Diseases 0f the bones muscles and articulations ostitis periostitis

Inflammation of the bones and periosteum : Inflammations of bones occur in every age, less frequently, however, before the second and after the fiftieth or sixtieth year. In most cases they originate in mechanical injuries or mechanically-acting deleterious influences, they are less frequently owing to the extension of inflammation from the soft parts. In the great majority of cases the mechanical is associated with a constitutional cause, very frequently the latter existing alone. Among the constitutional diseases it is more particularly scrofulosis, tuberculosis, syphilis and hydrargyrosis that give rise to ostitis. Very often it is very difficult to trace the cause with anything like certainty, especially so far as an inflammation of the substance of the bones is concerned, because it generally develops itself with scarcely perceptible symptoms and in a very insidious manner, hence too long a period of time may have elapsed since the cause first began to act, to permit of the disease being traced to a definite origin.

 Bones that are but thinly covered by soft parts, are particularly exposed to inflammation from mechanical causes; inflammation arising from more dynamic or constitutional causes may attack any bone; nevertheless inflammations of the mastoid process, of the inferior maxilla, of the vertebrae, the bones of the hands and feet and of the ribs, occur most frequently and are of particular importance.
 Periostitis occurs more particularly on the fingers, on the bones of the lower extremities and on the skull-bones.
 The symptoms and course of ostitis differ very remarkably in extent as well as intensity. It is very often found that at the outset the disease is entirely without any symptoms until the disease is finally revealed by the process of suppuration. It very seldom runs an acute and rapid course; this is generally the case, if the inflammation attacks the outer surface of the bone and the periosteum. In such a case the intensity of the pain depends upon the extent of the inflammation; the fever is high, delirium sometimes sets in, slight chills are common and the patient very soon begins to lose his strength. Cases of this kind, which run a rapid course, always terminate in suppuration, and the artificial removal of pus is in most cases a matter of absolute necessity. After the pus is evacuated, a cure does not always take place immediately; the bone divested of its periosteum becomes more or less carious before a cicatrix has time to form.
 If the periostitis runs a slow and somewhat chronic course, the inflammation of itself is not very painful; but very violent pains can be excited by contact; here too the exudation may be transformed into pus, but is likewise apt to result in osseous growths and to form extensive flat or tuberous bony indurations.
 If the inflammation is located in the interior of the bone, the latter is generally distended in its whole length, is not very sensitive to pressure, but the patient is tormented by paroxysms of peculiar dull boring pains which, even in the absence of any specific cause, are particularly apt to set in, and to become aggravated at night. These pains are usually felt for some time before the bone commences to swell; they interfere with the mobility of the limb more or less, generally the less the more remotely they are felt from the articulation.
 Ostitis of this central character always runs a chronic course. Its terminations are suppuration or ossification of the exudation. The pus is seldom reabsorbed, nor does it often become transformed into a tubercular mass; most generally it escapes outwardly and, unless the disease is cured, caries and necrosis result. The ichorous dissolution of the exudation generally determines a more rapid course of the disease. If one of the large bones is invaded by the suppurative process, death almost always results, although in some cases not till the patient has lived through years of suffering. An important diagnostic symptom is the presence of albumen in the urine; it almost always occurs if the suppuration is extensive and augurs very badly for the final result.
Homeopathic care : Mezereum,Nitricum acidum,Phosphoricum acidum ,Phosphorus,Staphisagria,Baryta carbonica ,Aurum metallicum ,Silicea terra ,Sulphur ,Calcarea carbonica .

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