Homeopathic remedies for sports-related injuries

  • STUDIED HOMEOPATHIC REMEDIES:

DEFINITION: The use of highly diluted remedies to treat injuries from sports and exercise

Although vigorous exercise is one of the most important aspects of maintaining good health, it can also have side effects, ranging from muscle soreness to injury. While these adverse consequences of exercise can be minimized by graduated training and careful activity, problems may still develop. Homeopathic treatments, especially topical creams, are popular for sports-related conditions and have shown some promise in studies. Nonetheless, studies of oral homeopathic remedies have not demonstrated similar results.

Scientific Evaluations of Homeopathic Remedies

There is evidence to support the use of homeopathic creams for the treatment of sports injuries. However, studies of oral homeopathic remedies have not demonstrated similar results.

Topical combination homeopathic treatments for sports injuries. Investigators performed a double-blind, placebo-controlled study of sixty-nine people with sports-related ankle sprains to test the efficacy of a combination homeopathic ointment. The particular product tested contains a combination of the following fourteen homeopathic preparations: Arnica montana, Calendula, Hamamelis, aconite, belladonna, Bellis perennis, Chamomilla, Echinacea angustifolia, E. purperea, Achillea millefolium, Hepar sulphuris calcareum, Mercurius solubilis, Symphytum, and Hypericum.

During the two-week trial, all of the participants received electrical muscle stimulation. The investigators also applied cream, either for treatment or as a placebo, seven times during the study. The results showed that people given the actual treatment recovered more rapidly than those given the placebo.

In another double-blind, placebo-controlled study, researchers evaluated the effectiveness of the same homeopathic ointment and a modified version of the ointment for the treatment of various mild to moderate sports injuries, including sprains. All of the approximately one hundred participants in the trial had slight to moderate sports-induced injuries that had occurred in the previous four days. Researchers first applied ointment on day one of treatment. Next, the participants applied the ointment themselves twice daily for fourteen more days. The results were promisingparticipants who used either form of the ointment experienced significant improvement compared with those taking a placebo.

Some research suggests the type, origin, and processing of the flowers used to make Arnica products significantly impact its potency, chemical composure, and efficacy. The active ingredients in Arnica products are called sesquiterpene lactones. Products made from flowers grown in the Iberian Peninsula comprise a derivative of these lactones called 11α,13-Dihydrohelenalin, while those grown in mid or eastern Europe contain a pure form called Helenalin esters. These chemicals give Arnica its anti-inflammatory and anti-neoplastic effect. All parts of the flower do not contain the same amount of this active ingredient, and how the plant is processed impacts the product’s final potency. For example, the discs of the flowers have a sesquiterpene lactones level of .87 percent, while the lower florets, rays, and stems have .71, .35, and .03 percent, respectively.

Oral homeopathic remedies for sports-related muscle soreness. A double-blind, placebo-controlled study tested homeopathic Arnica (30x) in 519 long-distance runners but did not find positive results. Participants took five pills twice daily, beginning the evening before a race and continuing for four successive days. Evaluation after the race showed that Arnica was no more effective than a placebo for reducing soreness or speeding recovery after a race. Earlier, much smaller studies found suggestions of benefit for long-distance runners, but the results were, in general, not statistically significant.

A double-blind, placebo-controlled study conducted in the physiotherapy department of a homeopathic hospital in England evaluated the efficacy of an oral homeopathic preparation in the treatment of muscle soreness caused by stepping exercise. The remedy used was a combination of Arnica, Rhus tox, and sarcolactic acid. The results showed no statistical difference between the treatment group and the control group.

Traditional Homeopathic Treatments

Classical homeopathy offers many possible homeopathic treatments for sports injuries. These therapies are chosen based on various specific details of the person seeking treatment.

For injuries that are sensitive to touch and have pain that is shooting, violent, tingling, or cutting, and if the injured person feels worse at night and in the cold, then that person may match the symptom picture for homeopathic Hypericum. An injury with symptoms like these suggests nerve involvement, indicating an urgent need for physician examination.

If the affected person feels worse when exposed to motion, drafts, and heat, and during the afternoon, and if the person experiences spasms, shooting pains, tearing sensations, jerking, trembling, swelling, redness, and heat, possibly with cold extremities, they may fit the classic symptom picture for homeopathic Belladonna. If one has a sprain with a great deal of swelling and inflammation of the soft tissue around a joint, the homeopathic remedy Arnica might be recommended. Arnica is also commonly used as a remedy for exercise-induced muscle soreness.

A person with an injury to a bone, cartilage, or tendon that is aggravated by touch, motion, and pressure may fit the symptom picture for homeopathic Symphytum. Many homeopathic practitioners use Symphytum after Arnica if deep pain or soreness remains after the initial soreness has cleared. A person with stiff, painful muscles brought on by straining, overlifting, or getting wet when already hot and perspiring and a person whose muscles seize up with rest but loosen with exercise and heat may fit the traditional homeopathic indications for Rhus tox.

In terms of actions that do not involve the application or ingestion of treatments, a helpful acronym often recommended is “RICE”rest, ice, compression, and elevation. Ice, contained in a towel or cloth, is often the first remedy. It is important to note that ice should never come in direct contact with the injury. Ice can help counteract pain, bleeding, and inflammation. Research does point to ice in conjunction with non-steroidal anti-inflammatory drugs (NSAIDs) as aiding in recovery. However, modern research indicates RICE is not as effective as once believed. Many experts assert that too much ice and rest may delay the healing of musculoskeletal injuries. Other protocols have been proposed, such as the PEACE protocolprotect, elevate, avoid anti-inflammatories, compression, and educationthe LOVE protocolload, optimism, vascularization, and exerciseand the MEAT protocolmovement, exercise, analgesia, and treatment.

Bibliography

“Arnica." Mount Sinai Ichan School of Medicine, 2023, www.mountsinai.org/health-library/herb/arnica. Accessed 1 Aug. 2024.

"Athletic Performance (Homeopathy)." PeaceHealth, www.peacehealth.org/medical-topics/id/hn-2197007. Accessed 1 Aug. 2024.

“Complementary and Alternative Medicine." St. Luke's Hospital, 2023, www.stlukes-stl.com/health-content/medicine/33/000157.htm. Accessed 28 Aug. 2023.

Schmidt, Thomas J. “Arnica montana L.: Doesn't Origin Matter?” Plants (Basel, Switzerland), vol. 12, no. 20, Oct. 2023, p. 3532. doi:10.3390/plants12203532.

Smith, Amanda G., et al. “Clinical Trials, Potential Mechanisms, and Adverse Effects of Arnica as an Adjunct Medication for Pain Management.” Medicines (Basel, Switzerland), vol. 8, no. 10, Oct. 2021, p. 58. doi:10.3390/medicines8100058.

“Topical Pain Relief: What Is It + How Does It Work?" Cleveland Clinic, 12 Sept. 2019, health.clevelandclinic.org/topical-pain-relief-what-is-it-and-how-does-it-work. Accessed 28 Aug. 2023.

Tveiten, D., and S. Bruset. “Effect of Arnica D30 in Marathon Runners. Pooled Results from Two Double-Blind Placebo Controlled Studies.” Homeopathy, 2017, doi:10.1016/j.homp.2003.03.001.

Vickers, A. J., et al. “Homeopathic Arnica 30x Is Ineffective for Muscle Soreness after Long-Distance Running: A Randomized, Double-Blind, Placebo-Controlled Trial.” The Clinical Journal of Pain, vol. 14, no. 3, 1998, pp. 227–31.

Vickers, A. J., et al. “Homoeopathy for Delayed Onset Muscle Soreness: A Randomised Double Blind Placebo Controlled Trial.” British Journal of Sports Medicine, vol. 31, no. 4, 1997, pp. 304–7.