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E. Fritz Schmerl, MD
Highland Alameda County Hospital Oakland, Calif

JAMA. 1979;242(26):2845.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I am writing to report a modification of the maneuver of McIntyre (240:2760, 1978) to reverse Raynaud's phenomenon. McIntyre specifically described his technique by stating that the arm be swung around "in the direction that a softball pitcher would move the arm, ie, downward behind the body and upward in front of the body."

In a letter Leavitt (241:2702, 1979) confirmed the beneficial effect of the maneuver, reporting a disagreeable transient aggravation of a lumbar discomfort.

I have made a similar observation. However, I had found that, in a patient with an unstable back, one can avoid that aggravation: Alter the direction of the circular arm swing from the pitcher's quasisagittal plane to the frontal plane, upward in front of the trunk.

This modification is minor but by no means trivial. It will make McIntyre's maneuver more useful. . . . [Full Text PDF of this Article]

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