So What Have I Learned?
I have spent an exhausting yet rewarding 23 years in the veterinary field as a technician. During the last four years, my time has been devoted to the area of animal rehabilitation therapy (doggie physical therapy but we can’t call it that due to rules and regulations, blah, blah, blah). This has been a rewarding and challenging area of focus with some triumphs and flat out failures. As a perfectionist at heart, the reality of my new field has humbled me with it’s ups and downs and uncertain outcomes. The technician’s rehab experience will be different than that of a veterinarian or human physical therapist. In my rehab case, I went from being a worker bee (carrying out the doctor’s orders) to being a decision maker and treatment planner. The patient’s outcome rested mostly on my shoulders with the rehabilitation plan that I designed. Talk about a whole new level of stress! Upon reflection of theses last few years, I have come to a few conclusions about rehabilitation therapy.
Pearls of Wisdom That I Have Learned
1. The classes and text books are only small part of the learning process when trying to develop a rehab program or protocol. The real learning begins when you are on your own and managing your own cases. Reality can be harsh but a great teacher. Make your mistakes, learn from them, move on.
2. There are way more tools and modalities then you will ever need or use in general on a daily basis (this is just a practical truth). Pick the ones that you feel will allow you to achieve the most reliable results in the best amount of time. For me, laser and aqua therapy are my core modalities with land exercises (using Fitpaws equipment) coming in third.
3. Your eyes and hands are the most valuable assessment tool that you have. Place your hands on every patient and learn to trust yourself.
4. Some dogs just don’t get better. Rehab is not guaranteed to always have a positive outcome. There are a variety of reasons that this may be true such as surgical complications, progressing disease process, and/or overall body condition. Except this and find a good solution for their needs.
5. Rehab (specifically the underwater treadmill) can’t fix everything. Sometimes surgery or (gasp) plain old rest is a better solution to the problem. In a few cases such as disk disease, exercise can even make the symptoms worse. Continue…
After several years of managing the lame and painful dog in our rehabilitation practice, we have learned a thing or two. One of our biggest accomplishments has been to recognize that joints are not the only source of chronic pain in our patients. Sure, things may start with a torn cruciate ligament or other joint issue, but for our painful patients, it rarely stays as just one source of discomfort. Shifting off of a painful limb or area changes how a pet moves and maintains their body weight. This puts an aggravating stress and strain on compensating joints and muscle groups. During a period of play, a dog may twist the wrong way and partially tear a cruciate ligament. They then begin to shift their weight to the opposite hind leg, tuck their pelvis, or shift weight primarily to the front limbs to avoid painful movement. That works great initially until the joint and muscles of the other limbs protest and begin to spasm.
Iliopsoas, a Common Source of Pain
A great example of a compensatory strain and a common source of chronic pain and lameness is the iliopsoas muscle. The psoas major and iliacus muscle groups combine to form a band of muscle (the iliopsoas)originating along each side of the lumbar spine and inserting on the inside portion of each femur (we would call this a groin muscle). A dog would use these muscles to flex the hip and lower portion of the spine, for lateral rotation of the thigh, and to advance the femur forward. Canines who participate in activities or sports that involve a lot of jumping or movements with great hip extension can aggravate the iliopsoas resulting in knocked bars, shortened jumps, and a skipping gait. What kind of activities would that be? Dock Diving, Agility, Fly Ball, Lure Coursing, regular frisbee and ball play. We will also see iliopsoas stain and pain as a secondary issue in our patients with orthopedic changes such as hip dysplasia, arthritic hind end joints, disk disease/back injury, and recovering post-op orthopedic repair (to name a few). Continue…
Canine Rehabilitation Therapy: An Awesome Option for Many Pets!
Canine rehabilitation is a rapidly expanding area of veterinary medicine. This specialized field is represented all over the internet through informative articles and eye catching advertisements from rehab providers stating how physical rehabilitation therapy will benefit your pet. Then, of course, there are the amazing videos everywhere that perfectly demonstrate super cool rehab exercises (with well trained and healthy dogs, naturally). It all seems so easy and straight forward. Get a needy dog into the clinic, have them complete a few customized exercies and other therapies, then send them on their way with some “home work”. The road to recovery is all rainbows and sunshine, right? Well, not when you are dealing with the reality of real-life pet ownership. Daisy is a great example of the canine rehabilitation process for many of our cases.
Introducing Daisy, a Typical Post-Op Rehab Case
Mz. Daisy is a young bulldog who tore her cruciate ligament and had an artificial suture placed to stabilize her knee. She began rehab therapy 1 week after surgery and has continued her sessions once weekly for the next 10 weeks. Here is a typical day with this energetic female powerhouse: Continue…