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March 22, 1924


Author Affiliations

Chicago Attending Orthopedic Surgeon, Cook County Hospital; Junior Attending Orthopedic Surgeon, St. Luke's Hospital; Assistant Professor of Orthopedic Surgery, Northwestern University Medical School

JAMA. 1924;82(12):965-966. doi:10.1001/jama.1924.26520380003012d

The orthopedic treatment of symptomatic sciatica consists of:

  1. Absolute rest in bed, the patient not being allowed to go to meals or to the lavatory.

  2. Back strapping, moleskin adhesive plaster being applied very tightly across the lumbar, sacral and iliac regions (Fig. 1).

  1. Leg traction, adhesive resin plaster on swansdown being used.

Two wide strips are used, A and B. The leg should be shaved.

A. On the outer border of the leg from the great trochanter down to a point 5 inches below the sole of the foot.

B. On the inner border from the perineum to a point 5 inches below the sole of the foot.

C. Two strips, three fourths inch wide, beginning above the ankle, making oblique turns at an angle of about 45 degrees, crossing as follows: (1) in front, about 3 inches above the ankle joint; (2) behind, just above the prominence of the