A Modern Cell Phone Disease - Repertorial understanding

  

ABSTRACT:

There is an incredible hick in using Cell Phones, especially in the situation that arises due to the Pandemic of COVID 19, availability of high-speed Data, and use of it for online routine functioning ranging from various Bill payments to UAID authentication.  These circumstances increased the incidence of a condition called as TEXT Neck: A Modern Cell Phone Disease. Persistent stress, modern living style, and situation of LOCKDOWNand POST LOCK DOWN leads to continuous ONLINE WORK situation, especially in corporate professionals, students, etc. is estimated to be the root cause of as many as 80% of cases of a new sect of disease named as TEXT Neck: A Modern Cell Phone Disease. Homoeopathy – A Holistic Science offers an immense scope to treat ‘the sick’ individuals based on the principle of Totality of Symptoms along with Regimen.The doctrine of Individualization is the key to get success in Homoeopathic treatment.This article is an attempt to observe the Repertorial Understanding for the selection of HomoeopathicRemedy for the treatment of TEXT Neck: A Modern Cell Phone Disease with principles of Regimen.

 

KEYWORDS:TEXT Neck: A Modern Cell Phone Disease,Online Work, Smartphone, Individualization, Similimum, Regimen.

The situation arises due to the Pandemic of COVID-19 & Post COVID-19, the lifestyle has changed tremendously. There is stress which has developed because of competition and the tendency to use Smartphones rather for Online work than groundwork we can say to handle the Overdose of Physical working than online work from home leads to an increased incidence of the use of Cell Phones. The situation arises due to Lockdown & Post Lock Down situation secondary to Pandemic of COVID 19 all office work, and study of the students & even common Citizens of all classes leads to overuse of ONLINE work, study & daily routine work and ultimately results in overuse of Cell Phones.

School education in the time of COVID is heavily dependent on mobile phones, with 80 – 90 % of older students in Central Government Schools saying they use mobiles rather than laptops to access digital schooling during the pandemic.¹

In KVs, 84% of students use mobiles, 19% use laptops for learning, thus 88% were dependent on mobile phones.¹

Indians' dependence on smartphones for productivity rose 120% during April-May when compared to levels before the coronavirus outbreak. Content creation and sharing, and collaboration accounted for most of the work-related activity on smartphones, a CyberMedia Research (CMR) survey titled, Mobile Industry Consumer Insights (MICI), said.²

The use of A Modern Cell Phone is becoming a part of Modern life. The situation arising from COVID-19 Pandemic LOCKDOWN & Post LOCKDOWN is making the situation graver than ever. All over the world the use of Cell Phones during Traveling, Office Meetings, During Dinner – Dating, During Marriage Reception, During Work from Home, Online Education, and online routine functioning ranging from various Bill payments to UAID authentication, etc.,makes Cell Phone as a Third Partner in Relationship.

This circumstance increased the incidence of a condition like Putting the neck and upper limb in uncomfortable positions for a prolonged period of time, which can lead to strains and overuse injuries, this causes pain in the neck, upper back, shoulder, and upper limbs as well as numbness and tingling in hands and fingers.³

 

Commonly Associated Conditions with Repeated Overuse of Smartphones.³

Cervical spine -Posture/Positional/Mechanical -Neck pain (Text Neck)

Shoulder - Posture/Postural -Shoulder pain

Neck-Thoracic Outlet Syndrome

Neck, Shoulder, Thoracic Spine - Fibromyalgia

Elbow - Cubital Tunnel Syndrome (Cell phone elbow)

Wrist Overuse -Dequervain’s Tenosynovitis (Texting tenosynovitis, or Blackberry Thumb or WhatsAppitis)

Wrist - Overuse - Extensor tendinitis

Wrist and Hand - Overuse - Carpal Tunnel syndrome

Thumb Overuse - Extensor Pollicis Longus tendinitis/rupture (Swiper’s thumb and iPad hand)

Hand, ThumbOveruse - Myofascial syndrome of Adductor pollicis, first interosseous, Extensor Digitorum Communis muscle

Hand, Thumb–Overuse Weakness of grip, pinch

Lumbar spine - Posture/Positional/Mechanical -Low backache

Overuse of Cell Phones leads To Bad Posture and Neck Pain which leads to Text Neck.

 Text neck is the term used to describe neck pain due to inappropriate neck posture or sustained flexion of the cervical spine for looking down at SP⁴

TEXT Neck: Signs and Symptoms⁵

Chronic Headache

Soreness in the Neck

Tightness across the Shoulder

Stiffness across the Shoulder

Pain in Neck, Back, shoulder, Arm, hand, wrist, elbow

Change in Posture

As this TEXT Neck condition arises from Causa Occassionalis⁶exiting and maintaining cause has to be removed by following the Good practice guidance recommendations for appropriate use of smart phone³

It is important to observe some good practices ³while using smartphones to avoid medical problems.

 

Good Practice	Avoid
Do support the forearms	Avoid sitting with the head bent forward
Do use both thumbs	Avoid texting with high speed
Do use a smartphone while sitting (and not walking)	Avoid Elbow flexion
Do keep switching hands while using a mobile phone	Don’t use a smartphone whilst driving
Do keep your wrists straight While using smartphones	Avoid marathon browsing or messaging session
Do try to hold your phone in both the hands	Avoid usinga smartphone for more than 15–20 min at a time

Experts now believe the relationship between sleep disorders and overuse of Cell Phones is significant.

Mindfulness exercises may help the brain calm down and give you a better night’s sleep. But ever wondered why you shouldn’t use electronic devices before bedtime? The use of electronic devices before bedtime is the major cause of insomnia.

Keeping this in mind Homoeopathy offers an immense scope to treat The Sick individuals. The study of Proper Medicine and Pathology is necessary for understanding the changes which have taken place in the tissue or organ.

         Along with this Indisposition¹⁸ which later turns into recurrent Acute Miasms⁶ may require Similimum to prevent its development and precipitate to stigmata¹⁸, the internal dyscrasia which might be the result of recurrent Suppressive line of so non Rational modes of Medicine.

We have tried to give a succinct resume of the symptomatology in the form of rubrics used in Homœopathy very rarely, for clinical suggestions of drugs, thus offering the opportunity to experiment with these and by future clinical verifications and to discover their distinctive use and so enlarging our armamentarium.

We are aware that there is a difference of opinion about the advisability of further introduction of remedies, especially if such seem obsolete or to some minds illusory. But it is not for the compiler to leave out information about any substance that has received the clinical endorsement from a reliable source.

Following are some of the guiding Rubrics from various Repertories as ready references for the selection of Similimum¹⁹ based on the individuality of a given case of a disease⁶.

[Allen¹³][S]Shoulder: Stiffness:

[Allen¹³][N]Neck: Soreness:

[Boericke¹⁵][Locomotor System]Shoulders- scapulae: Pains: Stiffness

[Boericke¹⁵][Head]Headache cephalalgia, cause: Type: Chronic:

 [Boenning¹⁴][Upper extremities]Stiffness: Joints: Shoulder:

[Boenning¹⁴][Head]Internal: Chronic headaches:

[Complete⁹][Fever, Heat] Cerebro-spinal fever: Soreness, with intense, and aching all over,

vomiting, pain in back of head and neck:

[Gentry¹¹][Neck and Back]Bruised: Stiffness in small of back, with pain as if bruised

whenever lies quietly upon it or sits still; on moving about feels nothing:

[Gentry¹¹][Throat]Muscles: Rheumatic soreness of muscles of neck:

[Gentry¹¹][Heart and Circulation]Chest: Darting pain from heart to vertex, with sensation of constriction across front of upper chest,

[Gentry¹¹][Head and Scalp]Eye: Chronic headache over right eye, with nausea and at times weakness:

[Kent¹²][Extremities]Stiffness: Shoulder:

 [Kent¹²][Head]Pain, headache in general: Chronic:

[Knerr¹⁰][Upper Limbs]Shoulders: Stiffness:

[Knerr¹⁰][Upper Limbs]Shoulders: Stiffness: Across:

 [Knerr¹⁰][Neck and Back]Neck: Soreness:

[Knerr¹⁰][Inner Head]Headache (undefined): Chronic:

 [Lippe¹⁶][Upper extremities]Rigidity, stiffness:Shoulders:

[Lippe¹⁶][Head Interior, Headache, Congestion of Blood, Heaviness]Chronic headache:

[Wards¹⁷][D]Draught: Stiffness in the muscles of the left side of the neck and top of the left shoulder as if from a draught:

 [Wards¹⁷][B]Beaten: Soreness of back, especially back of neck, as if he had been beaten:

Soreness in the Neck

By permutations and combinations of these rubrics by Repertorial Understanding along with other individualistic¹⁹ symptoms, a physician can able to treat the Sick¹⁸ rather than disease based on Totality of Symptoms²⁰ of Status Morbi.⁶

Thus understanding of Repertorial Rubrics helps in the selection of Similimum TEXT Neck: A Modern Cell Phone Disease.

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Dr. Pradeep Patil .M.D(HOM) Head of Department & Professor,
Department Of Organon of Medicine.
Late Mrs. Hausabai Homoeopathic Medical College & Hospital, Nimshirgaon.


Dr. Prajakta Patil - Udgave.M.D (HOM) Assistant Professor,
Department Of Organon of Medicine.
Late Mrs. Hausabai Homoeopathic Medical College & Hospital, Nimshirgaon.


Dr. Harshvardhan Bhosale M.D (HOM) Assi. Professor,
Department of Homoeopathic Repertory & Case Taking.
Late Mrs. Hausabai Homoeopathic Medical College & Hospital, Nimshirgaon.


Dr. Vaijayanti Aklekar (Sathe)M.D (HOM) Head of Department & Professor,
Department Of Anatomy.
Late Mrs. Hausabai Homoeopathic Medical College & Hospital, Nimshirgaon.