Innovative PEER REVIEWED
VOLUME 9 ISSUE 1
VETERINARY CARE
3 POSTOPERATIVE DENTAL CARE
OPTIONS THAT IMPROVE RECOVERY TIME MODALITIES LIKE ACUPUNCTURE, LASER AND OZONE THERAPY HELP ANIMALS RECOVER MORE QUICKLY AND SMOOTHLY FROM DENTAL PROCEDURES. – P. 48
www.IVCJournal.com
WINTER ISSUE 2018/2019
FUNCTIONAL NEUROLOGY IN VETERINARY TREATMENT AND REHABILITATION
CANNABIS FOR VETERINARY PATIENTS
RECOMMENDING RAW BONES
3 INTEGRATIVE APPROACHES TO STOMATITIS IN CATS
HOW CHIROPRACTIC ENHANCES ANIMAL DENTISTRY
RECOGNIZING SOFT TISSUE INJURIES IN DOGS
A closer look at the evolving field of functional neurology. – P. 30
Raw bones are great for dental health, but be sure your clients know how to feed them safely. – P. 18
Using chiropractic care alongside dental procedures can reveal and correct additional problems in your patients. – P. 12
The market is being flooded with medicinal cannabis products. Assist your clients by staying informed. – P. 53
Modalities such as TCVM, stem cell therapy and guided bone regeneration surgery are proving effective for many feline patients. – P. 42
Rehab techniques should consider how the injury developed and how it affects the entire body. – P. 22
contents FEATURES
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INTEGRATING CHIROPRACTIC DURING AND AFTER ANIMAL DENTISTRY
By Rachel Jones, DVM, CVCP, PScD
The use of chiropractic during dental procedures allows you to evaluate the stomatognathic system, reset the nervous system, and pick up on clinical changes.
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NUTRITION NOOK
RECOMMENDING RAW BONES IN THE VETERINARY PRACTICE By Jodie Gruenstern, DVM, CVA
Raw bones are a great way to enhance patient nutrition and dental health, but it’s important to educate clients on how to feed bones safely.
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RECOGNIZING SOFT TISSUE INJURIES IN DOGS FROM AN INTEGRATIVE PERSPECTIVE–PART 2
By Kimberly Henneman, DVM, DACVSMR (EQ, K9), FAAVA, DABT, CVA, CVC Applying rehab and physiotherapy techniques to an injured dog should be preceded by consideration of how the injury developed, and how it affects the health of the entire body.
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FUNCTIONAL NEUROLOGY IN VETERINARY TREATMENT AND REHABILITATION By Carl DeStefano, DC, CAC, DACNB, FACFN
The evolving field of functional neurology demands training and examination procedures that consider the neurologic health of neuron pools integral to stability and movement.
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Tips and ideas for introducing holistic modalities in a traditional veterinary practice setting.
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INTEGRATIVE APPROACHES TO FELINE CHRONIC GINGIVOSTOMATITIS
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GUIDED BONE REGENERATION (GBR) IN THE TREATMENT OF CAT STOMATITIS
By Jody Bearman, DVM
By Don DeForge, VMD
This treatment alternative completely and permanently reverses the oral inflammation and pain evidenced in feline stomatitis patients.
IVC Winter 2018/2019
Major research projects have been exploring the use of adipose-sourced stem cells in the treatment of this debilitating feline disease.
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INTEGRATIVE APPLICATIONS IN VETERINARY DENTISTRY
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MEDICAL CANNABIS IN YOUR PRACTICE
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WORRIED ABOUT GRAIN-FREE DIETS AND HEART DISEASE?
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PROGRAMS AND APPS THAT IMPROVE YOUR PRACTICE
By Katie B. Kangas, DVM, CVA, CVCP
From acupuncture to laser to ozone therapies, a wide range of modalities can speed healing, reduce complications, and relieve discomfort in animal dental patients.
By Angie Krause, CVA, CCRT, DVM
Cannabis holds a lot of promise for treating dogs and cats. It’s important to educate clients by staying informed about the growing number of cannabis products on the market.
By Barbara Royal, DVM, CVA, CIAC
Are grain-free diets really associated with canine dilated cardiomyopathy (DCM)? Here’s how to answer questions from concerned clients.
New programs and apps that digitize records, notes and follow-ups mean you can spend more time educating clients and caring for your patients.
INCORPORATING COMPLEMENTARY THERAPIES INTO CONVENTIONAL PRACTICE
Two case reports show how homeopathy and TCVM can effectively treat FCGS without the need for full mouth extraction.
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By Carlisle Froese, MA
INNOVATIVE PRACTICE
By Jamie Moran, DVM, CVA
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STEM CELL THERAPY FOR FCGS
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advisory board Dr. Richard Palmquist, DVM GDipVCHM(CIVT) CVCHM (IVAS), 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 codirector of the AHVM Foundation. He has published two books, one for conventional veterinarians and a second for clients discussing how integrative thinking works.
46 COLUMNS & DEPARTMENTS
5 Advisory board
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.
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.
8 Editorial 29 From the AHVMA 39 From the VBMA 40 Industry innovations 51 From the AATCVM 52 Wellness resource guide 61 From the VMAA
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 trained 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.
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.
63 Marketplace 64 Events 65 News bites
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 Winter 2018/2019
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INTEGRATING CHIROPRACTIC DURING AND AFTER ANIMAL DENTISTRY
The use of chiropractic care during dental procedures allows veterinarians to evaluate the stomatognathic system, reset the entire nervous system, and pick up on clinical changes we would otherwise miss.
The purpose of this article is to shed light on the importance of chiropractic care in general, and more specifically following dental procedures. Though the focus is on dogs and cats, all species that may suffer from spinal subluxations can benefit. In dogs, collar and leash use, rough play, dog park activity, basic training and restraint often cause compensated vertebral issues that, if left unresolved, can lead to chronic orthopedic issues down the road. Cats are also subject to the same issues, due more to jumping up and down from high places and from rougher acrobatic-like play. Cats, even more than dogs, are better at masking such issues, but just a single orthopedic manipulation (as felines are more often out in the lumbar spine) can significantly improve mobility.
care, we are able to make it even more valuable to the whole animal. During each and every anesthetic dental procedure, whether extractions are needed or not, the use of chiropractic care can only enhance the outcome upon discharge, whether the animal’s issues are related to dental problems or are preexisting. We are able to provide profound results that most of our clients have never seen before, thus encouraging compliance with future dental health maintenance, and improving caregiver loyalty to the veterinarian. Below, we will review the goals of evaluating structural conformation and performing orthopedic manipulation at the time of dental procedures.
IMPROVED COMPLIANCE
THE STOMATOGNATHIC SYSTEM AND UPPER CERVICAL MANIPULATION
Dental care in itself is one of the most important aspects of a pet’s overall health. By incorporating orthopedic manipulative
Dental procedures allow us as veterinarians to evaluate the stomatognathic system and reset the entire nervous system.
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IVC Winter 2018/2019
Photo courtesy of Refugio Campos
By Rachel Jones, DVM, CVCP, PScD
The stomatognathic system is comprised of teeth, jaws and associated soft tissue. Its effect on the nervous system in general, and conformational integrity, has long been overlooked.1 Anesthetic dental procedures involve manipulation of the head and neck for proper dental cleaning and polishing, radiograph positioning and extractions. Completing these procedures can result in additional subluxation on top of pre-existing ones. This is because the plates of the skull are connected, and sutures allow the skull to move in a very subtle way. The pressure placed on those sutures by the necessary bracing during an extraction process can lead to less than ideal repositioning of the plates. Once a dental procedure is complete, taking the time to palpate the skull to feel for any asymmetry, and gently holding and repositioning sutures in the subtlest of ways, will greatly help each patient.
RESETTING THE SPHENOID AND PALATINE BONES This can be done by palpation within the roof and along the inside of the mouth and temporal mandibular joint. Place one index finger on each TM joint to check for symmetry within the jaw, and then apply a steady gentle pressure to realign the area. As you start to check these with each dental procedure, you will become more comfortable and skilled at realigning. When you perform this technique during a normal dental cleaning without any extractions (with anesthesia), you can start to identify and correct pre-existing problems. During this time, it is prudent to complete the exam by checking both ear canals with the otoscope, and removing any preexisting wax, foxtails or other foreign bodies that may have been overlooked.
BEFORE ANESTHETIC Prior to full sedation, perform a pre-op physical exam that includes an orthopedic vertebral evaluation: Evaluate each pet from the front from afar (at least 2’ or 3’) and get accustomed to subtle changes that can have a profound effect on the area of the brain stem. Allow the animal to hold his or her head in its natural position and evaluate the lower eyelids for subtle changes. By drawing an imaginary thin line across the lower aspect of the lids, you will often see that one of the eyes is ever so slightly off and lies a bit lower than the other. Some cases are dramatically offset, as seen below – both dogs show a low right and left eye respectively: Some cases are dramatically clear while others are not so easy to pick up. At top right are examples of two dogs that are off on
Figure 1
Figure 2
alternate sides. The Bulldog (Figure 1) has a lower right eye, which most often is the result of the left atlas being displaced dorsally. The Yorkshire Terrier (Figure 2) is lower in the left eye, resulting in the right atlas being displaced dorsally. In the simple displacement of the atlanto-occipital joint (AO), the atlas is displaced dorsally at the left and right sides respectively. Viewed and palpated from behind the animal, the displacement is seen structurally and palpated as below (Figures 3 and 4): Figure 3 Figure 4
Confirmation of a simple displacement is done by standing behind the animal and placing the right index finger at the wing of the right atlas, and the left index finger at the wing of the left atlas. Careful practice of palpation will reveal one wing higher than the other when the animal is still. By dorsal palpation with each index finger, you can feel a tightening in the obliqus capitis cranialis and the major and minor rectus capitis dorsalis muscle groups. Human neurology shows that ¾ of a degree of a protractor (the thickness of just three fingernails) can have a huge effect on the muscle centers of relaxation being inhibited, and therefore abnormal vital muscular contracture. From above the spinal cord, the Red nucleus, the vestibular apparatus, and the lateral and medial reticulo spinal tracts control the two muscle centers that in turn control the Para spinal muscles from the poll to the pelvis, in the process of relaxation or contraction.2 These muscles relax or contract when the atlas is misaligned. Once corrected, additional subluxations can be cleared in the vertebral spine. A simple AO misalignment as in the Bulldog above, where the eye is low at the right and the atlas is high at the left, has the IVC Winter 2018/2019
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