Efficacy of High Dilution Medicines in combination with physiotherapy in trauma induced low back pain- A Randomized Control Clinical Trial

Abstract

Background: Lower back pain can refer to a wide range of back injuries or conditions and is   one of the most common musculoskeletal disorders which necessitating health care and one of the reason for which many seek a family physician which is cause for limited range of motion. Homoeopathic medicines can offer long term relief from the backache. Methods: This is a three arm randomized controlled trial. Total 30 patients with trauma-induced low backache were chosen at random and divided equally into three study groups. Group A (n=10) was given Arnica 200 twice a day for the first 15 days, after 15 days, another evaluation was performed, and the dose was repeated as needed. Group B (n=10)  received constitutional medicine. The dose of constitutional medicine was repeated as needed. After careful case taking, case working, and repertorisation, Bryonia Alba Linn., Rhus Toxicodendron Linn., Nux Vomica Linn. were administered on a constitutional basis. Group C (n=10) received a placebo. All the three groups received physiotherapy to strengthen back muscles in order to reduce the likelihood of recurrenceData was anlaysed using STATA software using Chi square test, ANOVA and post-hoc Bonferroni Multiple comparison test. Results- Significant improvement in pain scores (VAS) was observed in both between the group and within the group comparisons and the effect was more pronounced in Group B. Conclusion: Hence we conclude that an individualized approach is more effective in the management of patients with trauma-induced low back pain.