribestheroleofyoga/asana,diet,andhomoeopathyasanadjuvantwithabasictreatmentplan.
Dr.RahulKumarSingh
BHMS (Pune),HMD(London),CNCC
Acknowledgements
ACKNOWLEDGEMENT
WritingabookisharderthanIthoughtandmorerewardingthanIcouldhaveeverimagined.Noneofthiswouldhavebeenpossiblewithoutthesupportofmywife,Jyoti.Shestoodbymeduringeverystruggleandallmysuccesses.IwanttogivespecialthankstoLateDr.PankajBhatnagar,whomademerealizedthathomoeopathyisthebestmedicalscienceandIcanbeagoodhomoeopath.Ilearnedalotofthingsfromhim,especiallytheconfidence,Igainedfromworkingwithhim.Recently,he left for heavenlyabode.Hisgentlesoulwillalwaysbeinmyheart.MysincerethanksalsogotoMr.R.S.Bhargava,MDofBhargavaPhytolabPvt.Ltd.,forofferingmetheopportunitytoworkinhisorganizationwhereIlearnedsomanythingsrelatedtohomoeopathyandoverallimprovedmyselfasaperson.HereImetmanygoodpersonswhoinfluencedmylifeandencouragedmetodonewthings.Ialsowouldliketothankyoutomybelovedwife,myfamilyandrelativesforsupportingmethroughouttheyears.Finally,toallthosewhohavebeenapartofmygettingthere:Allmyteachers,myfriendsandeveryonewhoeversaidanythingpositivetomeortaughtmesomething.Ihearditall,anditmeantsomething.IamalsothankfultomyfriendsDr.MonikaSrivastavaandDr.DeepaRajenimbalkarforencouragingmetowritethisbook. Lastbutnotleast;IwanttothankmyparentsandGodbecausewithoutthemIwouldn’tbeabletodoanyofthis.
Dr.RahulKumarSingh
BHMS (Pune),HMD(London),CNCC
Introduction
INTRODUCTION
Theword"orthopaedic",ismadeupfromtwodifferentgreekwords,"orthos",meaningstraight,and"paidion",meaningchild.Theword"orthopaedic"isfirstusedbyaFrenchpediatrician“NicholasAndry”(1658-1742),whoisalsoconsideredasthe‘FatherofOrthopedics.’Thetermorthopedicwasusedforthefirsttimeintheepoch-makingtextbookofAndrypublishedin1741.Backpainisoneofthecommonestreasonsformissedwork.Infact,afterupperrespiratoryinfections,backpainisthesecondmostcommonreasonforvisitstothedoctors.Itisestimatedthatonebillionpeopleworldwidearesufferingfrombackpain.Itaffectsallagegroups,fromchildrentotheelderly.Backpainmaybecausedbymusclespasms,tensemuscles,discdegenerationordischerniation.Toraiseawarenessofbackpainandotherspinaldisorders,wecelebrate‘WorldSpineDay’everyyear,onOctober16.‘WorldSpineDay’highlightstheimportanceofspinalhealthandwellbeing.TheSpineisacomplicatedstructureofsmallbones,joints,ligamentsandmuscles.Duetoflexibilityofspine,youcansprainligaments,strainmuscles,rupturedisks,andirritatejoints,allofwhichcanleadtobackpain.Accidentsandsportsinjuriescanleadstoseverebackpain.Sometimesthesimplestofmovementslikebending,topickingupsomethingfromthefloor,canproducebackpain.Inaddition,obesity,wrongorpoorposture,jointsdiseaseslikearthritisandmental&physicalstresscanalsocauseorcomplicatebackpain.Thisbookisgoingtosolveallyourqueriesrelatedtodisordersofspine,theirmanagementandtreatmentwithdiet®imen,YogaandHomoeopathy.Withthehelpofhealthprofessionals,exerciseandrehabilitationexperts,wecanpreventaswellasmanagemostofthespinerelateddisorders.HomeopathyistheonlyformoftreatmentthathasshownanoverwhelmingpositiveresponseintreatingSpinalDisorders.Homeopathicmedicinestreatthepersonbythestrengtheningourvitalforceandprovidesprotectionfromillness.Becauseofthispersonalizedconstitutionalapproachofhomeopathy,aremedythatmatchesallofthesymptomsofpatientswillstimulatevitalforcetorevivebalanceandhealth.Homoeopathyhelpsbystoppingthedemineralizationanddegenerationprocessofthebonesofthejointinvolved.HomoeopathicremedieshelpstoProvidestrengthtotheadjoiningligamentsthusstrengtheningthewholejoint,maintainingitsspaceanddecreasingpressureonthenerves.Itmaypreventfusionofjointsandthefurtherspreadofdiseaseinotherorgans.Inmildandmoderatediseasestagescompletecurehasbeenachieved,incaseswerethediseaseprocesshasledtodestructionofthejointasinseverecaseshomoeopathycanofferexcellentpalliativetreatmentwithoutanysideeffects.Thisbookhighlightstheimportanceofalternativetherapiesinspinerelateddisorders.Whydiet®imenisimportantforspinehealth?Whyyoga/asanaisbeneficialinmanagingthebackpainandotherspinedisorders?Thisbookwillalsoexplainthelinkbetweenthespinediseaseandfaultylifestyle.Thisbookwillacknowledgetheefficacyofhomoeopathicmedicineinspinedisordersandbackpains.
Dr.RahulKumarSingh
BHMS (Pune),HMD(London),CNCC
Medical advisor:BhargavaPhytolabPvt.Ltd.
Clinic: 182,MainRoadManadwali,nearBadiMasjid,
Delhi –110092
Contact: +91-9911167389E-mail:
[email protected],
[email protected]CHAPTER1
CHAPTER1KNOWYOURSPINE
TheoriginofwordspinedrivefromtheLatinword"Spina"meaningbackbone.Spineisoneofthemostimportantpartsofourbody.Itgivesstructureandsupporttoourbody.WithoutSpinewecouldnotstanduporkeepourselvesupright.Spineprovidestheflexibilitytomoveaboutfreelyandtobendwithflexibility.Thespineisalsodesignedtoprotectourspinalcord.Thespinalcordisacolumnofnervesthatconnectsthebraintotherestofourbody,allowingbodytocontrolitsmovements.Onecan’tmoveanypartofhisbodywithoutthehelpofaspinalcord.1.1FunctionsoftheSpine
Strength
and
Support
-
Spine
gives
strength
to
the
body
and
it
also
provides
the
support
to
the
heavy
weight
of
the
skull.
Cervical
region
support
the
skull,
Thoracic
region
offers
strength
and
stability
to
the
middle
part
of
body.
Lumbar
region
carry
the
most
of
body's
weight
and
allows
movements.
With
the
help
of
muscles,
ligament
and
tendon,
spine
distribute
body's
weight.
Movement
-
Special
design
of
spine
and
its
accompanying
structures
like
muscles,
tendons,
ligaments
and
so
forth,
enable
the
body
to
move
in
various
ways,
for
example,
bowing,
extending,
turning
and
inclining.
Protection
of
Nerves
-
Spinal
column
provides
protection
to
the
delicate
nerves
and
the
spinal
cord,
which
helps
to
control
the
functions
of
our
body.
Vertebrae,
muscles
and
ligaments
attached
to
spine,
form
a
network
of
protection
that
keeps
the
spinal
cord
from
getting
injured.
Blood
Supply
-
The
vertebral
bones
of
spine
produce
lot
of
red
blood
cells
and
minerals
from
its
bone
marrow.
There
are
two
types
of
bone
marrow;
red
and
yellow.
Red
bone
marrow
is
responsible
for
the
production
of
red
blood
cells,
platelets
and
white
blood
cells,
while
yellow
bone
marrow
contains
high
levels
of
fat
cells
and
also
produces
some
amounts
of
white
blood
cells.
Protection
of
Major
Organs
-
Thoracic
vertebrae
provides
a
base
for
the
ribs
to
attach
posteriorly
while
interiorly
these
are
attached
with
sternum,
which
form
a
cage
(ribcage)
and
protect
our
major
organs
like
lungs
and