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CASES ILLUSTBATim THE TREATMENT. 127
treated only twenty-six times before the above result was
obtained.
X. TRAUMATIC LUMBAGO AND SCIATICA IN THE
EIGHT LEG.
Mr. E., 38 years of age, met with an accident in May 1887.
His horse shied just as he was in the act of mounting. The
stirrup strap broke, and he was very nearly thrown off. At
the moment he felt some pain in the lower part of his back,
and this grew worse during the next three or four days. It
gradually extended down the legs, especially the right one.
He had also a feeling of heat inside the pelvis. He was treated
for about five weeks with massage in Gothenburg, and he
gradually grew better. During the illness he continued riding
on horseback for several hours each day. In October 1887,
while making a sudden pull to get on a riding boot, the same
pain again set in. This time the pain was at its height in
about four to five hours. He was again treated with massage
in Gothenburg for two months, until he got quite well.
Present Eisiory.—On the 8th of February 1888 he lifted a
very heavy weight. He felt some little pain in the lumbar
region at the same place as before, and this increased until
Tuesday the 14th, when the patient had great difficulty in
walking, moving the back, or standing. When he had been in
any one position for a little time (e.g. standing, sitting, or lying),
he could only change it vrith the greatest difficulty and pain.
The right leg could not be stretched properly at the knee-
joint. The neuralgia in the ischias was of a sharp shooting
nature, and felt most in the gluteal region between the great
trochanter and the tuber ischii, in the popliteal space, and the
back of the leg, somewhat to its inner side. There was also a
feeling of cold radiating from each side of the coccyx over the
gluteal regions. The sensory nerves over the sacrmn were very
sensitive to pressure and friction.
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