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Casas-Alvarado A, Ogi A, Villanueva-García D, Martínez-Burnes J, Hernández-Avalos I, Olmos-Hernández A, Mora-Medina P, Domínguez-Oliva A, Mota-Rojas D. Application of Infrared Thermography in the Rehabilitation of Patients in Veterinary Medicine. Animals (Basel) 2024; 14:696. [PMID: 38473082 DOI: 10.3390/ani14050696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 02/08/2024] [Accepted: 02/16/2024] [Indexed: 03/14/2024] Open
Abstract
Infrared Thermography (IRT) has become an assistance tool in medicine and is used to noninvasively evaluate heat elimination during and after inflammatory processes or during the recovery period. However, its application in veterinary patients undergoing physiotherapy is a field that requires deep research. This review aims to analyze the application of IRT in the monitoring of animal physiotherapy, using the thermal changes that are present in patients undergoing gait or lameness issues (e.g., inflammation, pain, increased local temperature) as a neurobiological basis. Rehabilitation techniques such as acupuncture, physical therapies, thermotherapy, photo-biomodulation, and electrostimulation have been reported to have an anti-inflammatory effect that decreases the amount of local heat production, which is heat that can be recorded with IRT. Therefore, IRT could be used as a complementary tool to evaluate the effectiveness of the therapy, and it is suggested that further studies evaluate the accuracy, sensibility, and sensitivity of IRT.
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Affiliation(s)
- Alejandro Casas-Alvarado
- PhD Program in Biological and Health Sciences, [Doctorado en Ciencias Biológicas y de la Salud], Universidad Autónoma Metropolitana (UAM), Mexico City 04960, Mexico
| | - Asahi Ogi
- Department of Neurobiology and Molecular Medicine, IRCCS Fondazione Stella Maris, 56128 Pisa, Italy
| | - Dina Villanueva-García
- Division of Neonatology, Hospital Infantil de México Federico Gómez, Mexico City 06720, Mexico
| | - Julio Martínez-Burnes
- Facultad de Medicina Veterinaria y Zootecnia, Universidad Autónoma de Tamaulipas, Victoria City 87000, Mexico
| | - Ismael Hernández-Avalos
- Clinical Pharmacology and Veterinary Anesthesia, Biological Sciences Department, FESC, Universidad Nacional Autónoma de México (UNAM), Cuautitlán 54714, Mexico
| | - Adriana Olmos-Hernández
- Division of Biotechnology-Bioterio and Experimental Surgery, Instituto Nacional de Rehabilitación-Luis Guillermo Ibarra Ibarra (INR-LGII), Mexico City 14389, Mexico
| | - Patricia Mora-Medina
- Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de México (UNAM), Cuautitlán Izcalli 54714, Mexico
| | - Adriana Domínguez-Oliva
- Neurophysiology of Pain, Behavior and Assessment of Welfare in Domestic Animals, DPAA, Universidad Autónoma Metropolitana (UAM), Mexico City 04960, Mexico
| | - Daniel Mota-Rojas
- Neurophysiology of Pain, Behavior and Assessment of Welfare in Domestic Animals, DPAA, Universidad Autónoma Metropolitana (UAM), Mexico City 04960, Mexico
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2
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Pancotto TE. Rehabilitation Therapy for the Degenerative Myelopathy Patient. Vet Clin North Am Small Anim Pract 2023; 53:845-856. [PMID: 37179117 DOI: 10.1016/j.cvsm.2023.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Degenerative myelopathy is an inherited, progressive, neurodegenerative disorder affecting the spinal cord of dogs. There is no treatment of the disease. Physical rehabilitation is the only intervention that slows progression and prolongs quality of life. Further studies are needed to develop advanced treatment options and to better characterize the use of complementary therapeutic modalities in palliative care for these patients.
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3
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Benson J, Fry L, Rychel J. Use of Rehabilitation Therapy in Palliative Care Patients. Vet Clin North Am Small Anim Pract 2023; 53:897-919. [PMID: 37019719 DOI: 10.1016/j.cvsm.2023.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
Palliative care is a unique area of veterinary medicine, where primary goals include maintaining quality of life, as opposed to treating with a curative intent. Using the disablement model and client partnership allows for the development of a function-targeted treatment plan individualized to patient and family needs. Rehabilitation modalities, especially when combined with adaptive pain management, are well-suited to palliative care because they can greatly enhance a patient's ability to achieve improved function and quality of life. These areas join in a concept called palliative rehabilitation which combines the unique needs of these patients and the tools accessible to the rehabilitation practitioner.
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Affiliation(s)
- Jeret Benson
- Doctor of Veterinary Medicine, Red Sage Integrative Veterinary Partners, 1006 Luke Street, Fort Collins, CO 80524, USA
| | - Lindsey Fry
- Doctor of Veterinary Medicine and Diplomate of the American College of Veterinary, Sports Medicine and Rehabilitation, 1006 Luke Street, Fort Collins, CO 80524, USA
| | - Jessica Rychel
- Doctor of Veterinary Medicine and Diplomate of the American College of Veterinary, Sports Medicine and Rehabilitation, 1006 Luke Street, Fort Collins, CO 80524, USA.
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4
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Koh RB, Harrison TM. Acupuncture in Zoological Companion Animals. Vet Clin North Am Exot Anim Pract 2023; 26:257-280. [PMID: 36402485 DOI: 10.1016/j.cvex.2022.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Over the past years, the concept of pain management in veterinary medicine has evolved and led to the establishment of a new concept of multimodal approach to pain management, as the current standard of care. The use of multimodal analgesia combining pharmacologic and nonpharmacologic techniques not only helps optimize the quality and efficacy of analgesia but also may prevent the development of chronic or persistent pain. During the past decade, acupuncture has become more popular and evolved into one of the most used forms of integrative medicine interventions and nonpharmacologic therapeutic options for pain management in humans and animals in North America and Europe. There is ample evidence from basic and clinical research for acupuncture is effective in the treatment of acute and chronic pain by influencing neural networks of the nervous system. While in the modern days' veterinary acupuncture has been predominantly used in horses and dogs, its popularity in zoologic companion animals (ZCA) has increased in recent years as an adjunct therapy for treating musculoskeletal, neurologic, and gastrointestinal disorders due to its minimal invasiveness and low risk of adverse events. The integrative use of acupuncture has become even more important with the increasingly limited use of opiates in veterinary medicine due to the opiate crisis. The purpose of this article aims to provide guidance for using acupuncture for pain management in ZCA in clinical practice, based on available information and recommendations from experienced veterinary acupuncturists.
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Affiliation(s)
- Ronald B Koh
- Integrative Medicine Service, UC Davis Veterinary Medical Teaching Hospital, University of California, Davis, 1 Garrod Road, Davis, CA 95616, USA.
| | - Tara M Harrison
- Exotic Animal Medicine Service, North Carolina State University, College of Veterinary Medicine, 1060 William Moore Drive, Raleigh, NC 27607, USA
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5
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Ferro ACZB, Cannolas C, Reginato JC, Luna SPL. Postoperative Acupuncture is as Effective as Preoperative Acupuncture or Meloxicam in Dogs Undergoing Ovariohysterectomy: a Blind Randomized Study. J Acupunct Meridian Stud 2022; 15:181-188. [PMID: 35770548 DOI: 10.51507/j.jams.2022.15.3.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 12/03/2021] [Accepted: 02/16/2022] [Indexed: 11/03/2022] Open
Abstract
Background Acupuncture has the same analgesic effect as non-steroidal antiinflammatory drugs and opioids. It is challenging to perform preoperative acupuncture in unmanageable animals, while the residual postoperative anesthetic effect facilitates the performance of acupuncture postoperatively. Objectives To compare preoperative acupuncture or meloxicam versus postoperative acupuncture for postoperative analgesia after ovariohysterectomy. Methods This is a horizontal prospective positive control blind randomized experimental study. Thirty-six dogs were randomly divided into three groups: GA (preemptive acupuncture), GPA (postoperative acupuncture), and GM (meloxicam 0.2 mg/kg IV preoperatively). After sedation with acepromazine (0.05 mg/kg IM), anesthesia was induced with propofol (5.3 ± 0.3 mg/kg) and maintained with isoflurane/O2. Fentanyl (2 μg/kg, IV) was administered immediately before surgery. Bilateral acupuncture was performed at acupoints Large intestine 4, Spleen 6, and Stomach 36 for 20 minutes, before (GA) or immediately after surgery (GPA). Pain was evaluated by an observer blind to the treatment using the Glasgow scale before and for 24 hours after ovariohysterectomy. Dogs with a score ≥ 6 received rescue analgesia with morphine (0.5 mg/kg IM). Nonparametric data were analyzed by the Kruskal-Wallis test, followed by Dunn's test and parametric data by ANOVA followed by Tukey's test. Results Two GA and one GPA dogs received rescue analgesia once. Two GM dogs received rescue analgesia and one of those was treated again twice. There were no differences in the number of dogs receiving rescue analgesia between groups (p = 0.80). Conclusion Postoperative acupuncture was as effective as preoperative acupuncture or meloxicam in female dogs undergoing ovariohysterectomy.
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Affiliation(s)
- Ana Carla Zago Basilio Ferro
- School of Veterinary Medicine and Animal Science, São Paulo State University (Unesp), Botucatu, São Paulo, Brazil
| | | | | | - Stelio Pacca Loureiro Luna
- School of Veterinary Medicine and Animal Science, São Paulo State University (Unesp), Botucatu, São Paulo, Brazil
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6
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Huntingford JL, Petty MC. Evidence-Based Application of Acupuncture for Pain Management in Companion Animal Medicine. Vet Sci 2022; 9:252. [PMID: 35737304 PMCID: PMC9227989 DOI: 10.3390/vetsci9060252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/03/2022] [Accepted: 05/18/2022] [Indexed: 11/25/2022] Open
Abstract
The use of veterinary acupuncture for pain relief is expanding among small animal practitioners. Although acupuncture was developed as part of the medical system in Ancient China, research into the scientific basis of its effects is expanding rapidly. Acupuncture is very effective for analgesia on a local, segmental, and suprasegmental level. Many forms of acupuncture can be used independently or as part of a balanced multi-modal approach for the control of acute and chronic pain. In the hands of a skilled practitioner, acupuncture can be a safe and effective modality for treating pain in companion animals. This article outlines the mechanisms of action of acupuncture, its related neurophysiology and provides examples from the literature demonstrating its effectiveness.
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Affiliation(s)
- Janice L. Huntingford
- Essex Animal Hospital, 355 Talbot St N, Essex, ON N8M 2W3, Canada
- Chi University, 9650 W Hwy 318, Reddick, FL 32686, USA
| | - Michael C. Petty
- Arbor Pointe Veterinary Hospital, Animal Pain Center, 42043 Ford Rd, Canton, MI 48187, USA;
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7
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Harrison TM, Churgin SM. Acupuncture and Traditional Chinese Veterinary Medicine in Zoological and Exotic Animal Medicine: A Review and Introduction of Methods. Vet Sci 2022; 9:vetsci9020074. [PMID: 35202327 PMCID: PMC8877432 DOI: 10.3390/vetsci9020074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 02/03/2022] [Accepted: 02/07/2022] [Indexed: 11/16/2022] Open
Abstract
Acupuncture has been used extensively in domestic animal medicine to treat a variety of medical conditions and diseases as an adjunct or primary therapy. Exotic animals are becoming increasingly common as pets. Owners are expecting therapies for these non-domestic animals to be similar to those available to their other domestic pets. Additionally, zoological and aquatic facilities provide medical care for the entire lives of the animals that are housed in their facilities. Many conditions similar to those observed in domestic animals can develop in zoological species and can benefit from treatment with acupuncture. Through operant conditioning or routine medical examinations, the use of acupuncture as an adjunct therapy is becoming more common. The following paper presents a summary of the types of non-domestic animals treated, for which conditions, and how these methods are commonly used.
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Affiliation(s)
- Tara M. Harrison
- College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA
- Correspondence:
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8
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Stanossek I, Wehrend A. [Naturopathy and complementary medicine in small animal science - definitions and contents]. TIERAERZTLICHE PRAXIS AUSGABE KLEINTIERE HEIMTIERE 2021; 49:206-210. [PMID: 34157762 DOI: 10.1055/a-1480-5642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Naturopathic and complementary procedures attain increasing popularity in veterinary medicine. A common understanding of definitions and contents of these fields is crucial for communication between pet owners and veterinarians. This paper reviews the existing definitions and the various contents of naturopathy and complementary veterinary medicine as well as their assigned treatment options. Naturopathy includes phytotherapy, hydro-therapy, thermotherapy, electrotherapy, manual therapy/chiropractic/osteopathy, and dietetic treatment. Homeopathy, homotoxicology, Traditional Chinese Medicine including acu-puncture and Chinese herbal medicine, neural therapy, organotherapy and Bach flower remedies are known as complementary treatments. The level of evidence based on scientific literature and the opportunity for certification procedures differ between treatment modalities. In the area of small animal medicine, the most extensive body of literature is available on the subject of acupuncture, in part comprising high evidence levels.
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Affiliation(s)
- Ines Stanossek
- Klinik für Geburtshilfe, Gynäkologie und Andrologie der Groß- und Kleintiere mit Tierärztlicher Ambulanz, Justus-Liebig-Universität Gießen
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9
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Dewey CW, Xie H. The scientific basis of acupuncture for veterinary pain management: A review based on relevant literature from the last two decades. Open Vet J 2021; 11:203-209. [PMID: 34307076 PMCID: PMC8288732 DOI: 10.5455/ovj.2021.v11.i2.3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 04/03/2021] [Indexed: 11/18/2022] Open
Abstract
The practice of acupuncture is becoming increasingly popular in veterinary medicine, especially as a method of providing pain relief. Originally based on principles derived from centuries of observation, conventional scientific mechanisms of action for acupuncture as a pain-relieving modality have recently been elucidated. Acupuncture points allow access to multiple regions of the body via the peripheral nervous system and its connection with the central nervous system. Local, segmental (spinal), and suprasegmental (brain) effects of acupuncture involve enhanced release of pain-relieving endogenous substances (e.g., opioids) and mitigated release of pain-inducing substances (e.g., inflammatory cytokines). In addition, there is evidence that acupuncture can induce positive neurochemical and cytoarchitectural change in the central nervous system via the phenomenon of neuroplasticity. Electroacupuncture is considered the most effective type of acupuncture delivery, allowing for more potent and long-lasting pain relief than is achieved via other methods (e.g., dry needling). The purpose of this review article is to summarize the relevant scientific literature from the last two decades relating to the physiological mechanisms of action of acupuncture as a pain-relieving modality.
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Affiliation(s)
- Curtis Wells Dewey
- Elemental Pet Vets, PLLC, Freeville NY, USA.,Chi University, 9650 West Highway 318, Reddick, FL 32686, USA
| | - Huisheng Xie
- Chi University, 9650 West Highway 318, Reddick, FL 32686, USA
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10
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della Rocca G, Gamba D. Chronic Pain in Dogs and Cats: Is There Place for Dietary Intervention with Micro-Palmitoylethanolamide? Animals (Basel) 2021; 11:952. [PMID: 33805489 PMCID: PMC8065429 DOI: 10.3390/ani11040952] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 03/23/2021] [Accepted: 03/23/2021] [Indexed: 12/17/2022] Open
Abstract
The management of chronic pain is an integral challenge of small animal veterinary practitioners. Multiple pharmacological agents are usually employed to treat maladaptive pain including opiates, non-steroidal anti-inflammatory drugs, anticonvulsants, antidepressants, and others. In order to limit adverse effects and tolerance development, they are often combined with non-pharmacologic measures such as acupuncture and dietary interventions. Accumulating evidence suggests that non-neuronal cells such as mast cells and microglia play active roles in the pathogenesis of maladaptive pain. Accordingly, these cells are currently viewed as potential new targets for managing chronic pain. Palmitoylethanolamide is an endocannabinoid-like compound found in several food sources and considered a body's own analgesic. The receptor-dependent control of non-neuronal cells mediates the pain-relieving effect of palmitoylethanolamide. Accumulating evidence shows the anti-hyperalgesic effect of supplemented palmitoylethanolamide, especially in the micronized and co-micronized formulations (i.e., micro-palmitoylethanolamide), which allow for higher bioavailability. In the present paper, the role of non-neuronal cells in pain signaling is discussed and a large number of studies on the effect of palmitoylethanolamide in inflammatory and neuropathic chronic pain are reviewed. Overall, available evidence suggests that there is place for micro-palmitoylethanolamide in the dietary management of chronic pain in dogs and cats.
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Affiliation(s)
- Giorgia della Rocca
- Department of Veterinary Medicine, Centro di Ricerca sul Dolore Animale (CeRiDA), Università degli Studi di Perugia, 06123 Perugia, Italy
| | - Davide Gamba
- Operational Unit of Anesthesia, Centro Veterinario Gregorio VII, 00165 Roma, Italy;
- Freelance, DG Vet Pain Therapy, 24124 Bergamo, Italy
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11
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Song W, Pang H, Cui J, Lin D, Lin J. Acupuncture Combined with Chinese Medicine Iontophoresis Treatment for Chronic Progressive Cervical Intervertebral Disk Disease in a Dog. Complement Med Res 2020; 28:263-269. [PMID: 33296910 DOI: 10.1159/000509436] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2020] [Accepted: 06/15/2020] [Indexed: 11/19/2022]
Abstract
CASE REPORT A 12-year-old castrated male dog with nonambulatory tetraplegia was diagnosed with spinal stenosis at C3-C4 through X-ray examination and with ventral extradural spinal compression at C3-C4 through myelography and computed tomography. The diagnosis of traditional Chinese veterinary medicine was local Qi and blood stagnation, spleen Qideficiency, blood deficiency, and kidney Yang deficiency. We initiated treatment using a combination of acupuncture and Chinese medicine iontophoresis with laser therapy. After 12 treatment days, there was a significant improvement in the dog's ambulation function, which was indicated by proper walking and flexible head-turning. CONCLUSION This indicates that combining acupuncture and Chinese medicine iontophoresis could be a potential treatment for chronic progressive cervical intervertebral disk disease in dogs.
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Affiliation(s)
- Wanrong Song
- College of Veterinary Medicine, China Agricultural University, Beijing, China,
| | - Haidong Pang
- College of Veterinary Medicine, China Agricultural University, Beijing, China
| | - Jingwen Cui
- College of Veterinary Medicine, China Agricultural University, Beijing, China
| | - Degui Lin
- College of Veterinary Medicine, China Agricultural University, Beijing, China
| | - Jiahao Lin
- College of Veterinary Medicine, China Agricultural University, Beijing, China
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12
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Baker-Meuten A, Wendland T, Shamir SK, Hess AM, Duerr FM. Evaluation of acupuncture for the treatment of pain associated with naturally-occurring osteoarthritis in dogs: a prospective, randomized, placebo-controlled, blinded clinical trial. BMC Vet Res 2020; 16:357. [PMID: 32977836 PMCID: PMC7517673 DOI: 10.1186/s12917-020-02567-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 09/11/2020] [Indexed: 12/31/2022] Open
Abstract
Background Acupuncture has been used as a treatment for pain associated with osteoarthritis (OA) for thousands of years; however, there is a lack of definitive evidence for this indication in humans or animals. The aim of this study was to prospectively evaluate the efficacy of acupuncture on lameness and clinical function in dogs affected by naturally-occurring OA using objective outcome measures. A total of 32 client-owned dogs completed this prospective, randomized, placebo-controlled, blinded clinical trial, using a cross-over design. Participants were assigned to receive placebo or acupuncture treatment once weekly for 4 weeks in random order with a two-week wash-out period in between treatment phases. Outcome measures included ground reaction forces (GRF), subjective orthopedic scoring (SOS), activity counts (AC), and owner-completed clinical metrology instruments (CMI; Canine Brief Pain Inventory [CBPI] and Client Specific Outcome Measures [CSOM]). For statistical comparison, baseline GRF, SOS, and CMI data were compared to data obtained 1 week after each treatment phase. Similarly, total weekly AC of the final week of each treatment phase were compared to the baseline week. Results Evidence of differences between baseline versus acupuncture and placebo treatments was not identified for the following outcome measures: GRF, AC, or SOS. However, evidence of differences was identified for some of the CMI scores, including the CSOM questionnaire which showed evidence of improvement when comparing baseline versus acupuncture (p = 0.0002) as well as between placebo versus acupuncture treatments (p = 0.035) but not between baseline versus placebo treatments (p = 0.221). Conclusions The applied acupuncture protocol did not show improvement in function when using objective outcome measures for OA in dogs; however, certain CMI measurements recorded some degree of treatment response.
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Affiliation(s)
- Alice Baker-Meuten
- Colorado State University Veterinary Teaching Hospital, 300 W Drake Rd, Fort Collins, CO, 80523, USA
| | - Theresa Wendland
- Colorado State University Veterinary Teaching Hospital, 300 W Drake Rd, Fort Collins, CO, 80523, USA
| | - Shelly K Shamir
- University of Minnesota Veterinary Medical Center, 1365 Gortner Ave, St Paul, MN, 55108, USA
| | - Ann M Hess
- Department of Statistics, Colorado State University, 300 W Drake Rd, Fort Collins, CO, 80523, USA
| | - Felix Michael Duerr
- Colorado State University Veterinary Teaching Hospital, 300 W Drake Rd, Fort Collins, CO, 80523, USA.
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13
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Alimi OA, Abubakar AA, Yakubu AS, Aliyu A, Abulkadir SZ. Veterinary acutherapy in management of musculoskeletal disorders: An eye-opener to the developing countries' veterinarians. Open Vet J 2020; 10:252-260. [PMID: 33282695 PMCID: PMC7703614 DOI: 10.4314/ovj.v10i3.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 07/02/2020] [Indexed: 11/17/2022] Open
Abstract
Traditional Chinese medicine practitioners believed that the maintenance of the health status of any individual or animal is by the harmonious flow of Chi (life force) along a pathway known as the meridian. Interruption or blockage of Chi brings about disorders, pain, and diseases. Acutherapy, therefore, aims at correcting the interruption or blockage of the harmonious flow of Chi along the meridian to restore the healthy condition of the body system. This correction could be accomplished by either acupuncture or acupressure, and are both collectively referred to as acutherapy. This form of therapy has been used in both humans and animals for several decades. It is, however, just gaining popularity in the treatment of humans and is still not yet in practice among veterinarians for animal patients in most developing countries like Nigeria. This review, therefore, is aimed at exposing veterinarians from the developing countries to the general application of acutherapy with emphasis on the musculoskeletal system and associated pain where it is most applied. It is highly recommended that the universities, where Veterinary Medicine is studied in developing countries, should endeavor to train their veterinary surgeons in this area and see to how acutherapy can be included in the curriculum.
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Affiliation(s)
- Olawale Alimi Alimi
- Department of Veterinary Surgery and Radiology, University of Ilorin, Ilorin, Nigeria.,Department of Veterinary Surgery and Radiology, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
| | - Adamu Abdul Abubakar
- Department of Veterinary Surgery and Radiology, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
| | - Abubakar Sadiq Yakubu
- Department of Veterinary Surgery and Radiology, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
| | - Abdullahi Aliyu
- Department of Veterinary Surgery and Radiology, University of Ilorin, Ilorin, Nigeria
| | - Salman Zubairu Abulkadir
- Department of Veterinary Surgery and Radiology, University of Ilorin, Ilorin, Nigeria.,Department of Veterinary Surgery and Radiology, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
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14
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Catarino J, Carvalho P, Santos S, Martins Â, Requicha J. Treatment of canine osteoarthritis with allogeneic platelet-rich plasma: review of five cases. Open Vet J 2020; 10:226-231. [PMID: 32821667 PMCID: PMC7419063 DOI: 10.4314/ovj.v10i2.12] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 05/17/2020] [Indexed: 12/16/2022] Open
Abstract
Background: Osteoarthritis (OA) is a major cause of chronic pain and lameness in dogs. Platelet-rich plasma (PRP) is a concentrate of growth and differentiation factors from the blood, which can be used in regenerative medicine strategies. Aim: The main aim of this study was to evaluate the effect of allogeneic PRP on the treatment of canine OA. Methods: Five dogs from several breeds, between 6 and 12 years old, and from both genders were studied. Clinical and imageological examinations diagnosed OA in the knee, tibiotarsal, elbow, and intercarpal joints. These dogs were refractory to medical therapy and to physical rehabilitation protocols that included shockwave therapy, laser therapy, electrostimulation, hydrotherapy, and diathermy. Animals were treated with allogeneic PRP obtained from the blood of the five dogs, which was processed in a pool. Echoguided intra-articular PRP injection was administered under sedation and after aseptic field preparation. Lameness at walk and trot (five grades) and pain (five scores) were evaluated before treatment and 30, 60, and 90 days post-treatment. Results: All animals presented improvements at 30 and 60 days in both parameters. Four dogs showed a decrease of three grades of lameness after 90 days and there was complete absence of lameness in 2 days. Pain was reduced from severe and moderate to mild in all the dogs after 30 days, and among them, three revealed no pain after 90 days. Conclusion: This study sheds light on the applicability and safety of a single administration of allogeneic PRP in osteoarthritic dogs.
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Affiliation(s)
- José Catarino
- Faculty of Veterinary Medicine, University Lusófona, Lisbon, Portugal
| | - Pedro Carvalho
- CIVG - Vasco da Gama Research Center, University School Vasco da Gama, Campus Universitário, Coimbra, Portugal.,Vetherapy - Research and Development in Biotechnology, Coimbra, Portugal
| | - Sara Santos
- Faculty of Veterinary Medicine, University Lusófona, Lisbon, Portugal
| | - Ângela Martins
- Faculty of Veterinary Medicine, University Lusófona, Lisbon, Portugal.,Arrábida Veterinary Hospital and Functional Animal Rehabilitation Center, Azeitão, Portugal
| | - João Requicha
- Faculty of Veterinary Medicine, University Lusófona, Lisbon, Portugal.,CECAV - Animal and Veterinary Research Center, Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
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15
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Pellegrini DZ, Müller TR, Fonteque JH, de Souza LP, de Souza AF, Joaquim JGF. Equine acupuncture methods and applications: A review. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.12928] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- D. Z. Pellegrini
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - T. R. Müller
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - J. H. Fonteque
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - L. P. de Souza
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - A. F. de Souza
- Faculty of Veterinary Medicine and Animal Science University of São Paulo (FMVZ/USP) São Paulo SP Brazil
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16
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Fan AY, Miller DW, Bolash B, Bauer M, McDonald J, Faggert S, He H, Li YM, Matecki A, Camardella L, Koppelman MH, Stone JAM, Meade L, Pang J. Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management-White Paper 2017. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2018; 15:411-425. [PMID: 29103410 DOI: 10.1016/s2095-4964(17)60378-9] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The United States (U.S.) is facing a national opioid epidemic, and medical systems are in need of non-pharmacologic strategies that can be employed to decrease the public's opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture's cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, and neonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.
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Affiliation(s)
| | - David W Miller
- The American Society of Acupuncturists, Chicago, IL 60618, USA.,The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA.,Pacific College of Oriental Medicine, Chicago, IL 60601, USA
| | - Bonnie Bolash
- The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA
| | - Matthew Bauer
- The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA.,The Acupuncture Now Foundation, La Verne, CA 91750, USA
| | - John McDonald
- The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA.,The Acupuncture Evidence Project, Providence, RI 02860, USA
| | - Sarah Faggert
- The American Society of Acupuncturists, Chicago, IL 60618, USA.,The Acupuncture Society of Virginia, Vienna, VA 22182, USA
| | - Hongjian He
- The American Society of Acupuncturists, Chicago, IL 60618, USA.,The National Federation of Chinese TCM Organizations, New York, NY 11501, USA.,The American Alliance for Professional Acupuncture Safety, Greenwich, CT 06878, USA
| | - Yong Ming Li
- The American Traditional Chinese Medicine Society, New York, NY 11501, USA
| | - Amy Matecki
- The American Alliance for Professional Acupuncture Safety, Greenwich, CT 06878, USA.,Highland Hospital, Alameda Health System, Oakland, CA 94602, USA
| | - Lindy Camardella
- The American Society of Acupuncturists, Chicago, IL 60618, USA.,The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA
| | - Mel Hopper Koppelman
- The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA.,The Acupuncture Evidence Project, Providence, RI 02860, USA
| | - Jennifer A M Stone
- The American Society of Acupuncturists, Chicago, IL 60618, USA.,Indiana University School of Medicine, Indianapolis, IN 46202, USA
| | - Lindsay Meade
- The American Society of Acupuncturists, Chicago, IL 60618, USA.,The Joint Acupuncture Opioid Task Force, La Verne, CA 91750, USA
| | - John Pang
- University of California, San Diego School of Medicine, San Diego, CA 92093, USA
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17
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Magden ER. Spotlight on acupuncture in laboratory animal medicine. VETERINARY MEDICINE-RESEARCH AND REPORTS 2017; 8:53-58. [PMID: 30050856 PMCID: PMC6042487 DOI: 10.2147/vmrr.s125609] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Acupuncture has been practiced for thousands of years, although it is only in the past century that science has worked to unravel the mechanisms behind its use. Literature supporting the efficacious use of acupuncture to treat a variety of conditions has been and continues to be published, including the randomized controlled studies we all appreciate when practicing evidence-based medicine. The use of acupuncture in veterinary medicine has paralleled the trends observed in people, with an increasingly common use to remedy specific medical conditions. These conditions are commonly related to neurological dysfunction or orthopedic pain. Although pain relief is the most common use of acupuncture, numerous other conditions have been shown to improve with this therapy. Laboratory animals are also benefiting from acupuncture. Its use is starting to be incorporated into research settings, although there is still further progress to be made in this field. Acupuncture has been shown to improve clinical conditions and quality of life in laboratory animals, and should be considered as a tool to treat laboratory animals with conditions known to benefit from therapy. Here we review the history, mechanisms of action, and use of acupuncture to treat veterinary patients and laboratory animals.
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Affiliation(s)
- Elizabeth R Magden
- Department of Veterinary Sciences, Michale E Keeling Center for Comparative Medicine and Research, University of Texas MD Anderson Cancer Center, Bastrop, TX, USA,
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18
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Daglish J, Mama KR. Pain: Its Diagnosis and Management in the Rehabilitation of Horses. Vet Clin North Am Equine Pract 2016; 32:13-29. [PMID: 27012506 DOI: 10.1016/j.cveq.2015.12.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
This article provides a brief overview of pain physiology and its relevance to equine patients. Objective and subjective techniques for assessing pain in the horse are described in depth. Pharmacologic and interventional pain modulation treatments are discussed with a focus on the rehabilitating horse.
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Affiliation(s)
- Jodie Daglish
- Equine Sports Medicine and Rehabilitation, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, 300 West Drake Road, Fort Collins, CO 80523, USA
| | - Khursheed R Mama
- Veterinary, Anesthesiology, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA.
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19
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Scallan EM, Simon BT. The effects of acupuncture point Pericardium 6 on hydromorphone-induced nausea and vomiting in healthy dogs. Vet Anaesth Analg 2016; 43:495-501. [DOI: 10.1111/vaa.12347] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2015] [Accepted: 12/21/2015] [Indexed: 11/30/2022]
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20
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Pieper K. [Perioperative pain therapy in dogs and cats - an overview]. TIERAERZTLICHE PRAXIS AUSGABE KLEINTIERE HEIMTIERE 2016; 44:200-8. [PMID: 27223267 DOI: 10.15654/tpk-160084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2016] [Accepted: 05/10/2016] [Indexed: 11/13/2022]
Abstract
Undermanaged pain leads to negative systemic effects that may greatly disturb our patients' welfare. Therefore, a pain assessment tool should be routinely implemented into clinical practice. Validated pain assessment tools are available for dogs and cats. Advanced analgesic therapy follows the principle of a multimodal approach. This means that different analgesic drugs, which act on different targets within the nociceptive pathway, are combined to achieve the desired analgesic effects. In addition to opioids, nonsteroidal anti-inflammatory drugs and local anaesthetics, α2-receptor-agonists, ketamine and gabapentin as well as different nonpharmacologic analgesic techniques are used within the framework of a multimodal analgesic plan.
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Affiliation(s)
- Korbinian Pieper
- Dr. Korbinian Pieper, Chirurgische und Gynäkologische Kleintierklinik, der Ludwig-Maximilians-Universität München, Veterinärstraße 13, 80539 München, E-Mail:
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21
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Epstein M, Rodan I, Griffenhagen G, Kadrlik J, Petty M, Robertson S, Simpson W. 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats*. J Am Anim Hosp Assoc 2015; 51:67-84. [DOI: 10.5326/jaaha-ms-7331] [Citation(s) in RCA: 104] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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22
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Epstein ME, Rodanm I, Griffenhagen G, Kadrlik J, Petty MC, Robertson SA, Simpson W. 2015 AAHA/AAFP pain management guidelines for dogs and cats. J Feline Med Surg 2015; 17:251-72. [PMID: 25701863 PMCID: PMC11148887 DOI: 10.1177/1098612x15572062] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2024]
Abstract
RATIONALE The robust advances in pain management for companion animals underlie the decision of the American Animal Hospital Association (AAHA) and American Association of Feline Practitioners (AAFP) to expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines. The 2015 Guidelines summarize and offer a discriminating review of much of this new knowledge. RELEVANCE Pain management is central to veterinary practice, alleviating pain, improving patient outcomes, and enhancing both quality of life and the veterinarian-client-patient relationship. These Guidelines support veterinarians in incorporating pain management into practice, improving patient care. APPROACHES The management of pain requires a continuum of care that includes anticipation, early intervention, and evaluation of response on an individual patient basis. A team-oriented approach, including the owner, is essential for maximizing the recognition, prevention and treatment of pain in animals. EVIDENCE BASE The Guidelines include both pharmacologic and non-pharmacologic modalities to manage pain; they are evidence-based insofar as possible and otherwise represent a consensus of expert opinion. Behavioral changes are currently the principal indicator of pain and its course of improvement or progression, and the basis for recently validated pain scores. Post-surgical pain is eminently predictable but a strong body of evidence exists supporting strategies to mitigate adaptive as well as maladaptive forms. Chronic pain is dominated by degenerative joint disease (DJD), which is one of the most significant and under-diagnosed diseases of cats and dogs. DJD is ubiquitous, found in pets of all ages, and inevitably progresses over time; evidence-based strategies for management are established in dogs, and emerging in cats.
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Affiliation(s)
- Mark E Epstein
- TotalBond Veterinary Hospitals PC, 3200 Union Road, Gastonia, NC 28056, USA
| | - Ilona Rodanm
- Cat Care Clinic and Feline-Friendly Consultations, 322 Junction Road, Madison, WI 53717, USA
| | - Gregg Griffenhagen
- Colorado State University School of Veterinary Medicine, 300 West Drake Road, Fort Collins, CO 80523, USA
| | - Jamie Kadrlik
- Pet Crossing Animal Hospital and Dental Clinic, 10861 Bloomington Ferry Road, Bloomington, MN 55438, USA
| | - Michael C Petty
- Arbor Pointe Veterinary Hospital/Animal Pain Center, 42043 Ford Road, Canton, MI 48187, USA
| | - Sheilah A Robertson
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA
| | - Wendy Simpson
- Morrisville Cat Hospital, 100 Keybridge Drive, Suite A, Morrisville, NC 27560, USA
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23
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Sheta E, Ragab S, Farghali H, El-Sherif A. Successful practice of electroacupuncture analgesia in equine surgery. J Acupunct Meridian Stud 2014; 8:30-9. [PMID: 25660442 DOI: 10.1016/j.jams.2014.07.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Revised: 07/12/2014] [Accepted: 07/15/2014] [Indexed: 11/30/2022] Open
Abstract
Electroacupuncture analgesia was used for surgery in horses and donkeys. A KWD-808 electrical stimulator was used to incrementally induce a dense, dispersed wave output at frequencies from 20 to 55 Hz, which was maintained at a frequency of 55 Hz, and to change the amplitude of the wave to the best grading number for the suggested operation in each animal. Induction of analgesia lasted for 20-30 minutes, and the effect of analgesia was maintained for 20-45 minutes depending on the type of surgery performed. The exhibited clinical signs, physical examination data, and the responses of all animals were used for evaluating the periods of analgesia. Although the majority of the cases (95%) had no response to strong surgical pain, they experienced significant increases in heart rates and respiratory rates during induction. The lack of pain, relaxed surgical procedures, reduced intraoperative bleeding, and improved healing without complications were all definite benefits of using electroacupuncture analgesia in surgery. Thus, this study has provided surgical evidence supporting the effectiveness of electroacupuncture analgesia, as well as confirming its reliability, in the field of equine anesthesia and surgery.
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Affiliation(s)
- Eldessouky Sheta
- Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt.
| | - Safwat Ragab
- Department of Anatomy and Embryology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt
| | - Haithem Farghali
- Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt
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