The Animal Doctor's holistic practice of focusing on the wellness of the whole animal through Natural Nutrition, Essential Oils, Chinese and Western Herbs is eager to announce the addition of our "Romp & Rehab"!

Our program incorporates the above plus focuses on pet mobility wellness or rehabilitation for the canine athlete, hunting, service dog or any loyal companion to maximize his/her health and agility.

Our newly created romper room and equipment will offer programs and sessions specifically "tail"ored to your animal's needs. Preventative conditioning, rehabilitation, enhancement of sports or agility abilities can be provided.

Introduction to Canine Physical Rehabilitation:
Canine physical rehabilitation is a relatively new field for both veterinarians and pet owners. It is similar to human physical therapy, which has been a mainstream treatment for decades. As we’ve learned from the human model, as well as extensive research, canine rehabilitation can return your companion to a comfortable and functional lifestyle more effectively than one without rehab.

Rehabilitation can be used in many situations that you may not even realize. Most of us know that it can aid in post-operative recovery. It enhances the healing process while decreasing the pain and inflammation associated with the surgery (and decreases the risk of post-op problems and recovery time, saving you money in the long run). We also understand its benefits when recovering from trauma or sports injuries, like a sprain or strain, since we hear about it so regularly in the human sports world. Physical therapy can also help pets that are suffering from other problems like arthritis, nerve disease, hip and elbow dysplasias, or any chronically painful condition. And what a wonderful tool to help overweight pets lose weight in both a comfortable and safe way!

There are numerous modalities that can be utilized in canine rehabilitation. Some of them can be taught to you to use at home, while others involve high-tech equipment that will be performed by our technicians at Animal Doctor. The key to successful rehabilitation is applying a team approach. With your help, we will design a personalized program for your pet, and check their progress on a regular basis. Your job will be to support your pet with good nutrition, weight management, an appropriate home environment, home exercises and daily monitoring.

The modalities used at Animal Doctor include:
Nutritional consultation: We focus on preventative care and holistic treatment for disease. A holistic approach to pet care looks at the whole animal. Since there is truth to “you are what you eat,” we recommend and sell high quality foods with balanced nutrition. Whether you home prepare your pet’s food or decide to feed a commercial brand, we will guide you in appropriate nutrition and supplements that may help your pet. By decreasing grains alone, you can decrease the inflammatory cycles in your pet. Dr. Jodie has also been trained in Chinese and Western herbs and can recommend an appropriate herbal medication for your pet’s needs.
Rehabilitation evaluation: Rebecca McCracken, DVM is an experienced veterinary rehabilitator. She also practices veterinary spinal manipulation (chiropractic). VMST is a technique used to help correct and rebalance they way your pet uses their spine and limbs. Lameness, altered weight bearing and altered gait all create stress on the spine and limbs. Dr. Becky's initial evaluation will include a full examination of your pet’s musculoskeletal system including gait analysis, joint dysfunctions, muscle girth and symmetry, a pain evaluation and more. Dr. Becky will then develop a treatment plan specifically for your pet’s needs. Your pet’s treatment plan will involve a team approach, so that you will be able to participate. The plan will also include setting treatment goals, so that together we can monitor our success.
Therapeutic exercises: Once we’ve made a complete and accurate diagnosis of the physical issues, we will design an exercise regime. This will vary from one pet to the next, based on your pet’s willingness to do the different types of exercises, current level of fitness and the specific disease process. As your pet progresses, the exercises will be adjusted in difficulty and skill level – to keep it both fun and challenging (sometimes for you and not just your pet!). The exercises may be designed to increase range of motion, strength, balance, body awareness, weight bearing, etc. We’ll show you how to perform the exercises at home, and we’ll provide you with written instructions that you can take with you.
Massage: If you’ve ever had a professional massage, you can appreciate the benefits it can offer to your rehabilitating pet! Therapeutic massage can decrease pain and inflammation (by increasing venous blood and lymph drainage), increase blood flow and endorphin release and can be mentally calming. This reduces recovery time, increases trust, enhances performance and improves general health and well-being. You may request Marie, Lauren or Cassandra, trained animal massage therapists, employed by the Animal Doctor. Your pet companion will crave their gentle touch and they can teach you some soothing moves!
Reiki: Energy healing has long been practiced in Eastern traditions. While it may be difficult to prove on paper, anyone who has experienced energy work understands its benefits. It can move energy blockages and stagnation, helping your pet both physically and emotionally. Reiki classes for self-training or reiki treatment appointments may be scheduled. This service is provided by Reiki Master Jeanette Lesada. Click here to read to read about Reiki from Jeanette
Acupuncture: Acupuncture has been practiced in China for over 8,000 years, and has been accepted here in the United States since the 1970’s. It is used in human medicine as an excellent treatment for pain and nausea (and now many insurance companies are covering acupuncture treatments for cancer patients, to manage their pain and nausea). It can decrease the pain and inflammation that occurs in many of the pets needing rehabilitation, but is also very effective at treating many other underlying diseases including those of the skin, heart, kidney, liver and immune system. Dr. Jodie and Dr. Becky are certified veterinary acupuncturists.
Underwater Treadmill Therapy: Exercising on a treadmill, combined with the warmth and buoyancy of water, can be of great benefit to your pet. We control the water level, speed of the treadmill and time spent in the tank, depending on your pet’s abilities. The warmth of the water can decrease pain, muscle spasms, swelling, etc. The buoyancy of the water takes weight and pressure off of the limbs, allowing your pet to exercise sooner than on dry land, which minimizes muscle atrophy and lack of use after surgery or injury. The resistance of the water increases strength, flexibility and range of motion, all leading to more comfort and a faster recovery. The underwater treadmill at Animal Doctor also features jets, similar to a human hot tub or spa. The jets create a current, providing a more challenging exercise session for those pets requiring it, or the jets can simply provide a warm water massage for those pets not yet able to exercise on the treadmill.
Therapeutic Ultrasound: Although the technology is the same, therapeutic ultrasound is different than the diagnostic ultrasound that gives us images of tissue. Therapeutic ultrasound causes a vibration at the level of the cells, changing the enzyme activity and cellular metabolic rate. This process has many therapeutic benefits including increased blood flow, tissue healing, tendon repair, protein synthesis and reduction of scars, spasms, pain and inflammation. This treatment can be performed as often as daily, for maximum effect.
Laser Therapy: The use of light energy to affect the underlying tissues can be used to influence lymph, circulation, nervous system and wound/surgery healing. Similar to ultrasound, the light energy causes a change in energy level at the cellular level. This accelerates healing and enhances immune cells (to prevent infection), while decreasing pain (by releasing endorphins). The laser can also be combined with acupuncture points for additional therapy to deeper organs/issues.
Neuromuscular Electric Stimulation: This is the use of an electrical current to stimulate the contraction of a particular muscle or muscle group. This can help to facilitate proper use of the muscle after disuse, or atrophy. It will also decrease pain, inflammation, joint swelling and can facilitate tendon and fracture healing. This modality is commonly called E-stim, and is yet one more option offered as part of a rehab package at the Animal Doctor Holistic Veterinary Complex in Muskego.
Education for at-home care: An important part of your pet’s rehabilitation success will be determined by your at-home care, including:
1) Weight management is a very important facet of rehab. The less excess weight your pet carries while trying to recover, the better. A healthy pet’s anatomic structure causes them to carry 60 – 65% of their total body weight on their front limbs. If your pet has hind limb lameness, they will shift even more weight to their front limbs, potentially creating new problems. And if they already have a sore front limb, you can imagine how every pound counts!
2) Appropriate home environment: This will differ from pet to pet and will often require some planning on your part. Pets who are rehabilitating need good, solid footing (hard wood floors, linoleum and tile can be slippery, especially when wet). You may need to lay down slip-resistant throw rugs, carpet runners, etc. to ensure your pet can get around without falling. Well lit areas are also important to prevent tripping/falling. Additionally, depending on your pet’s injury, there may be other things that he/she can’t do, like go up and down stairs, jump on and off the bed, etc. You may need to purchase baby gates or crate train your pet to protect them from further injury when you’re not home to supervise.
3) Exercises or manual therapies for you to perform at home in between your sessions at Animal Doctor: We will teach you the exercises or massage techniques appropriate for your pet. We will also guide you in any other at-home therapies, including icing or heat application.
4) Progress monitoring: it is very important to monitor your pet’s progress daily. It will help you to decide if what you’re doing at home is appropriate, and help the staff at Animal Doctor decide if we need to change our treatment plan. The purpose of the program is to return your pet to health faster than they would without it – exhausting them, or causing further lameness, will lengthen the healing time.
5) And of course, you are welcome to call us to talk through ANY questions or problems you’re experiencing at home.
 
Rehabilitation should be fun and beneficial. It will build a stronger relationship between you, your pet, and our staff here at Animal Doctor. It will also help your pet to become stronger both physically and emotionally – a win-win situation all the way around.
There are many diseases that can benefit from physical rehabilitation, here are some of the most common reasons to engage your pet in physical rehabilitation or fitness:  
Athletic Preparedness / Conditioning: agility, hearding, hunting, search & rescue, police work
Muscle and Tendon Injuries : These soft tissue injuries include everything from mild sprain or strain to a full tear of a muscle or tendon. They also include tendonopathies (formerly considered tendonitis), which are considered a chronic degenerative change within a tendon that causes pain and inflammation and often precludes a tear. Generally these injuries, unless severe, are not considered surgical, but instead are ideal for physical rehabilitation. The goal is to decrease the inflammation in the region, which is required for healing to begin - then, the rehabilitation will focus on exercises and lifestyle management to facilitate complete healing and full return to normal function. Modalities to decrease the inflammation may include: cryotherapy, ultrasound, laser, e-stim, massage, joint mobilization exercises, therapeutic exercises and acupuncture.
Post-Surgical Rehabilitation : Any post-operative orthopedic problem can benefit greatly from physical rehabilitation. The rehab program will aid in healing by decreasing the inflammation and pain and by reducing the risk of re-injury. The pets are able to reach normal range of motion faster, allowing the pet to regain functionality and comfort sooner. Good post-operative care will ideally also be able to precent long term changes and damage from occuring. Depending on the surgery performed, many different modalities may be appropriate for your pet. The modalities may include: ultrasound, laser, e-stim and acupuncture for pain and inflammation. Additional treatment modalities may include: therapeutic exercises, massage, stretching, manual therapy, underwater treadmill sessions and specific at home care and management.
Obesity:
Hip Dysplasia: This genetic orthopedic disease results in laxity in the hip joint and inflammation of the joint capsule. This disease can progress to chronic pain and arthritis, depending on the dog. If the disease is severe, hip surgery is the definitive treatment although many dogs are well managed with physical rehabilitation and strict weight management. Rehab can slow the process of the degeneration, decrease pain and regain or maintain hip function. The rehab modalities that may be included are: exercise to strengthen the muscles that support the hip, acupuncture, ultrasound, e-stim, manual therapies, massage, underwater treadmill, lifestyle management and neutraceutical support.
Osteoarthritis / Degenerative Joint Disease (OA/DJD): This degenerative joint disease affects the articular cartilage and causes inflammation of the joint capsule and hypertrophy (growth) of the surrounding bone. The disease is a chronic progressive disease that left untreated can lead to pain, inflammation and server muscle loss. Enhancing the joint nutrition with the supplementation of neutraceuticals and by performing manual therapy, we can help to prevent further damage and restore the comfort and function of the joint. This can allow an arthritic dog to live comfortably for much longer. The physical rehabilitation may include: therapeutic exercises, acupuncture, manual therapies, massage, underwater treadmill and ultrasound or laser.
Intervertebral Disc Disease (IVDD): This spinal condition varies in severity, resulting in variable prognosis and treatment options. Whether the lesion is mild to moderate and therefore medically managed, or a severe lesion requiring surgery, physical rehabilitation will decrease the healing time and increase the likelihood of returning to normal function. There are manual therapies that can decrease the inflammation around the spinal cord and help manage the pain. Additional modalities that may be included in the rehab plan are: therapeutic exercises, e-stim, maunal therapy, laser, acupuncture and education on lifestyle management.
Degenerative Myelopathy :
Fibrocartilaginous Embolism (FCE): This neurologic disease is rarely treated surgically. Physical rehabilitation is used to retrain the dog's neurologic system to regain function. Modalities may include: manual therapies, therapeutic exercises, underwater treadmill, massage, laser, ultrasound and acupuncture.

Digit Injuries: This may include fractures or dislocations of the toes and may be associated with open wounds. The treatment will depend on the nature of the process, and may be surgical, medical or require splinting. Physical rehabilitation is limited due to the size of the bones involved, but can be used to decrease pain and inflammation and to retrain gait after the injury has healed. Modalities may include: cryotherapy, laser, ultrasound, joint mobility exercises and therapeutic exercises after the injury has healed.

Reserve an appointment and consultation today at Animal Doctor Romp & Rehab for your loyal companion and friend!