The usual treatment with bismuth sub-nitrate, cerium oxylate, sour
wine and the other usual remedies were not used in any case or in any
amount. No drugs whatever were employed.
Backache and Headache
There is practically no difference in the post-operative headache
and the office headache. There is of course the usual multiplicity
of causes, and as a matter of fact in this condition treatment
can more nearly approach the ordinary office treatment, and the
results are about the same. As for backache, we find that speed of
operating and not keeping the patient under the ether too long has
a marked influence. Also we have a four inch Seely mattress on the
operating table which helps some. Treatment does the rest and does it
effectively. For this complication even the ordinary nurse knows enough
to give a treatment of some sort.
Neuritis
Nine times out of ten the post-operative neuritis is really a local
osseous lesion, a slipped innominate, rib, vertebra, clavicle, biceps
tendon or something of the sort, and responds quickly to a specific
treatment.
Phlebitis
This complication usually comes on quite late after an operation and
at first it is sometimes hard to differentiate it from a neuritis.
Absolute rest of the involved part with lower spinal treatment gives
relief, but under no circumstances should the affected part be freely
moved while there is active inflammation. The reason for treatment of
the lower spinal area is that practically always one of the saphenous
veins is involved.
Nephritis
This complication is to a very big extent eliminated by a careful
urinalysis prior to the operation, and careful preliminary treatment in
indicated cases, and in other cases the postponement or if necessary
complete elimination of the operation where it is not a case of life
and death. Where the condition does appear we have found it the hardest
of the post-operative complications to control. Indeed it is the only
one that we have not found very easy to manage.
We do not vary the treatment for a post-operative nephritis from what
we would use in any ordinary case of nephritis. We have observed
treatment of this condition in many cases under medical management, and
while we are satisfied with the osteopathic treatment comparatively
we are not yet satisfied that we have it developed to its greatest
efficiency.
Pleurisy
This condition in nearly every instance can be corrected with one
or two treatments of a twisted rib unless it is the pleurisy of a
beginning pneumonia. As far as the pain is concerned the simpler type
hurts as much as the one that is going to develop a real complication.
For this reason relief obtained by a single treatment often seems
little short of miraculous to the patient.
Pneumonia
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