=Arms= and =Legs=.—There is comparatively little that is exclusively
osteopathic in regard to the diagnosis of disorders of the arms and
legs. One important feature that the osteopath finds in examining the
arms and legs is that many of the disorders supposed to originate
in the affected member are found to be caused from vertebral or rib
dislocations. Innominate and lumbar lesions are particularly fruitful
sources of trouble in the legs and feet. Always carefully examine the
spine in the region of innervation to the arms and legs when they are
affected. The shoulder and hip joints, as well as all joints, are
subject to partial dislocations. Many times when pain or other symptoms
are presented in the arms or legs the trouble is at the shoulder or
hip joint or in the spinal column. There are two regions that are
very apt to be overlooked in the examinations of the arms and legs
and they are the elbow joint and the fibula. The small bones of the
=ankle= and =wrist= as well as of the foot and hand are subject to many
dislocations which are easily discerned upon examination and often
overlooked. Special emphasis should be given in regard to many supposed
diseases of the knee joints which are really caused by lesions in the
spine or at the hip joint.
Osteopathic Prognosis
Everyone is of the opinion that to forecast the probable result of a
disease is one of the most difficult problems the physician has to
meet. To state the duration, course, and termination of an attack of
disease as presented by its nature and symptoms implies an accurate
knowledge of both disease processes and changes, and an insight into
the individual’s idiosyncrasies backed by ripe clinical experience.
And after each of these factors has been carefully considered to
balance one against the other, nothing short of superhuman knowledge
may present a sufficient insight in order to render an accurate
prognosis. A prognosis represents the culmination of one’s learning,
an understanding of disease characteristics, and an insight into
temperament.
Public-domain text, read in full here on John Shaqi.
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