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April 7, 1945


JAMA. 1945;127(14):945. doi:10.1001/jama.1945.02860140063023

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To the Editor:—  Dr. E. H. Terrell, whom I remember with pleasant memories from internship days, in The Journal, Oct. 28, 1944 calls attention to the work of Dr. George Thiele, whose "contribution... is the most valuable given in our field (proctology) during the past decade." Also in the field of obstetrics it has been a most valuable contribution. I have found it to be of great benefit in the late postpartum care of the obstetric patient.So often, after delivery, there are vague sacroiliac and sacrococcygeal pains. Palpation of the deep pelvic muscles will reveal them to be spastic and painful. The trauma incident to delivery is the most likely explanation. Massage of these muscles by rectum with the patient in the lithotomy position usually gives gratifying relief. Particularly so is this if there has been undue displacement of the coccyx.As Thiele emphasizes, massage at first should be

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