The Home Medical Library, Volume 1 (of 6) — John Shaqi
The Home Medical Library, Volume 1 (of 6)
Science
The Home Medical Library, Volume 1 (of 6)
Medicine; Medicine, Popular
In mild cases without much inflammation, and in others after the
tenderness and heat have abated, the patient may go about if the knee
is treated as follows: a pad of sheet wadding or cotton batting about
two inches thick and five inches long and as wide as the limb is
placed in the hollow behind the knee, and then the whole leg is
encircled with sheet wadding from six inches below to four inches
above the knee, covering the joint as well as the pad. Beginning now
five inches below the joint, strips of surgeon's adhesive plaster, an
inch wide and long enough to more than encircle the limb, are affixed
about the leg firmly like garters so as to make considerable pressure.
Each strip or garter overlaps the one below about one-third of an
inch, and the whole limb is thus incased in plaster from five inches
below the knee to a point about four inches above the joint.
An ordinary cotton bandage is then applied from below over the entire
plaster bandage. When this arrangement loosens, the plaster should be
taken off and new reapplied, or a few strips may be wound about the
old plaster to reenforce it. The patient may walk about with this
appliance without bending the knee.
When the swelling has nearly departed, the plaster may be removed and
the knee rubbed twice daily about the joint and the joint itself moved
to and fro gently by an attendant, and then bandaged with a flannel
bandage. Painting the knee with tincture of iodine in spots as large
as a silver dollar is also of service at this time. The knee should
not be bent in walking until it can be moved by another person without
producing discomfort.
Such treatment may be applied to the other joints in a general way.
The elbow must be fixed by a splint as recommended for dislocation of
the joint (p. 128). The ankle is treated as advised for sprain of that
joint (p. 68). When a physician can be obtained no layman is justified
in attempting to treat a case of water on the knee or similar
affection of other joints.
=BUNION AND HOUSEMAID'S KNEE.=--Bunion is a swelling of the bursa, or
cushion, at the first joint of the great toe where it joins the foot.
It may not give much trouble, or it may be hot, red, tender, and very
painful. It is caused by pressure of a tight boot which also forces
the great toe toward the little toe, and thus makes the great toe
joint more prominent and so the more readily injured.
A somewhat similar swelling, often as large as an egg, is sometimes
seen over the kneepan, more often in those who work upon their knees,
hence the name housemaid's knee. The swelling may come on suddenly and
be hot, tender, and painful, or it may be slow in appearing and give
little pain.
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