International Journal of Homoeopathic Sciences

Cervical spondylosis is a degenerative condition of the cervical spine, causing significant disability and impacting quality of life. With increasing incidence among adults especially due to sedentary lifestyle and poor posture, effective, non-invasive management options are needed. Homoeopathy offers individualized treatment using various potency scales, notably the Centesimal and 50 Millesimal (LM) scales. This study evaluates and compares the clinical effectiveness of Centesimal and LM potencies in the treatment of cervical spondylosis based on symptomatic relief and improvement in the Neck Pain Disability Index (NPDI). This prospective interventional study involved 40 patients diagnosed with cervical spondylosis, selected from the OPD/IPD of Sarada Krishna Homoeopathic Medical College. They were divided equally into two groups: one treated with Centesimal potency and the other with LM potency. Assessment was done using the Neck Pain Disability Index (NPDI) at baseline and during follow-ups. Data were analyzed using paired t-tests. Post-treatment improvement was seen in all LM cases, with no cases showing persistent disability, compared to 3 such cases in the Centesimal group. Both potency groups showed statistically significant improvement (p<0.0001). The LM group exhibited a greater mean symptom reduction (mean difference: 41 vs. 33), lower standard error (1.72 vs. 2.20), and higher t-value (23.84 vs. 14.98), indicating superior effectiveness and consistency in outcomes. Both Centesimal and LM potencies were effective in managing cervical spondylosis. However, LM potency demonstrated greater clinical efficacy and consistency, making it a preferable choice in similar clinical scenarios.