Silly me, I thought bonesetting meant setting broken bones. Since Iāve just snapped one of mine and wondered how in the name of heaven anyone in past times could deal with the frustrating complications, I started researchingāonly to learn that bonesetters did far more than set bones. They were medieval chiropractors, acupuncturists, and more.
I canāt type well enough yet to sort through all the conflicting details. Samuel Homola claims one of the first written mentions of bonesetting was from Friar Moulton, of the order of St. Augustine. He wrote the Compleat Bonesetter, which was revised in 1656 by Robert Turner. Apparently Turner says the book was intended to be a guide for "the use of those Godly Ladies and Gentlewomen, who are industrious for their talent God has given them, in helping their poor sick neighbors." But the guide isnāt just about setting bones. Itās about āthe use of manipulation as a method of setting fractures, reducing dislocations, and restoring mobility to an injured or diseased joint.ā Homola concludes that bonesetting was a womanās job, which doesnāt ring quite true to me, especially in the Middle Ages.
So I looked a little further and learned that in the European Middle Ages, there was an entire guild of bonesetters who worked closely with physicians. As I suspected, the guilds were all male. Perhaps Turnerās book was a kind of housewifeās manual for people too isolated or poor to call on a bona fide bonesetter. But the guild apprenticed only boys, keeping them for seven years. Training was āderived from the Roman and Greek āskeleton men,ā and the ancient Egyptian āmen of the hands.āā They actually had university training four hundred years before medical practitioners. Again, this was as much massage and chiropractics as fixing broken bones. Need your spine popped? Call a bonesetter.
For many reasons, political and religious, Napoleon destroyed the bonesetterās guilds. Today, only nine large volumes about the craft remain, most of them written in Greek, Latin, and Gaelic. Maybe the little emperor feared languages he couldnāt readāor people smart enough to read them. Or perhaps the guilds had become little more than superstitious cults that defied the growing interest in science.
In Eastern families and communities, bonesetting was also learned in conjunction with acupressure / acupuncture.
So naturally I had to check out Regency England, from which my prejudices evidently stem. Yes, they had women bonesetters in England in the 18th and 19th centuries. There was even one so skilled at reducing dislocations, setting fractures, and bandaging, that mobs would follow her to the theater. But she apparently specialized in fractures, as I assumed, and of course, true physiciansāall maleādisdained her abilities.
This is all fun to know but doesnāt tell me how people functioned with broken bones. (My cast is fiberglass and still seems to weigh a thousand pounds. My right hand is good for nothing except finger wiggling. Try buttering toast that way!)
I learned from Wikipedia that the earliest methods involved splints. The Ancient Egyptians used wooden splints made of bark wrapped in linen and stiff bandages that were probably derived from embalming techniques. A form of Plaster of Paris was available, but it wasnāt used for bandages. The ancient Greeks also used waxes and resins to create stiffened bandages and the Romans used starch. Arabian doctors used lime derived from sea shells and albumen from egg whites. āThe Italian School of Salerno in the twelfth century recommended bandages hardened with a flour and egg mixture as did Medieval European bonesetters, who used casts made of egg white, flour, and animal fat.ā But mostly, bed rest was the required treatmentāmonths of bed rest, argghhh!
War, naturally, created the need for more mobile treatment. A surgeon in Napoleonās army (here comes real science!) studied the effects of transportation on amputated limbs and concluded immobilizing the limb instead of the whole person was sufficient for healing. Yeah, science! Of course, he resorted to the tried and true camphorated alcohol, lead acetate and egg whites for immobilization.
Various surgeons operating at Waterloo and the continuing wars thereafter eventually developed a method that foreshadows modern Plaster of Paris casts. From Wikipedia: āThe limb was initially wrapped in wool, especially over any bony prominences. Pasteboard was then cut into shape to provide a splint and dampened down in order that it could be molded to the limb. The limb was then wrapped in bandages before a starch coating was applied to the outer surface.ā Better than total bed rest but that had to itch like the devil after a few weeks. And it still doesnāt tell me how women and children with their weaker limbs endured the weight. My bet is on bed rest, for the wealthy at least.
Unfortunately or not, I donāt have the luxury of lounging about while my cook prepares the meals, my maid cuts them into bite size pieces, and my man of business pays the bills. Iām on a 30-day blog tour for LURE OF SONG AND MAGIC and Iām typing revisions to my urban fantasy with one hand. Oh, and letās not forget that Iām supposed to be promoting my new reissue of SMALL TOWN GIRL and putting together the final touches on next monthās reissue of SWEET HOME CAROLINA. If I mention any more of my current projects, my head will ache as well as my hand. I think I shall hie me to the fainting couch. (That's my new svelte black cast--goes past the elbow. The Mexican original was hot pink and twice the size. I should have taken a picture!)
What experiences have you had with broken bones? Mine was set in a Mexican hospital, another blog all of its own. (which reminds meāI had to start a new Facebook Page. Stop by and Like me, please, and admire photos of my Mexican adventure!)