Dear colleague,
I would like to introduce myself as a clinician for Orthomanual
Veterinary Medicine. The idea behind orthomanipulation is that many instances
of lameness and neurological disease are due to the misalignment of the vertebrae.
In humans, ‘whiplash’ is very well-known. An accident
can cause the vertebrae to slide over oneanother and keep ‘catching’
on eachother. Patients then have difficulty concentrating, experience tingling,
moodswings, etc. due to (from the orthomanual perspective) abnormal circulation
and over-stimulation of the nervous system.
In animals, instability of the lower back and misalignment
of vertebrae in the neck (Lumbosacral instability and Wobbler Syndrome respectively)
appear regulary. By correcting the vertebral misalignment, recovery is just
as possible in animals as it is in humans. Consider ‘Wobbler Syndrome’,
for instance - a neurological problem that is due to (amongst other things)
malformed vertebrae.(1). An abnormality seen in older Doberman Pinschers and
in younger Great Danes (2) is well documented.
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| Before treatment |
Directly after treatment |
From the orthomanual perspective, this is a case of misaligned
vertebrae where the cervical vertebrae position themselves along the A-P axis
(anterior-posterior) ventrally, with a slight displacement to cranial. The
misalignment can be relieved through very straightforward manipulation. A
huge relief for dog and owner.
Animals with lower back instability (HNP II in LS instability)
can also benefit significantly. With this, the treatment method is more complicated.
This treatment focuses on relieving the misalignment of the Sacrum and the
lower lumbar vertebrae.
Using this orthomanual method, a discopathy (cervical or lumbar)
patient must undergo vertebral re-alignment before any other treatment can
occur. It is still essential, first and foremost, to ensure that pain is relieved
in the usual way. Administer “Solu-Delta Cortef” and / or other
painkillers / anti-inflammatories. The philosophy behind correcting vertebral
alignment is that a discopathy is actually a result of incorrect vertebral
alignment and not a stand-alone problem. So, first correct the vertebral alignment,
then if necessary operate on the dog/cat (3).
Spondylosis is considered a consequence, rather than a root-cause. Spondylosis
is probably a ‘non inflammatoir’ process, associated with the
degeneration of the annulus fibrosis of the intervertebral disc. Boney tracks
and bridges in the intervertebral spaces are characteristic of this (4). The
degeneration between the vertebrae can also bring weakening and instability
with it. The body ‘tries’ to stabilize the spinal column by forming
little ‘bridges’. Relieving the misalignment and improvement of
the overall condition of the animial is likely to ensure the disappearance
of the bridges in the long-run. This hypothesis is very acceptable, but must
be tested radiologically.
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Before treatment |
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| A year after treatment |
This new, but not totally unknown method is very plausible
and certainly attractive. The final outcomes following treatment are extremely
positive.
Reasons for referral are as follows:
- animals that are stiff and have difficulty standing up
- animals having difficulties jumping into the car
- animals that have been limping for a while (rest and medicine
are insufficient)
- animals that are partially paralyzed, stumble over their
fore- or hindlimbs
- animals that have a discopathy (Hernia Nucleus Pulposes)
or have had a discopathy
- animals that have behavioural abnormalities such as: restlessness,
fearfulness
or aggression
Speedy referral is recommended
I’d be delighted to talk to you more about this new approach
in our practice. If you’d like a look around and / or have any questions,
just phone or come along to the practice.
Best regards
Dorit Aharon, DVM
Notes:
(1) Oliver and Lorenz: "Handbook of Veterinary Neurology", W.B.
Saunders Company, 2nd ed. pages 180-185. 1993: "Abnormalities in the
size, shape, or position of the articular processes may be present….The
vertebral malformation tends to lead to malarticulation and vertebral instability."
"Malformation may be a component of the "Wobbler" syndrome."
"In some cases, hyperostosis of the articular facets cause direct spinal
cord compression".
(2) Ataxia and paresis arise as a result of compression of the cervical section
of the spinal chord: both the more serious ataxia posterior and the
less obvious ataxia and paresis anterior, can be diagnosed by means of careful
neurological examination.
(3) Sickesz M., doctor:”Mijn Rug” (My Back), Ankh-Hermes bv Deventer,
11th edition, page 30
(4) Morgan J: “Spondylosis deformans in the dog” Acta Orthop Scand
Suppl 96:1-88, 1967
UP
Orthomanual
therapy for animals, indications
Orthomanual therapy was developed specifically for the treatment
of vertebral and joint malarticulation. The basis of humane orthomanual medicine
was established by Dr M Sickesz (MD). In 1965 Dr Sickesz discovered that symptoms
of the musculoskeletal system are associated with very small, correctable
misalignments of the pelvis and spine. Subsequently, she developed a method
for the effective treatment of these misalignments and symptoms. From 2000-2001
I was trained by Dr Sickesz to practice orthomanipulation of animals.
Pain in the neck, back and fore- and hindlimbs is common in
animals. Pain, lameness, paralysis, difficulty with standing up, going up
the stairs and jumping (e.g. into the car) can be due to (amongst other things)
misalignment of the vertebrae and joints. With this kind of misalignment,
the nervous system around the angled vertebra (or joint) is irritated, leading
to pain and loss of function. Some behavioural abnormalities, as in the case
of fearful, restless or aggressive dogs, can sometimes ascribed to a (correctable)
misalignment of the vertebrae.
The method of treatment is to relieve the misalignment, thereby
allowing the spinal colomn to adjust to a normal postion and the nervous system
to recover. For animals, one or two treatments are often sufficient. A check
up after 3 months is advisable.
Reasons for referral are as follows:
- animals that are stiff and have difficulty standing up
- animals having difficulties jumping into the car
- animals that have been limping for a while (rest and medicine are insufficient)
- animals that are partially paralyzed, stumble over their fore- or hindlimbs
- animals that have a discopathy (Hernia Nucleus Pulposes) or have had a discopathy
- animals that have behavioural abnormalities such as: restlessness, fearfulness
or aggression
Dorit Aharon, DVM
UP
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