In relaxing the =muscles= of the =lumbar region= have the patient on
the side upon the table; then flex the thighs upon the abdomen with
your weight against the knees so as to control all movements of the
patient; reach over the patient with the fingers upon the contracted
tissues and manipulate them outward and upward on either side until
they are relaxed. A method sometimes employed to relax the muscles of
the dorsal, lumbar and sacral regions is to place the patient flat
on his face upon the table; then by pushing up on the muscles from
above downward with the flat of the hand they are easily relaxed. This
treatment should be especially given when the patient’s muscles are
contracted by atmospherical changes and from standing in one position
for a long time. When the muscles of the back are contracting they draw
downward and many times draw the ribs with them, as well as tensing
the tissues over the sacral foramina and obstructing or irritating
the sacral nerves. By using the modern table longitudinally relaxing,
or stretching, the lumbar and dorsal musculature saves considerable
strength and effort of the physician.
To correct =vertebral lesions= of the =dorsal region= the same rules
should be followed as in treating lesions of the cervical vertebræ.
Treatments may be given with almost equal ease whether the patient is
lying on the side or sitting up.
To illustrate the treatment of the dorsal region when the patient
is lying down, assume that there exists a lateral lesion, combined
rotation and sidebending, between two vertebræ; if the lesion is below
the seventh dorsal use the legs as a lever, and if the lesion is above
the seventh dorsal use the head and neck as the lever. Have the patient
lie upon the side toward which the lesion is pronounced, either reach
under the neck or around the limbs with one hand, and with the other
hand upon the lesion bend the head and neck or the thighs in such a
manner that the angle of the flexion is directly over the break in
the spinal column; this is to exaggerate the lesion; then by lightly
lifting up on the neck or limbs and with a slight rotation of this
lever the flexed parts should be extended, at the same time exerting
pressure with the hand over the lesion in such a manner that the
vertebra is pushed forward toward its normal position.
Public-domain text, read in full here on John Shaqi.
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