Two general rules are applicable to all dislocations, whether partial
or complete: 1. Exaggerate or increase the dislocation. This is to
relax the tissues about the dislocated articulation and to disengage
the articular points that have become locked. 2. Reduce the dislocation
by retracing the path along which the parts were dislocated. Hence to
=correct= a =lesion=, for example, a vertebral lesion: (1) Exaggerate
the lesion. (2) Place the fingers of the hand that are not employed in
exaggerating the lesion over the extended portion of the lesion. (3)
Extend the region that is flexed when the lesion was exaggerated. (4)
When the lesion is being extended produce traction and slight rotation
of the region. (5) At the same time extension, traction and rotation is
being produced push in upon the extended portion of the lesion. To this
might be added for sake of clearness and greater assurance of success:
(a) Be positive the focal point absolutely corresponds to the lesion,
or else most if not all of your effort will be useless. (b) Just before
reaching the maximum of exaggeration have your fingers correctly placed
for the readjustment, and at the very moment of maximum exaggeration or
just a fraction of a second prior begin to correct or readjust, or else
you will lose the vantage gained and the operation will probably be a
failure. (c) The general traction and rotation are to aid in unlocking
the lesion, not to readjust as some may think. Inhibiting and releasing
the soft tissues, such as spasms, contractions and contractures of
muscles, and stretching thickened and adherent ligaments is very
important preliminary work. Then, next to securing exact leverages
an essential point is to maintain the release or exaggeration until
the readjusting step is incepted. In other words, coordination of all
factors is the desideratum. The lack of this is the cause of many
failures. Hot fomentations frequently assist in relaxing irritable and
spastic soft tissues. This, however, is but a preliminary measure. All
rough handling, needless snapping of parts, and excessive rotation
and stretching are not only apt to tighten the lesion more, shock the
system and irritate the parts, but it may be absolutely dangerous.
It should not be forgotten that the osteopath includes many measures
in his treatment of various diseases, as nursing, dieting, hygiene,
sanitation, hydrotherapy, antidotes, antiseptics, etc., and does
not depend upon readjustive manipulation alone, although correcting
disordered anatomical structures and perversions are paramount in the
treatment.
Public-domain text, read in full here on John Shaqi.
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