Equine Chiropractice: General Principles and Applications
Therapeutic Options Applying Acupuncture to Lameness in the Horse Equine Chiropractice: General Principles and Applications by Kevin Haussler Veterinary chiropractic should be considered a medical act and should be perormed by a licensed !eterinarian or a chiropractor under the direct reerral o a !eterinarian in accordance "ith that state#s practice act$ %t is recommended that e&tensi!e educational programs be underta'en beore a !eterinarian or chiropractor is considered competent to practice chiropractic on animals$ (rom the AAEP Guidelines on Therapeutic Options$ CHIROPRACTIC PRICIP!E" The "ord chiropractic is deri!ed rom the Gree' "ords cheir meaning )hand* and pra'ti'e meaning )business or to practice$* The practice o chiropractic ocuses on the relationship bet"een structure +primarily the !ertebral column, and unction +as coordinated by the ner!ous system, and ho" that relationship aects health$ Chiropractic is a orm o manual therapy that uses controlled orces applied to speciic -oints or anatomic areas to cause a healing response$ This response is due to changes in -oint structures. muscle unction and neurologic rele&es$ The principle common to all chiropractic theories is that -oint malunction aects the normal neurological balance ound in healthy indi!iduals$ The theory o a )bone out o place* is outdated and not supported by current spinal research$ The goals o chiropractic treatment are to restore normal -oint motion. stimulate ner!e rele&es and reduce pain and abnormally increased muscle tone$ /uccessul manipulation requires proper technique +i$e$. correct direction. orce. amplitude and speed, and increased psychomotor s'ills$ A thorough 'no"ledge o !ertebral anatomy and -oint biomechanics is also required or proper chiropractic e!aluation and treatment$ 0uring a successul ad-ustment. a )release* or mo!ement o the restricted -oint is oten elt$ An audible )popping* sound may also be heard during treatment as the applied orce o!ercomes the -oint#s resistance$ APP!ICATIO" Chiropractic pro!ides additional diagnostic approaches that are not currently a!ailable in !eterinary medicine$ The main indications or equine chiropractic e!aluation are bac' or nec' pain. locali1ed or regional -oint stiness. poor perormance and an altered gait that is not associated "ith ob!ious lameness$ A thorough diagnostic "or'up is required to identiy sot tissue and bone2related problems. neurologic disorders or other lameness conditions that may not be responsi!e to chiropractic care$ The primary signs that equine chiropractors loo' or are locali1ed muscle or s'eletal pain. abnormally increased muscle tone and restricted -oint motion$ This triad o signs can be ound in a !ariety o lo"er limb disorders. but is most e!ident in nec' or bac' problems$ Chiropractic care can help manage the muscular. -oint. and neurologic portions o certain muscle or s'eletal in-uries in perormance horses$ Chiropractic consultation may be indicated in muscle or s'eletal conditions that are chronic or recurring. not easily diagnosed or not responding to traditional !eterinary care$ Trained equine chiropractors should be able to e!aluate !ertebral disorders and determine i the bac' problem has the potential to respond to chiropractic care or i the condition "ould be better managed "ith traditional !eterinary diagnostics and treatment$ 3nortunately. chiropractors are oten as'ed to treat animals as a last resort. "hen all else has ailed or "hen the disease has progressed to an irre!ersible condition$ Chiropractic care has helped some o these chronic conditions "hen other types o con!entional treatment ha!e ailed$ Ho"e!er. chiropractic is usually much more eecti!e in the early clinical stages o disease !s$ end2stage disease "here healing processes ha!e been used up$ 4hen used as a last resort. chiropractic care and other holistic methods oten ail to produce their ull healing eects$ Chiropractic is not a )cure2all* or all bac' problems and is not suggested or treatment o ractures. inections. cancer. metabolic disorders or nonmechanical -oint problems$ Horses "ith acute episodes o sprains or strains. arthritis or impinged spinous processes are also not good candidates or sole chiropractic care$ All neurological diseases should be ully "or'ed up to assess the potential ris's or beneits o chiropractic treatment$ /erious diseases requiring immediate medical or surgical care need to be ruled out and treated by con!entional !eterinary medicine beore routine chiropractic treatment is begun$ Ho"e!er. chiropractic care may contribute to the rehabilitation o most cases ater surgery or se!ere medical conditions by helping restore normal muscle and s'eletal unction$ Chiropractic care cannot re!erse se!ere degenerati!e processes or ob!ious abnormalities in tissue$ "#$$AR% Chiropractic pro!ides additional diagnostic and therapeutic means that may help equine practitioners identiy and treat the primary cause o lameness or poor perormance$ %t pro!ides speciali1ed e!aluation and treatment o -oint. neurological and muscle or s'eletal disorders that are currently lac'ing in traditional !eterinary medicine$ Ho"e!er. limited research is a!ailable on equine chiropractic and other non2traditional methods in the industry$ The use o chiropractic principles and techniques on animals is dependent on uture research into the eecti!eness and uses or managing bac' problems in horses$ 5$ title Equine Chiropractice: General Principles and Applications 6$ author 7e!in Haussler 8$ bio 0V9. 0C. Ph0 :$ source AAEP con!ention ;$ date <o!ember 6=== >$ category alternati!e therapy ?$ te&t posted by @ose posted: >A5;A6==6$ Last updated: >A5;A6==6$ Therapeutic Options by Kevin Haussler &source: AAEP convention '
The AAEP supports the rights o the !eterinary practitioner to select and prescribe a course o therapy belie!ed to be in the best interest o the horse and consistent "ith the Veterinary Oath o Practice$ Guidelines on Therapeutic Options &())*' 0iagnostic e!aluation by a licensed !eterinarian is required prior to any o the ollo"ing therapies$ Acupuncture22Veterinary acupuncture and acutherapy are considered !alid modalities. but the potential or abuse e&ists$ These techniques should be regarded as surgical andAor medical procedures under state !eterinary practice acts$ %t is recommended that e&tensi!e educational programs be underta'en beore a !eterinarian is considered competent to practice acupuncture$ Chiropractic22Veterinary chiropractic should be considered a medical act and should be perormed by a licensed !eterinarian or a chiropractor under the direct reerral o a !eterinarian in accordance "ith that stateBs practice act$ %t is recommended that e&tensi!e educational programs be underta'en beore a !eterinarian or chiropractor is considered competent to practice chiropractic on animals$ Homeopathy22Homeopathy is a medical discipline that employs medicines rom natural substances diluted to minute amounts to treat disease$ %t is recommended that e&tensi!e educational programs be underta'en beore a !eterinarian is considered competent to practice homeopathy$ Herbology-Naturopathy22Herbology and naturopathy are medical disciplines "hich employ natural substances to treat diseases$ %t is recommended that educational programs be underta'en beore a !eterinarian is considered competent to practice herbology and naturopathy on animals$ Massage229assage is a technique in "hich the practitioner uses hands and body to manipulate sot tissue. thereby positi!ely aecting the health and "ell2being o the animal$ 9assage should be perormed by a graduate o an accredited massage school "ho has speciali1ed training in equine anatomy. physiology. massage. and !eterinary ethics$ The "or' should be done under the reerral o a !eterinarian$ Physical Therapy22An equine physical therapist uses non2in!asi!e techniques or the rehabilitation o in-uries$ Physical therapy is deined as including the use o massage. stretching. laser. electrical stimulation. magnetic. ultrasound. rehabilitati!e e&ercises. hydrotherapy. heat. and cold$ The "or' must be perormed under a reerral o a !eterinarian ollo"ing a !eterinary diagnosis$ Guidelines or Alternati!e and Complementary Veterinary 9edicine +AV9A 5CC>, AAEP note: Only those modalities not previously addressed by AAEP guidelines are provided here !or a complete description o" A#MA guidelines$ please re"er to the A#MA directory Veterinary Dotanical 9edicine is the use o plant and plant deri!ati!es as therapeutic agents$ %t is recommended that continued research and education be conducted$ /ince some o these botanicals may be to&ic "hen used at inappropriate doses. it is imperati!e that !eterinary botanical medicine be practiced only by licensed !eterinarians "ho ha!e been educated in !eterinary botanical medicine$ Communication on the use o these compounds "ithin the conte&t o a !alid !eterinarianAclientApatient relationship is important$ <utraceutical 9edicine is the use o micronutrients. macronutrients. and other nutritional supplements as therapeutic agents$ Communication on the potential ris's and beneits rom the use o these compounds "ithin the conte&t o a !alid !eterinarianAclientApatient relationship is important$ Continued research and education on the use o nutraceuticals in !eterinary medicine are ad!ised$ Holistic Veterinary 9edicine is a comprehensi!e approach to health care employing alternati!e and con!entional diagnostic and therapeutic modalities$ %n practice. holistic !eterinary medicine incorporates. but is not limited to. the principles o acupuncture and acutherapy. botanical medicine. chiropractic. homeopathy. massage therapy. nutraceuticals. and physical therapy as "ell as con!entional medicine. surgery. and dentistry$ %t is recommended that holistic !eterinary medicine be practiced only by a licensed !eterinarian educated in the modalities employed$ The modalities comprising holistic !eterinary medicine should be practiced according to the licenser and reerral requirements concerning each modality$ A+erican Association o, Equine Practitioners -./0 Iron 1or2s Pi2e !e3in4ton5 K% -.0(( &6.6' *778.(-/ 999:aaep:or4 posted by @ose posted: >A5;A6==6$ Last updated: ?A5EA6==;$ Applyin4 Acupuncture to !a+eness in the Horse by Allen "choen &source: AAEP convention'
Veterinary acupuncture and acutherapy are considered !alid modalities. but the potential or abuse e&ists$ These techniques should be regarded as surgical andAor medical procedures under state !eterinary practice acts$ %t is recommended that e&tensi!e continuing education programs be underta'en beore a !eterinarian is considered competent to practice acupuncture$ (rom the AAEP Guidelines on Therapeutic Options ITRO;#CTIO There has been a great increase in interest in !eterinary acupuncture in the equine industry recently. both by the public and the !eterinary medical community$ 4ith this increased a"areness. there has been an increase in research and thus a better understanding o the physiologic basis and practical applications o acupuncture$ One o the main applications in equine practice is related to the treatment and diagnosis o lameness$ Acupuncture may be used as both an ad-unct +addition, to the traditional lameness e&amination as "ell as an ad-unct to the treatment o certain lamenesses$ "CIETI<IC =A"I" Acupuncture may be deined as the stimulation o speciic points on the body to achie!e a therapeutic or homeostatic +returning the body to its normal state, eect$ Acupuncture points are areas on the s'in o decreased electrical resistance or increased electrical conducti!ity$ Acupuncture points correspond to our 'no"n neural structures: 2Type % acupoints. or motor points. are located "here the ner!e enters the muscle 2Type %% acupoints are located on the supericial ner!es 2Type %%% acupoints are ound "here there is a high density o supericial ner!es 2Type %V acupoints are located at the muscle2tendon -unction Acupuncture has many physiologic eects on all systems throughout the body$ <o one mechanism can e&plain all the physiologic eects obser!ed$ Essentially. acupuncture stimulates !arious sensory receptors +pain. temperature. pressure and touch, "hich stimulate sensory ner!es. transmitting the signal through the central ner!ous system to the brain$ Various transmitters and hormones are then released rom the brain to ha!e their eects throughout the body$ TECHI>#E" There are numerous techniques to stimulate acupuncture points. such as dry needle stimulation. electroacupuncture. aquapuncture. acupressure and others$ Each method has its strengths and "ea'nesses$ 0eciding "hich acupuncture point to stimulate is based on locating points on the body "here stimulation "ill produce a beneicial change in the central ner!ous system. altering on2going physiologic acti!ity in the horse#s body$ The number o treatments required depends upon the condition treated and ho" long the problem has e&isted$ The length o indi!idual treatments usually ranges rom ; to 8= minutes$ APP!ICATIO" TO THE !A$EE"" E?A$IATIO Acupuncture is an e&cellent diagnostic aid as an ad-unct to con!entional lameness e&amination$ Acupuncture diagnosis is based on the le!el o sensiti!ity to palpation o particular acupuncture points +acupoints, that ha!e been ound to correspond "ith speciic conditions$ %n addition. there are diagnostic points that are actually trigger points. 'nots or tight bands in a muscle$ (or e&le. a triceps trigger point is oten quite sensiti!e to palpation "hen a lo"er orelimb lameness is present$ %t may not indicate e&actly "here the lameness is or "hat is causing it. but it does mean that something is reacti!e in that region$ Each diagnostic acupoint may ha!e our or i!e meanings. depending on "hich other points sho" up as reacti!e upon e&amination$ The combination o reacti!e points oten times "ill assist the diagnosis and aid in locali1ing the cause o the problem$ /ometimes acupoint diagnosis "ill help determine "hich o t"o or more problems may ha!e come irst. such as in the case o a lo"er limb lameness accompanied by a bac' problem$ Patterns o trigger points ar distant to the primary problem. compensating or the primary problem. ha!e also been ound$ Acupuncture diagnosis can be an e&cellent ad-unct to the lameness e&amination in addition to le&ion tests. diagnostic ner!e bloc's. radiographs +&2rays,. ultrasound and luoroscopy +&2rays in motion,$ %t is not uncommon to use all o these diagnostic techniques. including nuclear scintigraphy +bone scanning,. and still not arri!e at a diagnosis$ Acupuncture is oten an e&cellent complementary technique that may assist in iguring out the problem$ APP!ICATIO" TO !A$EE"" TREAT$ET Acupuncture is also used successully in the treatment o !arious equine lamenesses either as the primary treatment or as an ad-unct to con!entional !eterinary treatment$ (or instance. a primary hoc' problem may be treated "ith an in-ection o medication directly into the -oint$ Ho"e!er. it may not completely resol!e the entire complaint the o"ner has$ The horse may still )not be right* or be )o$* There oten times is secondary compensation resulting in patterns o trigger points in the bac' or nec' that remain unresol!ed$ Acupuncture therapy may then be used quite successully to treat the secondary problems o the primary hoc' problem$ Acupuncture has been used successully in the treatment o numerous equine lamenesses including chronic bac' problems. hoc' or stile problems. laminitis. na!icular disease and !arious sot tissue in-uries$ Acupuncture may also be beneicial in the treatment o non2lameness problems in the horse such as colic and diarrhea as "ell as reproducti!e. neurologic and respiratory conditions$ Acupuncture is an e&citing ne" +yet ancient, diagnostic and therapeutic technique that has been incorporated into a number o equine practices$ %t oers an additional approach to diagnostic and therapeutic dilemmas that may not ha!e adequate ans"ers based on con!entional "estern medicine$ (urther research "ill continue to e&plain the physiologic basis o acupuncture$ 5$ title Applying Acupuncture to Lameness in the Horse 6$ author Allen /choen 8$ bio 0V9. 9/ :$ source AAEP con!ention ;$ date <o!ember 6=== >$ category alternati!e therapy ?$ te&t posted by @ose 'ey"ords: te&t $ posted: >A5:A6==6$ Last updated: >A5;A6==6$