=Misapplied Treatment.=—Probably in spinal treatment more risks are
taken than in any other region of the body. To us as a school it is
by far the most important and interesting area we have to treat,
consequently it is not surprising that various general treatments
and methods have been devised with the idea of getting quicker and
easier results. Herein lies the danger outside of mistaken diagnosis,
for short cut treatments can never take the place of time and skill.
Technically speaking, if one thoroughly understands the philosophy of
osteopathy and is conversant with the underlying principles of its
therapeutics, there is absolutely no danger of even the slightest
injury. It is the one who takes chances by not properly diagnosing
and by not being cautious enough with delicate persons when applying
his treatments that is apt to overstrain some tissue or organ and
otherwise do bodily harm. Of the treatments considered dangerous not
one of them is without merit if judiciously applied, but unfortunately
in many cases they are in general and indiscriminate use. It is well
to remember that we are moving structures which have never been
moved before and that time enough has not elapsed to observe what
the ultimate result may be. Again, in adjusting a subluxation of the
spine do not forget that the force necessary for that adjustment, if
misapplied, is sufficient to produce a lesion, and there is no doubt
that this has happened. Your patient’s interests are above everything
and must never be sacrificed for any reason whatever, so if at any
time there is uncertainty always give the patient the benefit of the
doubt. On the other hand the osteopath must have the courage of his
convictions and fortunately when these are coupled with good judgment
the results are all that could be desired. The following should be used
with great caution if used at all:
First, =Indiscriminate stretching= of the spinal column with the aid of
an assistant. It is not good osteopathy although there are some cases
where it may be beneficial. While not specially dangerous, generally,
in delicate patients, elderly people, arteriosclerotic conditions, and
in some stages of Pott’s disease it is absolutely contraindicated.
Moreover in most spinal cases except impacted vertebræ and symmetrical
curvatures the stretching of the vertebral ligaments locks the lesion
firmer.
Second, =Extreme rotating= of the cervical region. This cannot be
considered good treatment in any case with the exception of the
muscle stretching. On the contrary it is dangerous; first, it is not
osteopathy for it is not specific; second, the nervous shock is severe,
an important consideration in delicate people; third, the cervical
ligaments become stretched and the vertebræ are easily displaced, while
damage to a diseased vertebra, an aneurism or in arteriosclerosis would
be irreparable. No other region of the body should have greater care in
treatment than the neck.
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