Prevention and Treatment of Joint Disease Arthritis and Pain Relief

1. 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

2. 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

3. 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

4. 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

5. Acupuncture: What is it? Insertion of fine needles into specific points on body to achieve specific effect

6. 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

7. 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”

10. Magnified effect Shorter treatment Better relaxation Electro-acupuncture

11. 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

12. 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

14. 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

15. 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.

16. “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

18. SashaExample: Poor Conformation

20. 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

21. 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

23. 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

24. Surgery • Expensive and often difficult recovery • Total Hip Replacement Surgery • Elbows? • Knee Reconstruction • TPLO • Cranial Cruciate reconstruction (over the top) • Lateral Imbrication

25. Physical Therapy and Rehabilitation Sandy Brown

26. Last scheduled lecture Questionnaire Do it again? Topic suggestions? Thank you for attending