Clean Run Magazine - July 2009 - 13

making them more difficult to treat. It’s important to note that actual pain or the anticipation of pain can cause these physiologic changes as well. The painful event does not even have to occur to trigger physiologic changes. This is one reason why some dogs develop avoidance behaviors about agility equipment they have had an accident on; the fear of pain can be as powerful as pain itself. Pain pathways are extremely complex and involve multiple mechanisms. This complexity means there are multiple ways to approach pain treatment and multimodal or combination therapy is the most effective means for treating pain. Multimodal therapy uses multiple drugs with different mechanisms of action to optimize pain control. For example, your veterinarian may treat your dog’s lameness with a non-steroidal anti-inflammatory medication (for example Rimadyl or Deramaxx) and an opioid (for example Tramadol) because they alter the pain pathway in different locations. Multimodal therapy can also include physical therapy, massage, and acupuncture. By using multiple therapies, it often becomes possible to reduce individual drug dosages because the drugs work together synergistically. Reduced dosages mean fewer potential drug side effects. Many are concerned about the effects of long term drug use on their canine companion’s health. With certain medical conditions, like liver or kidney disease, some pain medications are potentially hazardous. Refusing pain medication for your dog when he does not have a medical condition that prevents safe usage may be doing your dog more harm than good. It is important to weigh the pros and cons when deciding on any treatment, but because our dogs cannot communicate directly with us about their pain, it behooves us to take a more assertive stance in keeping them comfortable. If your veterinarian is unable to communicate with you effectively about pain management, then I recommend getting another opinion. Recently, there has been much interest in more effectively managing animal pain. There are pain clinics, mainly at veterinary schools, and even a veterinary specialty in pain management (www.ivapm.org, International Veterinary Academy of Pain Management). Despite the increased awareness about pain management, it is still not being adequately addressed in animals. Decisions that you make when your dog is young and has an injury will affect his future performance if not properly managed. New medications and pain management strategies are emerging in veterinary medicine. Work with a veterinarian who is well versed in pain management and concerned about aggressively treating animal pain. Being proactive about pain management for your canine athlete is one of the most important things you can do to keep him comfortable and running well into his senior years. Identifying Pain in Dogs AGIlITy-RelATeD SIGnS „ Refuses commands or to do tricks „ Knocks bars when jumping „ Change in jump style „ Refuses certain pieces of equipment (weave poles, A-frame) „ Has difficulty with certain entries to equipment (left- or right-side approach) „ Runs at handler or otherwise misbehaves on course „ Avoidance behaviors, offering other behaviors than the one asked for „ Does not seem as enthusiastic as before „ Lack or loss of speed on course „ Stutter stepping before jumping PoSTuRAl ChAnGeS „ Hunched up (can be back or abdominal pain) „ Sitting or lying in abnormal position „ Difficulty rising from a sit or down position „ Reluctance to sit or lie down „ Not resting in a normal position „ Extended body part (neck or limb) „ Refusal to look around (side to side or up and down) „ Freezes when certain areas are touched „ Limp tail GAIT ChAnGeS „ Stiff (when getting up or when moving) „ Partial or no weight bearing on affected limb „ Lameness (slight to very obvious) „ Reluctance to move „ Change in gait (for example paces and never used to) MoveMenT ChAnGeS „ Circling „ Restlessness or continuous activity (gets up and down often) „ Dragging toes when walking BehAvIoRAl ChAnGeS D References Gaynor, James and William Muir III; Handbook of Veterinary Pain Management, 2nd edition 2009 Mosby Lascelles, B. Duncan, “Rationale for and Rational Approach to Using Adjunctive Drugs in the Management of Canine Painful Osteoarthritis.” Supplement to Compendium Vol 31 #3(A) March 2009 Lorenz, Michael D; Handbook of Veterinary Neurology, 4th edition 1997 Saunders Mathews, Karen and Bernie Hansen; “Consequences of Pain,” International Veterinary Emergency and Critical Care Symposium 2003 McGowan, Catherine, Lesley Goff and Narelle Stubbs (editors): Animal Physiotherapy: Assesment, Treatment and Rehabilitation of Animals 2007 Blackwell Publishing Schoen, Allen M., Veterinary Acupuncture: Ancient Art to Modern Medicine, 2nd edition 2001 Mosby Thompson, David; “The Pain Process,” Veterinary Anesthesia and Analgesia Support Group, www.vasg.org International Veterinary Academy of Pain Management, www.ivapm.org Julie A. Roos, DVM, is an integrative veterinarian who believes in using medicine from Eastern and Western traditions and is currently practicing in Brimfield and South Hadley, Massachusetts. Dr. Roos has practiced acupuncture, chiropractic, and herbal medicine for the last five years and is interested in sports medicine. She and her husband live with two dogs that have the heart, but lack the body to support agility activities. Contact her at jardvm@yahoo.com. „ Decreased social interaction „ Anxious expression (or otherwise altered facial expression) „ Submissive behavior „ Refusal to move „ Lethargy „ Depression „ Doesn’t want to go for walk or play with toys „ Guarding behavior „ Aggression or biting at owner voCAlIzATIonS „ Whimpering, whining, howling, crying (constant, intermittent, or when touched) „ Growling „ Barking „ None MISCellAneouS ChAnGeS „ Decreased appetite „ Self-mutilation „ Poor hair coat (lack of grooming or excessive shedding) „ Looking at part of body (for example, staring at abdomen) „ Scuffed or worn toenails „ Changes in urination or defecation postures or habits July 09 | Clean Run 13
http://www.ivapm.org http://www.vasg.org http://www.ivapm.org

Clean Run Magazine - July 2009

Table of Contents for the Digital Edition of Clean Run Magazine - July 2009

Clean Run Magazine - July 2009
Contents
Editorializing Three Cheers for Agility
Tip of the Month
Everything You Always Wanted to Know About Agility…
Backyard Dogs
Pain and the Performance Dog
Trainer’s Forum
Jenny’s Guide to Successful Teamwork
Distance Challenge
Power Paws Drills
Handling Your Dog in Awesome Style, Part 15
Using Technology in Agility
Foundation Fundamentals
When Pigs Fly
Can You Handle It?
Shelter Champs: Vinny
Comparing the Derrett and Mecklenburg Handling Systems, Part 5
Games for the Performance Puppy
Changing Consequences
Clean Run Magazine - July 2009 - Clean Run Magazine - July 2009
Clean Run Magazine - July 2009 - 2
Clean Run Magazine - July 2009 - Contents
Clean Run Magazine - July 2009 - 4
Clean Run Magazine - July 2009 - Editorializing Three Cheers for Agility
Clean Run Magazine - July 2009 - Tip of the Month
Clean Run Magazine - July 2009 - Everything You Always Wanted to Know About Agility…
Clean Run Magazine - July 2009 - Backyard Dogs
Clean Run Magazine - July 2009 - 9
Clean Run Magazine - July 2009 - 10
Clean Run Magazine - July 2009 - Pain and the Performance Dog
Clean Run Magazine - July 2009 - 12
Clean Run Magazine - July 2009 - 13
Clean Run Magazine - July 2009 - Trainer’s Forum
Clean Run Magazine - July 2009 - 15
Clean Run Magazine - July 2009 - 16
Clean Run Magazine - July 2009 - 17
Clean Run Magazine - July 2009 - 18
Clean Run Magazine - July 2009 - Jenny’s Guide to Successful Teamwork
Clean Run Magazine - July 2009 - 20
Clean Run Magazine - July 2009 - 21
Clean Run Magazine - July 2009 - 22
Clean Run Magazine - July 2009 - 23
Clean Run Magazine - July 2009 - 24
Clean Run Magazine - July 2009 - 25
Clean Run Magazine - July 2009 - Distance Challenge
Clean Run Magazine - July 2009 - 27
Clean Run Magazine - July 2009 - 28
Clean Run Magazine - July 2009 - Power Paws Drills
Clean Run Magazine - July 2009 - 30
Clean Run Magazine - July 2009 - 31
Clean Run Magazine - July 2009 - 32
Clean Run Magazine - July 2009 - Handling Your Dog in Awesome Style, Part 15
Clean Run Magazine - July 2009 - 34
Clean Run Magazine - July 2009 - 35
Clean Run Magazine - July 2009 - 36
Clean Run Magazine - July 2009 - 37
Clean Run Magazine - July 2009 - 38
Clean Run Magazine - July 2009 - 39
Clean Run Magazine - July 2009 - 40
Clean Run Magazine - July 2009 - 41
Clean Run Magazine - July 2009 - Using Technology in Agility
Clean Run Magazine - July 2009 - 43
Clean Run Magazine - July 2009 - 44
Clean Run Magazine - July 2009 - 45
Clean Run Magazine - July 2009 - 46
Clean Run Magazine - July 2009 - Foundation Fundamentals
Clean Run Magazine - July 2009 - 48
Clean Run Magazine - July 2009 - 49
Clean Run Magazine - July 2009 - 50
Clean Run Magazine - July 2009 - 51
Clean Run Magazine - July 2009 - When Pigs Fly
Clean Run Magazine - July 2009 - 53
Clean Run Magazine - July 2009 - 54
Clean Run Magazine - July 2009 - 55
Clean Run Magazine - July 2009 - 56
Clean Run Magazine - July 2009 - 57
Clean Run Magazine - July 2009 - 58
Clean Run Magazine - July 2009 - Can You Handle It?
Clean Run Magazine - July 2009 - 60
Clean Run Magazine - July 2009 - 61
Clean Run Magazine - July 2009 - 62
Clean Run Magazine - July 2009 - Shelter Champs: Vinny
Clean Run Magazine - July 2009 - 64
Clean Run Magazine - July 2009 - 65
Clean Run Magazine - July 2009 - 66
Clean Run Magazine - July 2009 - Comparing the Derrett and Mecklenburg Handling Systems, Part 5
Clean Run Magazine - July 2009 - 68
Clean Run Magazine - July 2009 - 69
Clean Run Magazine - July 2009 - 70
Clean Run Magazine - July 2009 - 71
Clean Run Magazine - July 2009 - 72
Clean Run Magazine - July 2009 - 73
Clean Run Magazine - July 2009 - Games for the Performance Puppy
Clean Run Magazine - July 2009 - 75
Clean Run Magazine - July 2009 - 76
Clean Run Magazine - July 2009 - 77
Clean Run Magazine - July 2009 - 78
Clean Run Magazine - July 2009 - Changing Consequences
Clean Run Magazine - July 2009 - 80
Clean Run Magazine - July 2009 - 81
Clean Run Magazine - July 2009 - 82
Clean Run Magazine - July 2009 - 83
Clean Run Magazine - July 2009 - 84
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