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  • Proprioception is the ability to know where your body is in space. This is what helps reduce falls and injury. Proprioception may be lost suddenly through spinal cord trauma, or it may be reduced with age, joint disease (osteoarthritis), or other orthopedic or neurologic disease. Some specific controlled exercises that can improve proprioception are discussed. Any exercise plan needs to be formulated by a veterinary rehabilitation therapist to avoid injury.

  • Controlled, regular physical exercise is one of the core treatments of canine osteoarthritis, along with weight control, physical rehabilitation, and pain management. Exercise increases circulation to the muscles and joints, decreases stiffness in the joint capsule and soft tissues, reduces pain, maintains strength, and benefits the cardiovascular system. Left untreated, the chronic pain of arthritis causes a continually worsening cycle of less movement, weight gain, muscle loss, decreased strength, and loss of cardiovascular fitness.

  • All glues containing isocyanate and diisocyanate can expand. Pets exposed to a very small amount of wet or liquid expanding glue may consume enough product to be problematic. Foreign body obstruction due to a mass of expanded glue in the stomach is the most common outcome in dogs ingesting expanding wood glues. After abdominal X-rays confirm the presence of a glue mass and obstruction, surgery is required to remove the mass, or endoscopy in mild cases. The prognosis for recovery from expanding glue ingestion depends on the removal of the mass.

  • Extracorporeal shockwave Therapy (ESWT) is a treatment that uses high energy sound waves to exert changes in the target tissues. In specific situations it can decrease pain and increase healing. Conditions that can be treated, types of shockwave therapy, contraindications and adverse effects are discussed.

  • The iliopsoas is an important core muscle. Injury can occur due to trauma, but it is usually caused by chronic stress. Signs that your dog has a painful iliopsoas can include reduced performance (if a sporting dog), very subtle weight-shifting away from the affected side when standing, or an obvious limp. The initial treatment for acute iliopsoas injuries is activity restriction and pain control for 10-14 days. Rehabilitation therapy can also help.

  • Supportive braces can help dogs with many orthopedic conditions, including skeletal deformities, carpal hyperextension, and cruciate ligament disease. It is important to have any brace properly fitted to avoid complications. Braces are not considered equivalent to surgery for cruciate ligament disease.

  • Many dogs will instinctively hide their pain as a survival mechanism which in the past, led well-meaning experts to presume that dogs did not feel pain the same way humans do. Although the signs may be subtle, careful observation of a dog’s everyday behaviors will often reveal pain when it is present. These signs may include changes in behavior, mobility, and appetite. Common pain medications include NSAIDs, opioids, and other therapeutics. Your veterinarian will choose the appropriate drugs based on your dog’s specific needs.

  • Pulsed electromagnetic field (PEMF) therapy is the use of a generated electromagnetic field to affect changes in tissues of the body. PEMF is believed to have beneficial pain-relieving and healing effects but definitive clinical evidence or a positive benefit is currently lacking. Potential benefits and contraindications are discussed.

  • This handout provides a brief overview of the most common evidence-based modalities used in veterinary medicine. Pet owners need to discuss the risk of recommended modalities for their specific pet with a trained and certified rehabilitation therapist before starting a rehabilitation program.

  • Nutrition plays an essential role in treating and preventing urinary stones (uroliths). Since the diet can affect urine dilution, composition and pH, pet foods can be critical to the success or failure of treatment and prevention. Important factors are covered, such as the importance of water intake, diet composition, relative supersaturation (RSS) testing, and urinary diets.