MNR HOMOEOPATHIC MEDICAL COLLEGE, HOSPITALS SANGAREDDY

Recognized by:

NATIONAL COMMISSION HOMOEOPATHY, NEW DELHI.

Affiliated To:

KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES

Intern

SYNOPSIS

“To endeavour the efficacy of Juglans cinerea in pain management of

cervical region with NDI.”

by

K. S. Shiva Kumar
BHMS (2016-17)

UNDER THE GUIDANCE OF

Prof: Dr. Sneha Basavaraj Bevinamarad
HOD

DEPARTMENT OF CASE TAKING AND REPERTORY

MNR Homoeopathic Medical College &

Hospitals, Sangareddy.
2024

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From:
K.S. Shiva Kumar,

To,
Dr. Sneha Basavaraj Bevinamarad
HOD / PROFESSOR
Department of Case taking and Repertory
MNR homoeopathic medical college & hospital, Sangareddy

Sub: Application to accept my synopsis for dissertation.

Respected Madam
I, K.S. Shivakumar, would like to forward my application for the approval of my synopsis under
your guidance for the topic, To endeavour the efficacy of juglans cinerea in pain
management of cervical region with NDI.
Hope you will approve the same.

Date:
Place: Sangareddy

Yours Sincerely,
K.S. Shiva kumar
MNR Homoeopathic Medical College & Hospital,

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From:
Dr. Sneha Basavaraj Bevinamarad
HOD / PROFESSOR
Department of Case taking and Repertory
MNR homoeopathic medical college & hospital,

To,
K.S. Shiva Kumar
Sub: Acceptance of synopsis for the dissertation.

Dear Doctor,

I have accepted your topic, “To endeavour the efficacy of juglans cinerea in pain
management of cervical region with NDI.” for the dissertation.

Your synopsis will be forwarded to MNRHMC

Date:
Place: Sangareddy

Dr. Sneha Basavaraj Bevinamarad

HOD / PROFESSOR
Department of case taking and repertory.
MNR homoeopathic medical college & hospital, Sangareddy

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 MNR HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL,

SANGA REDDY

1. NAME OF THE CANDIDATE

AND ADDRESS K.S. Shiva Kumar

PRESENT ADDRESS:

MNR HOMOEOPATHIC

MADICAL COLLEGE & HOSPITAL,

PERMANENT ADDRESS H.NO:1-15,TEMPLE,ROAD,

VENNACHERLA (vil)
PEDDAKOTHAPALLY (mndl)
NAGARKURNOOL (dist)
509235

2. NAME OF THE INSTITUTION

MNR HOMOEOPATHIC

MEDICAL COLLEGE & HOSPITALS

3. COURSE OF THE STUDY

INTERN

DATE OF ADMISSION TO 12 JUNE 2023

4. COURSE

5. TITLE OF TOPIC To endeavour the efficacy of Juglans Cinerea

in pain management of cervical region with
NDI.

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6 BRIEF RESUME OF INTENDED WORK:
.
ABSTRACT
Neck pain is the fourth leading cause of disability. Most episodes of neck pain will resolve with or
Without treatment, but nearly 50% of individuals will continue to experience some degree of pain or
Frequent occurrences. Few clinical trials have evaluated treatment for pain in cervical region.
Homoeopathy is more effective in managing all the symptoms which are related to pain in cervical
Region. In the literature of homoeopathy numbers of medicines are mentioned for pain in cervical
Region related conditions. Homoeopathic medicines are given on the basis of totality of symptoms
and differ from individual to individual. It helps to neutralize the pain and prevent the progress of Pain
management of cervical region. The medication is based on homoeopathic principles, so Treatment is
long-lasting and permanent. All the symptoms are collected after careful observation and case taking
followed by totality of symptoms. To endeavour the efficacy of Juglans cinerea in the pain
management of cervical region with NDI.

KEYWORDS: neck pain, cervical region, Homoeopathic medicine, Juglans cinerea

INTRODUCTION:
Neck pain is very common. It is estimated that about 1 in 3 people are affected once a year. Neck pain
causes considerable personal suffering due to pain, Disability and impaired quality of work and life in
General, which can be a great socio-economic Burden on both patients and society. The symptoms are
usually harmless and go away on their own after a while. But they might keep coming back again, too.
The risk of neck pain problems becoming chronic generally increases with age. Neck pain is also often
more persistent in people who have already had back pain or a slipped disk. Neck pain is pain that starts
in the neck and can be associated with radiating pain down one or both of the arms and shoulders.

Pathophysiology: -

The pathophysiology for the majority of neck pain conditions is not clarified. There is evidence for
disturbed oxidative metabolism and elevated levels of pain-generating substances in neck muscles,
suggesting that impaired local muscle circulation or metabolism can be part of the pathophysiology.
Neck pain is also associated with altered coordination of cervical muscles and impaired
proprioception in the neck and shoulders. Evidence suggests that these phenomena are caused by the
pain, but also that they can Aggravate the condition.

Who gets pain: -

It is higher in females than males, peak in middle aged people.

Risk factors for pain

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Psychological Biological occupational
*Anxiety Autoimmune disorders *office &computer worker
*Stress *Genetic *Manual labours
*cognitive variables *Gender *Health care workers
*sleep problems *Age
* Sedentary life
*Obese

Neuromusculoskeletal Disorders: -

Muscle strain, ligament sprain, myofascial pain, fibromyalgia, facet joint pain, internal disc disruption,
somatic dysfunction, spinal fracture, vertebral osteomyelitis, and polymyalgia rheumatica, atlantoaxial
instability.

Classification of neck pain: -

Pain based on duration

Acute < 6weeks

Sub-acute ≤3 months

Chronic > 3 months

Homoeopathic Treatment: -

Name of the remedy: - Juglans cinerea

Common name: - Butternut
Family: - juglandaceae
Parts used: - inner bark

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6.1 NEED FOR THE STUDY:

Aim: - To demonstrate the effectiveness of juglans cinerea in the pain management of cervical region
with NDI.

HYPOTHESIS/OBJECTIVES:

Hypothesis:

H0: There is no significant action of Juglans Cinerea in pain management of neck.

H1: There is significant action of Juglans Cinerea in pain management of neck.

Objectives:
1. To evaluate the patients with pain in cervical region and to know the homoeopathic
management.
2.To evaluate Juglans Cinerea in pain management of cervical region.

6.2 REVIEW OF LITERATURE

1. A study was conducted, where the patients can choose whether to go to a conventional or
homeopathic doctor, has documented the Effectiveness of homeopathy in reducing the use of
conventional pain medications. This year-long study compared patients with a variety of
musculoskeletal disorders, this also includes neck pain. The homeopathic patients used 25% fewer
narcotics and only Half as many NSAIDs. Not surprisingly, they had fewer adverse Events. Yet, there
was no difference in specific functional scores and no loss of therapeutic opportunity in the

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 homeopathic cohort— all the more surprising, since the homeopathic cohort’s Conditions were more
longstanding.
2.Musculoskeletal complaints during computer Work, including portable computer, are caused
by prolonged awkward body posture. The Most common bad working postures observed in computer
operators are forward bending/Inclination of the back and head as well as Excessive wrist extension.
In Turn, excessive forward bending of the head and the resulting static muscle tension is mentioned
As a risk factor in neck pain.
3.Cervical pain is very much commonly growing disease in this modern era. There are lots of
therapy & Medication used in conventional method, but it gives patient for relief of sometime. In
Homoeopathy, there is lots of medicine for such kind of disease. We have lots of medicine to relief
pain & reduce its reoccurrence. For such kind of disease, we must follow management, exercise, and
diet along with medication which gives a very pleasant result. Few remedies are Arnica, Calcarea
Carbonicum, Bryonia, cimicifuga, Guiacum, Hypericum, Gnaphalium, Ustilago, Ruta.
4.Exercise intervention includes muscle strengthening, muslce endurance, stretching. other types
such as proprioceptive re-education, coordination & stabilization exercises. Few findings revealed
strong evidence supporting effectiveness of muscle strengthening, endurance for treating neck pain.
Moderate evidence indicated that muscle endurance exercise was effective for reducing disability
attributed to neck pain.

5. Nape of neck is rigid, lame feeling, pricking up and down spine. Aggravated during moving the
part, drawing a long breath, sitting position also in afternoon times, occasionally shooting type of
pain.

7 MATERIAL AND METHODS:

.
Source of data:
The subjects will be selected as per the inclusion criteria from OPD, IPD and peripheral centres of
MNR Homoeopathic Medical College and Hospital, Sangareddy

Sample size: 20 patients.

Duration of study: 6 months.

Type of study: Experimental study.

Inclusion criteria:

1.Patients with age group between 20-60 years.

2.both genders
3.Patients included under occupational risk factor.
*office &computer workers

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 *daily labourers .
. *health care workers.

Exclusion criteria:

• Persons with any kind of Systemic Complications.

Method of collection of data:

A sample of minimum 20 cases will be selected based on inclusion and exclusion criteria. It will be
ensured that patients are made aware of the study in their own language and an informed consent
will be taken from every individual. The data will be collected and processed in clinical case sheet
format. All the recorded details of the patients will be confidential. The subjects will be intervened
with the juglans cinerea according to the intensity evaluated through questionnaire.

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8 LIST OF REFERENCES:
.
1.steven P. Cohen MD, Epidemology, diagnosis & treatment of neck pain, mayo clinic.
2015:90(2):284-299.

2.National library of medicine, NCBI, 14/2/2019.

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3.Scott curtis DO, Neck pain, spine health 12/9/2019.

4. Alex. P. Michael. MD, AANS, Journal of neurosurgery.

5.Burke lennihan, Homoeopathy for pain management mary ANN LIEBERT, INC. Vol23, No5, Oct
2017,176-183.

6.Marzena malinska & jonna bugajska, influence of occupational & non-occupational factors on the
prevalence of musculoskeletal complaints in users of portable computers, IJOSE, 2010, vol16,
no3,337 343.

7.Shashi bhushan singh, Ravi prakash. Cervical spondylosis management through the spectacles of
Homoeopathy, cloud publications, 2021, vol10(1),649-655.

8.Rattaporn sihawong, prawit janwantanakal, Ekalak sitthipornvorakul, praneet pensri. Exercise

therapy for office workers with neck pain: JMPT, ELSEVIER; vol34(1), jan 2011,62-71.

9. Vernon H. and Hagino C., 1987. Vernon H, Mior S. The neck disability index: A Study of reliability
and validity. Journal of manipulative and physiological therapeutics 1991; 14:409-415.

10. John Henry clark, A dictionary of practical materia medica, vol 2, 71-74.

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9. SIGNATURE OF CANDIDATE

10. REMARKS OF THE GUIDE

11. NAME AND DESIGNATION

OF

11.1 GUIDE

11.2 SIGNATURE

11.3 HEAD OF DEPARTMENT

NAME/ SEAL

11.4 SIGNATURE

12. PRINCIPAL

SIGNATURE

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