Full resolution (JPEG) - On this page / på denna sida - Passive Movements - Nerve Vibrations - Nerves of the Trunk - Lateral and Anterior Cutaneous Branches of the Intercostal Nerves - Dorsal Sensory Nerves
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68 PASSIVE MOVEMENTS:
The anterior mtaneous Iranches of the intercostal nerves, from
the second, third, and fourth, are especially large, and supply
many branches to the mammary gland.
These anterior intercostal cutaneous branches are at once
found where they come out in the intercostal spaces near the
sternum.
Stimulation of these nerves and of the descending cerviccds,
passing down over the clavicle, is of importance, because they not
only supply the skin over the chest, but also the mammary gland
and hence there are often shooting pains towards the neck and
arms in inflammatory and other diseased conditions of the gland.
For the summer 1885 1 had charge of my brother’s institution
in London. A lady, about forty years of age, residing at Ken-
sington, came for the treatment, having a hard lump at the upper
and outer part of the left mamma. The skin was somewhat
retracted, and could not be separated from the tumour.
This had been forming for some months, and was now an inch
and a half in diameter. The patient complained of severe pain,
which, when at its height, also passed down the left arm, and
prevented her from sleeping.
The movements I prescribed were : Vibrations over the above-
named nerves to be continued for five minutes ; vibrations on
the tumour itself for twenty minutes or more, until the pain was
relieved ; and a general treatment of active movements.
The patient was treated twice a day, having the special
movements only in the evening. At the end of nine months she
very seldom felt any pain. The tumour had gone, and only some
fibrous strings could be felt at the original site of the swelling.
Dorsal Sensory Nerves.
When we make frictions over the dorsal sensory nerves, the
patient usually lies in the prone position, as for tapotement of
the back ; in fact, we seldom give the latter alone, but usually
precede it with the former method of treatment. The hands of
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