Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
There is scarcely any need to describe the pain of myalgia, since almost
every one has suffered either from lumbago, or from a stiff neck
produced by cold. The pain is essentially the same in all cases; it is
an aching actually felt either in or toward the tendinous insertions of
the affected muscles, and sharply renewed by every attempted contraction
of those muscles. The variations in the character and severity of the
pains are really entirely due to the greater or the less opportunity for
physiological rest which the muscle can obtain. Thus the most obstinate
and the most severe, kind of myalgic pain is undoubtedly that of
pleurodynia--pain in the intercostal muscles and their fibrous
aponeuroses--a fact which depends on the incessant movements which these
muscles are compelled to perform in the act of respiration. And next to
this in severity and obstinacy are myalgias of the great muscles which
are incessantly engaged in maintaining, by their accurately opposed
contraction, the erect position of the spinal column and of the head.
This rate of proportional frequency and severity, however, must be taken
as strictly relative; _i. e._, it is correct upon the supposition that
the different sets of muscles were equally worked and that the state of
nutrition was equal in the different parents. It is otherwise when the
conditions are reversed. Thus, the unfortunate cobbler or tailor, who
sits for long hours in one cramped and bent posture, is continuously
exerting his recti abdominales (probably suffering from an
under-nutrition common to all his tissues) to a degree perfectly
abnormal, and out of all proportion to the functional work he is getting
out of any other part of his muscular system. The consequence is, that
he comes to us complaining of acute epigastric, and sometimes pubic,
pain, rising to agony when he assumes his ordinary sitting posture, and
only reduced to any thing moderate by the most complete extension of the
whole trunk in the supine posture.
Public-domain text, read in full here on John Shaqi.
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