Reducing rest and immobilization to a minimum means much to the
patient, not only in the loss of valuable time but in annoying and
serious after effects. Many cases of sprains and fractures come to
the osteopath. In sprains that have become chronic through too much
rest of the part and improper treatment, almost invariably there is
found displacements of bone and adhesions that should never have
existed; then has followed organized exudates and chronic synovitis. In
fractures and even in complete dislocations the osteopath continually
observes that too much rest has been given the part, resulting in
unnecessary adhesions, contractions, atrophy of muscles, and impairment
of function. Treatment almost always cures the condition, or at least
materially relieves. How much better if the proper treatment had been
first instituted and thus a large percentage of cases prevented from
becoming chronic.
Of particular interest to the osteopath is the paper prepared by
Eisendrath on “Early Massage and Movements in the Treatment of
Fractures and Sprains,” and the discussion that followed before the
Chicago Medical Society. The Illinois Medical Journal, December, 1903,
contains a report.
Eisendrath said in part: “The former routine of immobilizing all
fractures and the adjacent joints for a period of four to six weeks
must, I feel, be subject to slight modification in the light of recent
experience, and it shall be the aim of this paper to show what these
changes are. When we are called to a case of fracture, it should be
one’s first duty after its reduction to consider how can I best aid
the patient in recovering the usefulness of his or her limbs? Can we
shorten the long convalescence with its resultant loss of valuable
time and earning capacity? How can we most rapidly restore to the limb
its normal joint functions and prevent an atrophy of muscles and an
ankylosis which will require many months to overcome?...
“The use of massage and of active and passive movements in the
treatment of fractures and of severe sprains has been gradually
gaining in the number of its advocates through the writings of
Lucas-Championniere of Paris. We owe him a great debt for calling the
attention of the profession to the employment of these methods in order
to prevent atrophy and ankylosis as well as to promote healing....
Public-domain text, read in full here on John Shaqi.
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