=Treatment= of =Spinal Curvatures=.—The treatment of pathological
curves of the spinal column, by osteopathic methods, has been highly
satisfactory to both osteopath and patient. The success of the
osteopath in these cases has been due to his comprehensive and exact
knowledge of each vertebra, and of the spinal column in general. He
recognizes curvatures that the ordinary practitioner, and it is safe
to say the orthopaedic specialist, would not even notice or recognize.
On account of the highly developed sense of touch of the osteopath,
he is capable of detecting the slightest deviation of one vertebra
from another, and of the spine in general from the normal. Thus by
the uniqueness and peculiarity of his work he is capable, not only of
discovering a curvature, but also of reducing a curve when found.
The work consists of, first, relaxing any muscles that may have become
rigid over the seat of the curve. Then follows a treatment to each
vertebra involved, by attempting to replace it, and treatment to
the curve in general by springing it toward its normal position. At
each treatment effort should be made to accomplish something toward
correcting the spine; too many treatments are given in a “general”
way, and being unspecialized amount to nothing. One must become
familiar with the exact location of each vertebra involved, to attempt
a correction of a curvature intelligently. Upon this one point it is
impossible to speak too strongly, for a great many treatments have been
wasted and improvement of cases retarded by not paying enough attention
to the details of the diagnosis, either from pure slothfulness or from
an imperfect conception of osteopathy. Corrective exercises are always
of value in addition to treatment.
These remarks refer to incipient and certain moderate curvatures.
In other cases radical measures (Abbott) should be employed if age
and conditions permit. Remember, however, that the practitioner in
his daily work of adjusting the many combinations of rotation and
sidebending lesions corrects innumerable actual and impending curves.
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