Transcript Arthritis pain/prevention/joint disease

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
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Prevention of joint disease
Management of joint disease
Treatment options
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Acupuncture
Electro-acupuncture
Aqua-puncture
Gold Bead Implants
Natural supplements
Pharmaceutical medications
Surgery
Physical Therapy and Rehabilitation-Sandy Brown
Prevention of joint disease
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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
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Diet-quality fresh ingredients (dry?)
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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
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Post surgical
Post injury
Prevent debilitation as aging progresses
Acupuncture: What is it?
Insertion of fine needles into specific points
on body to achieve specific effect
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
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B-endorphins
Endocrines
Acupuncture: How does it work?
Eastern alternative perspective:
 moves energy and blood
 relieves stagnation
 changes energy dynamics
Balance patterns
 Needling techniques-tonify or sedate
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Pain Relief: acupuncture’s “Claim to
Fame”
Electro-acupuncture
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Magnified effect
Shorter treatment
Better relaxation
Aqua-puncture
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Injecting liquid through hypodermic needle
into acupuncture points
Longer treatment effect
Can be accomplished without cooperation
Individualized solution to customize
treatment
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Sterile water
Vitamin B12
Homeopathic solutions
Homotoxicology
Gold Bead Implants
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Permanent implant for rear limb lameness
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Life-long treatment-excellent choice for
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Hip Dysplasia
Knees
Hocks
DJD Degenerative joint disease
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
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7 ½ y/o GSD
96# male(c)
Presented April, 29 ’05
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(6 then)
On Rimadyl
Two weeks post injury
Down for 5 days
Severe pain
DJD Hips and stifles
Hip Dysplasia
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Rt hip severely dysplastic
Left hip worse
Charlie
Treatment Protocol
1. Gold Bead Implant (3days
after initial exam)
2. Chinese Herbs
3. Joint Supplements
4. Salmon Oil
5. Special Diet
Crepitation upon manipulation of joints.
Knees are thickened.
Charlie should not be able to walk.
Owner doesn’t think he has any pain.
½ Urban Wolf/ ½ dry
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Aquapuncture
6-8 week intervals
“Aspen”
Example: Big Dog Issues
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7 year old Fs St. Bernard Dog
November 3, 2005
Difficulty with rear end-weak, painful
Hips & Knees
Treatment-Acupuncture weekly for 3 treatments
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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
Sasha
Example: Poor Conformation
Natural supplements
(Nutriceuticals)
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Glucosamine
amino sugar important in cartilage formationchondroprotective agent
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Chondroitin Sulfate protein molecule that gives cartilage elasticity
MSM Methyl Sulfonyl Methane derivative of DMSO-anti-
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Hyaluronic Acid
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inflammatory
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(Hyaluronan) lubricates and cushions connective tissue
Improves synovial fluid production
Cetyl Myristolate
medium chain fatty acid found in the Swiss albino
mouse
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Vitamin Supplements
Amino acids di methyl glycine, n-acetyl cystiene, l-glutamine
Anti-oxidants glutathione
Natural supplements
Herbal 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
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Pharmaceutical
medications
Injection series
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Steroids side effects tntm (too numerous to mention)
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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
Pain relief reduces swelling, redness, itching, and
allergic reactions
NSAIDs potential side effects, include vomiting, bloody diarrhea,
kidney and liver damage, and even death
 Rimadyl-Deramaxx-Etogesic-Zubrin-Etc.
Aspirin trademark Aspirin® in the year 1899
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The original Anti-inflammatory, Anti-rheumatism
Surgery
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Expensive and often difficult recovery
Total Hip Replacement Surgery
Elbows?
Knee Reconstruction
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TPLO
Cranial Cruciate reconstruction (over the top)
Lateral Imbrication
Physical Therapy and Rehabilitation
Sandy Brown
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