Clean Run - May 2014 - 29

dence-based treatments. It does
seem unlikely that harm could
come from homeopathy, but it can
be a distraction from pursuing better treatments. I recognize these
treatments are commonly used,
but my input is more valuable in
reviewing non-drug treatments
that have a basis of evidence.

Non-Drug Therapies for Treating Pain
Non-drug therapies for pain, in my
mind, are in a separate category
from herbal (or Chinese) supplements or homeopathic therapies.
These therapies focus on body
homeostasis and the body's natural ability to heal. There is much
evidence suppor ting physical
medicine, although this evidence
often takes a different form than
evidence generated from a study
looking at a drug intervention. We
have to pull from physiological
data and data gathered from the
longer history of physical therapy
in human patients. Physical medi-

May 14

| Clean Run

cine modalities that are useful in
treating pain include:
„Temperature-related: heat, cold,
exercise, and ultrasound
„Tissue deformation: Stretching,
exercise, massage, chiropractic,
acupuncture, shock wave therapy
„Neuromodulatory and kinematic:
Acupuncture, laser, exercise, water
therapies (such as swimming or
underwater treadmill), electrical
stimulation
„Stimulation of metabolism and
oxygenation: Laser, exercise
„Interventional and regenerative:
Polysulfonated glycosaminoglycans (Adequan), hyaluronic
acid, platelet rich plasma (PRP)
injections, stem cell therapy

Temperature-Related Modalities
Temperature-related modalities
have a basis of physiological
support as well as specific studies into their application in dogs.
Heat increases tissue's ability to

stretch, tissue blood flow, and
metabolism. This modality is
helpful during chronic stages of
pain and injury to promote healing, supplement stretching of soft
tissues and fibrous scar tissue,
and reduce edema and swelling.
Heat can also be soothing to tight
muscles, whether from overuse or
repetitive injury, and is important
to apply before stretching, range
of motion, and massage. Heat
should not be applied during the
acute inflammatory phase of injury, but it often plays an important
long-term role in chronic pain and
athletic conditions.
There are several methods for applying heat from the simple (hot
packs for superficial heating and
exercise for deeper tissues) to
the technological (ultrasound for
deeper tissues). Hot packs should
be used for only 10 minutes at a
time and only with conscious dogs
that can move away from the heat
if it becomes unpleasant.

29


http://www.ivapm.org http://www.ivapm.org

Clean Run - May 2014

Table of Contents for the Digital Edition of Clean Run - May 2014

Contents
Clean Run - May 2014 - 1
Clean Run - May 2014 - 2
Clean Run - May 2014 - Contents
Clean Run - May 2014 - 4
Clean Run - May 2014 - 5
Clean Run - May 2014 - 6
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