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News: Editors
Physical Therapy Helps Paralyzed Dog Recover

Golden Retriever Rocky 3 was hit by a car and sustained a major spinal cord injury, that virtually paralyzed him. Watch how Karen Atlas, MPT, CCRT and her team at HydroPaws in Santa Barbara performed amazing rehabilitation physical therapy on him. Karen also serves as the president of the California Association of Animal Physical Therapists. This is a coalition of animal physical rehabilitation professionals (licensed physical therapists with advanced training/certification in animal rehabilitation) who seek to play a leading role in defining appropriate legislative/regulatory language in California; similar to those states (such as Colorado, Nevada, and Nebraska) who have already successfully regulated this area of animal care. Even now, the California Veterinary Medical Board wants to limit/restrict our access to qualified non-vet rehab therapists and this video is proof of why this coalition disagrees. This inspirational video of Rocky 3 certainly does demonstrate the important work that is performed by these highly skilled professionals.

Wellness: Healthy Living
Protecting Your Dog Against Foxtails
Dog in Foxtails

Tonight my littlest dog Nellie came in the house sneezing. Any other time of year and I would be unconcerned, but in late spring and early summer an abrupt onset of sneezing after being outdoors is a “foxtail-in-the-nose alarm bell.” I’ll be watching Nellie like a hawk for the rest of the evening. Any crinkling of her nose, ongoing sneezing or bloody nose, and she’ll be my first patient tomorrow morning.

If you are unfamiliar with foxtails, count your blessings! These pesky, bristly plant awns grow in abundance throughout California and are reported in most every state west of the Mississippi. Once the plant heads dry, they become hell-bent on finding their way into dogs’ noses, ears, eyes, mouths and just about every other orifice. They can dive deep into a dog’s nostril or ear canal (beyond sight) in the blink of an eye. And a foxtail camouflaged under a layer of hair can readily burrow through the skin (a favorite hiding place is between toes). Foxtails can wind up virtually anywhere in the body, and associated symptoms vary based on location. For example, a foxtail within the ear canal causes head shaking, under the skin a draining tract, or within the lung, labored breathing and coughing. Not only is the dog’s body incapable of degrading or decomposing foxtails, these plant awns are barbed in such a way that they can only move in a “forward” direction. Unless caught early, they, and the bacteria they carry, either become walled off to form an abscess or migrate through the body causing infection and tissue damage. Once foxtails have moved internally, they become the proverbial needle in a haystack—notoriously difficult to find and remove.

Take the example of Emma Louise, an undeniably adorable Brittany Spaniel mix whose family told me that her favorite pastime is running through fields with her nose to the ground. They described her as a “foxtail magnet,” having accumulated several in her ears and nose over the years. I was asked to help figure out the cause of Emma Louise’s hunched back and straining to urinate. With abdominal ultrasound, I discovered a gigantic abscess tucked up under Emma Louise’s spine, extending into her pelvic canal. Given this girl’s history, I just knew there had to be a foxtail in there somewhere. The question was, would we be able to find it?

As is my medical tradition before launching a foxtail search, I recited a prayer to the “god of foxtails.” I then turned Emma Louise over to one of my surgical colleagues for exploratory surgery. After two hours of nailbiting and a barrage of expletives originating in the O.R., I heard a shout of, “Got it!” The foxtail had been located and removed, and sweet little Emma Louise made a rapid and complete recovery. Not finding the foxtail would have meant a lifetime of antibiotics to treat her foxtail-induced infection.

If you suspect your dog has a foxtail-related issue, contact your veterinarian right away to find out what steps can be taken (at home or in the veterinary hospital) to rid your dog of this unwanted plant material. Whenever possible, avoidance of foxtail exposure is the best and only foolproof prevention. If your dog does have access to foxtails, carefully comb through his or her haircoat—checking ears and toes, too —a couple of times daily to remove any that are embedded and poised to wreak havoc!

Wellness: Health Care
Canine Seizures
Out of the blue, your dog rolls on his side and starts to shake. What’s going on?

Charlie, a four-year-old Shih Tzu mix, held his head low and cried out when touched. His regular veterinarian performed blood tests and took X-rays, none of which revealed a reason for the neck pain. After discussing possible causes—a slipped disk and meningitis among them—the vet prescribed a trial of antibiotics and pain medication. At first, Charlie improved, but within a few days, his pain seemed to increase. Then he had a seizure.

His people rushed him to a local emergency clinic, where he was admitted. The clinic kept Charlie overnight to stabilize him, and the next day, transferred him to our practice, Southeast Veterinary Neurology in Miami, Fla.

Charlie was minimally responsive. When we examined him, we saw that he tended to turn his head to the left and didn’t react to stimuli on the right side of his body; he didn’t blink when touched near the right eye or when his right eye was approached. After a magnetic resonance imaging (MRI) and spinal fluid analysis, we had a diagnosis: encephalitis. Treatment was started immediately.

Seizures—a manifestation of uncontrolled electrical activity in the cerebral cortex—are the most common canine neurological disorder. The cerebral cortex is made up of cells (neurons) that communicate with each other via electrical activity. A seizure happens when that electrical activity becomes excessive or uncontrolled.

Seizures are classified as either focal or generalized, with the latter being the most frequently seen. In a classic generalized seizure, all four legs become stiff and the dog lies down or falls over before losing consciousness and convulsing. During a convulsion, many dogs will vocalize and salivate; some will urinate or defecate. The seizure may last anywhere from a few seconds to several minutes, or longer.* Focal seizures are milder and only affect one part of the body—part of the face, or one leg.

Any disturbance that either increases the electrical activity in the brain or decreases the control mechanisms that prevent seizures can cause these episodes. There are three basic types of disturbances: extracranial (problems outside of the brain that secondarily affect the brain), intracranial (physical or structural problems with the brain itself) and idiopathic epilepsy.

Low blood sugar, severe liver or kidney disease, electrolyte abnormalities such as low calcium, and toxins/poisons are among the causes of extracranial seizures. All of these conditions are relatively easy to identify with blood and urine tests.

Intracranial causes include brain tumors, strokes, encephalitis/ meningitis (as in Charlie’s case), head injury or a malformation such as hydrocephalus (“water on the brain”). Diagnosing these conditions requires an evaluation by a neurologist, an MRI of the brain, and possibly a cerebrospinal f luid analysis. Seizures experienced by certain breeds of dogs—including Boxers, Yorkshire Terriers, Maltese and other terriers—are more likely to have an intracranial cause.

Idiopathic epilepsy—seizures with no known cause—is the most common reason for recurrent seizures, and is the result of an inherent hyperexcitability of the neurons of the cerebral cortex. In general, dogs with idiopathic epilepsy are between one and five years of age when they have their first seizure, which is usually of the generalized type. In between seizures, they’re completely normal, as are their neurological examinations.

Seeing your dog have a seizure can be distressing, but the primary thing you need to do is to remain calm. Do not put your hands near your dog’s mouth, as in the throes of a seizure, he’s not aware of his actions and may unintentionally bite you. Keep your dog in a safe area where he is unlikely to hurt himself, moving him away from stairs, pools or other hazards. If this is your dog’s first seizure, take him to your veterinarian immediately.

Your vet will likely start with a series of blood and urine tests to evaluate the liver, kidneys, electrolytes and other internal organs, looking for an extracranial cause. A consultation with a veterinary neurologist and an MRI may be recommended if the blood tests are normal, if your dog is younger than one or older than six, or if he acts abnormally between seizures.

Diazepam (Valium) or midazolam, fast-acting drugs, will halt a seizure in progress. Depending on the cause and the dog’s response to treatment, longer-acting anti-seizure medications are also prescribed. Among these are phenobarbital, potassium bromide, levetiracetam (Keppra), zonisamide (Zonegran) and felbamate (Felbatol); each has both positive and potentially adverse effects. Your veterinarian or neurologist will discuss which medication makes the most sense for your dog. For many conditions, including idiopathic epilepsy, medication can help reduce the frequency and severity of seizures, but some seizure activity can still be expected.

Seizures are indeed scary, but understanding their causes and knowing what to do when they occur go a long way toward successfully coping with them.

*Ed. note: According to other sources, a seizure that lasts more than five minutes or that reoccurs three times in a 24-hour period should be considered an emergency.

News: Editors
Are Some Dogs Hardwired to Overeat?

Researchers at Cambridge University looked at Labrador Retrievers (the most popular breed in the U.S. and the UK) to assess why that breed is more prone to obesity than other breeds. Their findings, recently published in the journal Cell Metabolism, point to a possible genetic reason behind this.

“About a quarter of pet Labradors carry this gene [difference],” lead researcher Dr. Eleanor Raffan noted. “Although obesity is the consequence of eating more than you need and more than you burn off in exercise, actually there’s some real hard-wired biology behind our drive to eat,” she added. Labs have the greatest documented obesity prevalence.

More than 300 Labradors, from pets to assistance dogs, were screened for known obesity genes in the study. The international team found that a change in a gene known as POMC was strongly linked with weight, obesity and appetite in both Labradors and Flat-Coated Retrievers.

Other breeds—from the Shih Tzu to the Great Dane—were also screened, but this particular genetic difference was not found.

Dr. Giles Yeo, was one of the human geneticists from the University of Cambridge, who worked on the study. “What we have found is that some Labradors get fat because they have a deletion in a gene within their brain,” he said.

“And this particular gene plays a role in sensing how much fat they have in their body—and so some Labradors don’t know how much fat they have and so keep eating to try to get fatter.”

Researchers also found that the mutation is significantly more common in Labradors selected to become assistance dog breeding stock than those selected to be companions.

It is certainly intriguing why assistance Labs are more prone to be carrying this gene deletion, but as they hypothesized, dogs carrying the POMC deletion may be more likely to be selected as for work as assistance dogs because trainability and temperament are the main “drivers for selection of these dogs, and positive reinforcement with food reward is the mainstay of puppy training.”

 

Wellness: Healthy Living
Six Tips on Caring for Older Dogs
We look at ways to make their lives easier.

In your eyes, your dog will alway s be a puppy, even if she’s getting up there in canine (and human) years, or her muzzle is beginning to gray. However, eventually the day will come when you notice that your pup is panting a little bit harder after a long walk and struggling to climb onto your bed. It’s time to start adjusting to the lifestyle needs of an older dog.

When a dog is considered a senior largely depends on breed. Smaller dogs (such as Chihuahuas or Terriers) don’t reach their golden years until they’re 10 or 12, while a Great Dane may attain senior status at the age of five or six. Beyond size and breed, genetics, diet and environment all have an impact on a dog’s life expectancy.

Just as modern medicine has extended the lives of people, with the right combination of attention and preventive care, it can also extend the lives of dogs. If you want your older dog to have a long and happy life, consider incorporating these strategies into your pet care routine.

Remember your dog’s teeth. Dental hygiene is particularly crucial as your dog ages. Regular brushing and professional cleaning can prevent painful dental disease and decay (and help your dog avoid the chewing problems mentioned earlier). If your dog doesn’t enjoy having his/her teeth brushed, consider dental treats and toys instead.

Watch your dog’s diet. Mature dogs often have food issues, including problems chewing, lack of appetite, obesity and digestive difficulties. Consult with your vet on the best diet and exercise plan for your aging dog. Dietary changes may include adding more fiber to aid with digestion or decreasing carbohydrates to maintain optimal weight. Supplements such as fish oil or glucosamine can be added to alleviate joint pain.

Exercise your dog’s body and mind. Like people, aging dogs experience pain and have difficulty performing physical activities they used to enjoy. However, exercise continues to be imperative to their health and well being. Take your dog on short, gentle walks and monitor his/her breathing and gait to make sure nothing is amiss. Your dog’s brain needs plenty of exercise as well. Stimulating toys such as food puzzles help keep your dog sharp.

See the vet more often. Take your dog in for a vet checkup at least twice a year. Just as elderly people need to be aware of health issues and visit their doctors more often, aging pets benefit from more frequent visits. Older pets may need additional blood tests, dental care and examinations. Additionally, many breeds have predispositions toward certain ailments, including arthritis, hip dysplasia, cancer and diabetes. Early detection can help catch these before they become major problems.

“Seniorize” your house. Just as you once puppy-proofed your home, you now need to provide your older dog with special accommodations. For dogs with hip dysplasia or joint issues, consider a special ramp or stairs so they can still get in the car or join you on the bed. Keep food and water in areas they can easily reach, especially if they are vision-impaired. Heated beds can soothe achy joints, particularly if you live in a colder climate. Finally, non-slip surfaces will prevent falls and help your older pet maintain traction when rising.

Pay attention. Monitor changes in behavior; appetite; weight loss or gain; dental issues; and any lumps, bumps or lesions and bring them to your vet’s attention. (A journal is a great memory aid.)

Taking care of an older dog may involve a little more work than you’re used to doing, but caring for a lifetime companion is a deeply rewarding experience. Your dog has been good to you (and for you) for years—now’s the time to return the favor!

Wellness: Healthy Living
Fighting Valley Fever
Chocolate lab sits on the dried grass. Discussions of Valley Fever in Arizona's research group.

Arizona genetics researchers are taking the unusual step of asking for dog lovers’ help in fighting a mysterious, potentially lethal infection that plagues both dog and man.

They are looking for dogs to be registered and potentially to have their DNA collected to help combat valley fever, a fungus-based disease once confined to the Southwest desert but is now spreading across the country.

Valley fever can be triggered by inhalation of just a handful of spores of a particular fungus. People, dogs and cats are susceptible to the illness that was once believed to occur only in Arizona and California. The disease is not contagious and is not spread from species to species.

The risk for valley fever increases as climates get drier, say California State University, Bakersfield researchers. Warmer temperatures and less rain basically kill off the fungus’ competitors for nutrients and thereby creating an ideal growing environment for the infection-causing fungus.

Valley fever is now being reported in states such as Michigan, Ohio and Minnesota, which never used to see the condition. And the states that typically see the condition are reporting more and more cases: The number of Valley Fever reports is increasing in more than a third of California’s  counties, putting more dogs at risk for a disease that can lead to lameness, extreme weight loss and coma.

When Charlie, a 75-pound Chocolate Lab, started coughing, it didn’t set off any alarms. But then he developed a fever and was diagnosed as having kennel cough, which can be easily treated by antibiotics and steroids. Then the symptoms returned and again it was misdiagnosed as pneumonia. More than two months passed before Charlie was given the correct medication; the delay in a correct diagnosis lessens his chances for a full recovery.

Charlie now spends most of his time sleeping off the effects of valley fever, instead of being his normal playful self.

There is no cure for valley fever. Currently treatments focus on helping dogs beat the symptoms. Vet bills can mount up since a dog may have to get medication for up to eighteen months; in some severe cases, a dog may be on medicine for the rest of his life.  It is estimated that Arizona dog lovers spend $60 million per year in caring for dogs with valley fever.

Seeing the increase in valley fever cases across the U.S., Phoenix-based Translational Genomics Research Institute (TGen) researchers are now asking for dog people to take a brief online survey about their pet’s breed, health history and lifestyle. After the survey, the dog may be selected to give a saliva sample.

Then after the swabbing is done, researchers will look for differences in the genes of dogs who are sick compared to dogs who show signs of exposure to valley fever but who aren’t sick.

“In certain dogs, a minor infection can progress to severe disease, and the reasons for this are unknown,” said Dr. Bridget Barker, assistant professor and head of TGen’s Northern Arizona Center for Valley Fever Research in Flagstaff, Ariz.

This information would be used to help develop new therapies for both dogs and people, she said.

For more information about TGen’s Valley Fever PAWS (Prevention, Awareness, Working for Solutions), visit us on Facebook at www.facebook.com/vfpaws, and on Twitter at @ValleyFeverPAWS.

Wellness: Food & Nutrition
GMO: Are genetically modified crops safe in your dog food?
A vet speaks out on genetically modified pet food.

Most dogs now dine on some type of genetically modified (GM) food, often in the form of corn and soy in their kibble. As these ingredients increasingly enter the food supply, we have one more reason to wonder if our shopping choices might be harming our pets.

More animal feeding studies are needed, experts say, and a recent long-term, peer-reviewed report points out why. It found that a diet of GM corn and soy led to higher rates of severe stomach inflammation in pigs, which are physiologically similar to dogs.

Robert Silver, DVM, a Boulder, Colo., holistic vet, tackled the issue earlier this year when he presented his paper, “Genetically Modified Food and Its Impact on Pet Health” at the American Holistic Veterinary Medical Association conference in Kansas City, Mo. Why did he choose this controversial topic, one that few vets even acknowledge?

Silver—a pioneer in the field of holistic veterinary medical practice—says he was inspired by a seminar he attended in Boulder on GM foods and human health. The speakers included Don Huber, a Purdue University professor, and activist Jeffrey Smith, who discussed problems, including reproductive difficulties, that have occurred in livestock fed GM crops.

“I found this seminar mind-opening,” says Silver, the lone vet in attendance. “I had always believed the PR about GM foods—that they are going to feed the world and are a good outcome of our genetic technology.”

The Food and Drug Administration, which regulates the safety of GM crops consumed by humans and animals, considers most GM plants “substantially equivalent” to traditional plants and “generally recognized as safe.” Their regulation involves a voluntary consultation process with the developer before products are brought to market.

Smith, founder of the Institute for Responsible Technology, disagrees. On its website (responsibletechnology.org), he warns that “nearly all GM crops are described as ‘pesticide plants.’ They either tolerate doses of weed killer, such as Roundup, or produce an insecticide called Bt-toxin. In both cases, the added toxin—weed killer or bug killer—is found inside the corn or soybeans we consume.”

Silver says that while “allergies, GI problems, increased risk of cancer, neurodegenerative conditions” and other ills could all be, in part, related to GM foods, “there is no objective evidence of this yet” in dogs. “However, all vets will agree that there has been an uptick in [these diseases] in the past 10 to 20 years.” The advent of GM foods in the 1990s “fits into this timing of disease increases,” he says.

His presentation referred to studies that raise doubt about the safety of biotech crops, such as one reported in 1996 in the New England Journal of Medicine, which found that genes inserted into crops can carry with them allergenic properties.

Silver says that genetic modification introduces foreign proteins that may encourage allergies, and the widely planted Bt corn, which makes its own insecticide, “could possibly cause leaky gut, the gateway to chronic disease.” Corn is a major component of most commercial pet foods. “The big problem with commercial foods is that they are manufactured at high temperatures and pressures,” which alters them and makes them “potentially more allergenic.” And commercial foods contain industrial ingredients that are “more likely to contain GM and herbicide contaminants.”

A study published last year found that GM crops engineered to withstand the toxic herbicide Roundup must now be doused with even more herbicide, since weeds have also developed resistance to it. Residues of these chemicals on crops can find their way into pet food.

A 2013 study published in the science journal Entropy reports that the heavy use of Roundup could be linked to Parkinson’s, autism, infertility and cancers. It goes on to report that residues of Roundup in food can interact with, and enhance, the damaging effects of other environmental toxins. “Negative impact on the body is insidious and manifests slowly over time as inflammation damages cellular systems throughout the body,” the study’s researchers say.

According to Silver, heightened sensitivity to dietary ingredients “is probably what we are seeing with GM foods. It is of concern that this may be driving the increase in GI problems in pets.” Although gluten probably does account for some problems with grain consumption, “I think that grain-free diets, if they are also soy free and contain protein from animals not fed GM crops, can help many dogs, due to being GM free—and not due to some allergy or gluten issue.”

To a holistic doctor, food is medicine, and Silver strongly recommends home meal preparation from individually sourced ingredients to avoid feeding GM ingredients, especially to pets who have other health problems. “I am truly a holistic practitioner in that I believe an ounce of prevention is worth a pound of cure.”

References
Carman, J., et al. 2013. A long-term toxicology study on pigs fed combined genetically modified (GM) soy and GM maize diet. Journal of Organic Systems 8 (1): 38–54.

Benbrook, C.M. 2012. Impacts of genetically engineered crops on pesticide use in the U.S.—the first 16 years. Environmental Sciences Europe 24: 24.

Ordlee, J., et al. 1996. Identification of a Brazil-nut allergen in transgenic soybeans. The New England Journal of Medicine 334: 688–692.

Samsel, A., and S. Seneff. 2013. Glyphosate’s suppression of cytochrome P450 enzymes and amino acid biosynthesis by the gut microbiome: Pathways to modern diseases. Entropy 15 (4): 1416–1463.

Wellness: Health Care
Acupuncture Can Help Dogs
Holistic Medicine
Back Problems / Acupuncture

Intervertebral disc disease (IVDD)—what some call a “slipped disc”—can smolder or it can strike full-blown, leaving your dog in excruciating pain and unable to walk. Initially, signs that a dog is afflicted can be subtle: a hesitation about going up or down stairs, paws that knuckle under or cross over, nail scuffing, an arched back, a tense abdomen. Dogs may shy from their food bowls to avoid bending their necks, or cry when picked up.

IVDD causes compression of the spinal cord and leads to weakness, pain and sometimes paralysis, and is divided into two categories: Hansen Type I and II. Type I often swoops in suddenly, usually in younger, smaller dogs ages three to six. The center jelly of the vertebral disc, called the nucleus pulposus, degenerates, then ruptures and presses on the spinal cord. Not surprisingly, the chondrodystrophic breeds (dogs with short legs and longbacks)—Dachshunds, Corgis, Lhasa Apsos, Shih Tzus and Beagles—are predisposed to this type.

Type II, which is typically seen in large dogs like German Shepherds, Labradors and Dobermans ages eight to ten, progresses more slowly. Though the disc doesn’t burst its center, it bulges between the vertebrae and impinges on the spinal cord, causing chronic pain and weakness.

To rule out fractures, bone infections and cancers, your vet will start with X-rays, but a contrast myelogram, CT or MRI (all of which are often done at specialty centers) is needed to visualize the spinal cord and determine the nature and location of the problem.

In addition to type, IVDD is described by level of severity. Roughly, grade I involves pain; grade II, unsteadiness; grade III, weakness that prevents standing or walking; grade IV, paralysis but able to feel deep pain when the toes are pinched; and grade V, complete paralysis with loss of deep pain.

Dogs with grades 1 through IV will likely be managed with pain meds, muscle relaxants and strict rest for up to a month, and are often referred for physical therapy or Class IV laser treatments. Depending on the duration of neurological deficits and amount of pain, surgery may also be recommended for dogs with grades II, III and IV. Because the disease can change quickly, even dogs diagnosed with lower-grade IVDD need sequential exams to ensure that the condition is not progressing.

When a dog is completely unable to walk, decisions have to be made swiftly. Dogs who stay in the grade V stage longer than 48 hours often remain paralyzed despite intervention, while up to 50 percent of those who have surgery in the first 24 hours may regain their ability to walk.

IVDD surgery removes compromised discs, hemorrhage and adjacent bone compressing the spinal cord. With severe disease, it’s the best chance for a dog to walk again. It does, of course, also entail expenses and risks that not everyone is able or willing to undertake. What other options do we have?

Thankfully, veterinarians have been studying other modalities to treat IVDD, acupuncture among them. In 2007, a team lead by A.M. Hayashi found that dogs of all IVDD grades recovered more quickly with electroacupuncture (EAP) combined with a standard Western medical approach than Western treatment alone (JAVMA 231[6]: 913–918).

In 2009, A. Laim et al. reported that dogs receiving EAP and pain medications after surgery for acute IVDD were less likely to need higher doses of pain meds during the first 12 hours than those who received meds alone. These patients also had significantly lower pain scores 36 hours after treatment (JAVMA 234[9]: 1141–1146).

A 2010 study compared three options for IVDD dogs with severe neurologic deficits of greater than 48 hours’ duration: decompressive surgery (DSX), EAP, and DSX followed by EAP (DSX + EAP). The study, led by J.G.F. Joaquim, showed that EAP was more effective than DSX + EAP, and that DSX alone was the least successful. These dogs had severe, long-standing IVDD in the thoracic and lumbar (thoracolumbar) spine, and in the past, their prognosis would have been dismal. (JAVMA 236[11]: 1225–1229).

How does acupuncture work? While there is some debate over definitions, it’s generally accepted that acupuncture points (acupoints) concentrate clusters of free nerve endings, small blood and lymphatic vessels, and mast cells, part of the immune system. A veterinarian certified in acupuncture inserts small, sterile needles into specific points to stimulate muscles, nerves, circulation and the immune system. For IVDD, one needle may be placed at the top of the spine by the shoulders, and a second above the pelvis, which moves the qi and stagnated energy caused by the disc disease.

Functional MRIs reveal that acupuncture activates pain-associated brain stem regions. The specific mechanism of acupuncture on IVDD has not yet been fully explained, but it’s surmised that it reduces local swelling, inflammation and pain; decreases cord compression, scar formation and tissue oxygen deprivation; and restores damaged nerves.

When compared to the use of needles alone, EAP has been found to increase the body’s response to acupuncture. In EAP, needles in the skin are connected by metal clips; electro-impulses move between the clips and into the needles, producing sensations that range from a tingling to a vibration. Frequency and intensity are determined by the type of condition being treated. Sessions usually last from 10 to 30 minutes, and dogs often fall asleep during treatment.

EAP has a cumulative effect and is typically prescribed as a series of treatments, every one to two weeks for at least a few months. Appropriate Chinese herbal formulas are often prescribed at the same time to reduce pain and enhance the effects of acupuncture. Dogs then proceed to maintenance acupuncture at one- to three-month intervals to prevent recurrence.

Ideally, your dog will never go through the pain of IVDD, and you won’t have the worry. But if you do find yourself up against a down dog, it’s good to know that adding acupuncture to the treatment repertoire may help your friend get back on all fours.

News: Karen B. London
New Life-Saving Law in Florida
It’s now legal to break into cars to rescue pets and people

The governor of Florida just signed a law making it legal to break into a car to rescue a person or a pet who is “in imminent danger of suffering harm.” It applies to vulnerable people and pets (including cats and dogs), but does not apply to farm animals. Many people and pets die each year because they have been left in overheating cars, so this law could save many lives. It is especially important in a hot southern state like Florida with the summer months approaching.

The law specifies procedures that must be followed in order for a person breaking into a car to be protected from civil liability for damage to the vehicle. If you are trying to help someone in danger, here’s what you should know about the law. It is required that you check that the car is locked before breaking in. If you do break in, the law requires that you do so with the minimum force necessary. You are required to call 911 or law enforcement before or immediately after rescuing the person or pet from the car, and you must stay with the rescued pet or the person until first responders arrive.

I’m delighted to know that Floridians are now protected by this law if they see an individual in danger in a car and choose to act. Many people would rescue the pet or person regardless of the risk to themselves, but it’s far better to give legal protection to  such potential heroes.

Wellness: Healthy Living
Calories Count

Winter not only keeps us inside, it’s also a time of food-centric holiday celebrations. How can we share the fun with our dogs without packing pounds on them? When you want to get the facts, you go to the pros, and for an answer to this question, we checked in with Julie Churchill, DVM, PhD, ACVN and associate professor of nutrition at the University of Minnesota Veterinary Medical Center. Her general advice is that we be mindful of our dogs’ daily caloric needs and their total intake. (More on this in a future issue.) Dr. Churchill also shared a few tips.

> Go for frequency, not volume, and choose either very small treats (pinkie fingernail-size) or ones that can be broken into small pieces.

> Look for tasty low-cal alternatives; if your dog likes likes raw fruit and veg —carrots, celery, green beans, cucumbers, apples, blueberries—keep a ready-to-eat supply on hand.

> Unsalted, unbuttered popcorn provides lots of bang for its caloric buck; there are only 20 calories in a popped cup, and a cup goes a long way, especially when scattered around for the dog to find.

We saved the really big question for last. How do we resist those soulful eyes as we eat our turkey sandwiches and our special holiday cookies? Dr. Churchill advises that if we’re going to cave, we should do it with the lowest-calorie treat. It’s also important to avoid reinforcing begging (do your best!) and to preserve our dog’s routine. Dr. Churchill’s final takeaway: Dogs choose joy, and the time we spend with our dogs means more to them than food. Carve out time to make some joyful memories.

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