Levofloxacin C30 for tendon ruptures
Specific “side effects” as homeopathic indications – Part 2
Here is Part 1
By Ulrich Welte
Repeated swelling and tears of the Achilles and patellar tendon with a prior autoimmune disease -
“Advanced insertional tendinopathy with Haglund's exostosis”
Background: An athletic woman in the prime of life, dark-haired, taut, energetic and purposeful. In the past she had good results with Samarium muriaticum for an autoimmune thyroid disease (lanthanides are indicated in autoimmune diseases, and here it was the lanthanide in stage 8: hurried, impatient, tense; knows what she wants and is annoyed by unnecessary delays of her limited time, especially caused by incompetent slowpokes; frequent herpes pointed to muriaticum). [1] After finishing her studies she saw the world and also once worked as a hostess for a club organising pleasure trips. Already as a teenager she often had pain in both Achilles tendons, and months before the administration of Samarium the insertion of the right Achilles tendon had been swollen. With Samarium muriaticum in ascending LM potencies she was able to stop the thyroid blocker thiamazole at that time and her general condition also improved noticeably. Later the remedy, in combination with Rhus tox, also helped her with high blood pressure when she organised a large event with several hundred participants.
Years later she had a tear of the right patellar tendon, which was treated surgically. She also underwent a meniscus operation then, after an anterior cruciate ligament tear had been surgically treated 30 years earlier following a sports accident and complaints in the knee had persisted. Six months after the patellar tendon operation her left Achilles tendon hurt again at the insertion on the heel, with chronic swelling. Various therapies could not achieve much, the tendon complaints continued. An MRI showed that 25% of the tendon had already torn (in microtears adding up to 25% of the tendon); diagnosis ‘advanced insertional tendinopathy with Haglund's exostosis’. She therefore agreed to surgical treatment: the enlarged bony insertion of the tendon (Haglund exostosis) was removed and the Achilles tendon was reattached.
Five months passed, the operation was said to have gone well, yet “nothing was progressing”, the right knee hurt, the right Achilles tendon ached with every step. For a year nothing fitted together, although everything in her surroundings was fine and there was no apparent reason for the complaints.
Analysis and course: Shortly beforehand (late autumn 2019) I had read an article in Arzneitelegramm that reminded me of the side effects of levofloxacin, and I thought that this remedy must be suitable for tendon ruptures and especially for problems at the tendon insertion and wondered who came to mind in that sense, and thought of her. Another thought was that her past as an entertainer would fit the fluorine component[2] of the fluoroquinolones (the antibiotic group to which levofloxacin belongs). She then came to the practice unprompted with the described complaints, and one thing led to another. Levofloxacin C30 helped. I recommended it once a week, which she did not like at all. She wanted something to finally work. But it helped nonetheless, even though it was physiotherapy that finally took effect after months in which nothing had improved. Already after 2 months she was able to walk briskly for 3 hours again, at last. She had forgotten the remedy and stopped taking it. But a month later the complaints returned. So Levofloxacin C30 was given again, this time first using the plussing procedure[3] for a week and then continued daily. After just 2 days she noticed the effect, because both the patellar and the Achilles tendon were less painful at the insertion when going down stairs: that was the acid test, because it always hurt particularly there; this was a clear initial effect, which also showed that the remedy specifically acts at the tendon insertion points. The case is still recent, but because of the clear initial and repeated effect after discontinuation it should serve here as a suggestion. Presumably Samarium will be needed again during the further course, but then it will be given as Samarium fluoratum. We shall see.
The remedy is not available from major wholesalers (DHU), but it can be obtained on the internet, e.g. from Apodil.de and Remedia.at
[1] See ‘Geheime Lanthanide’ by Jan Scholten, Narayana Verlag 2006, pp. 217ff.
[2] For the homeopathic picture of Fluor see Part 1 of the article. The relationship to the tendon insertions is probably even typical for Fluor, because only the fluoroquinolones show this “side effect”.
[3] The plussing procedure was introduced by Ramakrishnan and is helpful not only in chronic but also in acute cases when one wants to quickly assess whether the remedy is correct. It is now used by many therapists at the start of a treatment. https://www.narayana-verlag.de/spektrum-homoeopathie/dr-a-u-ramakrishnan
We give the following instruction for the first week: Fill an empty 0.7 litre glass bottle with 0.5 litres of tap water and dissolve the (supplied number of) globules in it. Drink the bottle over the 1st day, leaving a 1 cm residue in the bottle. On the 2nd day refill with ½ l fresh water, shake vigorously 20 times and again drink it almost empty over the day. Dilute the small remainder again on the 3rd day, shake and this time empty it completely. Then 4 days without the remedy.
Photo: Shutterstock_754068814, Copyright: BigBlueStudio