Educational Articles
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Pain research suggests that multi-modal therapy is the best choice for managing the chronic pain of OA. In this approach, multiple approaches are used together to manage OA pain, including non-steroidal anti-inflammatory drugs (NSAIDs), joint supplements, nutraceuticals, nutrition, adjunctive medicines, physical medicine, and changes to the home environment.
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Many herding breeds (most commonly Collies and Australian Shepherds) have a mutation at the MDR1 gene that makes them more sensitive to the negative effects of certain medications. These drugs include several antiparasitic agents (when given at high doses), the antidiarrheal agent loperamide (Imodium®), and several anticancer drugs. The effects of the mutation vary in severity, depending on whether the dog carries one or two copies of the mutation. There is a cheek swab or a commercially-available test that assesses blood samples for the presence of the MDR1 mutation.
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Supportive braces can help dogs with many orthopedic conditions, including skeletal deformities, carpal hyperextension, and cruciate ligament disease. It is important to have any brace properly fitted to avoid complications. Braces are not considered equivalent to surgery for cruciate ligament disease.
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Pneumothorax is an accumulation of air outside the lungs, but inside the chest wall. The air outside the lung prevents the lungs from inflating normally, and can lead to lung collapse. There are several variations of pneumothorax.
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Pulsed electromagnetic field (PEMF) therapy is the use of a generated electromagnetic field to affect changes in tissues of the body. PEMF is believed to have beneficial pain-relieving and healing effects but definitive clinical evidence or a positive benefit is currently lacking. Potential benefits and contraindications are discussed.
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Pyelonephritis is an upper urinary tract infection involving the kidneys and ureters. Many cats have no clinical signs when they have pyelonephritis, although they may have signs of lower urinary tract disease. Pyelonephritis is usually caused by a bacterial infection that moves up the urinary tract from the bladder to the kidneys. Cats with sudden pyelonephritis do well and return to normal health unless concurrent complications exist.
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Radiation is a type of energy produced naturally by the sun, earth, and rocks and artificially by machines. Although several types of tumors can be treated with radiation therapy alone (e.g., nasal tumors, brain tumors, and certain types of lymphoma), radiation therapy is most commonly used to destroy or limit the growth of cancer cells left behind (i.e., microscopic disease) after a tumor has been surgically removed. Side effects depend on the type and location of the tumor and its surrounding tissues.
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This handout provides a brief overview of the most common evidence-based modalities used in veterinary medicine. Pet owners need to discuss the risk of recommended modalities for their specific pet with a trained and certified rehabilitation therapist before starting a rehabilitation program.
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The main objectives of fracture repair are to promote rapid healing of the fracture and to get the dog using its leg as quickly as possible. In most cases, this involves rebuilding the broken bone and fixing it in that position with metallic implants. Post-operative care includes pain medications, antibiotics, adequate nutrition, exercise restriction, and physiotherapy. Most fractures can be repaired very effectively and in many cases, your dog will resume normal activity.
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Nebulization and coupage are used in patients with a variety of lung conditions and can be performed by veterinary staff and pet owners. Nebulization may be used to deliver a variety of medications to the lungs, in cases of infection, allergic lung disease, or other lung conditions. Coupage is often recommended for patients with pneumonia or bronchitis.