Bursitis



She was then referred to me. The x-ray of the shoulder taken just before she started treatments in my office revealed the presence of a large deposit of lime. Its shadow resembled a miniature skyscraper. She received forty diathermy treatment, during which roentgenograms were made after each of eight to ten seances. Each time the x-ray showed a diminution of the lime deposit as compared with the last one. The final x-ray plate showed a complete disappearance of the deposit which corresponded with a total disappearance of the symptoms and complete recovery.

Summary.- The three stages of bursitis described by the author coincide with the three types considered by Codman: (1) The acute or spasmodic type. Here-acute pain, local tenderness and Dawbarns sign are always present. In this article it is termed the acute stage. The treatment consists of cold complete and stage. The treatment consists of cold compress and galvanization (or ionization with magnesium sulphate).

(2) Codmans type two is the adherent type which I have discussed under the subacute and chronic stages. The treatment consists of: (a) infrared followed by massage. This is alternated by (b) ionization with sodium chloride followed by sinusoidalization; and, latter (c) diathermy instead of infrared. (3) Codmans third type is, apparently, the calcified bursitis which is fully discussed under the third stage. The treatment is diathermy.

Joseph Echtman