to relieve the inflamed and sensitive joint of the
pressure, is of the greatest importance. By such application the patient
is enabled to move about without pain, while the joint is kept perfectly
at rest--a condition favorable to the reduction of inflammation within
it. The surgeon specialist of the Invalids' Hotel and Surgical Institute
is frequently sent for to visit cases of this disease hundreds of miles
away and by the employment of suitable apparatus he has been enabled, in
scores of cases, to relieve the suffering at once. In cases in which the
head of the thigh bone, or the bony socket of the joint has become so
diseased as to cause it to ulcerate and break down, all portions of
diseased bone should be _thoroughly removed_ by a surgical operation. If
this be neglected or delayed, a fatal termination of the disease may be
expected. Parents should not put off the employment of a competent
specialist in this terrible, distressing, and fatal disease. As treated
by general practitioners, it very often proves fatal; or, after causing
intense suffering for a series of years, if the active condition of the
disease subsides, the patient is left with a ruined and broken
constitution, a result which more prompt and earlier relief would have
prevented.

The records of practice at the Invalids' Hotel and Surgical Institute
abound in reports of cases, demonstrating the fact, that by careful and
judicious management, hip-joint disease in its earlier stages, may be
promptly arrested, and that cures may be effected even when the bony
structure of the joint is seriously diseased.

WHITE SWELLING

White Swelling, otherwise known as _Hydrarthrus_, or _Synovitis_, more
frequently affects the knee-joint than any other part. The joints of the
elbow, wrist, ankle, or toes, may, however, be affected with this
disease, but we shall speak of it in this connection as affecting only
the knee-joint. Synovitis may be acute or chronic. The latter form is
sometimes induced by blows, sprains, falls, etc., or from exposure to
cold; more frequently it is the result of rheumatism or scrofula.

THE SYMPTOMS of this affection are generally slow in their appearance,
being sometimes months in manifesting themselves. The joint at first
presents only a slight degree of swelling, which gradually increases.
Pain is soon felt, mild at first, but augmenting until it becomes
severe. The skin has a smooth, glistening appearance, and there is an
increa