Common reasons for painful states are Neuralgia can also result from repeated use of a particular nerve or muscle group. An example of this is the infamous carpal tunnel syndrome, in which a nerve in your wrist becomes compressed, causing great pain in the wrist and hand. This syndrome is fairly common in office clerks, writers and others who spend most of each day typing, and in carpenters who spend their days pounding nails. You can also develop compressed nerves by continuously leaning on your elbow or crossing your legs all the time.

Hypericum perforatum is found useful for painful arthritis, gout and rheumatism The original uses of this versatile plant, before it became popular as a natural anti-depressant however, were treating rheumatism and gout. Herbal oils infused with fresh St. John's wort are anti-inflammatory and analgesic, Fibromyalgia and muscle aches are effectively reduced by taking infusion of st.johns wort(hypericum perforatum)

A 1991 study showed that capsaicin also reduced pain and tenderness in people with osteoarthritis and rheumatoid arthritis. Capsaicin is used experimentally in some U.S. hospitals to reduce pain after a breast or limb has been removed. Clinical trials have shown that about 75 percent of the people with the painful condition called shingles experience substantial pain relief when they apply a capsaicin cream. For most people, this required applying the cream about four times a day for a month. A burning sensation is reported only occasionally, and becomes less of a problem the more the cream is used. A 1991 study showed that capsaicin also reduced pain and tenderness in people with osteoarthritis and rheumatoid arthritis. Capsaicin is used experimentally in some U.S. hospitals to reduce pain after a breast or limb has been removed. Cayenne contains a pungent resin-like substance known as capsaicin. This chemical relieves pain and itching by affecting sensory nerves. Capsaicin temporarily causes various neurotransmitters to release from these nerves, leading to their depletion. Without the neurotransmitters, pain signals can no longer be sent. The effect is temporary. Capsaicin and other constituents in cayenne have been shown to have several other actions, including reducing platelet stickiness and acting as antioxidants. Clinical trials have shown that about 75 percent of the people with the painful condition called shingles experience substantial pain relief when they apply a capsaicin cream. For most people, this required applying the cream about four times a day for a month. A burning sensation is reported only occasionally, and becomes less of a problem the more the cream is used. Arnica Montana(leopards bane)When a combination of arnica and hydroxyethyl salicylate (HES) in ethanolic solution was cutaneously applied for the treatment of sports injuries and diseases of the locomotor apparatus, there was synergy between the active agents arnica and hydroxyethyl salicylate in the combination preparation(ref- Clinics for Sports Medicine and Rehabilitation, 2nd Medical Faculty of Charles University, Faculty Hospital Motol, Prague, Czech Republic.).Praxis für Homöopathie, Berlin-Karow, Deutschland. manfred.wolf@berlin.de,In homeopathy ARNICA is widely used as a woundhealing medication and for the treatment of hematomas. OBJECTIVE: In this pilot study the efficacy and safety of ARNICA D12 in patients following varicose vein surgery were investigated. DESIGN: Prospective, randomized, double-blind, placebo-controlled pilot trial according to ICH GCP guidelines. SETTING: The study was conducted by a surgeon at the Angiosurgical Clinic, Berlin- Buch. INTERVENTION: After randomized allocation, 60 patients received either ARNICA D12 or placebo. Start of medication occurred the evening before operation with 5 globules. On the operation day one preoperative and hourly postoperative dosages after awakening were given. On days 2-14 of the study 5 globules 3 times a day were given. OUTCOME CRITERIA: Surface (in cm(2) and using a three-point verbal rating scale) and intensity of hematomas induced by operation, complications of wound healing, and intensity of pain (five-point verbal rating scale) as well as efficacy and safety of the study medication were assessed. RESULTS: Hematoma surface was reduced (from day 7 to day 14) under ARNICA by 75.5% and under placebo by 71.5% (p = 0.4726). The comparison of hematoma surface (small, medium, large) using the verbal rating scale yielded a value of p = 0.1260. Pain score decreased by 1.0 +/- 2.2 points under ARNICA and 0.3 +/- 0.8 points under placebo (p = 0.1977). Remission or improvement of pain was observed in 43.3% of patients in the ARNICA group and in 27.6% of patients in the placebo group. Tolerability was rated as very good in all cases. CONCLUSION: The results of this pilot study showed a trend towards a beneficial effect of ARNICA D12 with regard to reduction of hematoma and pain during the postoperative course. For a statistically significant proof of efficacy of ARNICA D12 in patients following varicose vein surgery a larger sample size is necessary. Copyright 2003 S. Karger GmbH, Freiburg