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January 16, 1915


JAMA. 1915;LXIV(3):238-239. doi:10.1001/jama.1915.02570290050012

A man, aged 32, commercial traveler, consulted me because of an attack of sciatica (left-sided) which had continued practically unabated in the severity of the pain for eight months. During this time the patient had been under the continuous care of a number of physicians, but without more than slight temporary relief. He was kept from his work during all of this time, and, incidentally, lost not only time, but 60 pounds in weight. He was treated medicinally; the spinal nerve roots were injected with alcohol; he was given gonococcus vaccine; placed in a plaster-of-Paris cast; Buck's extension was applied to the leg; the Paquelin cautery was applied to the skin from spine to heel over the entire course of the sciatic nerve.

From these procedures he received only temporary relief. When I first saw him he was hardly able to walk because of the pain, nor could he lie