GANGLIONS, BURSAE, INFLAMED TENDONS.
TENDONS vaginitis is a trouble of the sheaths of the tendons, the existence of which is shown by a creaking sensation and noise noticeable when the hand is laid upon the part of the body concerned. The creaking noise is due to a deposit of fibrin on the inner wall of the sheath. This condition is due always to over-strain or over-exertion, and it is not due to any constitutional factor, except possibly weakness, it is scarcely mentioned in homoeopathic literature.
Orthodox medicine treats this condition by immobilizing the member affected by means of splints during the acute stage and endeavours are made to dissolve and carry away the deposits of fibrin by applying to the affected part hot air in various forms or by creating a local hyperaemia, a local plethora of blood, by the methods introduced by Professor Bier.
Tendo vaginitis is always accompanied by violent pain and it is aggravated by exertion and ameliorated by rest. There is pronounced redness and inflammation in the sick tendons, particularly in the tendon of the abductor longus and of the flexor brevis if the thumb is affected. The fact that pain is experienced on movement and that it disappears if the member is kept absolutely quiet makes one think immediately of Bryonia as a remedy.
Several years ago I had to handle a number of cases of tendo vaginitis crepitans, which means inflammation of the tendons accompanied by a crackling noise, as follows. Mr. M. of R. came to my consulting rooms with a very recent inflammation of the tendon sheath of the right hand which produced a creaking noise on pressure or movement.
I had the affected wrist wrapped round with a tight bandage and the arm was immobilized by putting the forearm into a sling. The patient was given internally Bryonia 3x, a dose every two hours. After a week the inflammation had almost disappeared and the patient could discard the bandage and the sling. After another week the man was absolutely normal and could do manual work.
The sooner this trouble is handled the better it will be for the patient. It is far more difficult to deal with this trouble if time is allowed to elapse. However, even old cases of tendo vaginitis can be treated successfully by homoeopathy, which is more effective than the orthodox treatment.
It is worth noting that when the bandage has been discarded the diseased and weakened tendon might be massaged with an ointment which contains the indicated homoeopathic remedy embodied in it in 10 per cent. strength.
Bryonia is not always the indicated remedy. Occasionally Rhus tox. should be prescribed, especially when pain is not relieved by keeping the member absolutely still but is relieved by movement, a leading indication of Rhus tox., although Ruta graveolens and Arnica must be considered.
Another disease of the tendon sheath is the ganglion or node, with which most people are familiar. I have seen this condition cured frequently by homoeopathic means. A ganglion is created by the elevation of part of the tendon sheath which is raised by a kind of jelly.
A ganglion is a soft swelling which is particularly frequently found on the wrists of pianists, typists, lawn tennis players, and others who overstrain the wrist. The routine treatment for this condition consists in surgery, and I hesitated a long time before trying homoeopathic treatment.
I had a characteristic case which ended in a cure some weeks ago. An elderly lady of 70 years of age consulted me and showed me a ganglion on her left wrist. The skin of the affected part was inflamed and tight. The ganglion itself was painful and the pain extended upward to the elbow and occasionally as far as the shoulder. This was undoubtedly due to the irritation of a nerve which was pressed upon.