The treatment of lateral curvature of the spine : with appendix giving an analysis of 1000 consecutive cases treated by posture and exercise exclusively, without mechanical supports . ily medical man is called in:generally he does not strip the girlto below the hip-bones (iliac crests),and then tells her to bend the trunkforwards; or, as I have several timesCfiu*y been informed, the doctor examines ^>*-£r/i //,j the patient in bed without even havingthe night-dress or chemise removed,simply passing his hand down theback outside the article of dress. Ifthere is no decided or marked irregu-la
The treatment of lateral curvature of the spine : with appendix giving an analysis of 1000 consecutive cases treated by posture and exercise exclusively, without mechanical supports . ily medical man is called in:generally he does not strip the girlto below the hip-bones (iliac crests),and then tells her to bend the trunkforwards; or, as I have several timesCfiu*y been informed, the doctor examines ^>*-£r/i //,j the patient in bed without even havingthe night-dress or chemise removed,simply passing his hand down theback outside the article of dress. Ifthere is no decided or marked irregu-larity of the back when examined inthis haphazard way, the family doctortoo often assures the anxious motherthat the patient will grow out ofit and that nothing special need bedone, except perhaps lying down forone or two hours daily (the very worstadvice he could have given) and theuse of dumb-bells, or so-called calis-thenic exercises. I am constantlyhearing this story and its numerousvariations, when examining a case ofsevere Lateral Spinal Curvature, which has developedin the course of one or more years after the above-mentioned verdict of the family doctor. It is, however,. Fig. LATERAL CURVATURE OF THE SPINE. 9 precisely at the time when there is no bony deformitythat complete cure is possible. Before Lateral Curvaturecan occur with osseous deformity, it must graduallypass through many intermediate stages, from the timethe patient first began to assume a temporary viciousposition of the trunk. Dr. Oscar Witzel, in GerhardtsHandbuch der Kinder-Krankheiten, 1887, very ablyshows that every pathological form—that is, osseousdeformity of the spinal column—is preceded by a patho-logical posture, in just the same way that the normalosseous form of the spine in the adult is the result ofthe habitual postures of the individual during the yearsof growth from infancy. Most surgeons are now agreedthat, in Lateral Curvature of the Spine, osseous de-formity is always preceded by so-
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