Integrative VETERINARY CARE VOLUME 7 ISSUE 1
TREATING THORACIC DISEASE
TAKE A LOOK AT HOW HYPERBARIC OXYGEN THERAPY AND OTHER INTEGRATIVE MODALITIES CAN ALLEVIATE THORACIC PROBLEMS. — P. 38
LASERS IN CANINE PHYSICAL REHABILITATION
ORAL AND DENTAL HEALTH
KENNEL COUGH AND OTHER TRACHEAL PROBLEMS
NAMBUDIPRAD’ S ALLERGY ELIMINATION TECHNIQUE
EXTRUDED HORSE FEEDS –PROS AND CONS
WHAT’ S NEW
Whether your use a Class III or Class IV laser, proper training in its use is essential, for technicians as well as doctors. — P. 22
www.IVCJournal.com
WINTER ISSUE 2016
Vaccination doesn’t guarantee protection, but homeopathy and TCVM can help treat and even prevent these conditions. – P. 42
Hay or pasture meets the needs of many horses, but if extra support is needed for performance or health issues, extruded feed can be beneficial. — P. 34
Why it’s important to educate clients about integrative and nutritional support for canine and feline oral wellness. — P. 14
NAET combines techniques from acupuncture, kinesiology and other therapies to pinpoint the allergens individual patients react to. — P. 28
•Animal simulators change the way veterinary medicine is taught •Lameness is top health issue in horses •Detection dogs trained to sniff out ovarian cancer
contents FEATURES
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NUTRITION NOOK
INTEGRATIVE AND NUTRITIONAL SUPPORT FOR ORAL HEALTH
By Katie Kangas,
DVM, CVA, CVCP
As veterinary practitioners, it’s important we recognize the value of educating pet parents about proactive options that promote better oral health for their dogs and cats.
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TECH TALK
LASERS IN CANINE PHYSICAL REHABILITATION
By Evelyn Orenbuch,
DVM, DACVSMR, CAVCA
Both Class III and Class IV lasers have applications in physical rehab for dogs, but proper training in the use of this therapy is essential, both for veterinarians and technicians.
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NAMBUDIPRAD’ S ALLERGY ELIMINATION TECHNIQUE By Donna Kelleher,
DVM
NAET combines techniques from a variety of modalities, including acupuncture and kinesiology, to identify allergens and resolve allergies in dogs and cats.
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EXTRUDED HORSE FEEDS – PROS AND CONS
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THORACIC DISEASES – INTEGRATIVE TREATMENTS
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INTEGRATIVE APPROACHES TO TRACHEAL PROBLEMS
By Madalyn Ward,
DVM
Though they’re not for every horse, extruded feeds offer important benefits in some circumstances.
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By Liza Schneider,
BVSC
Hyperbaric Oxygen Therapy and other alternative modalities can be very effective at tackling these conditions.
By Christina Chambreau,
DVM, CVH
How homeopathy and TCVM can help treat kennel cough and collapsing tracheas – and why vaccination doesn’t guarantee protection.
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IVC Winter 2016
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TCVM FOR RAO IN HORSES
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TCVM PERSPECTIVE AND TREATMENT OF EQUINE METABOLIC SYNDROME
By Huisheng Xie,
DVM, PhD
Acupuncture and Chinese herbal medicine can effectively treat recurrent airway obstruction in equines.
By Cynthia Lankenau,
DVM, CVA, CVCHM, RH (AHG)
More than 20% of all horses are at risk of developing Metabolic Syndrome. This article looks at one case that was successfully treated with alternative therapies.
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INTEGRATIVE PRACTICE
EXTEND YOUR REACH WITH PARTNERSHIP
By Terri Symonds Grow,
BIS
Developing a partnership with a local holistic pet supply store can benefit your practice in several important ways.
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advisory board
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Dr. Richard Palmquist, DVM GDipVCHM(CIVT) CVCHM (IVAS), graduated from Colorado State University in 1983. He is chief of integrative health services at Centinela Animal Hospital in Inglewood, California, president and research chair of the AHVMA, and an international speaker in integrative veterinary medicine. Dr. Palmquist is a consultant for the Veterinary Information Network (VIN) and codirector of the AHVM Foundation. He has published two books, one for conventional veterinarians and a second for clients discussing how integrative thinking works.
Michelle J. Rivera, MT, VDT, is an instructor at the University of Wisconsin and The Healing Oasis Wellness Center, a post-graduate educational institution offering state-approved programs. She is co-owner of The Healing Oasis Veterinary Hospital, offering massage, rehabilitation, chiropractic and Chinese and Western Herbology. Michelle completed the Chinese Herbal Medicine program from the China Beijing International Acupuncture Training Center, and is certified in Chinese Medicine by the Wisconsin Institute of Chinese Herbology.
COLUMNS & DEPARTMENTS
5 Advisory board 8 Editorial
Dr. Joyce Harman, DVM, MRCVS, graduated in 1984 from Virginia Maryland Regional College of Veterinary Medicine. She is certified in veterinary acupuncture and chiropractic and has completed advanced training in homeopathy and herbal medicine. Her practice in Virginia uses holistic medicine to treat horses. Her publications include The Horse’s Pain-Free Back and Saddle-Fit Book – the most complete source of information about English saddles.
s new 11 What’ 20 From the VBMA 33 Industry innovations 51 From the AATCVM 58 Social media 59 Veterinary resource guide 60 From the AVH
Dr. Steve Marsden, DVM, ND, lectures for the IVAS, the AHVMA and the AVMA, and is co-founder of the College of Integrative Veterinary Therapies. He is a director of the National College of Natural Medicine, and authored the Manual of Natural Veterinary Medicine. Dr. Marsden is extensively trained in alternative medicine, including Chinese herbology, acupuncture and naturopathic medicine. He has a veterinary and naturopathic practice in Edmonton, Alberta. In 2010, Dr. Marsden was named Teacher of the Year by the AHVMA.
Dr. Jean Dodds, DVM, received her veterinary degree in 1964 from the Ontario Veterinary College. In 1986, she moved to Southern California to establish Hemopet, the first non-profit national blood bank program for animals. Dr. Dodds has been a member of many national and international committees on hematology, animal models of human disease, veterinary medicine, and laboratory animal science. She received the Holistic Veterinarian of the Year Award from the AHVMA in 1994.
61 From the AHVMA 65 Marketplace 66 Events
Dr. Barbara Fougere, DVM, CVAA graduated in 1986, and was named the American Holistic Veterinary Medical Association Educator for 2011. Dr. Fougere is the principal and one of the founders of the College of Integrative Veterinary Therapies. She has continued studying over the last 26 years, and has three Bachelor degrees, two Masters degrees, three post Graduate Diplomas, several Certifications and numerous other courses under her belt.
Dr. Christina Chambreau, DVM, CVH, graduated from the University of Georgia Veterinary College in 1980. She is a founder of the Academy Of Veterinary Homeopathy, was on the faculty of the National Center for Homeopathy Summer School and has been the holistic modality adjunct faculty liaison for the Maryland Veterinary Technician Program. Dr. Chambreau teaches classes in homeopathy for animals, and lectures on many topics. She is the author of the Healthy Animal’s Journal and the co-author of the Homeopathic Repertory: A Tutorial.
IVC Winter 2016
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tech talk
By Evelyn Orenbuch, DVM, DACVSMR, CAVCA
rehabilitation 22
IVC Winter 2016
Photo courtesy of Litecure
Lasers in canine physical
BOTH CLASS III AND CLASS IV LASERS HAVE IMPORTANT APPLICATIONS IN PHYSICAL REHAB FOR DOGS, BUT PROPER TRAINING IN THE USE OF THIS THERAPY IS ESSENTIAL, BOTH FOR VETERINARIANS AND TECHNICIANS. My personal experience with lasers in veterinary physical rehabilitation began in 2005 with a 250mW laser used in my mobile rehab practice. At the time, any laser from 5mW to 500mW was considered Class III and was often referred to as a “cold laser” because it could be held in one spot during treatment and not heat the tissues enough to cause damage. Class IV was any laser producing more than 500mW of power. At this higher level, the laser heats the tissues and can cause damage if held in one area too long. It is important that anyone using the laser be properly trained in how to administer the therapy, and that they know animal anatomy.
INTRODUCING CLASS IV LASER TO MY CLINIC In 2011, I moved to the Atlanta area and opened a large rehabilitation-only clinic. In this rehab-dedicated facility, I began seeing a larger and more diversified caseload than I had in my prior traveling practice. I was also able to take advantage of trained veterinary technicians and assistants to treat cases, a luxury I did not have previously. Hoping to speed treatment times and make my technicians more efficient, I purchased a Class IV laser. I quickly began to notice clear differences in case results as the Class IV laser was integrated into treatment plans. I noticed that patients who had been regulars, coming every four to six weeks with consistently good results, were showing great improvement with the Class IV laser.
my travelling practice. Many practices use Class III lasers with good success as well. Proper diagnosis and dosing are the keys to effective treatment. Today, I use two Class IV lasers for treatment within the practice, and rent two Class III lasers to clients who need more intensive but usually more superficial daily dosing.
TREATMENT PLANS FOR DIFFERENT INJURIES AND CONDITIONS Typically, at our clinic, we see approximately 30% orthopedic (post-op CCL repairs, Fx repairs, osteoarthritis), 30% geriatric (osteoarthritis, soft tissue strains and sprains, back pain, weakness), 30% neurologic (DM, IVDD, FCE, etc), and10% sports medicine (maintenance for competition in healthy dogs, soft tissue sprains and strains). If we think about the goals of physical rehabilitation, every one of these cases could benefit from laser. Below, I describe the typical treatment for each type of case. It is important to note that every case is different, and managing and changing the plan along the way based on results is important. Physical rehabilitation should not be a cookbook type of medicine in which every case with the same general problem gets the same treatment. Every patient will progress differently. Continued on page 24.
Any laser therapy should be doctor prescribed but technician driven. There should always be good communication between the doctor and technician about what condition the doctor wants to treat, the reasons for the treatment (pain relief, improving circulation, decreasing inflammation, speeding up healing), the anatomic area(s) to treat (with landmarks clearly defined or previously discussed), as well as any special techniques or other conditions to be aware of for that particular patient. In this way, the technician can always update the doctor on any changes between “recheck examinations” that may require the doctor’s attention. Empowering the technicians so they feel comfortable communicating any challenges they encounter is also critically important. Following the recommendations of the laser company, we often treated patients two or three times per week for a total of six to eight treatments. Some of the improved outcomes I was seeing with the Class IV laser may have come from the increased dosing, as I had not been able to dose that way in IVC Winter 2016
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