Joy, our Border Collie puppy, injured her left rib cage, resulting in a large hematoma behind her front leg. Her primary veterinarian, Dr. Betsy Gray placed a drain in the area and then as healing began to take place, I took her to Mountainside Veterinary Rehabilitation. Dr. Carlson began Integrative Medicine involving acupuncture, chiropractic and stretching exercises to assist Joy in her healing so that the injury would not inhibit her ability to fully extend and utilize her left leg. Joy is now in herding training and is fully healed with no evidence of her previous injury.
Acupuncture allows the patient’s own body to participate in the healing process via the nervous system. Medical/Western acupuncture is based on the neurological interaction of nerves, vessels, fascia and muscles to promote balance of various body systems. The neuromodulation can improve function and balance of the nervous system as well as reducing pain, supporting the immune system and digestive system. The parasympathetic system is responsible for rest as well as digestive processes and function. Whereas, the sympathetic system is responsible for the fight or flight mechanism. This system can be in overdrive with patients experiencing pain. Some conditions treated with acupuncture are: pain from arthritis and/or muscle tension, post-surgical/traumatic pain, nerve injury (weakness, paralysis), disk disease, cystitis (bladder inflammation), allergies, lameness incontinence, immune issues, reproductive issues, wound healing, digestive disorders, cranial and peripheral neuropathy, respiratory disorders, and dermatological issues.
Cold Compression (Game Ready)
Cold compression is a combination of cold therapy and static compression, which is commonly used for the treatment of pain and inflammation after acute injury or surgical procedures. It lowers the temperature of the injured tissue, which reduces the tissue’s metabolic rate and helps the tissue to survive the period following the injury. Compression increases external pressure on the tissue to prevent edema formation by hindering fluid loss from the vessels in the injured area, making it more difficult for fluids to accumulate. Tissue using both technologies reaches its lowest temperature faster and the tissue maintains its cool even after treatment ends.
Due to their fur and ability to hide their injuries this tool can be instrumental in diagnosing which leg/area of the animal is affected. It uses ultra-thin sensors and innovative scanning electronics to provide objective bio-mechanical data. This information helps us to identify areas of problems in gait, asymmetries and weight bearing to help make better decisions for treatment to help improve patient outcomes and results. It will help us monitor improvements in gait and weight-bearing.
NMES / TENS
Neuromuscular Electric Nerve Stimulation (E-Stim/NMES)
NMES allows us to increase/maintain muscle strength/girth for the neurologic or post-surgical/injury patient. NMES causes an excitation of nerve cells which can help with neuroplasticity to elicit muscle contractions and decrease pain/swelling.
Transcutaneous Electrical Nerve Stimulation (TENS)
Allows us to help treat chronic and acute pain. This modality works by affecting alpha and delta fibers the sensing nerve fibers in the body. When we stimulate these nerves, we can help over-ride the nerve pain sensation in those areas.
Pulsed Electromagnetic Field Therapy (PEMF)
PEMF therapy can help your pet recover from their sports conditioning or rehabilitation sessions. Electromagnetic Field Therapy can be used for the treatment of fractures, failed fusions, and arthritis in pets. The device produces electromagnetic fields which activate Nitric Oxide, which can promote accelerated healing. This therapy will aid in building oxygenation of the tissues, boosting your pets metabolism.
Shockwave uses sound waves that oscillate creating a direct mechanical force that results in the maximal beneficial pulse energy producing tensile force. The second phase creates air bubbles that generate a second wave of shockwaves. The resulting energy also stimulates a biologic response, an indirect effect. This unit is a radial shockwave unit that does not require anesthesia or sedation for treatment. This differs from focused shockwave as focused can penetrate 80mm with a small field of treatment and radial can penetrate 40mm and has a larger field of treatment. It can help with blood flow, repair of tissue, neurologic control, skeletal stem cell recruitement and inhibits inflammation. This is used for treatment of: nonunion fractures, avascular necrosis, stress fractures and ligament/tendon injuries among other uses.
Used to increase healing and decrease pain/inflammation. Therapeutic laser therapy is based on wavelength, power and frequency. Increased power means increased energy into tissue, but different wavelengths are absorbed at different levels so knowing the wavelength is important to target inflammation, bactericidal or pain relief. Power determines time required to treat. Frequency allows you to use increased power without heat/damage to the tissues. Pulsed lasers treat pain whereas continuous treats inflammation, stimulation of blood/lymphatic system and reabsorption of fluids. Laser is used to treat: pain from arthritis, disc disease, acute/chronic sprains/strains, tendonitis, bursitis, acute/chronic otitis and gingivitis, skin lesions (hot spots, anal gland issues, lick granulomas, clean/infected wound healing), cystitis. We can also use laser to treat acupuncture points for animals that will not allow acupuncture.
Therapeutic ultrasound helps the body in healing itself. The sound waves create microscopic air bubbles that stimulate cell membranes and promote healing via micromassage of fluids and tissue. This increases cell/vascular wall permeability, heats tissues (if needed), increases circulation, increases collagen extensibility, increases the metabolic rate, decreases edema, decreases inflammation, decreases muscle spasm, decreases scar tissue, relaxes muscles, changes nerve conduction velocity and can help/remind tissues to heal.
The thermal camera shows us a colorful visual map of your pet’s body to help discover areas of heat/inflammation and chronic/long term change. It provides a visual map of vascular, neurologic and musculoskeletal function via thermal gradients of radiant heat. This can assist in discovery of areas of potential musculoskeletal stress even before they have clinical signs. These areas can receive early intervention to avoid more serious injury.
The underwater treadmill (UWT) main use is to increase muscle strength while decreasing the concussive force at joints. We can use the variable levels of water to change the amount of weight bearing, the resistance and the compression benefits of the water, it encourages passive hip extension, exaggerates the step height, increases general strength and allows us to focus on hind limbs and will help with proprioceptive/body awareness training. This varies from swimming in that swimming doesn’t allow weight bearing, requires increased elbow ROM (range of motion), requires increased carpal flexibility and stifle flexibility and it primarily builds front limb strength. The underwater treadmill can be used to decrease neuropathic pain, increase analgesia, increase circulation, increase elasticity of soft tissues, increase flexion/range of motion, treating orthopedic disease/dysfunction, weight loss, respiratory/cardiovascular health, increase strength and can help edema.
(VSMT) Veterinary Spinal Manipulation Therapy
VSMT allows us to treat areas of decreased motion and discomfort via a high velocity low amplitude thrust to a specific joint and direction. The VSMT adjustment can have numerous neurological consequences beneficial to the body and nervous system. Joint/segmental dysfunction can lead to an area of dysfunction in a much larger area, including affecting an entire body system even the entire body. VSMT can be used to treat pain, areas of restriction and overall maintenance and health. It can also be used to alter neurologic abnormalities that may be affecting the gastrointestinal, respiratory, urinary, musculoskeletal and other systems.