The cardinal points to note in this remedy are the bruised sprained pains, with restlessness and constantly changing position, and the rheumatic paralysis of tarsal and carpal joints. These conditions often come on following injuries to the bones. NECK AND BACK . — (Ruta graveolens) RHEUMATIC PAINS IN BACK. BRUISED PAIN IN LUMBAR VERTEBRAE. PAIN AS FROM A FALL OR BLOW IN BACK AND COCCYX ; AS IF BRUISED. Cramp-like contractions ascending from thighs into small of back. Pain as if sprained in nape and shoulders. SUPERIOR EXTREMITIES . — (Ruta graveolens) Pains as from a blow in left elbow joint. Wrists feel stiff as if sprained. Bones of wrist and back of hand painful. Soreness through small bones of hands. Ganglia on sheath of flexor tendons of fourth finger in the right palm. Contraction of fingers. INFERIOR EXTREMITIES . — (Ruta graveolens) HIP BONES FEEL BRUISED. PAIN DEEP SEATED AS IF IN MARROW OF BONE, HAS TO WALK CONSTANTLY. Shooting pains from back down outside of thigh. HAMSTRINGS FEEL SHORTENED AND WEAK, KNEES GIVE WAY WHEN GOING UP OR DOWN STAIRS. SPRAINED PAIN IN ANKLES. Bones of feet sore, cannot step heavily upon them. Rheumatism of right leg. EXTREMITIES IN GENERAL . — (Ruta graveolens) Unable to bend on account of pains in all joints. Inflammation of large joints, especially upper limbs. Rheumatism of right wrist and both feet from heels to toes. LAMENESS AFTER SPRAINS ESPECIALLY OF WRISTS AND ANKLES. AGGRAVATIONS . — (Ruta graveolens) BEFORE RISING. COLD DAMP WEATHER. SITTING OR LYING. COLD APPLICATIONS. CONCOMITANTS . — (Ruta graveolens) ACHING OVER BOTH EYES. BRUISED SENSATION. Rheumatism of right leg with ganglia of tendons in palm of right hand. LAMENESS AFTER SPRAINS.