Sir,—As massage and exercises are now recognized in England as valuable therapeutic agents, it is time that something was done to improve the training of the English masseur or masseuse. This is the only way of stopping the “invasion of England” by the Scandinavian “medical gymnast.”

The mechanical manipulations that are now taught to nurses under the name of “massage” are useless for the treatment of local affections. I have seen massage carried out in large London hospitals in a way that has been nothing but an often elegant and intricate but useless playing about on the skin. Beyond a slight stimulation of the superficial …