Tetanus is an infectious disease caused by contamination of wounds from the bacteria Clostridium tetani.

Tetanus is more particularly a disease of hot climates, but is likewise frequently met with in our own climate, more particularly as trismus and tetanus neonatorum. Its main causes are wounds, especially such as are complicated with contusions, and are located on the extremities or in the face.

The wound becomes contaminated with Clostridium tetanus or bacterial spores. Infection occurs when spores become activated and develop into gram-positive bacteria that multiply and produce a very powerful toxin (tetanospasmin) that affects the muscles.

Tetanus spores are found in soil, dust, and animal waste. The bacteria enter the body through puncture wounds, such as those caused by rusty nails, splinters, or insect bites. It can through a break in the skin, burns or IV access.

Tetanus is more particularly a disease of hot climates, but is likewise frequently met with in our own climate, more particularly as trismus and tetanus neonatorum.

Age/sex prevelance of Tetanus

Elderly people are more prone to get affected by tetanus. Individuals of any age and sex can be affected by tetanus.

Races affected by Tetanus

Tetanus affects all races.

Classification of Tetanus

• Generalized tetanus: affect all skeletal muscles. It is the most common as well as the most severe form of tetanus.
• Local tetanus: characterized by muscle spasms at or near the wound that has been infected with the bacteria.
• Cephalic tetanus: affects one or several muscles in the face rapidly after a head injury or ear infection. Trismus (“lockjaw”) may occur.
• Neonatal tetanus: is similar to generalized tetanus except that it affects the one month old baby.

Causes of Tetanus

– Clostridium tetani is the causative bacteria of tetanus.
•  They are found in soil, dust and animal feces. When they enter a deep flesh wound, spores of the bacteria may produce a powerful toxin called tetanospasmin.
–  The toxin actively impairs your motor neurons, nerves that control muscles and cause muscle stiffness and spasms.
–    Tetanus may develop in people who are not immunized against it or in people who have failed to maintain adequate immunity with active booster doses of vaccine

• Other tetanus-prone injuries include the following:
• frostbite
• surgery
• crush wound
•  abscesses
• childbirth
• IV drug users

Tetanus Signs and Symptoms

• muscle spasm or cramps
• Trismus or lock jaw
• Difficulty in swallowing
• Opisthotonus (arching of the back) results due to muscle spasm.
• If spasm of vocal cords or muscle of breathing occurs death can happen.
• Uncontrolled urination or defecation.
• Fever
• Excessive sweating

Investigations of Tetanus

• It is based on the history of recent injury, medication and immunization
• Physical examination to see muscle spasm, stiffness and pain.
• Neonates show signs of being generally irritable, muscle spasms, and poor ability to take in liquids seen in neonates about 7-10 days old.
• Check for fever, change in blood pressure and irregular heart beat.

Treatment of Tetanus

• Medicines are given to ease symptoms
• Cleaning the wound is essential to preventing growth of tetanus spores. This involves removing dirt, foreign objects and dead tissue from the wound.

Prognosis of Tetanus

Prognosis of tetanus depends upon the incubation period from the infection of spore till the first symptom.

Usually patients get well within 2-4 months.Some patients remain hypotonic.Shorter intervals indicate poor prognosis.

Homeopathic treatment for Tetanus

Every branch of science has its own scope and limitations, so does Homeopathy. Although Homeopathy has a lot of very good remedies for curing & controlling auto-immune disorders, male & female disorders, children and elderly people.

In cases of any emergency situation such as poisoning, serious abdominal complaints (such as acute appendicitis and pancreatitis), fractures, injury, and accidents should be first taken to emergency. However a patient can consult his homeopathic physician after recovering from his initial phase. Please note Homeopathy plays no role in treating any nutritional disorders.

The scope of Homeopathy is limited; it is the sole responsibility of the physician to decide upon the cure – by looking into the complete nature of the disease, onset and stage of the disease and then act accordingly.

It is one of majorremedies for traumatic tetanus, probably for no better reason than because it is traumatic; for, with the exception of the increased sensibility.

Opium –
Recommended as a remedy for tetanus, since the Opium-convulsions, although they may resemble tetanus to some extent, are always attended with loss of consciousness.

Nux vomica
Excellent remedy in tetanus, if there is any truth in the homoeopathic law. We do not deny that there are other remedies homoeopathic to tetanus, but many of those which are mentioned in manuals and repertories, are undoubtedly very doubtful.

The characteristic phenomena of the disease have to be found in the pathogenesis of the drug, otherwise its choice would not be justifiable; in tetanus these characteristic phenomena are the rigidity of the muscles, the increase of reflex action and the preservation of the consciousness.

Among other remedies we have to select those that have a decided influence over the spinal marrow, such as:

Cicuta virosa



Secale cornutum.

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