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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

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

topic outline
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
prevention of joint disease
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
management of joint disease
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
acupuncture what is it
Acupuncture: What is it?

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

acupuncture how does it work
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
acupuncture how does it work7
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”
electro acupuncture
Magnified effect

Shorter treatment

Better relaxation

Electro-acupuncture
aqua puncture
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
gold bead implants
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
charlie
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
charlie15
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.

aspen example big dog issues
“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
natural supplements nutriceuticals
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
natural supplements herbal medicine
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

pharmaceutical medications
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
surgery
Surgery
  • Expensive and often difficult recovery
  • Total Hip Replacement Surgery
  • Elbows?
  • Knee Reconstruction
    • TPLO
    • Cranial Cruciate reconstruction (over the top)
    • Lateral Imbrication
thank you for attending
Last scheduled lecture

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