~ 3 ~ International Journal of Homoeopathic Sciences 2024; 8(1): 03-07 E-ISSN: 2616-4493 P-ISSN: 2616-4485 www.homoeopathicjournal.com IJHS 2024; 8(1): 03-07 Received: 07-11-2023 Accepted: 08-12-2023 Dr. Jyoti Sharma Ph.D. Supervisor, Assistant Professor, Department of Materia Medica, Homoeopathic University, Jaipur, Rajasthan, India Dr. Suman Chaudhary Ph.D. Scholar, Homoeopathic University, Jaipur, Rajasthan, India Corresponding Author: Dr. Jyoti Sharma Ph.D. Supervisor, Assistant Professor, Department of Materia Medica, Homoeopathic University, Jaipur, Rajasthan, India Chronic sciatica treated with individualized homoeopathic medicine: A case report Dr. Jyoti Sharma and Dr. Suman Chaudhary DOI: https://doi.org/10.33545/26164485.2024.v8.i1a.1041 Abstract Sciatica is pain that is caused by pathology in the sciatic nerve root. Sciatica pain occurs in the distribution of sciatica nerve or in lumbosacral nerve root along with parenthesis. Case Summary: A 35 year, female suffering from left sided sciatica. Her mental health was disturbed and living poor quality of life due to sciatica pain. Assessment of pain was done with NRS (Numerical rating score) and quality of life was assessed with ODI (Oswestry Disability Index scale) at the base line and after the treatment. Individualized homoeopathy medicine was prescribed. Both the score of assessment shows improvement after the individualized homoeopathic treatment. This enhances our belief in the positive role of homoeopathic medicines in treating the sciatica. Keywords: Sciatica, homoeopathy, numerical rating score, revised Oswestry disability index scale, chronic disease, lycopodium Introduction Sciatica is a result from pathology in the sciatic nerve root. Lifetime incidence of sciatica was reported to be between 10 to 40% and annual incidence was reported to be between 1 to 5% [1] . Sciatica pain is experience in the distribution of sciatica nerve or in the lumbosacral nerve root along with parenthesis. Pain is characterized by the radiating pain from the back into the buttock to the legs in the posterior or lateral aspect. Sciatica pain is often aggravated by standing, sitting, exertion, sneezing, coughing, and relived by lying down or complete rest [2] . Sciatica is rarely occurs before the age of twenty unless history of trauma. There is no gender predominance but some genetic predisposition. Some occupational predisposition has been shown in machine operators or truck drivers requiring physically awkward position or physical stress on spine such as vibration [1, 2] . Symptoms of sciatica may develop when there is pathology anywhere along the course of sciatic nerve. The pathology conditions as like, herniated or bulging lumbar intervertebral disc, lumbar spinal stenosis, spondylolisthesis, misalignment of one vertebra in relation to others, muscle spasm at lumbar or pelvic region, inflammation due to any infection, spinal or Para-spinal mass like malignancy, epidural hematoma and epidural abscess causes pressure effect on sciatic nerve [1, 2] . Sciatica is most problematic when it becomes chronic. The sciatica pain greatly interfere with an individual’s ability to perform daily activates. It may lead to reduce productivity and reduce quality of life. If proper treatment was not given to patient, who is suffering to sciatica it may lead to complications. With time the intensity of pain and parenthesis may be increase in the affected leg leads to loss of muscle strength in affected legs, loss of bladder and bowel control, and at last may be permanent damage to sciatica nerve may occur [3, 4] . Materials and Methodology A case of sciatica was taken from OPD and confirms the diagnosis with the help of clinical examination and MRI report. A detail case history was taken. Prescription was based on individualization done after full case taking followed by analysis, evaluation and repertorisation. Selection of Potency of medicine made as per guideline by Hahnemann mentioned under organon of medicine. The Assessment was done according to Numerical Rating Score (NRS) for sciatica pain at baseline of treatment and after the treatment. The quality of life of patient was also assessed with Revised Oswestry Disability Index scale at baseline of treatment and after the treatment.