Web space infection/Mid Palmar Space Infection/Thenar Space Infection
Definition
- Infection of proximal volar space of finger.
- Callosities & Infection of proximal spaces.
- Trauma. As well as Spread from other palmar spaces and from flexor sheaths through lumbrical canal.
- Bacteria includes Staphylococcus, Streptococcus, Gram-negative organisms.
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Mid palmar space infection
Definition
- Trauma.
- Spread from infection of finger spaces and web spaces.
- Haematogenous spread as well as Spread from tenosynovitis
Thenar space infection
Definition
- The thenar space may be infected by a spread of any infection in the thumb or index finger.
- This results in marked swelling of the web of the thumb and thenar region.
- The thumb is held in an abducted position.
- The space can be drained by an incision in the first web posteriorly, or where the pus points.
Homoeopathic remedies for webspace/mid – palmar
space/thenar space infection
- Anthracinum
- Arsenicum album
- Bufo rana
- Belladonna
- Carbo veg
- Hepar sulphuric calcareum
- Hyosyamus
- Lachesis
- Kreosote
- Pyrogenium
- Rhus tox
- Silicea
- Tarantula
- Myristica
- Merc iodum
- staphylococcinum
Anthracinum
Characteristic particulars
- Homeopathic medicine for with marked infection burning pain
- abundant discharge of ichorus, terribly offensive pus and poisoning of blood by absorption of pus
- affected part is much sensitive
- parts surrounding the gangrenous spot give dusky appearance.
Arsenicum album
Characteristic particulars
- Intense burning in the seat of the infection of web, mid palmar & thenar space
- sensation of swelling as though boiling water were running beneath the skin
- restlessness, thirst& great debility
- aggravation at night and relieved from warmth.
Modalities
< - wet weather, after midnight, from cold dinks
> - heat, warm drinks
Belladonna
Characteristic particulars
- Due to infection of web, mid palmar, thenar space that causes redness along with throbbing pains
- erysipelatous inflammation around pus collection
- cerebral irritation with congestion
- drowsiness with inability to sleep.
- Usaully swollen, red, hot, sensitive & smooth erutions are seen
Modalities
< - touch, jar, noise, after draught
> - cold application
Bufo
Characteristic particulars
- It is suitable for mid palmar, thenar, web space infection with blueness far around
- and red and purplish streaks in neck, back and other parts,
- Usually malignant pustules are present , then bufo is given
Modalities
< - warm room
> - bathing , cold air
Carbo veg
Characteristic particulars
- It is also indicated for infection in web space, mid palmar, & thenar infection
- dark, blackish appearance with burning pain and discharge offensive matter even after gangrene has set in; blood poisoning; collapse.
Modalities
< - evening, night, open air, cold butter, coffee, milk
> - fanning, cold
Hepar sulph
Characteristic particulars
- It is also indicated for infection in web – space, thenar, mid palmar infections surrounded by indurated spots
- pain intense, sleeplessness is seen
- stinging burning of edges of ulcer with corroding discharge
- cheesy discharge is seen
- intense pain is resent where persons feel very sensitive to touch, cold air
Modalities
< - dry cold winds, cool air, slightest draught
> - damp weather, from wrapping head up, warmth, after eating
Myristica
Characteristic particulars
- It is indicated in case of infection of mid palmar, web – space,thenar space
- it acts as a knife and breaks open the pus .
- Remedy of anti – septic powers
- Inflammation of skin , cellular tissue, etc.,
- Pain in the finger nails with swelling of phalanges
- Phlegmonous inflammations, hastens suppuration.
Characteristic particulars
- It is a good medicine in case of infection in mid – palmar, thenar, web space
- Pyrogen is the great remedy for septic states, with intense restlessness.
- All discharges are horribly offensive-menstrual, lochial, diarrhoea, vomit, sweat, breath, etc.
- Great pain and violent burning in abscesses.
- Great debility in the morning. Bursting headache with restlessness is seen in this remedy
Modalities
> - motion
Characteristic particulars
- It is a good medicine for infection in web space, thenar & mid space
- homeopathic medicine for having burning, itching around carbuncle, with vertigo, stupor, pale face
- great restlessness
- feels somewhat relieved of violent pain as long as he is in motion
- more indicated in the beginning, when the pains are intense and the affected parts are dark and red.
Modalities
< - sleep, cold , wet , rainy weather
> - warm, dry, motion change of position, rubbing, warm applications
Silicea
Characteristic particulars
- It is a good medicine in case of infection in mid – palmar, thenar & web space
- During process of ulceration it clears the wound of its decaying masses and promotes healthy granulations
- want of vital warmth
- slow progress of the disease
- furuncles appearing in crops, carbuncle between the shoulders and nape of the neck
- indurations remaining after boils or carbuncles
Modalities
< - new moon, morning, from washing, during menses, uncovering
> - warmth, wrappin up, summer, wet humid weather
Tarantula
Characteristic particulars
- It is also important remedy for infection
- It is suitable erysipelatous redness around the pus collection
- rigors followed by burning fever; great thirst; anxiety, headache, delirium, profuse perspiration and retention of urine
- excessive pains in carbuncle is seen
Modalities
< - cold weather, cold air
> - smoking , warmth