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128 CASES ILLUSTRATING THE TREATMENT.
Progress.—On Tuesday the 14th I began the treatment. The
pain was relieved after the manipulation, as also on the follow-
ing day ; but at night he caught a severe cold, and the pain was
greater than ever.
Feb. 15th, IQih, 17th. Treated twice on each of these days.
On the last he was sufficiently recovered to be out all the
evening.
Feb. 2Qth. The ]pain in the back had nearly disappeared. In
the ischias and other branches of the sacral nerves plexus, the
pain still returned after long walks.
March 3?’cZ. The stiffness in the leg nearly gone. Can walk
without difficulty and pain.
March 10th. Not treated on the 4th, 5th, and 6th, as he had
been travelling about sightseeing, which means much walking; but
still he felt well all the time. The treatment was continued for
another week.
Treatment.—Frictions over the ischias and sacral sensory
branches, petrissage over the lumbar region, and vibrations over
the more sensitive places. Active movements from the very first
day, as in figs. 56, 71.
The exercise shown in fig. 56 had to be begun at the floor
with the toes steadied against the wall, and when the treatment
finished it was made at normal height, with the heel as high up
as the buttock.
XI. EHEUMATIC LUMBAGO.
32 years old. Captain in the Imperial Austrian Navy,
caught cold after a steam bath, on the 15th December 1888.
On the 17 th he came up to the Marine Hospital.
He complained of pain in the whole lumbar region, radiating
down over the gluteal regions. On examination it was found
that the pain was greatest on a level with the transverse processes
of the fourth lumbar vertebra. He could not undress unaided,
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