Lectures On The Use Of Massage | by William H. Bennett
On The Use Of Massage And Early Movements In Recent Fractures And Other Common Surgical Injuries. Sprains And Their Consequences, Rigidity Of The Spine, And The Management Of Stiff Joints.
| Title | Lectures On The Use Of Massage |
| Author | William H. Bennett |
| Publisher | Longmans, Green, And Co. |
| Year | 1910 |
| Copyright | 1910, Longmans, Green, And Co. |
| Amazon | Lectures On The Use Of Massage |
By Sir William H. Bennett, K.C.V.O., F.R.C.S.
Consulting Surgeon To St. George's Hospital And To The Hospital Of St. John And St. Elizabeth Senior Surgeon To The Seamen's Hospital, Greenwich, Etc.
Fifth Edition
With 23 Illustrations
Longmans, Green, And Co. 39 Paternoster Row, London New York, Bombay, And Calcutta
Preface To The Fourth Edition- In the present Edition the Lectures on Massage and Early Movements in Fractures have been revised. Two Lectures dealing with Sprains and their consequences and Rigidity of the Spine replace that on De...
- List Of Illustrations
- In The Text Figs. Page 1-6. Illustrating Method Of Using Massage In Recent Fracture ......18-29 7. Result Of The Method In Pott's Fracture . 31 8. Result Of The Method In Colles's Fract...
- Massage And Movements In Fractures. Introduction
- The use of massage and early movements in recent fractures, originally introduced by Lucas Championiere, was first adopted and advocated in this country by the present writer. In spite of the coolness...
- Massage
- The advantages derivable from shampooing and manipulations in sprains, wrenches, and similar injuries have been recognised for centuries, especially as shown in the rapid removal of extravasated blood...
- Early Passive Movement
- The object of early passive movement in recent fractures is the very simple one of preventing adhesions, as opposed to the results of the older methods of absolute fixation of the limb, which of neces...
- Voluntary Movement
- Voluntary movement by the patient is in itself better than passive movement, because it not only prevents matting, but is also a potent means of preventing muscle waste, which is not greatly affected ...
- Posture
- For the completely efficient employment of massage and early movements, the proper position of the affected limb is a matter of much moment. In discussing the treatment of fractures from any point of ...
- Conclusions
- A prolonged experience of the use of the combined methods of massage, early movements, and rational posture in the treatment of ordinary fractures coming under notice almost daily in hospital work, co...
- Lecture I. The Use Of Massage And Early Movements In Recent Fractures And Other Common Injuries
- At the beginning of February 1898 I called attention in the 'Lancet' to the use of massage in recent fractures, a treatment which had previously received too little notice in this country. After havin...
- Stage 1: The Fracture Set. The Use Of Massage And Early Movements In Recent Fractures
- Stage 1: The Fracture set. - The limb is secured on a back-splint, with a slightly oblique foot-piece, by bandages at the ankle and knee. Side-splints fixed by webbings or straps complete the fixation...
- Stage 2: Immediate Smooth Rubbing. The Use Of Massage And Early Movements In Recent Fractures
- Stage 2: Immediate Smooth Rubbing. - Commence at any time, the sooner the better, after the fracture has been 'set.' The straps fixing the side-splints are unfastened and the splints are allowed to fa...
- Stage 3: Commencement of Internal Massage. The Use Of Massage And Early Movements In Recent Fractures
- Stage 3: Commencement of Internal Massage. - After preliminary smooth massage, as described in Stage 2, one hand of the manipulator is insinuated between the toes of the affected side and the footpiec...
- Stage 4: Increase of Internal Massage. The Use Of Massage And Early Movements In Recent Fractures
- Stage 4: Increase of Internal Massage. - After the usual preliminary smooth massage the bandage fixing the ankle is removed, leaving the limb secured above by the bandage at the knee, and at the seat ...
- Stage 5: Increase of Passive Movement and Commencement of Complete Massage. The Use Of Massage And Early Movements In Recent Fractures
- Stage 5: Increase of Passive Movement and commencement of Complete Massage. - The back-splint is now dispensed with, the fracture being fixed by means of side-splints straight or with foot-piece (Clin...
- Use Of Massage And Early Movements
- There are few fractures in the whole body which were formerly followed so frequently, I suppose, by a certain amount of defective movement as Colles's fracture, the result almost entirely of the matti...
- Use Of Massage And Early Movements. Part 2
- The method which I use, because it has given me the best results, in all these fractures about the shoulder in the immediate vicinity of the joint, whether the lesion is of the humerus or of the. scap...
- Use Of Massage And Early Movements. Part 3
- Fig. 10 Diagram showing the condition of the bones in a very difficult oblique fracture of the tibia and fibula six weeks after the accident, the immediate massage and early movement method hav...
- Use Of Massage And Early Movements. Part 4
- The same observations apply with equal weight in the case of fracture of the olecranon. It will be found upon examination that in the majority of cases of fracture of the olecranon treated by long-con...
- Immediate Massage And Manipulation In Dislocations
- For the better understanding of the remarks which follow it is necessary to insist upon certain elementary points. If a dislocation is complete in the ordinary acceptation of the term the capsule of t...
- Immediate Massage In Sprains, Wrenches, And Bruises
- As is the case with dislocations, the objects to be attained in the treatment of sprains, wrenches, and bruises are the restoration to the normal state by the rapid removal of effused products, the pr...
- Lecture III. Sprains And Their Consequences, Mainly In Relation To Treatment
- The commonly-reckoned 'little things' of surgery are, it must be admitted, not popular with surgeons generally at the present time, when the great achievements of operative work are apt to overshadow ...
- Definition And Classification Of Sprains
- A reference to the latest textbooks will give but scanty information on these points; indeed, excepting sprains of joints, little mention is made of them. A few years ago the definition of a sprain...
- Diagnosis And Treatment Of Sprains
- The first essential in all cases of sprain is to determine whether fracture co-exists, which can readily be done by the x-rays when they are available; it should, indeed, be an accepted practice that,...
- Simple Sprains
- Setting aside cases complicated by fracture on the one hand and by nervous lesion on the other, sprains may be, for purposes of treatment, divided into two classes - those with swelling and those with...
- Sprains With Immediate Swelling (From Blood)
- The classical indications here are threefold: (a) Arrest of bleeding; (b) promotion of absorption of extra-vasated material; (c) prevention of adhesions and muscle-waste. (a) With regard to the fir...
- Tension In Joints After Sprains
- This may be immediate or secondary, that is, occurring after an interval varying from two or three days to a week. When occurring later than this it may be regarded as due either to a repetition of in...
- Sprains With Fracture
- The treatment of these injuries differs only from that of simple sprains in the following particulars: Although massage may be, and as a rule should be, commenced at once, rest for the part in splints...
- Sprains With Gross Nerve Injury
- Of all cases of sprain, these are in some respects the most important, because of the difficulty in their treatment and the resulting imperfect cure which so commonly follows, although it must be admi...
- Remote Consequences Of Sprains
- The later consequences of sprains may be tabulated in the following way: Preventable ....... Persistent pain. Stiff joints. Wasting of m...
- Persistent Pain
- This condition is usually caused by excessive immobilisation in ordinary cases giving rise to adhesions and matting of the parts, but it may be due to too early movements in cases associated with nerv...
- Stiff Joints
- Stiffness of joints after sprains is almost always due to the prolonged use of splints or delay in the commencement of voluntary and passive movements. Stiffness of this kind can be nearly always avoi...
- General Relaxation Of Joints
- This, the exact reverse of the condition just referred to, may, in the absence of very extensive laceration of the capsule, etc, for practical purposes be considered to be due to wasting of muscles on...
- Deformity
- This is in some respects the most interesting of the remote preventable results of 'sprains' so-called. These deformities are met with most commonly in the fingers, but are also seen in the knee, in t...
- Unavoidable Consequences Of Sprains
- Osteo-Arthritis The relation of osteo-arthritis to injury cannot be said to be much understood; it is, however, quite certain that its first manifestation frequently follows upon some comparatively...
- Lecture IV. Stiffness Of The Spine
- It is, I presume, hardly needful to say that symptoms are not always in proportion to the gravity of the disease by which they are caused, since it is common knowledge that grave disease may exist wit...
- Distribution And Character Of Stiffness
- Distribution Of The Rigidity This may involve the whole length of the spine or may be confined to limited areas, e.g., the lumbar, dorsal, or cervical regions separately; in rare cases two distinct...
- Persistent Stiffness
- Absolute Rigidity This may be divided into two varieties, that which is unaffected by the administration of an anaesthetic, and that which disappears under anaesthesia. These cases may again be con...
- A Clinical Sign. The Stammering Spine
- In the condition referred to in the foregoing remarks the rigidity is so complete that there is little probability of any mistake occurring. There is, however, a form of persistent rigidity which, alt...
- Some Illustrative Cases
- A boy, just passing from the adolescent period, of a markedly neurotic type, and the offspring of somewhat 'highly strung' parents, was reported to have had a slight accident in the football field, fo...
- Intermittent Or Relapsing Stiffness
- Neuro-Mimesis In Relation To Spinal Rigidity Neuro-mimesis, the nervous mimicry of disease, does not, I fancy, attract so much attention now as it did twenty or twenty-five years ago, although, jud...
- Movable Kidney
- The following case speaks for itself. A young woman, twenty-eight years old, of a spare and apparently healthy habit, suffered almost continuously from pain across the lower part of the spine; the pai...
- Calculi As Causative Factors
- Renal Calculus Spinal rigidity, generally of the relapsing type, is met with in cases of renal calculus. I was consulted by a medical student, twenty-four years old, on account of a persistent pain...
- Lecture V. The Rational Treatment Of Stiff Joints By Forcible Manipulation, Commonly Called 'Breaking Down.'
- In the previous lectures I have endeavoured to show the way in which stiffness and other disabilities of the joints arising from fractures and other injuries may be prevented. My present purpose is to...
- Method Of Examination
- In examining a joint in order to determine the degree of stiffness, taking for an example a knee-joint, because the knee is the articulation most commonly concerned and the one about which more mistak...
- Points For Consideration In Deciding Upon The Propriety Of 'Breaking Down' A Stiff Joint
- Having determined that the joint is in a condition in which the question of 'breaking down' may be legitimately considered - in other words, that the joint is not in a condition of bony ankylosis - th...
- Deciding Upon The Propriety Of 'Breaking Down' A Stiff Joint. Continued
- 4. The Condition Of The Muscles Acting On The Joint The muscles in a case of stiff joint are naturally wasted more or less. The wasting may be slight or extreme, and in the latter case the muscles ...
- Points Relating to the Details of Forcible Manipulation of Joints
- The following summary includes only the more important points relating to the method of procedure, and is of course in no sense exhaustive; but the points referred to are, so far as my experience goes...
- Treatment Subsequent to the Breaking Down of a Stiff Joint
- On this matter there is little that requires to be said. Nevertheless, judging from what I see and hear of the subject, it is still necessary to emphasise the fact that no splint of any kind should be...
- The Hyperaemic Treatment Of Stiffened Joints
- It is in connection with the treatment of stiffened joints that the method of induced hyperaemia usually associated with the name of Professor Bier, of Bonn, has in my experience proved of the greates...
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