Treatment of dislocated tailbone and hip

You should hurry with treatment, because if the dislocation is not quickly corrected, fluids sometimes flow into it, which rot and lead to the decomposition of the entire organ, and this is followed by dangers that you know. As for the method of treating a dislocated hip downwards, it is as follows: you extend the leg and set it, after moving it to the right and left so that the bone to be set is opposite the hole into which it is set. Then they take a belt or rope and make a kind of stirrup for the leg, which is tied to the lower leg, and then attached to the thigh and to the set joint so that it holds it. After this, the bandage is hung on the shoulder in such a way that the lower leg cannot stretch.

When the hip is dislocated inwardly, the patient is ordered to be placed on his knees and some strong person holds his leg near the ureters, and the chiropractor takes the end of the femur at the knee with both hands and pulls it back to push the other end. He pushes it upward and outward with force, and if someone helps him by moving in the opposite direction the joint to which a bandage or rope has previously been attached, then it turns out well. The joint is then tightly bandaged.

If the hip is dislocated outward, then the chiropractor should firmly grasp the end of the thigh near the knee and move it in the direction opposite to the above, and someone else grabs the other end and moves it in the direction opposite to the first movement, having first attached a bandage to his end or rope.

And if there is a dislocation anteriorly or posteriorly, let the chiropractor attach a belt to the base of the thigh and throw it over the shoulder on the proper side corresponding to the direction of the dislocation. Another person takes the ends of the belt, and everyone pulls on it together, so that the patient hangs in the air; in this way, dislocations of the previous types can also be returned to a healthy state.

Sometimes a dislocated hip is treated with bairam. The description of this includes what was excellently stated by one of the doctors, who says: It is necessary to hollow out oblong grooves in the board along its entire length, similar to grooves; the width and depth of each groove should not exceed four fingers from the other, so that the bayram can be inserted into one from these recesses and rest against it, and the bayram should push the head of the femur in the direction in which it should be pushed. In the middle of a large board or bench, another board about the length of a foot and as thick as an ax handle should be driven upside down, so that when the patient lies on his back, this board passes between the stomach and the head of the thigh; it prevents the body from following those who pull the patient’s legs, often with there is no need to pull from above, although sometimes this is also necessary. At the same time, when the body is pulled down, the board pushes the head of the femur outward. Downward traction, especially leg traction, should be done as we said before.

If the head of the femur does not enter even with this method of treatment, then you should pull out the board that was driven in upside down and drive in two other boards, on either side of the place where the pulled out board was located - on each side there is a board - so that they look like door jambs, and the length of each of them should be no less than a foot. Then another board is placed between these boards, just as the steps of a ladder are adjusted, so that these three boards form a figure similar to the letter called in Greek this - H. This figure is obtained by inserting a third board in the middle, slightly below the ends of the vertical boards. Then the patient should lie on his healthy side and stretch his leg between two jambs, under a board similar to a stair step, and let the sore hip be near this step, so that the head of the femur seems to sit astride it, after placing it on the step many times folded fabric so that the step does not cause pain to the hip. Then they take another board of moderate width and such a length that it reaches from the head of the femur to the ankle, place it lengthwise, under the shin, on the inside, and tie it, covering the space from the head of the femur to the ankle. After this, traction is performed - either with the help of a piece of wood similar to a pestle, as is done with a hump, or as we said earlier. In this case, you should pull the shin down along with the board tied to it so that the head returns to its place due to such a strong stretch.

There is also another method in which the femoral head is inserted into the joint without stretching the patient on the board. Hippocrates praises this method and says that the patient should tie his hands to his ribs with a soft belt and tie his legs with a strong and soft belt, tightening them at the knees and ankles. The distance of one leg from the other should be four fingers, and the affected shin should be extended more than the other by two fingers. The patient is suspended by the head, and he is two elbows away from the ground. Then the experienced young servant puts his hands around the injured thigh in the thickest place, where the head of the femur is, and suddenly hangs himself from the patient; if this is done, the joint goes into place with the slightest effort. This method is easier than others, since it does not require much work, but most healers do not like to use it and despise it because of its ease.

And if there is a dislocation from the outside, then the patient should be stretched as we said, and then the doctor should push the head of the femur with the bayram from the outside inward, having previously inserted the bayram into one of the grooves we mentioned so that it rests against it. At the same time, one of the assistants stands at the healthy hip and also pushes in the opposite direction so that the patient’s body does not give in too much.

In case of anterior dislocation, the patient should be stretched, and then some strong person places the heel of his right palm on the sore groin, and with the other hand presses on it, applying pressure slowly downwards towards the knee.

If a dislocation occurs posteriorly, then you should not pull the patient downwards, lifting him above the ground, but rather, he should lie on something solid; the same should be done when the hip is dislocated outward, as we said regarding the hump. The patient should be stretched face down on a board or bench, and the straps are tied not on the thigh, but on the lower leg, as we just said. You should also knead it by placing a board on the area of ​​the intestines and on the place where the joint protrudes.

These are our words about the types of dislocations that happen to the hip due to an obvious reason preceding it, but the thigh sometimes dislocates due to the abundance of fluid appearing in it, just as a shoulder blade dislocates, and then cauterization should be performed, as we said in the place where we remember such cauterizations.