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| Keywords: ChronicBackache1033.png CHRONIC BACKACHE--REYNOLDS AND LOVETT Journal of the American Medical Association Chicago Ill 1910 REYNOLDS Edwards AND LOVETT Robert W PD Image ChronicBackache1043 png <gallery> Image ChronicBackache1033 png Image ChronicBackache1034 png Image ChronicBackache1035 png Image ChronicBackache1036 png Image ChronicBackache1037 png Image ChronicBackache1038 png Image ChronicBackache1039 png Image ChronicBackache1040 png Image ChronicBackache1041 png Image ChronicBackache1042 png Image ChronicBackache1043 png </gallery> VOLUME LIV NUMBER 13 ETHETR AND IMMUNITY--GRAHAM 1043 PD-old AN EXPERIMANTAL STUDY OF CERTAIN PHASES OF CHRONIC BACKACHE A COMBISED GYXECOLOGIC AND ORTHOPEDIC INVESTIGATION EDWARD REYNOLDS M D AND ROBERT W LOVETT M D BOSTON DEFINITION OF CLASS OF CASES UNDER INVESTIGATION For an indefinite time the medical profession has been confronted with a very common and perplexing dnss of Cllses mostly in women but occasionally in men in which persistent backache is the chief subjective symptom These cases present the following symptomatic picture The pain generally dull in character is as a rule referred to the sacral or lumbar region and is frc~ quently felt iu one or both sacro-iliac joints; rarely it is complained of in the dorsal region It also freqnently shoots clown one or both legs in which case it is generally classed as sciatica and is aggravated by forward bending or flexion of the thigh with the knee extended The pain in the back and leg are aggra ated by standing and especially by prolonged standing such as is involved in the fitting of women's dresses It is some~ times reli eved by the recumbent position but at times is at its worst rhen the patient rises in the morning The pressure of the hand in the small of the back while sitting or the use of a cushion in the same region in sitting or lying are instinctive means of relief which every practitioner has seen these patients use The pain is mo~t often aggravated during men ;;truation and in general is either unilateral or bilateral but in the latter case on close questioning is usually found to be worse on one side than on the other Local tenderness mav or may not he pre ent If the back is exposed and' the finger-tips are placed over the erector spinoo mUEc1es perceptible spasm may be excited in these muscles by voluntary forward or lateral bending at the wai t~ and perfectly normal spinal mobility is unusual in the more marked ca5es Bending is frequently better performed to one side than tn the other The nervons element in thCi3C cases _ may be slight or so severe as to dominate the whole picture The condition sometimes originates from accidents such as falls; it begins at other times as the remit of oyeruse or strain~ as in prolonged piano-playing after heavy lifting or nfter surgical operations At other times it is founel vithout assignable cause The affection i;; exceedingly persi~tent and seldom very Ee erc and 1t3 most triking characteristic feature j~ the patient's insistence on ~ habitual pain for vlJieh nt adequate cam c is apparent A search for that cau~e was the purpose of this iuyestigfltion PHEST~XT TETDIJSOLOGY The cau~es or this condition have heen variously assigned by speeiali 3ts and the general practitioner to the pelvie organs to the mU3cle ~ and joints and tt the nervollS sy '3h m The uncertainty concerning it ;; true Permanent corset treatment Reynolds and Lovett - Chronic Backache | ||||
