Electro-physiology and electro-therapeutics : showing the best methods for the medical uses of electricity / By Alfred C. Garratt.
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agreeable general sensations, such as occur on ordinary febrile
attacks. A restless, feverish, and uncomfortable night follows,
after which the patient experiences a very threatening and tire-
some pain in the course of the great sciatic nerve. The limb is
now all but powerless, with growing pains either down the back
of the thigh, (which is becoming, also, extremely tender to the
touch,) or on the outside of the knee, or the calf of the leg, or
near the external ankle bone, or, perhaps, involving the whole
limb. If, now, the limb is moved, the pain increases, darting up
into the loins, and down the limb. The patient wishes to lie on
his back, with the limb extended, and complains now of the
prickling sensation called " pins and needles." The attack may
be more or less gradual, and the febrile phenomenon more or
loss great; but in any case where this affection has attained a
degree of severity that characterizes the acute, the symptoms are
so characteristic that no practitioner of ordinary intelligence can
fail at once to recognize its true nature. But the great majority
of cases that call on medical men for treatment are the sub-
acute. The history and symptoms of these are the same as the
acute, only less in degree and extent, and the invasion is more
tame. The suffering and the lameness even hero are great, and
the patient fmds no easy position.
In case the early stages of the acute or the sub-acute attack
are not submitted to active and controlling treatment, the case
is very likely to merge into the chronic form, and, as such, it may
continue to harass the sufferer for any length of time. But it
may be asked, Where is the line to be drawn to distinguish the
acute and sub-acute from the chronic sciatica ? The chronic
disease of a nerve, says Dr. Rood, of England, differs not essen-
tially from a similar morbid condition of other structures. The
term " chronic," when applied to disease, does not indicate
merely or exclusively the idea of duration, or long continuance,
as the origin of the word — chronos, time — would seem to im-
ply, but, rather, designates a special form of morbid action.
Then, observe, the symptoms of pain, tenderness, weakness, &c,
will be present both in the sub-acute and in the chronic. In
the former they will be intensified by exercise ; in the latter, at