The chronic form shows considerable inflammation along the line of
the vein marked by tenderness, edema and thickening of tissue. The
entire leg may be more or less involved through circulatory injury.
In these cases will be found definite innominate lesions of a primary
type or the distortion is superinduced by lumbar lesions. A few cases
are quickly cleared up through adjustment that is readily secured.
However, in others, there being considerable thickening of the
sacro-iliac articulating tissues, some time may be required to get
complete adjustment and consequent restoration of femoral circulation.
In addition to this, careful abduction, flexion, hyperextension and
circumduction is indicated. This last technique should be executed with
great care and with due regard to pathology. If Dr. Still’s emphatic
command were followed, that all maternity patients should have both
legs rotated and innominates inspected, there would be no phlebitis
cases, acute or chronic.