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Alternative Therapies – Part 2 INAG 120 – Equine Health Management October 17, 2011 October 17, 2011.

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Presentation on theme: "Alternative Therapies – Part 2 INAG 120 – Equine Health Management October 17, 2011 October 17, 2011."— Presentation transcript:

1 Alternative Therapies – Part 2 INAG 120 – Equine Health Management October 17, 2011 October 17, 2011

2 What is “Alternative?” Therapy other than conventional medicine surgery and dentistry Therapy other than conventional medicine surgery and dentistry Acupuncture Acupuncture Chiropractic Chiropractic Homeopathy Homeopathy Herbology and Naturopathy Herbology and Naturopathy Physical Therapy Physical Therapy Massage Reiki/Therapeutic Touch Hyperbaric Oxygen Therapy Hyperbaric Oxygen Therapy Extracorporeal Shock Wave Therapy Extracorporeal Shock Wave Therapy

3 Chiropractic -- American Veterinary Chiropractic Association

4 Chiropractic Chiropractic principles: Chiropractic principles: Relationship between structure and function of the vertebral column and how that affects health Relationship between structure and function of the vertebral column and how that affects health Manual therapy  uses controlled forces applied to specific joints or anatomic areas to cause a healing response Manual therapy  uses controlled forces applied to specific joints or anatomic areas to cause a healing response

5 Chiropractic… Principle: joint malfunction affects the normal neurological balance found in healthy animals Principle: joint malfunction affects the normal neurological balance found in healthy animals “bone out of place” is an outdated theory! “bone out of place” is an outdated theory! Restore normal joint motion Restore normal joint motion Stimulate nerve reflexes Stimulate nerve reflexes Reduce pain and abnormally increased muscle tone Reduce pain and abnormally increased muscle tone

6 Chiropractic… Successful manipulation  requires proper technique (correct direction, force, amplitude and speed) and increased psychomotor skills Successful manipulation  requires proper technique (correct direction, force, amplitude and speed) and increased psychomotor skills Successful adjustment = a “release” or movement of restricted joint is felt and may also be heard Successful adjustment = a “release” or movement of restricted joint is felt and may also be heard

7 Chiropractic Applications Indications for equine chiropractic evaluations: Indications for equine chiropractic evaluations: Back or neck pain Back or neck pain Localized or regional joint stiffness Localized or regional joint stiffness Poor performance Poor performance Altered gait not associated with obvious lameness Altered gait not associated with obvious lameness

8 Chiropractic Exam Equine chiropractors look for: Equine chiropractors look for: Localized muscle or skeletal pain Localized muscle or skeletal pain Abnormally increased muscled tone Abnormally increased muscled tone Restricted joint motion Restricted joint motion Chiropractic therapy can be helpful in muscle or skeletal conditions that are chronic or recurring, not easily diagnosed or not responding to traditional veterinary diagnostics Chiropractic therapy can be helpful in muscle or skeletal conditions that are chronic or recurring, not easily diagnosed or not responding to traditional veterinary diagnostics

9 Chiropractic… Not a “cure-all” for all back problems Not a “cure-all” for all back problems Not suggested to treat: Not suggested to treat: Fractures Fractures Infections Infections Cancer Cancer Metabolic disorders Metabolic disorders Nonmechanical joint problems Nonmechanical joint problems Serious diseases should be ruled out and treated by conventional vet medicine first Serious diseases should be ruled out and treated by conventional vet medicine first Can help restore muscle and skeletal function Can help restore muscle and skeletal function

10 Homeopathy Employs medicines from natural substances diluted to minute amounts to treat disease Employs medicines from natural substances diluted to minute amounts to treat disease Similar to vaccination Similar to vaccination Basic principles: Basic principles: Knowledge of disease Knowledge of disease Knowledge of medicines Knowledge of medicines Ability to judge correct amount, strength, frequency Ability to judge correct amount, strength, frequency Obstacles to recovery Obstacles to recovery Possible outcomes of treatment Possible outcomes of treatment

11 Homeopathy – Basic Tools Materia medicas – books reporting symptoms and clinical experience Materia medicas – books reporting symptoms and clinical experience Repertoires – list of symptoms with remedies known to impact them Repertoires – list of symptoms with remedies known to impact them Remedies – purchased from reliable pharmacies Remedies – purchased from reliable pharmacies Clinical judgment – vet training Clinical judgment – vet training Study, courses, reading and learning Study, courses, reading and learning

12 Herbology-Naturopathy Medical disciplines which employ natural substances to treat diseases Medical disciplines which employ natural substances to treat diseases MYTH: Herbs are natural so they are good for animals and they are safe. MYTH: Herbs are natural so they are good for animals and they are safe. FACT: Many plants will kill an animal, so it is extremely important to know what the effects of some herbs will have on a horse before you give it to them!!! FACT: Many plants will kill an animal, so it is extremely important to know what the effects of some herbs will have on a horse before you give it to them!!!

13 Chinese Herbal Medicine Physical Exam: Physical Exam: Basic physical exam PLUS two special regions Basic physical exam PLUS two special regions Tongue Diagnosis Tongue Diagnosis Shape and thickness, color of tip and body, color of the coating Shape and thickness, color of tip and body, color of the coating Pulse Diagnosis Pulse Diagnosis Three fingers in the jugular groove – rate, depth, strength, width and quality Three fingers in the jugular groove – rate, depth, strength, width and quality

14 Chinese Herbal Medicine In use for 4,000 years! In use for 4,000 years! Include 5,000 substances Include 5,000 substances Proper diagnosis is essential Proper diagnosis is essential Formula consisting of 3-12 herbs used for treatment (4 categories) Formula consisting of 3-12 herbs used for treatment (4 categories) 1. Emperor (Monarch) 2. Minister (Subject) 3. Assistant (Adjuvant) 4. Servant (Messenger)

15 Physical Therapy Use of non-invasive techniques for rehabilitation of injuries Use of non-invasive techniques for rehabilitation of injuries Massage Hydrotherapy Massage Hydrotherapy Stretching Heat Stretching Heat Laser Cold Laser Cold Electrical Stimulation Electrical Stimulation Magnetic Magnetic Ultrasound Ultrasound Rehabilitation exercises Rehabilitation exercises

16 Massage Therapy Technique in which practitioner uses hands and body to manipulate soft tissue Technique in which practitioner uses hands and body to manipulate soft tissue Positively affecting health and well-being Positively affecting health and well-being Should be practiced by a graduate of an accredited massage school with specialized training in equine anatomy, physiology, massage and veterinary ethics and under the referral of a veterinarian! Should be practiced by a graduate of an accredited massage school with specialized training in equine anatomy, physiology, massage and veterinary ethics and under the referral of a veterinarian!

17 Massage Therapy Palpation Palpation Lymphatic drainage Lymphatic drainage Muscle massage and mobilization Muscle massage and mobilization Deep transversal frictions Deep transversal frictions Stretching – fasciatherapy Stretching – fasciatherapy Mobilization Mobilization To combat physiological and biochemical effects of immobilization on muscle tissue

18 Reiki/Therapeutic Touch Use of touch to channel energy, remove blockages and direct healing Use of touch to channel energy, remove blockages and direct healing Some research supports its use in wound healing Some research supports its use in wound healing Used for: Used for: Reduce stress Reduce stress Recover from trauma Recover from trauma Recover from injuries Recover from injuries Resolve behavior problems Resolve behavior problems Improve well-being and balance Improve well-being and balance Treat depression and lethargy Treat depression and lethargy Increase flexibility Increase flexibility

19 Hyperbaric Oxygen Therapy (HBOT) HBOT: high-dose oxygen inhalation therapy HBOT: high-dose oxygen inhalation therapy 100% oxygen delivered 100% oxygen delivered Horse is in a pressurized chamber Horse is in a pressurized chamber Pressurization causes oxygen to be physically dissolved in the blood (as opposed to only being carried to cells via red blood cells/hemoglobin) Pressurization causes oxygen to be physically dissolved in the blood (as opposed to only being carried to cells via red blood cells/hemoglobin)

20 HBOT © Bill Ingram, Palm Beach Post

21 HBOT Primary therapeutic effect = increase tissue oxygen levels Primary therapeutic effect = increase tissue oxygen levels Other benefits: Other benefits: Decreases edema Decreases edema Modifying inflammatory effects (cytokines) Modifying inflammatory effects (cytokines) Stimulation of granulation tissue formation Stimulation of granulation tissue formation Accelerating collagen deposition Accelerating collagen deposition Increasing breakdown of pro-oxidants Increasing breakdown of pro-oxidants

22 HBOT Why use it? Why use it? Damaged tissue may not heal properly or respond to antibiotics if oxygen levels are not high enough Damaged tissue may not heal properly or respond to antibiotics if oxygen levels are not high enough HBOT may normalize activity of certain antibiotics HBOT may normalize activity of certain antibiotics May affect immune system response, enhance oxygen-radical scavengers, thereby decreasing ischemia-reperfusion injury May affect immune system response, enhance oxygen-radical scavengers, thereby decreasing ischemia-reperfusion injury No damaging side effects! No damaging side effects!

23 HBOT What are the current uses in horses and does it work? What are the current uses in horses and does it work? Badly infected wounds Badly infected wounds Shown to be effective in enhancing wound healing in both acute and chronic cases and treatment of infections including osteomyelitis Shown to be effective in enhancing wound healing in both acute and chronic cases and treatment of infections including osteomyelitis Improve pulmonary function in racehorses Improve pulmonary function in racehorses No research to support this use No research to support this use Closed head injuries Closed head injuries Ileus Ileus

24 HBOT Exceptional blood-loss anemias (neonatal isoerythrolysis) Exceptional blood-loss anemias (neonatal isoerythrolysis) Fungal disease (fungal pneumonia) Fungal disease (fungal pneumonia) Thermal burns, carbon monoxide poisoning, smoke inhalation Thermal burns, carbon monoxide poisoning, smoke inhalation CNS edema/perinatal asphyxia CNS edema/perinatal asphyxia Peripheral neuropathies Peripheral neuropathies Sports injuries (exertional rhabdomyolysis) Sports injuries (exertional rhabdomyolysis) Fracture non-union Fracture non-union Cellulitis, compartment syndrome Cellulitis, compartment syndrome Ischemic injuries (laminitis) Ischemic injuries (laminitis)

25 Extracorporeal Shock Wave Therapy (ESWT) Application of high intensity acoustic radiation to a very small area Application of high intensity acoustic radiation to a very small area Popular though rather new treatment for musculoskeletal conditions Popular though rather new treatment for musculoskeletal conditions Studies conflict Studies conflict Has been shown to significantly reduce lameness Has been shown to significantly reduce lameness Recent Swiss study  no analgesic effect Recent Swiss study  no analgesic effect

26 ESWT Current treatment applications in horses: Current treatment applications in horses: Inflammation of suspensory ligament and other soft tissue injuries Inflammation of suspensory ligament and other soft tissue injuries Osteoarthritis Osteoarthritis Horses w/ arthritis in the knee had significant improvement in lameness scores as compared to horses with no treatment or horses injected with PSGAGs Horses w/ arthritis in the knee had significant improvement in lameness scores as compared to horses with no treatment or horses injected with PSGAGs New use: Wound management New use: Wound management Treated wounds had significantly decreased time to healing compared to untreated wounds Treated wounds had significantly decreased time to healing compared to untreated wounds


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