The question of time has no place in the matter, save that it must not
exceed physiological limits and be sufficient for the needs of the
case. The patient should understand at once that it is to accomplish
a specific purpose that the treatment is given, just as definite as a
surgical or dental operation, and when the work is done it is time to
stop. He would hardly be attracted to the dentist who guaranteed to use
forty-five minutes in extracting a tooth. Good judgment is required in
this as in all matters pertaining to osteopathy. There is a generally
expressed opinion among the older osteopaths, based on experience,
that: first, a short specific treatment is productive of best results
and, second, treatments given under high tension when quick work is
necessary are most satisfactory. Long treatments are debilitating and
over stimulation amounts to inhibition. Further, in a long treatment
it is necessary to go over the whole body, thus dispersing the vital
forces (which have been stimulated for healing and upbuilding the
pathological area) to parts not involved, thus defeating the very
purposes intended. Dr. Still always advocated and gave the short,
specific treatment.
The point always to be considered is the individual characteristics of
the patient, and effects of the first treatment should be carefully
observed. After a patient has been under treatment for any considerable
time it is well to give him a vacation from treatment, and it is
remarkable what improvement will be shown at times by such a measure
and how seldom he will lose ground. Dr. Still presented this subject
vividly as follows: “To treat the spine more than once or twice a week
and thereby irritate the spinal cord, will cause the vital assimilation
to be perverted and become death producing by effecting an absorption
of the living molecules of life before they are fully matured and
while they are in the cellular system, lying immediately under the
lymphatics. If you will allow yourself to think for a moment of the
possible irritation of the spinal cord and what effect it will have on
the uterus, for example, you will realize that I have told you a truth.
Many of your patients are well six months before they are discharged.
They continue treatment because they are weak, and they are weak
because you keep them so by irritating the spinal cord.” It is not a
rare experience for a patient to leave apparently with little or no
improvement only to report a complete recovery a little later.
Public-domain text, read in full here on John Shaqi.
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