Prevention and treatment of joint disease arthritis and pain relief
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Prevention and Treatment of Joint Disease Arthritis and Pain Relief September 21, 2006 Brought to you by: The Brookside Barkery and Bath & Acupuncture and Herbs For Pets & Sandy Brown, VSEC Physical Therapist Topic Outline Prevention of joint disease Management of joint disease

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Prevention and treatment of joint disease arthritis and pain relief l.jpg

Prevention and Treatment of Joint DiseaseArthritis and Pain Relief

September 21, 2006

Brought to you by:

The Brookside Barkery and Bath

&

Acupuncture and Herbs For Pets

&

Sandy Brown, VSEC Physical Therapist


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Topic Outline

  • Prevention of joint disease

  • Management of joint disease

  • Treatment options

    • Acupuncture

    • Electro-acupuncture

    • Aqua-puncture

    • Gold Bead Implants

    • Natural supplements

    • Pharmaceutical medications

    • Surgery

  • Physical Therapy and Rehabilitation-Sandy Brown


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Prevention of joint disease

  • Genetics

  • Timing of spay/neuter?????

  • Diet*

  • Avoid chemical and immune stress

  • Avoid injury

  • Nutritional supplementation*

  • Early Intervention*

  • Exercise and physical therapy*

  • Long-term alternative patients age more gracefully


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Management of joint disease

  • Diet-quality fresh ingredients (dry?)

    • Avoid grain based, high carbohydrate diets

    • Maintain optimal weight

  • Appropriate exercise and conditioning

  • Nutritional supplementation*

  • Avoid chemical and immune stress

  • Avoid injury

  • Early Intervention

  • Adequate treatment protocol*

  • Physical therapy and rehabilitation

    • Post surgical

    • Post injury

    • Prevent debilitation as aging progresses


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Acupuncture: What is it?

Insertion of fine needles into specific points on body to achieve specific effect


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Acupuncture: How does it work?

Western scientific perspective:

  • stimulates sensory nerves

  • transmits signal through the nervous system to the brain

  • chemicals released producing physiologic effects that activate the body's regulatory mechanisms

    • B-endorphins

    • Endocrines


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Acupuncture: How does it work?

Eastern alternative perspective:

  • moves energy and blood

  • relieves stagnation

  • changes energy dynamics

    • Balance patterns

    • Needling techniques-tonify or sedate

  • Pain Relief: acupuncture’s “Claim to Fame”


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Magnified effect

Shorter treatment

Better relaxation

Electro-acupuncture


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Aqua-puncture

  • Injecting liquid through hypodermic needle into acupuncture points

  • Longer treatment effect

  • Can be accomplished without cooperation

  • Individualized solution to customize treatment

    • Sterile water

    • Vitamin B12

    • Homeopathic solutions

    • Homotoxicology


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Gold Bead Implants

  • Permanent implant for rear limb lameness

    • Hip Dysplasia

    • Knees

    • Hocks

    • DJD Degenerative joint disease

  • Life-long treatment-excellent choice for

    • Young animals with congenital problems

    • Older animals whose problems are severe

    • Older animals who can’t tolerate meds

  • Postpone or avoid NSAID use and associated complications


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7 ½ y/o GSD

96# male(c)

Presented April, 29 ’05

(6 then)

On Rimadyl

Two weeks post injury

Down for 5 days

Severe pain

DJD Hips and stifles

Hip Dysplasia

Rt hip severely dysplastic

Left hip worse

Charlie


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Charlie

Treatment Protocol

  • Gold Bead Implant (3days after initial exam)

  • Chinese Herbs

  • Joint Supplements

  • Salmon Oil

  • Special Diet

    ½ Urban Wolf/ ½ dry

  • Aquapuncture

    6-8 week intervals

Crepitation upon manipulation of joints.

Knees are thickened.

Charlie should not be able to walk.

Owner doesn’t think he has any pain.


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“Aspen”Example: Big Dog Issues

  • 7 year old Fs St. Bernard Dog

  • November 3, 2005

  • Difficulty with rear end-weak, painful

  • Hips & Knees

  • Treatment-Acupuncture weekly for 3 treatments

    • Increasing treatment intervals (every 3 weeks)

    • Herbs

    • Diet

    • Never stabilized at reasonable treatment interval

    • Gold Bead Implants May 18, 2006

    • June 9 and August 10


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SashaExample: Poor Conformation


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Natural supplements(Nutriceuticals)

  • Glucosamine amino sugar important in cartilage formation-chondroprotective agent

  • Chondroitin Sulfate protein molecule that gives cartilage elasticity

  • MSM Methyl Sulfonyl Methane derivative of DMSO-anti-inflammatory

  • Hyaluronic Acid (Hyaluronan)lubricates and cushions connective tissue

    • Improves synovial fluid production

  • Cetyl Myristolate medium chain fatty acid found in the Swiss albino mouse

  • Vitamin Supplements

  • Amino acids di methyl glycine, n-acetyl cystiene, l-glutamine

  • Anti-oxidants glutathione


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    Natural supplementsHerbal medicine

    • Chinese Herbs move blood, drain damp, transform phlegm

      Yunnan Paiyao

      Custom Formulas

    • Western Herbs

      Pain Plus-yucca, boswellia, msm, meadowsweet, cornus, licorice, ginger, manganese

      Saloxicin-made from willow bark, similar to aspirin, blended with boswellia and berry extract; not as difficult to metabolize and easier on the stomach


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    Pharmaceutical medications

    • Injection series

      • Adequan IM-polysulfated glycosaminoglycan (~oral glucosamine)

        • preferentially taken up by inflamed joints

        • soothes and lubricates the joint

        • reduces friction

        • helps rebuild cartilage in the damaged joint

      • Hyaluronic Acid IV or IA (intra-articular)

        • joint lubrication fluid

        • 80-85% pain relief from nine to 12 months

    • Steroidsside effects tntm (too numerous to mention)

      • Pain relief reduces swelling, redness, itching, and allergic reactions

    • NSAIDspotential side effects, include vomiting, bloody diarrhea, kidney and liver damage, and even death

      • Rimadyl-Deramaxx-Etogesic-Zubrin-Etc.

    • Aspirintrademark Aspirin® in the year 1899

      • The original Anti-inflammatory, Anti-rheumatism


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    Surgery

    • Expensive and often difficult recovery

    • Total Hip Replacement Surgery

    • Elbows?

    • Knee Reconstruction

      • TPLO

      • Cranial Cruciate reconstruction (over the top)

      • Lateral Imbrication



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    Last scheduled lecture

    Questionnaire

    Do it again?

    Topic suggestions?

    Thank you for attending


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