Integrative VETERINARY CARE VOLUME 5 ISSUE 3
ALTERNATIVE PAIN CONTROL HOW LASER, ACUPUNCTURE, HERBS, CHIROPRACTIC AND OTHER MODALITIES CAN EASE THE PAIN CAUSED BY SURGERY AND INJURY – PAGE 18
PROLOTHERAPY
INTEGRATIVE HOSPICE
TUI NA: CHINESE MEDICAL MASSAGE
FOUR CAUSES OF NEUROMUSCULAR WEAKNESS IN HORSES
How it relieves pain and heals chronic musculoskeletal pain in horses, dogs and cats.
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SUMMER ISSUE 2015
These massage manipulations help with healing by stimulating acupressure points and surface regions of the body.
SUPPLEMENTS EVERY PET NEEDS
Give their diets a nutritional boost with Omega-3s, probiotics, digestive enzymes and antioxidants.
Offering palliative care options improves quality of life for terminal patients and gives comfort and peace of mind to clients.
Learn how to assess and correct them using Applied Kinesiology.
WHAT’ S NEW
• Study focuses on the human-canine bond • Condition in newborn foals may offer clues to autism in children • New report looks at health benefits of canine companionship
contents FEATURES
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PROLOTHERAPY
The concept behind this therapy involves irritating tissue to promote healing; it stimulates the body to repair damaged/loose ligaments.
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ALTERNATIVE VETERINARY PAIN CONTROL
From laser and ozone therapy to herbs, acupuncture or chiropractic, there are many ways to help patients with pain arising from surgery and injury.
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LASER THERAPY FOR A NECROTIZING WOUND
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A severe wound in a golden retriever, arising from a cat bite, responds positively to laser treatments.
CANINE INFLUENZA OUTBREAK
Implementing these alternative approaches will help you treat and prevent illness and infection in your patients.
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HERBS OFFER SAFE, EFFECTIVE PAIN MANAGEMENT
An herbal approach to pain can address the causes of the discomfort, has few to no side effects, and can be used over a long period.
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Tech Talk INTERESTED IN ANIMAL BEHAVIOR?
As a veterinary behavior technician, you can help clients identify and address behavior problems, and prevent them from occurring in the first place.
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IVC Summer 2015
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VITAMIN D IN DOGS AND CATS
An insufficiency is associated with disease states such as congestive heart failure, neoplasia, renal disease, infectious illnesses, IBD, and feline oral resorptive lesions.
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Nutrition Nook SUPPLEMENTS EVERY PET NEEDS
No matter what type of pet food you recommend to your clients, these supplements will complement and improve every diet for every animal.
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TUI-NA: CHINESE MEDICAL MASSAGE
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Integrative Practice INTEGRATIVE HOSPICE
This modality uses massage manipulations to stimulate acupressure points or surface regions of the body, restoring physiological balance and promoting circulation.
“Pawspice” can improve quality of life for terminal patients, and reassure their owners that they’re doing a good job helping their animals through their last days.
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APPLIED KINESIOLOGY IN THE EQUINE
Four causes of subtle neuromuscular weakness in horses and how to assess and correct them.
BEST MODELS FOR INTEGRATIVE RESEARCH
Studies that meet the expectations of conventional medicine, while conforming to basic tenets of individual modalities, will encourage a wider acceptance of integrative medicine.
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advisory board
38 COLUMNS & DEPARTMENTS
Dr. Richard Palmquist, DVM, graduated from Colorado State University in 1983. He is chief of integrative health services at Centinela Animal Hospital in Inglewood, California, president and research chair of the AHVMA, and an international speaker in integrative veterinary medicine. Dr. Palmquist is a consultant for the Veterinary Information Network (VIN) and co-director of the AHVMA Foundation. He has published two books, one for conventional veterinarians and a second for clients discussing how integrative thinking works.
Michelle J. Rivera, MT, VDT, is an instructor at the University of Wisconsin and The Healing Oasis Wellness Center, a post-graduate educational institution offering state-approved programs. She is co-owner of The Healing Oasis Veterinary Hospital, offering massage, rehabilitation, chiropractic and Chinese and Western Herbology. Michelle completed the Chinese Herbal Medicine program from the China Beijing International Acupuncture Training Center, and is certified in Chinese Medicine by the Wisconsin Institute of Chinese Herbology.
5 Advisory board 8 Editorial 11 What’ s new
Dr. Joyce Harman, DVM, MRCVS, graduated in 1984 from Virginia Maryland Regional College of Veterinary Medicine. She is certified in veterinary acupuncture and chiropractic and has completed advanced training in homeopathy and herbal medicine. Her practice in Virginia uses holistic medicine to treat horses. Her publications include The Horse’s Pain-Free Back and Saddle-Fit Book – the most complete source of information about English saddles.
24 Social media 30 From the AHVMA 36 Industry innovations 46 From the AVH
Dr. Steve Marsden, DVM, ND, lectures for the IVAS, the AHVMA and the AVMA, and is co-founder of the College of Integrative Veterinary Therapies. He is a director of the National College of Natural Medicine, and authored the Manual of Natural Veterinary Medicine. Dr. Marsden is extensively trai ned in alternative medicine, including Chinese herbology, acupuncture and naturopathic medicine. He has a veterinary and naturopathic practice in Edmonton, Alberta. In 2010, Dr. Marsden was named Teacher of the Year by the AHVMA.
47 Veterinary resource guide 63 From the AAVA 64 From the VBMA 65 Marketplace 66 Events
Dr. Jean Dodds, DVM, received her veterinary degree in 1964 from the Ontario Veterinary College. In 1986, she moved to Southern California to establish Hemopet, the first non-profit national blood bank program for animals. Dr. Dodds has been a member of many national and international committees on hematology, animal models of human disease, veterinary medicine, and laboratory animal science. She received the Holistic Veterinarian of the Year Award from the AHVMA in 1994.
Dr. Barbara Fougere, DVM, CVAA graduated in 1986, and was named the American Holistic Veterinary Medical Association Educator for 2011. Dr. Fougere is the principal and one of the founders of the College of Integrative Veterinary Therapies. She has continued studying over the last 26 years, and has three Bachelor degrees, two Masters degrees, three post Graduate Diplomas, several Certifications and numerous other courses under her belt.
Dr. Christina Chambreau, DVM, CVH, graduated from the University of Georgia Veterinary College in 1980. She is a founder of the Academy Of Veterinary Homeopathy, was on the faculty of the National Center for Homeopathy Summer School and has been the holistic modality adjunct faculty liaison for the Maryland Veterinary Technician Program. Dr. Chambreau teaches classes in homeopathy for animals, and lectures on many topics. She is the author of the Healthy Animal’s Journal and the co-author of the Homeopathic Repertory: A Tutorial.
IVC Summer 2015
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PROLOTHERAPY
treats pain by stimulating the body to repair damaged/loose ligaments
Hip
Knee
Elbow
By Carvel G. Tiekert, DVM Prolotherapy is not a new method for treating pain. The concept of irritating tissue to promote healing dates back to the ancient Greeks and our old friend Hippocrates. He treated Olympic javelin throwers with unstable shoulders by touching what he described as a “slender hot iron” to the ligaments holding the shoulder joints together. The heat would irritate the ligament capsules, causing them to tighten up. Prolotherapy is sometimes known as regenerative injection therapy, nonsurgical ligament reconstruction, and more inaccurately as sclerotherapy.
A LONG HISTORY The prolotherapy techniques we use today were developed in the 1930s by G.S. Hackett, MD, a surgeon from Ohio, along with other MDs and DOs.1 These techniques have been used for decades to successfully treat pain resulting from ligament laxity. Hackett coined the term “prolotherapy” because his initial work demonstrated that the tissue laid down during the healing process was new healthy tissue, not scar tissue. (This distinguishes prolotherapy from a related treatment known as sclerotherapy.) “Prolo” stands for proliferative, implying that new cells and collagen fibers are proliferating and growing. The term “regenerative injection therapy”, used by some practitioners, is fairly new and an attempt to portray more accurately what is actually taking place physiologically.
SCIENTIFIC EVIDENCE Hackett showed that by creating controlled inflammation, permanent increases in ligament size (35% to 40%) resulted.
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He reported an 82% patient-reported cure rate for backache in a series of 1,600 patients treated with prolotherapy. His final examinations were performed from two to 12 years following the conclusion of injection therapy, thus indicating the permanency of the treatment. More recent studies have confirmed Hackett’s initial studies. In 1983, Liu (et al) injected a proliferative solution (sodium morrhuate) into rabbit MCLs (medial collateral ligaments of the knee). The ligaments showed a significant increase in ligament mass, thickness, ligament-bone junction strength, and weight-to-length ratio compared to controls.2 This effect was confirmed by Maynard (et al) in 1985 in his study on Achilles tendons in rabbits.3 Reeves and Hassenein showed long term benefits for anterior cruciate ligament laxity using dextrose prolotherapy.4 Prolotherapy is widely used in the human field, Figure 1
and studies have been published in the Journal of Prolotherapy as well as other medical journals.
PHYSIOLOGY OF PROLOTHERAPY In a sense, prolotherapy creates an injury. Figure 1 shows schematically what happens during healing. Cellular debris and humoral factors at the injury site attract an initial influx of granulocytes. The granulocytes proceed to secrete a number of factors, among them proteolytic enzymes, which debride the wound area and attract other cells. Ultimately, fibroblasts are recruited and stimulated to produce new intracellular matrix, including new collagen. As the collagen is produced, it creates tissue remodeling, strengthens the area, and causes the wound contraction seen in Figure 1. This contraction, resulting from the production of new collagen/ ligaments, creates a tightening of the wound, a reduction in joint laxity and therefore a reduction in pain. The whole process is called the wound healing cascade, and in the very basic model briefly described above, is characteristic of all healing wounds. Continued on page 16.
Prolotherapy in horses
For years, pinfiring and blistering (oddly enough called counter-irritants) were commonly used techniques in horses. They were essentially a type of prolotherapy. They have since fallen into disrepute, and have been replaced by prolotherapy injections for equine lameness. IVC Summer 2015
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