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@article{207854,
        author = {Dr. Mahan Choudhary and Dr. Lily Jain and Dr. Ajitha Rani and Dr. Prerna Tiwari and Dr. Anuj D. Chinche and Dr. Jay Nilesh Shah},
        title = {Evidence-Based Homoeopathic Management of Sciatica: A Standardized Case Series Analysis},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {3},
        pages = {3023-3032},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=207854},
        abstract = {Background: Sciatica (lumbosacral radiculopathy) represents a common, disabling neuropathic condition characterized by pain radiating along the course of the sciatic nerve. Conventional pharmacological therapies—such as Non-Steroidal Anti-Inflammatory Drugs, pregabalin, and corticosteroids—often provide only temporary symptomatic relief and carry risks of gastrointestinal and systemic toxicities, while surgical interventions face high recurrence rates. Homeopathy offers an individualized approach, but the clinical utility of rare (lesser-known) remedies selected via systematic repertorization remains under-documented.
Objective: This study aimed to evaluate the effectiveness of individualized rare homeopathic interventions in reducing sciatic pain severity, back-related functional disability, and restoring physical range of motion using the Visual Analogue Scale (VAS), Maine-Seattle Back Questionnaire (MSBQ), and Straight Leg Raise (SLR) angle.
Methods: A prospective, interventional clinical case series of seven adult patients (aged 30–60 years) diagnosed with chronic sciatica and confirmed mechanical nerve root compression was conducted at the Outpatient Department of Ram Krishna College of Homoeopathy and Medical Science (RKCHMS), Bhopal. Patients were prescribed individualized rare homeopathic medicines based on repertorial totality and characteristic modalities using Computer Assisted Repertory Analysis software. Clinical outcomes were evaluated at baseline and across a 6-month follow-up period using the Visual Analogue Scale (VAS) for pain intensity, the Maine-Seattle Back Questionnaire (MSBQ) for back-related functional disability, and the passive Straight Leg Raise (SLR) test for dural tension.
Results: Prescribing individualized rare remedies based on repertorial totality and specific modalities resulted in marked clinical and statistical recovery across all primary outcomes (p < 0.001). Mean VAS pain scores dropped from 7.00 ± 0.00 at baseline to 3.57 ± 0.53 at 6 months (mean reduction: 3.43 ± 0.53 points, t = 16.97, Cohen's d = 6.47, p < 0.001). Mean MSBQ functional disability scores decreased from 8.57 ± 0.53 to 4.71 ± 0.49 (mean reduction: 3.86 ± 0.38 points, t = 27.00, Cohen's d = 10.16, p < 0.001). Passive SLR angle improved substantially from 34.43° ± 2.07° to 62.86° ± 3.18° (mean gain: +28.43° ± 4.65°, t = -16.18, Cohen's d = -6.11, p < 0.001), denoting objective nerve-root decompression. Subgroup responses confirmed keynote affinities: Ammonium muriaticum resolved severe hamstring contracture (SLR gain +38°), Gnaphalium alleviated pain alternating with numbness, and Tellurium relieved spinal tenderness. All patients successfully tapered off conventional analgesics with zero adverse effects.
Conclusion: Individualized homeopathic management using rare remedies, selected via the Complete Repertory approach, effectively reduced sciatic pain severity (VAS), alleviated functional disability (MSBQ), and restored passive range of motion (SLR angle). Aligning remedy selection with specific anatomical modalities offers a safe and clinically viable strategy to significantly enhance patient outcomes in sciatica.},
        keywords = {Sciatica, Rare Homeopathic Remedies, Complete Repertory, CARA Software, Visual Analogue Scale, Maine-Seattle Back Questionnaire.},
        month = {August},
        }