Supra-orbital Neuralgia.

1. The thumb is placed on the supra-orbital notch on the -affected side, and the supra-orbital nerve is pressed against the bone ; this frequently arrests the pain. The course of the nerve upwards may be followed with friction with the thumb.

2. Friction with thumb from middle of forehead to temple, effleurage from temple to middle line, following the course of veins. The tissue should be all well moved about and then stretched.

When the pain is below the orbit, friction is done from the angle of the jaw to the middle of the mouth, pressing on the maxillary bones.

All the muscles of the cheek kneaded with thumb and fingers, to be followed by circular effleurage with palm of hand. Vibration with thumb over painful nerve.

The Eye.

1.  The cushion of the thumb is placed on the closed lid, pointing to the nose ; by friction the lid is made to work over the eyeball.

2.   Stroking with thumb from outer edge of orbit to nose on upper and lower lid.

3.   The lid picked up between finger and thumb, and moved up and down.

4.   Friction on supra- and infra-orbital, and supra- and infra-trochlear nerves, relieves pain in the eye.

5.   Gentle pressure from outer angle of eye, inwards to and down side of nose, relieves congestion and swelling.

Facial Paralysis.

1.   The muscles of the affected side of the face are kneaded with thumb and finger.

2.   Friction of forehead and side of head and corner of mouth.

3.   Circular movements round mouth and eye.

4.  Vibrations with tips of fingers.

Stiff Jaw.

1.   Friction about the joint.

2.   Pétrissage of all muscles that move the joint. Improvement may be tested from time to time by insertion of bits of wood between the teeth. A screw gag is sometimes used.