Injuries of nerves and their consequences - Reflex Sympathetic ...

IGG INJURIES OF XERVES.
At the same time she took iron, quinine, belladonna, and
good diet, and after a time was induced to exercise in the
open air. She continued to improve during the summer,
and three months after the injury was free from pain and
had good use of the hand and arm. The palm, however,
remained livid, and was lower in temperature than that
of the other limb. Tiie nails were normal in form and
color. At this time Dr. Norris ceased to attend, and,
upon the return of pain, in September, a homoeopath
treated the case.
During the winter of 1868 and 1869,
the fingers became contracted, and the hand flexed, the
palm continuing to suffer with burning pain. These conditions
existed in varying degrees up to March, 1869,
when the pain grew more severe, and the flexions became
extreme. Six weeks' treatment by induced currents entirely
relieved all of these symptoms, which remained
absent until October, 1871. At this date, the flexions
recurred, but only when a storm impended, or when she
was under the influence of strong emotions.
When the case was seen by me, December 5, 1871,
I found the Angers normal as to movement. Although
she complained of weakness in the right arm, the dynamometer
showed its grasp to be stronger than that of the
left. The median nerve track in the arm was normal,
but in the forearm it was tender, and pressure on it excited
pain at the seat of wound. The nails were natural.
Nutrita-e change in connective tissues.— Aft'ections of the
connective tissues are common after nerve wounds, and
are flrst seen in the shape of cederna, local or general,
in the limb aftected. In looking over notes of one
hundred and sixty cases of these wounds, I find that
oedema was apt to come on suddenly and to announce,
as it were, a subsequent neuralgia. Sometimes the swelling
came and went without obvious cause, and sometimes
it was very persistent and accompanied with congestion