Psychological distress in Prolapse inter vertebral disc.

The overall lifetime prevalence of back pain exceeds 70% in all industrial countries and the consequences include loss of 1.4 working days per person / per year; 10-15% of all sickness absence; Approximately 25% of the populations between the ages 40 to 50 have shown evidence of a Prolapse Inter Vertebral Disc on MRI scan, most of which were a symptomatic at the time. Study psychological distress in PIVD cases. Methods: A Clinical study of 81 cases of Prolapse Inter Vertebral Disc was done at APHA Super specialty clinic, Hyderabad and private clinic from 2006-2009 Results: 17.28% belongs to 45-49 years age , followed by 14.81% in 40-45 years age group, Gender females were more, Occupation: Non manual workers: 22, home makers: 27 manual workers: 32, social Group was: Low socioeconomic: 26,middle class: 37,upper middle class: 18, smokers were more than 50%, 90% were having psychological distress with apprehension about future, it was more in dropped out cases of 6.2% , remedies Lycopodium 30 , Kali carb 21 were leading, Result were as follows Relief of 76--99% in 30 cases, 51--75% in 30, 26-- 50% in 30, 0--25% in 10 cases and No dropped out were 6.2%. Ultimate answer was Pain reduction 90%, Work return 90%, increased physical function 60% and psychological wellbeing in 60 % cases. Discussion: Conventional systems of medicine have its limitation in tackling these disorders, and their approach in the treatment of disc prolapse is to provide temporary relief than a permanent cure through drugs and Microdisectomy, which a common Indian cannot afford. Homoeopathic system of medicine provides hope for a more permanent cure and relief if the treatment is planned methodically; in this system of medicine mental symptoms are given top priority. Conclusions: It found the holistic approach of Homoeopathy is very much pragmatic in dealing with PIVD disorders with psychological distress; still there is a lot to do to further validate the homoeopathic literature13
**** for full length article ref Asian journal of Homoeopathy,vol 4 no 4 (13) Nov 2010 -Jan 2011.