Veterinary Client FAQs

 

Pain Management - Pain is a symptom, address the disease and we can stop chasing the pain.

(Insert - a dog chasing it's tail?)

1.  How do I know my dog is in pain? 

  • Hesitation or Trouble doing things they can normally do

  • Grumpiness with movement

  • Slow movement

  • Limping (even if intermittent)

  • Sad face/lip licking (add video of Siboo)

2. Should I skip my dog's pain meds or Trazadone the day I see you? I want you to find the problem.

  • No.  I promise, we will find the problem, please give their medications. 

3.  Can we help my dog relieve pain without medications? 

4.  Is using multiple mediations safe to use? What do they do?

Pain is a complex problem - whenever we try to solve a problem with multiple parts, we have to address all the parts for best outcome.  I use a combination of medications, supplements, and non-drug modalities from day one to reduce needs for medications overall as quickly as possible and in the smartest order.  Without the correct order/approach it is common to hear my clients come in the first day saying - "The meds don't seem to help anymore."

5.  What are the things I can do at home to help my dog get pain relief? 

6.  What are the things we can do to get my dog off of daily pain meds? 

  • All of the above in #5 plus rehab exercise and interventions that have longer lasting benefits!

7.  How long does it take to see benefits from pain meds? 

  • 30 days (some improvement the first week

8.  What are the best joint supplements for my arthritic dog?

9.  How do I get my dog to loose weight?

You should be able to feel your dog's ribs like they are wearing a t-shirt - not a hoodie.

  • Calculate daily calories for super fit weight! Here is an online calculator!

  • Feed less carbs.  Just like people.  Set up a one hour consult for discussion and coupons!​

10.  My dog is slowing down - are they just getting old? What do you mean, maladaptive pain?

I am often asked if age slows down our dogs - I would tell you that if this has a timeline of much worse over a few months, or a history of OA or surgery, it is much more likely the pain system that is over activated.  We call this maladaptive pain.  Best news: it is reversible and manageable.

Regenerative Medicine - Help the body rebuild after damage and as it ages and we will have better health longterm.

(Insert active well muscled dog)

1.  Can you do joint injections for dogs?

  • Absolutely.   I am a big fan of joint lubrication as means to physically reduce cause of pain!  I use a combination of lubrication and substance to give them more glide and cushion.

  • I do them about every 6-12 months for dogs with arthritis and am able to greatly reduce medications and improve their quality of life.  See the Video Iibrary!

 

2.  What is PRP good for? Platelet Rich Plasma (add links from previous list above)

  • Reducing inflammation over time - best for tendon injections​​

  • Can be used for post op ACL patients with good success

  • Requires 1-2 treatments and 90 days to see improvement in arthritic joints

3.  What are stem cells good for?

  • In my hands, they have been best for reducing needs for anti-inflammatory medications.

  • Best oucomes - hip OA, elbow OA, Back pain - see the video library!

  • Repeat every 6-12 months

  • There is much to discuss here, please schedule an appointment for all the details.

  • Two options:  treatment with donor cells vs self harvest

4.  What is shockwave and what does it do?

  • This is a special technology that uses a machine to focus sound into tissue - the results are that we can improve flexibility, relieve painful muscle spasm, and reduce maladaptive pain.  I often also have some neurologic signaling improvement in dogs that have been paralyzed or are weak.

  • We start with 1-2 treatments and it can be repeated as often as needed, most dogs with OA - 3-6 mos

    • We will give them medication to relieve anxiety and sometimes light sedation for best results and fewer treatments.  There are dogs we don't give any sedation for this treatment, just some great food!​

5.  What is acupuncture good for?

  • Truly a lifesaving skill for patients recovering from paralysis!

    • See my Video library.   ​

    • Can we avoid back surgery: most of the time.

    • Plan on weekly x 3 weeks then twice monthly for big impairments

  • I use Acupuncture with the best results for pain in the back and to stimulate slow nerve conduction.

    • Examples: weak back legs, slow GI movement (vomiting/diarrhea), incontinence

  • We have a Chinese medicine doc in our clinic who can help you with acupuncture in other ways

6.  When should my dog get a chiropractic adjustment?

  • Anytime you want your dog to have improvement in their motion of their spine!

  • Most fitness clients come monthly, sometimes I recommend more often if we are solving a specific problem and they are not in rehab with therapists.

  • If in rehab - every 2-3 months

  • See testimonial video from Julie about Jasmine her agility dog

7.  Is PEMF therapy real?

  • For OA and wound healing: PEMF Assisi pet bed or loop: https://assisianimalhealth.comYES!  Magnetic therapy has been avaliable to us for a long time, but with nebulous efficacy data.  

  • For nerve related pain: ​especially good for small dogs with neck pain

8.  Is laser therapy real? Does it work? 

Rehabilitation Exercise and Conditioning

(Insert ski juring dog)

1.  My dog is hurt - when are they allowed to do stairs again? 

  • Right of passage - 3 legged stand for 15 sec per foot - see video: https://youtu.be/bAeZUPYFhNc

  • This is likely 8 weeks after knee surgery or injury

2.  How long does it take to do enough rehab exercise for my dog to be able to run off leash without injury?

  • Varies with severity of injury - expect 90 days

3.  How do we prevent injury for my agility dog?

  • Excellet core strength

  • Full spine and hip flexibility

  • Eccentric exercise for shoulders and hips

  • We will teach you everything!  Schedule today.

Other Medical Conditions

(Insert image to convey the idea that pain receptors are everywhere and GI can set of joint pain - image might look like a flight map of an airline hub out of Denver to connecting airports but on a dog)

 

1.  How is GI sensitivity related to pain? (Trust me: it is).

Pain receptors and inflammation receptors in the GI tract are the same as they are in the rest of the body, an increase in pain chemistry acts globally.  When was the last time your stomach hurt? Miserable isn't it?

  • See the story of Joey in my video library for a life changing difference when this is addressed.

2.  How are allergies related to pain? ​

  • Ever had so many mosquito bites you hurt or feel like you might go crazy? The chemistry and pain mechanisms for itching are also related to the pain cascade and can really change our quality of life.  Let's get on this.

Strange Behavior

1.  Is my aggressive dog painful?

  • I have never seen a fear reactive dog that was NOT painful.  Period.

    • See my video library for Bella the golden.​

2.  Is my fearful dog painful? 

  • It is so common and we often miss this until they are older.

    • See my video library for Harper's story.​