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PETRISSAGE.
Petrissage is a kneading movement, by which the skin, sub-
cutaneous tissues, and more iDarticularly muscles, are acted
upon.
The muscle, or part of it, is grasped between the clmmb and
the other fingers, and rolled slowly between them, in very much J
the same manner as one rolls a pencil, the pressure sometimes |
increasing, sometimes diminishing, care being taken that the :
joints of the fingers and wrist are kept loose. A stiff wrist
impedes the free motion of the fingers, and excludes the elasticity
in them.
It is of importance in all forms of petrissage, that the skin
under the fingers should move with them, as the manipulation
otherwise is somewhat uncertain and less effective. If we treat,
for instance, such cases as erysipelas and frost-bite, and allow the
fingers to move on the surface of the skin, these complaints
are greatly intensified ;
while, when the manipulations are made
correctly, the patients quickly recover. A short time ago I was
called to a patient, a lady about thirty-eight years old, whose
left ear had been attacked by erysipelas. She had felt some-
what feverish for a few days, and on the night preceding my
call the illness had broken out. The ear was greatly swollen,
the skin felt hard, tense, and infiltrated, and had an intensely
red coloration ;
pain was present, and it increased on touch.
The swelling and redness extended down on the throat for about
two inches, and forwards over the parotid region of the face
;
the lymphatic glands on the left side of the throat were enlarged.
Fever and headache were also present.
Locally, I gave mostly petrissage, in addition to some general
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