Acute Tennis Elbow (acute strain)
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: Apte Layout, Kothrud, Pune - 411 029
- Occupation: Professional Cricketer [sudden strain during training]
- Religion: Hindu
- Date: 28/02/2026
- Age: 32 Years
- Sex: Male
- Education: Graduation
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Elbow | Severe pain and tenderness on extension and flexion, swelling and redness | > Rest, < Extension, Lifting of objects | Night pain, difficulty in gripping objects |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Sudden strain during training, no history of elbow injuries or surgeries.
- Family History: No history of similar conditions in family members.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Good
- Desires: Cold drinks
- Aversions: Spicy food
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: Normal
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No particular preference
- Position: No particular preference
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious and worried about the upcoming tournament
- Anxiety: Moderate
- Fear: Fear of missing the tournament due to injury
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 180 cm | Temp: 98.6°F
- RR: 16/min | Pulse: 72 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Clean and moist
- Nails: Normal
- Skin: Smooth
7. SYSTEMIC EXAMINATION
- Cardiovascular: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: No abdominal tenderness or masses
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Moderate anxiety (Grade 3)
- Physical General: Moderate pain (Grade 3)
- Particular: Severe pain and tenderness on extension and flexion (Grade 5)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Kentian logic based on generals (moderate anxiety, pale face, and moderate pain) and particulars (severe pain and tenderness on extension and flexion)
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Severe pain and tenderness on extension and flexion
- • Difficulty in gripping objects
- • Night pain
- • Moderate anxiety
- • Pale face
- • Moderate pain
- • Swelling and redness
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Severe pain and tenderness on extension and flexion | Elbow -> Pain -> Elbow -> Extension, Pain -> Elbow -> Flexion | 216 |
| 2 | Difficulty in gripping objects | Hand -> Weakness, Elbow -> Extension -> Pain | 124 |
| 3 | Night pain | Pain -> Night -> Elbow | 178 |
| 4 | Moderate anxiety | Mind -> Anxiety -> Moderate, Face -> Pale | 52 |
| 5 | Pale face | Face -> Pale | 78 |
| 6 | Moderate pain | Pain -> Moderate | 162 |
| 7 | Swelling and redness | Elbow -> Swelling, Elbow -> Redness | 204 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Bryonia | Elbow -> Pain -> Elbow -> Extension, Elbow -> Pain -> Elbow -> Flexion, Hand -> Weakness, Pain -> Night -> Elbow | 27 |
| 2 | Rhus tox | Elbow -> Swelling, Elbow -> Redness, Elbow -> Extension -> Pain | 14 |
| 3 | Aconitum | Face -> Pale, Mind -> Anxiety -> Moderate, Pain -> Moderate | 10 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 4 | 2 | 0 | 0 |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Tennis Elbow (acute strain)
- Differentiation of Remedies: Bryonia matches the particulars of the case (severe pain and tenderness on extension and flexion) and generals (moderate anxiety and pale face).
- Selection of Remedy (Materia Medica): Bryonia matches the acute picture of tennis elbow with its characteristic symptoms of severe pain and tenderness on extension and flexion. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Bryonia 30 — 4 pills, thrice a day until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/03/2026 | Improvement in pain and swelling | Placebo | Continue rest and stretching exercises |