Surgery, a Practical Treatise With Special Reference to Treatment

Cover Surgery, a Practical Treatise With Special Reference to Treatment
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Except, however, for their severity and for the fact that they are always associated with a very grave degree of shock, which is certainly not without influence upon the subsequent progress of the case, there is no reason for such a step.
Symptoms. — The chief ones are pain and stiffness ; these are never absent.
The former may be immediate and severe, as when the head is twisted round to look in some awkward direction, and a muscle or tendon is caught or disj^laced ; or it may be dull and achi
...ng, not coming on for hours. The least attempt at movement makes it tenfold \vorse. Very often it is especially severe at night, when the patient is getting warm in bed ; and usually the skin over the painful part is exceedingly tender, as it always is over muscles that have been overstrained or overworked. If the nerves are injured in the foramina the pain runs round the trunk like a girdle, or extends into the limbs ; sometimes it is attended by for- mication. In one case, in which the lumbar region was severely wrenched, a l)atient described it as shooting like lightning down the legs, and very often it is referred to the distribution of the nerves — to the pubic region, for instance, when the injury is at the junction of the dorsal and lumbar vertebrae.

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