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----- Original Message -----
>  Message-ID: <[log in to unmask]>
>  Date: Thu, 31 Aug 2000 09:13:56 -0700 (PDT)
>  From: Hugo Dowd <[log in to unmask]>
>  To: karin sadow <[log in to unmask]>
>  Subject: Re: rotary subluxation
>
>  I see a lot of these but if the history is consistent with minor injury I
>  dont even xray unless there is a physical block to rotation (not limited
by
>  pain.
>  I never give collars (lots of evidence to support that giving these
delays
>  recovery): rolled up towel ( like a jelly roll) inside the bottom of the
>  pillow case, only sleep on one pillow and if back sore as well keep
another
>  under or between the knees ( if child sleeps on back or side;
respectively).
>  NSAID for 5 days and active mobilization within the limits of the childs
>  pain
>  review at 5 days : if no progress:- ref to physical therapist!
>  never try to manipulate
>  never apply traction ( A PHYSICAL THERAPISTS TRICK THAT CAN CAUSE
PROBLEMS)
>
>  Hope this is helpful
>
>  Paediatric Emergency Department
>  Bristol Children's Hospital
>  St. Micheal's Hill
>  Bristol
>  England
>  BS2  8BJ
>
>  AND
>  Emergency Unit
>  University Hospital of Wales
>  Heath Park
>  Cardiff
>  Wales
>  CF4 4XW
>
>
>
>
>
>  _______________________________________________________
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Paediatric Emergency Department
Bristol Children's Hospital
St. Micheal's Hill
Bristol
England
BS2  8BJ

AND
Emergency Unit
University Hospital of Wales
Heath Park
Cardiff
Wales
CF4 4XW





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