In the case of a greatly relaxed and atonic condition of the ligaments
of the pelvis much trouble is experienced, often, in making the
adjustment permanent. Many suggestions have been made and most of them
useless but, probably the use of a belt of non-elastic webbing about
two inches in width buckled tightly around the pelvis just below the
anterior spines will do as much as anything and is a procedure well to
follow in all such cases. Where there is a pendulous abdomen a support
in the shape of a simple belt which should be so fitted as to act as
a sling will transfer the weight of the abdominal viscera from the
muscles, already stretched and atonic, to the belt and put the burden
over the sacrum. This prevents the pulling of the innominatum in lesion
again. Overcorrection is suggested as a means on the ground that it
sets up irritation and induces fibrous ankylosis and for the same
reason W. W. Howard places his patient prone and with thumb works the
ligaments associated with the joint until they are thoroughly inflamed.
The patient is then put in bed a few days and after the inflammation
has cleared up the ligaments will be found to have shortened.
To correct a rotary lesion between the pelvis and fifth lumbar the
patient should be placed upon the side, and with the body held firmly,
the pelvis can be forced backward or forward as the occasion demands.
(See Coccyx).
=The Legs.=—The origin of many symptoms manifested in the legs, as in
the arms, are due to spinal lesions corresponding to the region of
innervation to the affected tissues. The derangements of the pelvic
bones are a frequent source of symptoms that are referred to the legs
and feet. The osteopath finds that a slight dislocation of the hip
may occur which is especially likely to affect the knee. This partial
dislocation is apt to be an upward-posterior one; the head of the
femur resting in the upper and posterior part of the acetabulum. Many
diseases of the legs and feet are due to local displacement of the
bones. The method of treatment is the same as given in surgical works.
(See Sprains).
A general treatment of the legs and thighs is oftentimes necessary;
it consists of flexing the thighs quite firmly upon the abdomen, and
executing thorough external and internal rotary movements of the thighs
and legs. In a few cases both limbs are flexed strongly at the same
time upon the abdomen. After giving these movements manipulation over
the saphenous opening and beneath the popliteal space is performed.
This general treatment tends to increase the circulation of the entire
limb and to relax thoroughly all contracted fibres.
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