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CASES ILLUSTRATING THE TREATMENT. 131
When it set in during the night, he tried himself to imitate my
manipulation, and obtained relief by it. When he left the room,
the other doctors present called my attention to his conspicuously
free walk.
Feb. 12th. He had slept through the whole night. The radiating
pain over the gluteal region had gone, and only the original places
in the lumbar region were painful. The patient looked brighter,
and laid himself down on the operating table without any difficulty.
Feb.l’Sth. Slept well; pain absent except on moving. During
the night he felt only^a kind of tenderness in the back.
Feb. 16t/i. Slept well ;
entirely free from pain during the night.
He has a keen appetite, which he has not had for many months.
Feb. 18th. Feels pain only on quick movements. Began free
active movements. Peculiarity in back gone.
Feb. 2Qth. Has dressed unaided. Can, with arms extended up-
wards, bend sideways and forwards without any assistance. The
pain produced by pressure or frictions greatly diminished. He
can walk about for a considerable time without getting worse.
March 5 th. Has for several days been free from pain after
walking ; he is about nearly the whole day ; makes the active
movements better and better each morning.
March 9th. He was so much improved that he could be sent
from the hospital, but was to continue the treatment for some
days yet. The active movements go very well. Bending forwards
he can touch the floor with his hands. In the morning these
movements hurt him slightly at the beginning, but in the after-
noon he feels nothing.
March. IQth. Treatment stopped. He has to continue the
active movements at home. After a week he resumed work at
the arsenal.
Treatment.—In rheumatic and traumatic lumbago I always
confine my treatment to the places which I find to be most painful
to frictions. So I did in these two cases.
I placed my hands as shown in fig. 73, the first phalanx of
the thumb on one side of the spine, and those of the fore and lono-
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