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All physicians who have seen gonorrheal arthritis know how unsatisfactorily the usual treatment—rest, massage, passive movements, salicylates, etc.—often proves in chronic cases, and how hard to overcome in those cases is the extreme painfulness and the stiffness of the diseased joint. It seems to me worth while, therefore, to call attention to a method of treatment which, so far as I have observed, in this country, has by no means found the notice and practice it deserves. I refer to congestive hyperemia by damming according to Bier, which, as his assistant, I saw him employ.
As is generally known, Bier recommended hyperemia by damming at first for tuberculous joint diseases; later he employed it also for other diseases, and in his book, "Hyperœmie als Heilmittel," writes: "Yet much more marked is the effect of hyperemia by damming on that form of gonorrheal joint inflammation which is so extremely painful. In these cases the pain becomes easier in from one-half to one hour after the application of the rubber bandage."
VON TILING JHMA. THE TREATMENT OF GONORRHEAL ARTHRITIS BY HYPEREMIA. JAMA. 1905;XLIV(17):1357–1358. doi:10.1001/jama.1905.92500440001001f
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