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Fitness Programs For the Pet Dog Population

Kristin Wolter, CVT, CCRA, CCFT

Magnum Fitness Class
Magnum in Fitness Class

Dedicated fitness programs for the population of dogs who compete in various sporting activities are becoming the norm, while the idea of fitness programs for the pet dog population remains in it’s infancy. You may think of canine exercise like I used to – some sort of physical activity that has an end goal of making the dog tired. This might consist of a neighborhood leash walk, visit to the dog park, game of fetch, swim at the lake or hike in the woods. While  all of these ARE forms of exercise, they don’t really complete a fitness program. Fitness programs have a starting point and an ending point. They have purpose, goals (outside of causing fatigue) and direction.  They take into account the ability, structure and function of the dog and the ability of the human. A good fitness program should include strength training, cardiovascular exercise, balance, coordination exercises and flexibility work.


Muscle Group Isolation

Isolating muscle groups ensures balanced strength, function and locomotion.  From Dachshunds to German Shepherds, each breed comes with various physical strengths and weaknesses. Assuring balanced strength can help improve function where it may have been previously lacking.

Cardiovascular/Respiratory Health

Without proper circulation and delivery of oxygen, soft tissues quickly fatigue and become more prone to injury.  Weekend warrior types of injury are prevalent when dogs aren’t fit enough to safely navigate the activity at hand.

Core Strength

Maintaining core strength is important in protecting not only the spine, but the extremities and feet as well.

Flexibility

Flexibility is a very important factor of proper musculoskeletal function. Shortened or tight muscles restrict movement of the corresponding joint resulting in a tidal wave of other compensatory malfunctions.

Balance

Balance is often overlooked, particularly as dogs are entering their senior years. Young dogs also benefit as they are learning to use their awkward bodies.

Coordination/Ease of Movement

Proper gait (the sequence of foot fall at various speed) helps maintain proper function throughout all life stages.

Below, Sara (13 years!), works on her balance and stabilization in a Canine Fitness Class. She has been coming to classes for 3 years.

Body Awareness

The better that a dog understands where his feet are and how exactly it is they get moved from one location to the next, the more safely he can navigate the natural world. Especially in Central Oregon where the lure of rabbits and deer can quickly command a dog’s feet to take flight.

Posture

Posture Standing
Fly working on posture

Posture is everything. It is both functional and diagnostic. A dog that has great posture probably has very little orthopedic dysfunction, where as a dog with poor posture is either at risk for injury, or displaying a compensatory postural response.

Mental Health

Without a doubt, fitness training with dogs IS training. We are teaching them to think about what they are doing with their body. The benefit of this type of training is that while many of the exercises seem like really cool “tricks”, they are also physically and mentally demanding. Additionally, there are behavioral benefits such as increased social confidence and reduced social reactivity.

Weight Control

Hopefully this is pretty straight forward. Exercise burns calories and increases metabolism.

Minimize the Affects of Aging

As dogs age, like their human counterparts, strength, balance and coordination begin to wane. A well designed fitness program, done regularly, can minimize the decline of balance, coordination, strength and stamina.

Gypsy Working Balance Disc
Gypsy Working Balance Disc

Reduce Risk of Injury

There is a reason that human athletes participate in a dedicated, refined fitness program. Injury can be devastating to an athlete’s career.  Even dogs who identify as “couch potato to weekend warrior” are athletes. During the week they are jumping onto and off of furniture, navigating stairs and slick flooring and playing with housemates. On the weekend they may be going for a 2+ hour off leash hikes, navigating rough terrain or playing hard at the dog park.

Human-Animal Bond

Engagement. Trust. Empathy. Compassion. Connection.  Canine fitness programs are highly rewarding for everyone and most dogs LOVE to do the work!

Knowledge

Learning about canine fitness is a great way to really understand how dogs SHOULD be navigating the world around them. It  is also a great way to understand the ins and outs of positive reinforcement dog training. Every person who has a dog under their roof will benefit, even in just learning the basic foundation exercises.

Diagnostically Speaking

I’ve been working in canine rehabilitation for ten years and fully believe that most people who start their dog on a fitness program before any orthopedic problems arise will quite easily be able to visualize minute changes in posture or in their dog’s ability to perform an exercise. Early detection of a change in physical ability and posture can help prevent further injury.

The Last Rep

Canine fitness should be a part of every dog’s life. It is fun to do and, quite literally, can be done in less than 15 minutes per day, not including hikes, walks and other excursions. I, for one, would love to see far fewer orthopedic injuries and resulting pain and OA in our pet dog population. 

Sierra
Sierra
Education

All Hands On Deck

Janice McConnell, DVM, CCRT, cVMA

The role of manual therapy in physical rehabilitation

IMG_7795 2Manual therapy is a tremendous tool we can include in a physical rehabilitation program to help your patients safely return to function after injury or surgery. Approaches to manual therapy have been adapted from human physical therapy to our veterinary patients, providing us with the means to greatly enhance our patient’s comfort, healing, and quality of life.

Manual therapy can be defined simply as skilled use of the practitioner’s hands in a therapeutic manner. It involves manipulation of soft tissues, joints, or the spine in a controlled manner with the therapeutic goal of assisting the body in two processes: the repair process and the adaptation process. Manual therapy can benefit many conditions, including muscle strains, joint injury, post-operative recovery, spinal conditions, and osteoarthritis.

We carefully select our manual therapy techniques based on knowledge of the patient’s injury or surgery and findings from a full body examination. In our physiotherapy assessment, muscles are palpated for symmetry, pain, taut bands, myofascial trigger points, and flexibility. Tendons are palpated for symmetry, thickness, and pain on palpation or stretch. Joints are put through passive range of motion and any loss of normal range is noted. When a joint has reduced range of motion, the therapist will classify how the end range of that motion feels, then evaluate joint play if appropriate. Joint play assesses accessory movements of the joint, which are movements that can only occur passively but must be present for full physiologic range of motion to be intact. Joint play may be reduced if, for example, the joint capsule has become tight or adhesions are present.

Manual therapy techniques include joint glides (translatory movements at a joint), stretching, soft tissue mobilization, and massage. The effects of manual therapy may be localized to the tissue involved and/or systemic via neurophysiological or neuroendocrine pathways.


Local Tissue Effects

Manual therapy takes full advantage of the fact that our musculoskeletal tissues are adaptable and highly responsive to mechanical stimuli. At the tissue level, manual therapy allows us to influence fluid flow, tissue repair, and adaptation.

The benefits of manual therapy approaches that enhance fluid flow include reducing edema or joint effusion, clearing inflammatory products, and circulating joint fluid, all of which help to maintain health of articular cartilage and provide an optimal environment for tissue repair. In addition, studies have demonstrated that there is improved circulation to the joint during and after manual treatment.

Providing optimal guidance for tissue repair will result in healthier tissues and a stronger repair. In general, tissues under repair will benefit from the same form of loading they experience normally. For instance, articular cartilage will remain healthier when some compressive forces are applied after surgery; likewise applying low load tensile forces to a healing tendon will improve the quality of fiber alignment in the repair process. Yet, we must also acknowledge that loading too soon or too intensely will adversely affect healing.

Adaptation refers to the long term changes in tissues that result from the types of mechanical stimulation that are applied to the tissue. Maladaptive changes, such as adhesions or tissue shortening, may occur if injured tissues are not exposed to normal mechanical forces while under repair. For instance, repetitively using a muscle only within a reduced range will ultimately lead to shortening of this muscle.


Neurological Effects

Manual therapy interacts with the neurological system to influence pain pathways, sensory feedback, and motor function. The primary mechanism by which manual therapy reduces pain is through sensory gating. Stimulation of mechanoreceptors in the vicinity of a painful site will block some transmission of noxious stimuli.

Loss of proprioception can occur following musculoskeletal injury or surgery (partial loss) or damage to the nervous system (partial or complete). Proprioceptors are an important source of feedback for the motor system; with proprioceptive loss, we can see alterations in movement patterns and inability to accurately correct movement. Manual therapy techniques can stimulate receptors in skin, muscle spindles, and synovial joints. Dysfunctional motor patterns may develop following musculoskeletal injury as a result of pain avoidance, weakness, or proprioceptive loss. In neurological conditions, abnormalities in muscle tone, incoordination, and postural instability also contribute to dysfunctional patterns. The role of manual therapy in restoring normal motor patterns may involve manual guidance through a functional activity, re-establishing motor control and timing, or addressing pain and inflammation.

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Dr. McConnell working her magic on Ella.

Putting it all together

Developing a goal-oriented manual therapy plan for a patient considers the nature of the injury (musculoskeletal, neurological, or both), the phase of tissue repair, pain level, and functional abnormalities.

Let us consider an example. A post-operative stifle patient in the inflammatory phase of tissue repair will benefit from manual techniques that encourage fluid flow, increase proprioceptive input and reduce pain in the stifle. Many stifle patients develop restrictions in the tarsus, most of which will respond favorably to joint mobilization techniques. We may also consider manual therapy if we find distant areas of discomfort or tightness due to compensatory postures. Our manual techniques at this stage may be combined with modalities such as LASER, TENS, or therapeutic ultrasound to further relieve pain and inflammation, or make tissues more pliable for manipulation. As the patient progresses through the regeneration and remodeling phases of tissue repair, we will encourage a gradual increase in compression loading to the stifle. We continue to work toward restoring normal range of motion in affected joints and correcting any abnormal tissue adaptations. At this stage, manual therapy techniques can be done more vigorously and with greater amplitude.

As we achieve our goal of improved, comfortable, and functional joint motion, then what do we do? We use it! A therapeutic exercise plan is designed to promote normal posture and gait, active range of motion, active stretching, improved balance and proprioception, and strengthening within the newly restored range of motion.

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Success does not have to start with failure

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Kristin Wolter, CVT, CCRA, CCFT                             
October 25, 2017

I started off intending for this blog post to be about post operative complications. Quickly, I realized that while complications are important to the topic they are not really what I wanted to address. What I really wanted to address was the why and when patients should begin a physical rehabilitation program post-operatively.

We get many calls from veterinarians and prospective clients in regards to when a patient should start a physical rehabilitation program.  In all honesty, for most orthopedic and neurologic surgery, we would love to start a program within the first week of surgery. However, most often, we begin a program after sutures are removed and occasionally even several weeks post op. With all cases, the key to a successful physical rehabilitation program is to start it when the patient is doing well, not after it has been determined that they aren’t making desired progress.

Why does it matter?

Getting an early start with physical rehabilitation allows us to help address residual inflammation and pain, which helps increase function, reduce scar tissue and promote healing. In addition, starting early empowers the client by having them actively participate in their dog’s recovery from the very beginning. Thoughtful progression of therapeutic modalities early in recovery, followed by appropriate exercise when the patient is ready can help mitigate the risk of short and long term post-op complications.

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An electrode is applied to the skin for TENS/NMES treatment

Because there are no cookie cutter dogs, we do not use cookie cutter protocols nor expect every patient to recover in exactly the same way. We regularly assess gait, function, strength, surgery site and compensatory pain and inflammation. Close monitoring allows us to tailor a rehabilitation protocol for the patient that is in front of us, not the patient we saw last week. Progression is malleable and adapting to the patient’s needs is imperative in helping them achieve the best return to function possible. If a patient is not meeting our goals we can then refer them back to the surgeon for more in depth evaluation.

Occasionally we are referred patients who simply aren’t making any progress post operatively, or, who started to make progress and then things went sideways or backwards. (Hint – these are the patients we wish we could have seen from the beginning of their recovery.) The hope is that physical rehabilitation will turn things around.

I am going to be blunt…generally speaking, if a patient is not making some steady (even slow) progress without physical rehabilitation, adding a physical rehabilitation program will probably have marginal impact. It is virtually impossible to increase function and strength when a patient’s pain or continued dysfunction is not addressed. If a limb is comfortable to use, has relatively normal range of motion, good alignment, is structurally stable, has normal neurologic function and no secondary injury, infection or tumor has been diagnosed, then, regardless of how long the patient had been hopping, skipping or limping before surgery, they should begin to make steady progress after the initial post-op inflammatory response has resolved. Teacup and micro-dogs can sometimes be an exception to this rule, but perhaps not as often as one might think.

Additionally, It is very important to couple pain management with dedicated strengthening, balance and coordination exercise. Doing one without the other is a bit like trying to ride a bike without both pedals. It can be done, but it’s not as efficient. There is still a misconception that discouraging over use by means of reduced pain control is an effective method in reducing complications. While the patient may certainly not overuse the limb due to pain, the long term complications from the increase in compensatory movement is often overlooked with this particular methodology.

Physical rehabilitation should be used to enhance and improve the outcome of surgery both in the short and long term. When we miss the opportunity to begin a physical rehabilitation program early in a patient’s recovery, we also lose the opportunity to quickly address setbacks that sometimes occur. Complications will unfortunately always be a possibility for patients recovering from surgery. Our hope is that with patient specific monitoring, appropriate pain management and therapeutic work, hopefully some of those complications can be avoided all together.

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Cheers!

Kristin

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Kristin Wolter, CVT, CCRA, CCFT

This dog’s posture and facial expression indicates that there is pain somewhere. The ears are pinned back, the eyes do not appear to have a relaxed look to them, and the mouth is slightly pulled into a grimace.

Since it’s animal pain awareness month I thought it would be a great opportunity to discuss pain prevention. So often we wait for a painful event to occur and then treat it rather than taking the time and consideration to find ways to keep it from happening at all.

There are many medical conditions that contribute to pain – both acute and chronic. Some are preventable and others, less so.  Congenital orthopedic and medical disorders, autoimmune disorders, disc disease, some types of cancer and infection can all result in pain and may be challenging to prevent. However, many injuries and illnesses in dogs, that result in pain and inflammation, are well within our ability to avoid all together.

The best way to reduce the risk of painful conditions is to develop good monitoring and management skills of your dog. Importantly, management of body weight, of physical activity and of environmental access are three key ways to keep your dog safe, happy and comfortable through out their lifespan.


Weight Management

Overweight
Obese Dog

Weight management, without a doubt, is the number one way to help prevent musculoskeletal pain related to injury and chronic arthritis. Starting at puppyhood and throughout a dog’s entire life, carrying extra weight can have a significant impact on orthopedic health.

A scale is not needed to assess your dog’s body condition at home. You should be able to feel your dog’s (or puppy’s) ribs almost as easily as you can feel the bones over the back of your hand. 

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Large breed and bully breed dogs are often grossly overweight because many people do not realize that what they think is ideal body weight is actually obese. Small dogs have their own set of rules as they are often over fed and perhaps get less exercise than other, larger breeds. If you aren’t sure about your dog’s weight ask your veterinarian, or better yet, a veterinary technician to make a body condition assessment.


Activity and Exercise Management

Central Oregon is a highly active community. Biking, running, hiking, paddle boarding are all common activities that dogs also enjoy.

Managing exercise and activity is a huge factor in pain prevention. I know a lot of you reading this right now are probably of the mind that “A tired dog is a happy dog.” Really, the saying should be “A tired dog is a happy human.” Yes, appropriate exercise is important for every dog’s health, but too much of it can have detrimental affects when it comes to causing chronic pain. Repetitive, erratic games of chase (to a toy, a “SQUIRREL!!!,” or at the dog park)  are key predictors of orthopedic injury which can lead to chronic inflammation, pain and osteoarthritis.img_4767.png

Daily, moderate exercise such as leash walking, swimming, short distance (1-3 miles) jogging coupled with longer hikes once or twice a week is ideal for most healthy dogs.  Weekend warrior type activity is ill-advised for our canine counterparts. 

Certainly, playing fetch is a great way to increase cardiovascular fitness, but it is important to end your session well BEFORE your dog offers to stop. When muscles are fatigued (or are not properly warmed up), strains and sprains are much more likely to happen. Another way to help reduce the risk of “fetch” related injury, is to allow the toy/ball/frisbee to come to a complete stop then send your dog to get it and bring it back.

Alternatively, not getting enough activity can decrease strength, limit flexibility and reduce overall function and longevity. The saying “Don’t use it, you lose it,” applies to our canine friends as well as it does to us. Maintaining core strength and flexibility through appropriate exercise is vital to quality of life. More and more canine sporting competitors are realizing the benefits of dog fitness, and this should not be overlooked for the canine, couch surfing athlete.

Titan as a puppy!

Puppies have their own special set of rules when it comes to exercise. In a nutshell, puppies should be allowed to be puppies on their own terms with very little encouragement from people or other dogs. They should not ever play or run to the point of exhaustion. They should be restricted from long walks and hikes and should not ever  “go for a jog” until they are at least a year old. Growth plates are extremely prone to injury.  Severe growth deformities, elbow and hip dysplasia can result from repetitive or high impact play and trauma.  Puppies can appear to be very athletic, but their physical maturity does not truly align with their athletic ability until they are 2 years old.


Environmental Access Management

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Wait, that’s not a dog!!

Keeping your dog safe (sometimes from themselves), is very important in decreasing the risk of painful events such as GI upset, trauma or injury. It is easy to slip into the thought process that dogs automatically know how to safely navigate a human’s world. They do not understand that eating a fishhook or stuffed animal is not going to end well. Or that getting into the garbage only results in a new cleansing diet followed by an expensive carpet cleaning appointment. Most dogs have the cognitive ability of a 2 or 3 year old. They truly are not aware that stepping in front of a moving vehicle could result in loss of life or limb, or that jumping from a second story deck going after a squirrel will only result in the squirrel getting away while they take a trip to the vet.

Additionally, keeping them safe means teaching them how to rest in a crate or kennel (or reliably on a bed) so that when you are distracted, you know exactly where they are and what they are doing. It means being sure that the garbage is out of reach, that the leash is attached and that your dog has a good recall and will come back to you regardless of what is going on.


 

img_9278.jpgModeration is the key to helping your dog maintain good health and lead a physically comfortable life. Be your dog’s guardian when it comes to pain prevention.  Keep them at an ideal body weight, keep them active but not exhausted and keep them safe from themselves.  They will thank you for it with many years of smiles and wags.

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Multi-Modality Osteoarthritis Pain Management

 

Janice McConnell, DVM, CCRT, cVMA
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Bailey 13 years young

 

Treating Chronic Osteoarthritis Pain in Our Pets Osteoarthritis (OA) is a common cause of chronic pain in our pets. It is estimated that 20-25% of adult dogs develop osteoarthritis, and that number may increase to 80% of geriatric canine patients over 8 years of age. In studies of cats, the prevalence of radiographic changes of OA ranged from 22-33% when all ages were included; and prevalence went up to 90% in cats over the age of 12 years. Recognition of chronic pain in our pets can be challenging, as the symptoms are often subtle. Please talk to your veterinarian for guidance on how to recognize pain in dogs and cats.

When we identify that a pet is painful due to osteoarthritis, we assess the nature and severity of that pain to develop a short and long-term treatment plan that will best support joint health and the pet’s function.

We are fortunate to have a variety of therapeutic approaches to choose from and we will be most successful if we take a multi-modal approach to pain relief. The following list is intended to provide information on some available treatment options, including medications, nutraceuticals, and physical rehabilitation methods that can be utilized as part of a multi-modal pain management plan for your pet. While this list is not comprehensive, it does focus on the more commonly prescribed therapies and those with evidential support.


Pharmaceutical Medications

1) Non-steroidal Anti-inflammatory drugs (NSAIDs): NSAIDs, such as carprofen and meloxicam, are still the mainstay for osteoarthritis care and can be used safely longterm in many OA patients.

2) Galliprant is a new medication that targets a specific prostaglandin receptor involved in mediating inflammation, rather that inhibiting production of prostaglandins, as the NSAIDs do. This medication holds promise for control of OA pain and may be tolerated by some patients that cannot take NSAIDs.

3) Gabapentin plays a role in managing neuropathic pain and has become increasingly prescribed for chronic OA pain. While we have appreciated some benefit of this medication, we still lack studies to support it’s benefit for our OA patients.

4) Amantadine is a medication that helps to prevent or control ‘wind-up pain’. Wind-up pain results when the central nervous system becomes sensitized to repeated pain signals. The result is a more intense and frequent firing of pain signals, and thus the perception of pain become stronger and more persistent. If your pet’s chronic pain is moderate to severe and does not respond well to NSAIDs alone, a course of amantadine may be warranted. Nutraceuticals There are many nutraceutical options on the market, many of which can provide benefit in OA care. But given the lack of regulatory standards on supplements, we will best serve our pets by being mindful toward potential harmful substances in over-the-counter products, and by seeking out good quality control and evidence to support efficacy.

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Laser applied to a fracture repair surgery site helps reduce inflammation and pain.

Nutraceutical Supplementation

1) Omega-3 fatty acids are beneficial for OA by reducing inflammatory mediators. Eicosapentanoic acid (EPA) and Docosahexanoic acid (DHA) are the key omega-3 fatty acids for dogs and found in fish oil. It is important, however, to understand that not all fish oils are equal nor safe. Things to consider when researching a company include whether the source of fish is certified sustainable, and whether every batch of product is tested for toxins and contaminants. Dosing in dogs for joint care starts from 50-100 mg/kg per day of combined EPA/DHA.

2) Polysulfated Glycosaminoglycans (PSGAGs). Adequan ® is an FDA-approved injectable disease modifying osteoarthritis drug that provides cartilage protection by inhibiting enzymes that break down cartilage. There is good evidence to support that the product reaches the joints and helps clinically to reduce pain.

3) Glucosamine/Chondroitin support cartilage health and protection from damaging enzymes but a review of the studies demonstrates mixed results. The data do indicate better absorption and clinical results with low molecular weight chondroitin, as is found in Cosequin® and Dasuquin®.

4) Avocado/Soybean Unsaponifiables (ASU) appear to work synergistically with glucosamine and low-molecular weight chondroitin to support cartilage health and may inhibit some mediators of pain.

5) Others: There are a few other products that deserve mention and may hold promise for joint care but still lack robust clinical data. Curcumin (a substance in the spice turmeric) may help reduce inflammatory mediators. Green-lipped mussel contains components that appear to have anti-inflammatory and joint protective effects. Microlactin is a milk-derived protein with anti-inflammatory effects. Elk Velvet Antler contains glucosamine, chondroitin, and other factors that appear to have an antiinflammatory effect and may promote an increase in muscle mass. Cannabidiol (CBD) products are currently widely available for dogs and cats and have seen mixed results, perhaps due to a lack of data on dosage and production variability. There is currently a clinical study at Colorado State University on use of CBD in osteoarthritis patients and we look forward to the results!


Weight Control

Arguably the most important thing you can do for your dog with osteoarthritis is to keep him/her lean. Weight loss in even mildly overweight animals can significantly reduce pain from osteoarthritis. And the additional health benefits of weight management include longer life span and slower onset of symptoms of other chronic diseases. Please work with your veterinary team to develop a weight control program and monitor the weight loss in your dog. We recommend targeting no more than a 1% weight loss per week.


Non-pharmaceutical Modalities

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An electrode is applied to the skin for TENS/NMES treatment

Physical rehabilitation offers several non-pharmaceutical options to provide adjunct pain control and anti-inflammatory effects:

1) LASER stands for Light Amplification by Stimulated Emission of Radiation. Therapeutic lasers are used for photobiomodulation – they emit light waves at specified wavelengths to stimulate cellular change. Clinical effects include a reduction in pain and inflammation, and enhanced tissue repair.

2) Acupuncture is a means of neuro-modulation by placing needles in specified locations to elicit a physiologic response and enhance endogenous pain mechanisms.

3) Therapeutic Massage can relieve pain and stress, improve blood flow and lymphatic drainage, relieve local muscle tension, and reduce myofascial dysfunction.

4) Pulsed Electromagnetic Field Therapy (PEMF) uses electromagnetic fields to induce cellular changes, and shows benefit for wound healing, bone healing, pain management and reduction of inflammation.

5) TENS delivers an electrical currently across an area of injury and can help reduce swelling as well as provide pain control.

6) Therapeutic Ultrasound sends sound waves into tissues to reduce pain & inflammation, and heat tissues to relax them and allow stretch.

7) Joint mobilizations done by a trained rehabilitation therapist can reduce pain in a diseased joint and improve range of motion of a joint.


Therapeutic Exercise

Positive effects of regular therapeutic exercise in OA patients include maintaining mobility of affected joints through daily activity, strengthening the muscles around affected joints, improving balance, and weight control. An appropriate and safe therapeutic exercise program for your dog is best developed by a therapist trained in canine rehabilitation.

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It’s HOT Out there

IMG_0608Central Oregon Summer Heat Is Here.  It can come with a variety of potentially life threatening consequences for our dogs, some of which seem obvious, but others are more insidious. Certainly, most people understand that cars and pavement are primary culprits of summertime heat related illness, injury or death. But there are many other heat/summer related illness which can include:

  • Exercise induced heat exhaustion – occurs when dogs exceed their ability to cool themselves.
  • Hot hiking trails/lava rock – Even if you start in the morning, the ground can quickly. heat up during the summer season. Pack boots for your dog.
  • Toxicity
    • Water – common for dogs that love to chase water from a hose.
    • Plant/Mushroom – check your yard regularly.
    • Blue Green Algae – becoming more and more common in our surrounding lakes and reservoirs.
  • Snake and insect/spider bites or stings
  • Drowning – swimming, especially in rivers or even irrigation canals, can be treacherous. A life jacket can save your dog’s life.
  • GI obstruction – Bones, corn on the cob, grass – yes if eaten in large quantities can cause a bowel obstruction.
  • Cheat grass awns (foxtail) – evil things can work their way into feet, ears, eyes, upper respiratory tract, lungs and urinary tract.
  • Parasite infestation – warm weather means more parasites such as heartworm and giardia.
  • Communicable infectious disease – More outdoor events = more dogs = more chance of parvovirus, kennel cough or other transmissible disease. Avoid letting your dog meet/greet strange dogs and avoid communal watering holes.
  • Trauma – dogs are spending more time outside = more play, more off leash activity = more chance of orthopedic injury, dog fights or  being hit by a vehicle.

Have questions about any of these?  Contact your veterinarian for a more detailed description of symptoms and treatments. Most can be prevented with good monitoring and care.

Happy Summer!

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Playing in sprinklers if fun for many dogs. However, be sure your dog does not ingest too much water in order to avoid water intoxication.
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Restrictions? What Restrictions?

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Titan leash walking after surgery on his shoulders

‘Exercise restrictions are the best part of every physical rehabilitation protocol”,  said no dog ever. If you’ve been through it, you understand the challenges of “no running, no jumping, no playing, leashed potty walks only” to seem insurmountable. I know, because I’ve been there myself with my own dog. And I see the involuntary eyes glazed, deer in the headlights look my clients give me as if I’m speaking a foreign language when, for the umpteenth I remind them not to allow off leash activity.

In the most basic of analogies, this situation is probably comparable to taking a 2 or 3 year old child out to a fancy restaurant for every meal of every day for 3-4 months and then taking them back home and locking them in their room. Luckily, there are ways to get through the restrictions without feeling like everyone is in solitary confinement or on the brink of needing professional psychological evaluations and treatment.


Here are a few suggestions.

  1. Hope for the best, plan for the worst.  Be prepared. Always assume, that at some point in your dog’s life, there will be a requirement of activity restriction – be it after an elective surgical procedure or the ever popular cruciate surgery. Some common issues/solutions that occur with these restrictions include:
    • Teach your dog to potty on-leash. I, for one, am always amazed at how many dogs do not understand that they can, in fact, assume the posture to defecate or urinate while on leash.
    • Teach your dog to enjoy being in a kennel, crate or pen.
    • Teach your dog to walk quietly on leash, without pulling or lunging.
    • Teach your dog how to safely use a dog ramp for loading and unloading out of a vehicle.
    • Teach your dog how to lay down on one side or the other while you “inspect” various body parts.
    • Don’t get sucked into a daily routine that is filled with only with high energy, exuberant activity. Contrary to popular belief, dogs don’t actually NEED to go to the dog park EVERY day, nor do they NEED to play chuck it. Having a good off switch can be a life saver for many different reasons.
  2. Give your dog food-toys. When your dog is restricted to crate rest, getting a food toy, such as a Kong, filled with mashed up food then frozen is a great way to keep them busy while also letting them work for their meals. (Be sure to check with your vet or rehab professional first!)
  3. Do your exercises! Home exercises should give your dog as much of a mental work-out as a physical work-out.
  4. Learn something new with your dog. Learning a new training technique, such as clicker training, can be fun while building a connection with your dog.  Many training of the games can be very low impact or even stationary and even more can be implemented as strengthening exercises.
  5. Change your perspective. Look at restrictions as a way to finally get that training into your dog that you’ve been putting off. Make it a game. How many steps can your take without you or your dog pulling on the leash? What fun party tricks can your dog show off at the end of recovery? How can you help your dog recover better? Having surgery or an injury is definitely not fun, but it doesn’t have to include solitary confinement.

Most importantly, enjoy the time that you have with your dog. Do what you can to help your dog recover while remembering that these creatures are their own beings and we can’t control every single action or reaction. Engaging with them in a positive way will strengthen your connection so use the time wisely – you might be surprised at what you learn about yourself and your dog.

Cheers!

Kristin