Bharatesh Homoeopathic Medical College and Hospital

BHARATESH HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL

POST GRADUATE RESEARCH CENTRE BELGAUM—590016

KARNATAKA

Recognised by

CENTRAL COUNCIL OF HOMOEOPATHY, NEW DELHI

Affiliated to

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE

SYNOPSIS

M.D.(HOMOEOPATHY)

HOMOEOPATHIC APPROACH IN THE MANAGEMENT OF SIMPLE FRACTURE

By

Dr. SHIVAYOGESH.P.SHIVAYOGIMATH

Dr. S.S.DIVATE M.D.(HOM)

Professor and Guide,

Department of Materia Medica,

Bharatesh Homoeopathic Medical College & Hospital,

Belgaum.

From,

Dr. SHIVAYOGESH.P.SHIVAYOGIMATH

To,

Dr. S.S.DIVATE M.D (HOM)

Professor and Guide

Department of Materia Medica,

Bharatesh Homoeopathic Medical College & Hospital,

Belgaum.

Sub: -- Application to accept my synopsis for the Dissertation

Respected Sir,

I Dr. SHIVAYOGESH.P.SHIVAYOGIMATH would like to forward my application for the approval of my synopsis under your guidance for the following topic,

“HOMOEOPATHIC APPROACH IN THE MANAGEMENT OF SIMPLE FRACTURE”

Hope you will approve the same.

Thanking you.

Your’s sincerely

Date:

Place: Belgaum

Dr SHIVAYOGESH.P.SHIVAYOGIMATH

Department of Materia Medica

Bharatesh Homoeopathic Medical College

& Hospital, Belgaum.

From,

Dr. S.S. DIVATE M.D (HOM)

Professor and Guide

Department of Materia Medica,

Bharatesh Homoeopathic Medical College & Hospital,

Belgaum.

To,

Dr. SHIVAYOGESH.P.SHIVAYOGIMATH

Sub: Acceptance of synopsis for the dissertation.

Dear Doctor,

I have accepted your topic “HOMOEOPATHIC APPROACH IN THE MANAGEMENT OF SIMPLE FRACTURE” for the dissertation. Your synopsis will be forwarded to RGUHS.

Date:

Place: Belgaum.

Dr. S.S.DIVATE M.D.(HOM)

Professor and Guide,

Department of Materia Medica,

Bharatesh Homoeopathic Medical College

& Hospital, Belgaum.

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES.

BANGALORE, KARNATAKA.

ANNEXURE II

APPLICATION FOR REGISTRATAION OF SUBJECT FOR DISSERTATION

1. / NAME OF THE CANDIDATE AND ADDRESS / Dr.SHIVAYOGESH.P.SHIVAYOGIMATH
DEPARTMENT OF MATERIA MEDICA
BHARATESH HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL BELGAUM-16
2. / PERMANENT ADDRESS / Dr.SHIVAYOGESH.P.SHIVAYOGIMATH
S/O P.S.SHIVAYOGIMATH.
712/1,’SHIVASHAKTI NILAYA’ PIPE LINE ROAD
MALLASANDRA T.DASARAHALLI Post
BANGALORE—560057
NAME OF THE INSTITUTION / BHARATESH HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL, BELGAUM-16
3. / COURSE OF THE STUDY & SUBJECT / M.D.(HOM) MATERIA MEDICA
4. / DATE OF ADMISSION TO COURSE / 15 JUNE 2009
5. / TITLE OF THE TOPIC / “HOMOEOPATHIC APPROACH IN THE MANAGEMENT OF SIMPLE FRACTURE”
6. / BRIEF RESUME OF THE INTENDED WORK
6.1 NEED FOR THE STUDY
Fracture is the term used to describe the breakage of bone. Breaking a bone can be a big deal as it may happen to anybody irrespective of the age & sex.
There are 206 bones in our body that form the skeleton which supports & protects the softer parts of the body. Because of their unique structure bones can bear large amount of weight. Bones are those which grow rapidly during our early part of life & has capacity to renew themselves when they are broken
Homoeopathic mode of treatment will enhance body’s natural healing & self repair ability & so homoeopathic remedies are non-habit forming and curtails addiction of drugs like pain killers.
As the gap between various medical systems narrows down, the term ‘alternative medicine’ is slowly dying & replaced by the term Integrated medicine where the best of Homoeopathic system integrates to serve the humanity at its best & being accepted worldwide because of its high efficacy in treating a particular illness.
As homoeopathy is well known for its vast scope in management of injuries, it can be used as best source for management of simple fractures.
The present study,”HOMOEOPATHIC APPROACH IN THE MANAGEMENT OF SIMPLE FRACTURE” is an attempt to study the pathophysiology & applicability of homoeopathic treatment in depth
.
6.2  REVIEW OF LITERATURE.
Fracture is defined as loss of continuity of a bone.
Simple fracture also called Closed fracture is defined as the fracture in which the fracture surface does not communicate with exterior through skin or mucous membrane.
Age: fracture can occur in persons of any age..
Sex: both sexes are equally affected.
Causes
1. from a sudden high impact injury, often a fall or an accident.
2. due to stress usually found in athletes.
3. loss of bone mass in old age due to decreased activity & hormonal imbalance.
4. nutritional deficiencies such as vitamin D...
5. underweight also risks due to hormonal deficiency like decreased estrogen.
6.The majority fractures are traumatic, which are caused by some sort of violence or trauma which breaks healthy bones. Violence can be direct, indirect & muscular.
Healing of fracture:
Healing is an instantaneous process which takes place immediately after fracture. It takes place in 5 stages:
1.  stage of haematoma formation.
2.  stage of cellular proliferation.
3.  stage of callus formation.
4.  stage of new bone formation.
5.  stage of re modeling.
Clinical features:
1.  History of the condition includes: -activity of the patient at time of accident. -nature of the injury i.e., fall, blow, twist
-magnitude of injury & loss of functional activity.
2.  symptoms:
-pain
-loss of function,patient unable to move the limb.
-deformity or swelling.
3 Clinical examination:
(A) local examination: the injured side should always be compared with the sound side.
(a) inspection of –swelling & deformity.
-attitude
-shortening
-of overlying skin
(b) palpation: elicits –tenderness
-bone irregularity
-abnormal movements
-crepitus.
( c ) measurement. (d) movements (e) complications are all checked.
(B) General examination: --look for evidence of shock
--look for other injuries.
--know the cause in pathological fracture.
(C) lab investigations: X-Ray examination.
Treatment:
1. General management: it must be remembered that we are treating a patient & not fracture. So we have to: (a) control the pain as fracture is very painful condition which is due to movement of bony fragments, so local splintage is given along with required remedy.
(b) there will be internal haemorrhage in area of fracture, so blood loss is checked.
( c ) associated injuries to be checked.
2.  Local management: the primary aim of fracture treatment are:
-to attain sound bony union without deformity.
-to restore function of fractured limb.
Reduction—to bring the fractured segments in alignment without any displacements.
Retention—fractured segments are kept immobilized in reduced position till union occurs & is done by traction, plaster/cast.
Rehabilitation—restoration of function by elevation, exercises, physiotherapy.
Homoeopathic management:
Homoeopathy provides many significant medicines in treating people who suffer from fractures, even though the healing of fracture is natural process, when these medicines are used with above conventional procedures, the risk of long term damage can be significantly decreased & healing process can be noticeably improved. It will also help build & maintain a healthy, resilient skeleton it can also support & speed up healing by enhancing circulation, can also be used as an antiseptic.
Homoeopathic remedies are also non-habit forming & have no addictive characteristics.
Arnica – bad effects from sprains, strains, falls, bruises, contusions without laceration. After injuries with blunt instruments. Prevents suppuration & promotes absorption.
Asafetida –inflammation of the bone & periosteum, venous stagnation leading to stitching pain from within outwards. Blueness all around.injuries of tarsal & carpals
.
Calc.carb. –deffective formation of bone. softening of bone. Tardy development of bone tissues. Curvatures. Irregularity in distribution of the lime.
Calc. phos. –wounds fail to heal by first intention. From impaired nutrition. Promotes formation of callus formation. Pain more in cold weather, getting well in spring & returning in autumn.
Calendula – traumatic affections, to secure union by 1st intention & prevent suppuration. Wounds with sudden pain during febrile heat.
Hypericum –mechanical injuries of spinal cord. Concusion pains after fall on coccyx. Sore, pajnful wounds. Injury to parts rich in sentinent nerves. Pain shows where nerves are severely involved.
Rhustox – lameness, stiffness & pains on 1st movement, after rest & better by gradual movement. It is the natural follower of Arnica, if the weakness & tenderness remains.
Ruta – injuries of periosteum & fibrous tissue. Mechanical injury of tarsal & carpal. Aids in forming callus, where there is much pain in affected part.
Staphisagria – mechanical injuries from sharp cutting instruments. Inflammation of tissues. Suppuration.
Symphytum –facilitates callus formation. Lessens peculiar pricking pain of fracture. For periosteal pain after wounds have healed. Irritability at point of fracture. For pain in old fractures.
6.3 OBEJECTIVES OF THE STUDY
1. To study the clinical presentation of Simple Fractures.
2. To study the role of Homoeopathic medicines in Simple Fractures.
3 To learn the scope & limitations of managing a case of simple fracture.
7. / MATERIALS AND METHODS
7.1 SOURCES OF DATA
Subjects will be collected from IPD, OPD, and Peripheral clinics of Bharatesh Homoeopathic Medical College and Hospital, Belgaum
7.2 METHOD OF COLLECTION OF DATA (including sampling procedure, if any)
·  Patient will be selected on the basis of Inclusion & Exclusion criteria.
·  Minimum sample size will be 30. random sampling procedure will be adopted.
·  Reference to materia medica & its corroboration to reportorial , remedial diagnosis will be done.
·  Therapeutic plan of the management will be done for each individual case.
·  All cases will be taken as per proforma prerared for study.
·  All patient registered between period of 15 june 2009 to 15 nov 2009 will be taken for study. No new cases will be taken for study after 15 nov 2009. cases will be studied from nov 2009 to November 2011.
·  Follow ups will be seen weekly/fortnightly as per the requirements.
·  Prognosis assesment will be on general & local improvement of the patient .
INCLUSIVE CRITERIA
·  Patients suffering from Simple Fracture of bone.
·  Clinically diagnosed cases of Simple Fracture.
·  Patients with both the sexes.
·  Cases irrespective of any age group.
EXCLUSIVE CRITERIA
·  Cases with irreversible pathological conditions.
·  Cases with complications.
·  Cases which need surgical intervention
.
7.3 DOES THE STUDY REQUIRE ANY INVESTIGATION OR INTERVENTION TO BE CONDUCTED ON PATIENTS IF SO PLEASE MENTION BRIEFLY.
YES,
As per the necessity of case, the following investigatios will be performed.
1.  Radiograph –plain x-ray of affected part (AP & Lateral).
2.  Serum for calcium analysis.
3.  Urine analysis.
4.  Bone scan.
5.  Arthroscopy
6.  Arthrography.
7.4 HAS THE ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE OF 7.3?
Yes, ethical clearance has been obtained from the institution.
8. / LIST OF REFERENCES.
1. DAS S., A Concise Textbook Of Surgery 3rd Edition, Calcutta; Published by Dr.S.Das, June 2001
2. Das S, A Manual on Clinical Surgery 5th Edition, Calcutta, Published by Dr.S.Das, October 2000.
3. Kent.J.T., Lectures on Materia Medica. Reprint edition, New Delhi: B.Jain Publishers Pvt. Ltd. 1998: 929pp.
4. Clarke J.H, A Dictionary of Practical Materia Medica. Reprint Edition, New Delhi; Indian Books & Periodicals Publishers, 2002;Vol-III,1270pp.
5. Allen H.C, Keynotes with Nosodes. 2nd Edition, New Delhi;Indian Books & Periodicals Publishers, 249pp
6. Boericke W, New Pocket Manual of Homoeopathic Materia Medica & Repertory. 1st Corrected/Revised/Updated edition, New Delhi; B. Jain Publishers Pvt. Ltd., 1998; 567-568pp.
7. Lilienthal Samuel, Homoeopathic Therapeutics. Reprint edition, New Delhi: B.Jain Publishers Pvt. Ltd., 1992: 1190pp.
8.. http://www.amcofh.org/
9. / SIGNATURE OF CANDIDATE
10. / REMARKS OF THE GUIDES
11. / NAME & DESIGNATION OF
11.1 GUIDE / Dr. S.S.DIVATE M.D.(HOM)
PROFESSOR & GUIDE,
DEPARTMENT OF MATERIA MEDICA
BHARATESH HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL, DHARWAD ROAD,
BELGAUM—16
11.2 SIGNATURE
11.3 CO-GUIDE (if any)
11.4 SIGNATURE
11.5 HEAD OF THE DEPT. / Dr. S.M.ANGADI M.D.(HOM)
PROFESSOR,GUIDE & HOD,
DEPARTMENT OF MATERIA MEDICA
BHARATESH HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL, DHARWAD ROAD,
BELGAUM--16
11.6 SIGNATURE.
12. / 12.1 REMARKS OF THE CHAIRMAN/ PRINCIPAL
12.2 SIGNATURE