CASE OF POLYARTHRITIS WITH HYPOTHYROIDISM

//CASE OF POLYARTHRITIS WITH HYPOTHYROIDISM

CASE OF POLYARTHRITIS WITH HYPOTHYROIDISM

Miss. Xxxxxxxx xxxxxxx 19-year-old female patient was brought to me on 9th July 2016 by her family members for the complaint of pain in all joints. She was suffering since March 2015. She was not able to walk and sit without support and was not able to fold her knees to sit down.

On history taking, she had pain in all joints, big and small, since March 2015. Joints pains had increased since two months, April and May 2016, when she was brought to me. First pain started in lower back and then both hip joints affected. In March 2016, she developed swelling and pain in the right ankle joint and then pain ascended to the right knee, right elbow, and right shoulder. Then, the left sided joints affected in ascending manner.

She was very sick looking, feverish, having breathlessness and fatigue at the time of history taking. Character of pain was dull aching and continuous and no pain killers/ NSAIDs were helping her. She had aggravation of pain/condition in early morning, in sleep , in the evening , in summer and while walking, but intensity of pain decreased by continuous slow walking. First motion aggravated her pain. She felt better in afternoon, by hot bath, hot fomentation, in rainy and winter season. On further investigation, she had recurrent tonsillitis and rhinitis since childhood until the joint pain developed. She was taking a lot of allopathic medicines for recurrent rhinitis, but now she did not have any complaint of rhinitis since development of arthritis.On further history taking, she told me about her thyroid problem since Dec 2015. On seeing the thyroid profile, she had elevated TSH at 6.5. She had HYPOTHYROIDISM. She was not on any medicine for this.

Her menses were regular monthly, sometimes late, flow for 3 to 4 days. She had menarche at the age of 16 years. She had dysmenorrhoea (painful menses) with pain in lower back and lower abdomen for first two days of menses.She was anaemic, lean, thin, delicate and fair in complexion. She had thin long fingers with pitted nails. Nails grew fast. She had craving for fish+++ and sweet+++. She was thirsty with whitish yellowish coating on tongue, taking imprints of teeth. Sleep was not refreshing. Stool and urine were normal. She was a chilly patient.On above history taking,

she was prescribed a HOMOEOPATHIC medicine on 9th July 2016.On first follow-up on 1st August 2016, her general symptoms improved to normal and all joint pains in both upper limbs were normal. There was no pain in upper limbs and no dysmenorrhoea this time, but she was complaining of pain in the knees and right foot. Her feeling of well being improved . She didn’t have dullness this time.

On 9th Sep 2016, all her generals improved to normal (but still was) complaining of pain in knees and both feet.

On 24th Oct 2016, there was complete relief in all joint pains except some pain in both knee joints but these pains were bearable. At this time, she was complaining of swelling in her thyroid gland. On laboratory investigation of thyroid hormones, there was increase in TSH level at 31.625 which was increased compared to previous level of 6.5, but still she had a feeling of well being and she decided to stay with homoeopathic treatment only and not to go for allopathic treatment to control it.

On 8th Nov 2016, for the first time she complained of rhinitis (coryza) and sneezing reappeared, which was suppressed since her joint pains started. This time, she didn’t have any joint pain except some knee pain, which was negligible.

On 29th Dec 2016, no rhinitis, thyroid swelling started to decrease and no joint pain.
On 3rd Feb 2017, there was no joint pain, no thyroid swelling and her generals were normal. At this time, I advised her to do thyroid profile but she could not do it.

On 31st March 2017, she was able to sit on the floor with folded knees, no thyroid swelling, slight rhinitis and her generals were normal. Again at this time, I advised her to do thyroid profile.

On 23rd April 2017, she was not having any complaint and her thyroid profile was absolutely normal. Her TSH level was 3.4, which was within normal limit.

Today, she is absolutely normal and living a comfortable and normal life.Here in this case, we find that classical prescription always works and we can observe HERING’S LAW OF CURE . This case is cured as per Hering’s Law, which means pain disappeared from above downward, joint pains which had developed after suppressed rhinitis disappeared first and then rhinitis disappeared last (i.e. symptoms are cured in the reverse order of their appearance) . She is totally cured from all her sufferings and living a normal life.

Arthritis Profile

Thyroid Profile

2019-02-18T09:52:58+00:00
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