SPRAINS OF TENDONS.--NERF-FERURE.-~-TENOSITIS. 311 
water at 7-8 deg.C. is excellent. This treatment is stopped when the local 
hyperthermia has subsided, occurring ordinarily after two or three weeks. 
The cooling method is useful, especially at the onset, where there is great 
pain and marked tumefaction: it reduces the phlogosis of the tendon, 
arrests the interstitial hemorrhages and possesses a real sedative action. 
We combine with it Zght pressure by the use of flannel bandages or very 
thin rubber roller. 
At amore advanced period, the resorption of the exudate and of the 
extravasated blood must be stimulated. To this end, some practitioners 
have recourse to mercurial ointment or that of iodide of potassium ; 
others, more numerous, use d/szers, red ointment, mercurial blisters, strong 
liniments. Sometimes several frictions are made in succession and suffi- 
ciently apart so as not to irritate the skin too much. In numerous cases, 
after three weeks to a month, the lameness disappears. Nevertheless the 
tissues preserve an exaggerated sensibility: any efforts may have for result 
to start a new inflammation; hence a rest of several weeks is necessary 
after recovery. It is only by degrees and little by little that the anima 
can be allowed to resume work. 
Most of foreign authors prefer damp heat and pressure to blisters. Moller 
recommends to wrap the leg in moist and warm wadding held in place by 
a flannel bandage. The dressing is to be renewed every four or five hours. 
This method has a remarkable action against the suffusion and paratendi- 
nous infiltrations ; it prevents the secondary indurations. Ableitner, hav- 
ing obtained only unsatisfactory results with vesicating preparations, has 
given them up. After cooling applications used for a certain length of 
time, varying according to cases, he, like Méller, uses damp and warm 
compresses. The beneficial effects of this treatment, used when the in- 
flammatory phenomena have subsided, are incontestable. Yet, blisters 
count also many numerous successes ;- they offer the advantage of being 
easier to apply and demand less time. The secret of success depends, 
however, on the long-continued rest given; it is principally when the 
animal resumes his work too early that the trouble returns, that the inflam- 
mation of the tendon becomes chronic and that the leg knuckles. 
If cooling applications, damp heat or blisters fail, we must have recourse 
to massage, with or without hot affusions, or to cauterization. Recovery 
can be completed by massage, in covering the region with a sheet of 
parchment. The fingers, coated with vaseline, make light frictions on 
that sheet from downwards upwards in the direction of the lymphatic cur- 
rent; in operating methodically the massage is dome without changing the 
direction of the hair. These applications will be made twice a day, 
fifteen minutes at a time, and the treatment continued for several weeks. 
In serious cases and when massage has given only incomplete results, cau- 
