e. The onset is usually gradual, and for a time there is only a
slight pain in the back of the thigh; soon the pain becomes more intense,
extends down the thighs, and leg and reaches to different parts of the
foot. The very sensitive spots can often be pointed out by the patient,
and on pressure these spots are very painful. It is gnawing and burning
in character, usually constant, but sometimes it comes in paroxysms, and
is often worse at night. Walking usually causes great pain. The knee is
bent and the patient treads on his toes. As a rule it is an obstinate
trouble, and it may last for months, or even with slight remissions for
years. In the severer forms the patient must remain in bed and such cases
are very trying for both patient and doctor.
(See Mothers' Remedies under Neuralgia above).
PHYSICIANS' TREATMENT. Cautions for Sciatica.--Remove all causes if you
can. Rheumatism and gout, if the patient have them, should be treated. The
patient should not overwork or expose himself to wet, damp weather. Keep
every part dry. Rest in bed with the whole leg fixed is a valuable mode of
treatment in many cases. Hot water bags from the hip to the knee placed
along the painful nerve, sometimes gives great relief. Mud baths are
beneficial. Hot Springs baths relieve many cases. Fly blisters placed
along the track of the nerve relieve the pain in many cases. Fomentations
of smartweed and hops are good, but they must be changed often so as to be
hot. Wet or dry cupping is a help in many cases. It draws the blood from
the inflamed nerve. Morphine given hypodermically will relieve the pain,
but it is a dangerous medicine to use in a chronic case. The patient will
be very likely to form the habit, and that is worse than the sciatica. By
care and treatment most cases can be greatly helped and cured. Rhus tox
(poison ivy) is very good in minute doses in cases where it is impossible
to remain in one position for any length of time. Ten drops of the
tincture in a glass two-thirds full of water and two teaspoonfuls given
every hour. I have helped many cases with this remedy. The hot iron along
the track of the nerve is helpful. Electricity is better in a chronic case
where there is wasting of the legs, and it should be combined with
massage. The galvanic current should be used.
MOTHERS' REMEDIES. Nervousness. 1. Catnip Tea for.--"A tea made of catnip
will quiet the nerves. This is good for women when they are apt to be
nervous."
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