Diagnosis

Pain in the region of the hip, frequently extending to the knee and foot, and following the course of the sciatic nerve. By its severity it may not only produce violent pain, but stiffness and contraction of the limb. The pain manifests itself not only during motion, but also during repose. This, as well as other diseases of the hip, and also of the knee-joint, should not be neglected, but the advice of a physician immediately obtained.

Treatment

When the attack is accompanied with 3onsiderable fever, Aconite may be given, if the pain is violent, in alternation with Belladonna, or Bryonia.

Belladonna

Where the slightest motion increases the pain; the skin of the part affected is red and shining, and burning fever may be present.

Bryonia

The symptoms are similar to those indicating Belladonna, with the exception that the parts affected are not as red, but quite as painful; constipation may also be present.

Rhus

The pains are darting, tearing or dragging, attended with tension and stiffness in the muscles, and aggravated during rest; painful sensibility of the joint when rising from a sitting posture.

Ignatia

Pains of an incisive nature, particularly on moving the limb. It is highly useful where the disease occurs in persons of a mild or melancholic temperament.

Colocynth

Sensation as if a tight band where around the hips and back, the pains running down from the regions of the kidneys into the legs; pain excited or aggravated by anger or indignation.

Pulsatilla

Pains worse toward evening, during the night, and when seated, but relieved in the open air.

Nux-V

Pains aggravated towards morning, and attended with a sensation of stiffness and contraction, also of paralysis, torpor and chilliness, in the parts affected.

Arsenicum

Burning pains or sensation of coldness in the affected parts; acute dragging pain, with great restlessness, occasional intermission of pain, with periodical returns; pain relieved by external warmth; weakness and disposition to lie down.

Among the other remedies sometimes indicated, we may mention: Veratrum, Chamomilla, Conium, Staphy-sagria, Hep.-s., Phosphorus, and Sepia, Sulphur, Mercury, and Laehesis.

Dose

Two drops, or twelve globules, in a tumbler of water, a tablespoonful at a dose; or a powder, or three globules on the tongue. In severe cases give a dose every two or three hours. If the disease assumes a chronic character, a dose once in six or twelve hours will be sufficient.

In all forms of neuralgia the galvanic battery will often produce the most beautiful results.