Body weight support treadmill training after FCE Fibrocartilaginous embolism (FCE) is a sudden, often frightening condition that affects dogs, causing an interruption of blood flow to the spinal cord. This leads to varying degrees of paralysis or weakness, depending on the severity and location of the embolism. For many pet owners, the challenge begins after the initial diagnosis: how to help their dog recover as fully and quickly as possible. Canine rehabilitation plays a crucial role in this process, offering targeted therapies that support healing, improve mobility, and enhance quality of life. Understanding FCE and Its Impact on Dogs FCE occurs when a small piece of fibrocartilage blocks a blood vessel in the spinal cord, causing tissue damage due to lack of oxygen. Unlike other spinal injuries, FCE is not caused by trauma but happens suddenly, often during normal activity. Dogs affected by FCE may show signs such as: Sudden onset of weakness or paralysis in one or more limbs Loss of coordination or balance Pain or discomfort in the back or neck area (less common) The severity varies widely. Some dogs recover with minimal intervention, while others require extensive support to regain function. The spinal cord damage caused by FCE can lead to muscle atrophy, joint stiffness, and loss of nerve function if left untreated. Why Canine Rehabilitation Matters After FCE Recovery from FCE is not just about waiting for the spinal cord to heal. The body needs active support to regain strength, flexibility, and coordination. Canine rehab provides this support through a combination of therapies designed to: Prevent muscle wasting by encouraging movement and muscle use Improve joint flexibility to avoid stiffness and contractures Stimulate nerve function to promote neural recovery and adaptation Enhance circulation to support tissue healing Build confidence and reduce anxiety in dogs adjusting to mobility challenges Without rehab, many dogs face a slower, less complete recovery. Rehab helps dogs regain independence and reduces the risk of secondary complications. Key Components of Canine Rehab for FCE Recovery Rehabilitation programs for dogs recovering from FCE are tailored to each dog’s specific needs and progress. Common elements include: Physical Therapy Exercises These exercises focus on strengthening muscles and improving balance. Examples include: Assisted walking or supported standing to encourage weight-bearing Range-of-motion exercises to keep joints flexible Balance and coordination drills using wobble boards or soft surfaces Body Weight Support Treadmill Training We use the Help 'em up harness and support system to unload part of the dogs weight and assist in walking on a treadmill to help provide assistance and support as needed. This allows for weight bearing and progressive loading while also allowing the therapist to provide physical assistance such as swing the leg or ensuring proper technique during the gait sequence. Build muscle strength safely Improve cardiovascular fitness Reduce joint stress during movement Electrical Stimulation In many cases, electrical stimulation is used to activate muscles that have weakened due to nerve damage. This can help maintain muscle tone and encourage nerve regeneration. Massage and Manual Therapy Massage improves circulation, reduces muscle tension, and promotes relaxation. Manual therapy techniques can help maintain joint mobility and reduce pain. Home Care and Owner Involvement Rehab success depends on consistent care beyond the clinic. Owners learn how to perform exercises, manage their dog’s environment, and monitor progress. This partnership ensures ongoing support and faster recovery. Real-Life Example: Cypress’s Journey Through Rehab Cypress, an 18-month-old English Mastiff, suddenly became paralyzed, with more severe effects on his right side than his left. Weighing 185 lbs, his care and recovery seemed like they would be a lengthy process. We assessed Cypress shortly after his diagnosis and immediately started electrical stimulation, weight-bearing activities, and other neuromuscular techniques. We equipped him with a help em up harness and taught his owner how to perform exercises at home. Initially, we saw him once a week for five weeks. He could only handle 30 minutes of treatment at a time, but his owner diligently performed the exercises at home. Given his large size and his owner's small stature, we had to modify exercises to ensure safety for both. Cypress progressed from needing maximum assistance to walk, with a non-functional right side, to being able to walk and run unaided. Cypress’s journey demonstrates how customized rehabilitation can significantly impact recovery, even in severe cases. Tips for Choosing the Right Canine Rehab Program Not all rehab programs are the same. When selecting a facility or professional, consider: Credentials and experience of the rehab therapist Availability of specialized equipment like electrical stimulation and treadmill body weight systems Customized treatment plans based on your dog’s condition Clear communication and training for owners Positive reviews or referrals from veterinarians Visiting the facility and asking questions about their approach can help ensure your dog receives the best care. Supporting Your Dog’s Recovery at Home In addition to professional rehab sessions, owners can support recovery by: Creating a safe, accessible space for movement Using ramps or harnesses to assist walking Maintaining a healthy diet to support healing Monitoring for signs of pain or discomfort Keeping follow-up appointments with the vet and rehab team Consistency and patience are key. Recovery from FCE can take weeks to months, but steady progress is possible.

Happy Senior Dog Arthritis is a common challenge for aging dogs, often leading to stiffness, pain, and reduced mobility. For many pet owners, watching their loyal companions struggle with these symptoms can be heartbreaking. Fortunately, canine physical therapy offers a practical way to ease arthritis symptoms and improve quality of life. This post explores how physical therapy can help aging pups manage arthritis and stay active longer. Understanding Arthritis in Aging Dogs Arthritis, or osteoarthritis, occurs when the cartilage cushioning the joints breaks down. This causes inflammation, pain, and difficulty moving. Older dogs are especially prone to arthritis due to years of wear and tear on their joints. Common signs include: Limping or favoring one leg Difficulty rising or climbing stairs Reduced interest in walks or play Stiffness after resting Left untreated, arthritis can severely limit a dog’s mobility and comfort. Recognizing these signs early is key to managing the condition effectively. How Canine Physical Therapy Supports Arthritic Dogs Physical therapy for dogs involves targeted exercises and treatments designed to improve joint function, reduce pain, and strengthen muscles. It is a non-invasive approach that complements veterinary care and medication. Key benefits include: Improved joint mobility: Gentle stretching and range-of-motion exercises help maintain flexibility. Pain relief: Techniques like massage and cold laser therapy can reduce inflammation and soothe sore joints. Muscle strengthening: Building muscle around affected joints supports stability and reduces strain. Weight management: Physical activity helps maintain a healthy weight, easing pressure on joints. Physical therapy sessions are tailored to each dog’s needs, considering their age, arthritis severity, and overall health. Typical Physical Therapy Techniques for Arthritic Dogs Canine Physical Therapists use a variety of methods to help dogs with arthritis. Some common techniques include: Modalities: Cold laser, Pulsed Electromagnetic Field (PEMF) therapy are both used to reduce inflammation and pain Manual therapy: Massage and myofascial release to muscles, joints, and fascia improves circulation and reduces stiffness. Passive range-of-motion exercises: The therapist gently moves the dog’s limbs to maintain joint flexibility. Balance and coordination exercises: Activities like walking on uneven surfaces improve stability and prevent falls. Strengthening exercises: Specific exercises to help improve overall strength and mobility. These treatments are often combined with home exercises that owners can perform to support ongoing progress. Collaborating with Other Pet Professionals Ensuring the best care for your dog requires a team effort. Primarily, your veterinarian should be a key part of your dog's care. They can offer advice on medications and supplements for pain and arthritis management. Some supplements and medications frequently recommended by my veterinarians include Adequan, Rejensa, and Ursolyx. I have personally used all of these on my dog and found them beneficial. However, it's important to conduct your own research and consult with your veterinarian to determine the best options for you. We also work with chiropractors, like The Stable Spine, to offer additional treatment options. We understand that we may not always be the right fit for everyone or every budget, and we encourage supporting other local businesses. We often refer clients to The Water Bark as a more affordable option, especially if your dog enjoys water. The team at Water Bark is expertly trained in providing aquatic therapy for dogs and they do an excellent job. Tips for Supporting Your Aging Dog with Arthritis In addition to professional physical therapy, owners can take steps at home to support their dog’s joint health: Provide a soft, supportive bed to reduce pressure on joints. Maintain a healthy diet to avoid excess weight. Use ramps or stairs to help dogs access furniture or cars without jumping. Schedule regular vet check-ups to monitor arthritis progression. Encourage low-impact activities like swimming or short walks. Combining these efforts with physical therapy creates a comprehensive approach to managing arthritis. When to Consult a Canine Physical Therapist If your dog shows signs of arthritis or struggles with mobility, consulting a canine physical therapist can be a valuable step. Early intervention often leads to better outcomes. A therapist will assess your dog’s condition and design a personalized plan that fits their needs and lifestyle. Final Thoughts on Canine Physical Therapy for Arthritis Arthritis does not have to mean the end of an active, happy life for your aging dog. Canine physical therapy offers a safe and effective way to reduce pain, improve mobility, and enhance overall well-being. By combining professional care with supportive home practices, you can help your pup enjoy their golden years with greater comfort and joy. Let us help you "put the pep back in your pup's step".

Degenerative myelopathy (DM) is a progressive neurological disease that affects many dogs, especially older ones and certain breeds like German Shepherds and Boxers. This condition gradually weakens the spinal cord, leading to loss of coordination, muscle weakness, and eventually paralysis. While there is no cure for DM, canine rehabilitation offers valuable support that can improve quality of life and slow the progression of symptoms. It is also a diagnosis of exclusion, meaning all other neurological conditions are ruled out prior to the diagnosis. This can be done by thorough examination by your veterinarian. Understanding Degenerative Myelopathy in Dogs Degenerative myelopathy is similar to amyotrophic lateral sclerosis (ALS) in humans. It affects the spinal cord’s white matter, causing nerve signals to deteriorate. Early signs include stumbling, dragging of the hind legs, and difficulty standing. Over time, dogs lose muscle mass and control over their back legs, which can lead to complete paralysis and can progress to their front limbs. Owners often face emotional and practical challenges as their dogs’ mobility declines. While medication can help manage symptoms, rehabilitation plays a crucial role in maintaining strength and function for as long as possible. What Canine Rehabilitation Involves Canine rehabilitation is a specialized form of physical therapy designed to support dogs with mobility issues. It combines techniques such as: Therapeutic exercises to strengthen muscles and improve balance Assistive Gait is used either with underwater treadmill or body weight support treadmill training system Manual therapy and stretching to relieve muscle tension and improve circulation Assistive devices like braces or carts to support mobility Rehabilitation programs are tailored to each dog’s condition and progression of DM. The goal is to maintain independence and comfort, even as the disease advances. How Rehabilitation Helps Dogs with Degenerative Myelopathy Slowing Muscle Atrophy and Maintaining Strength One of the biggest challenges with DM is muscle wasting due to lack of use. Rehabilitation exercises encourage muscle activation, which helps slow atrophy. For example, controlled walking exercises and balance training stimulate the muscles and nerves, preserving strength longer than inactivity would allow. At Pawsitive Steps Canine Rehab, we also use electrical stimulation to help improve muscle firing and preserve muscle mass. Improving Coordination and Balance Loss of coordination is a hallmark of DM. Therapists use specific exercises to improve proprioception—the dog’s awareness of limb position. Balance boards, gentle obstacle courses, and assisted walking help retrain the nervous system to respond better, reducing falls and injuries. Enhancing Quality of Life Rehabilitation not only supports physical health but also mental well-being. Dogs that remain active and engaged tend to be happier and less anxious. Hydrotherapy, in particular, provides a low-impact way to exercise, which many dogs find enjoyable and stimulating. Supporting Mobility with Assistive Devices As DM progresses, some dogs benefit from braces or carts that support weakened limbs. Rehabilitation professionals can assess the dog’s needs and recommend appropriate devices. Training with these tools helps dogs adapt and maintain mobility longer. At Pawsitive Steps Canine Rehab, we offer rental of wheelchairs and help 'em up harnesses with the option to purchase. We now also carry the Lucky and Loyal Brace to help with mobility. One of my favorite thank yous got from a client said this, "Thank you so much for supplying the wheelchair for our Obi. I know you saw in the videos just how happy it made him to play fetch in his final months. We were adament that Obi retain a little bit of independence in the end, and you gave him that gift. We will forever be gratrful for that. Thank you again!" What Owners Can Do at Home Rehabilitation is most effective when combined with consistent care at home. Owners can: Perform gentle range-of-motion exercises daily Encourage short, controlled walks on safe surfaces Use massage techniques to relax muscles Monitor for signs of discomfort or worsening symptoms Working closely with a veterinary rehabilitation specialist ensures exercises are safe and appropriate. When to Seek Professional Help If your dog shows signs of DM or has been diagnosed, consult a veterinarian experienced in neurological conditions. They can refer you to a certified canine rehabilitation therapist. Early intervention offers the best chance to maintain function and comfort. Final Thoughts on Canine Rehabilitation and Degenerative Myelopathy While degenerative myelopathy is a challenging diagnosis, canine rehabilitation provides practical ways to support affected dogs. Through targeted exercises, modalities, manual therapy and assistive devices, rehabilitation helps slow muscle loss, improve coordination, and enhance quality of life. Owners who engage in rehabilitation programs often see their dogs remain active and comfortable longer than expected. If you have pet insurance, they will often cover rehabiliation as well as equipment needs as your pup progresses.

Fascia is a type of connective tissue that envelops the body's muscles, extending seamlessly from head to toe. Nerves and blood vessels traverse the fascia as they travel from the spinal cord and heart to various parts of the body. This tissue is not visible on scans or x-rays and is frequently overlooked. Factors such as trauma, posture, and inflammation can exert excessive pressure on the fascia, leading to pain, restricted movement, and reduced blood flow. Fascial pain and restrictions affect both animals and humans. Fortunately, several mostly painless modalities and options can enhance fascia movement and alleviate pain. At Pawsitive Steps, we combine dry needling with myofascial release (MRF), specifically John F. Barnes' Myofascial Release Approach. For dry needling, we employ both homeostatic and trigger point techniques to achieve optimal results. In humans, needles are typically left in place for about 10 minutes. Animals, however, tend to respond more quickly and effectively than humans, so based on the animal's response, we may either briefly poke or leave the needles in for a few minutes. The dry needling accelerates results by enhancing blood flow to the area and "breaking up the fascial restriction." We then apply gentle, sustained pressure to further increase movement and blood flow to the area. Here are some examples of the pets we have treated: Bella was brought in with suspected IVDD, experiencing mild neurological deficits and starting to show some weakness. She was moving more slowly and occasionally dragging her feet. The initial treatment involved MFR. Bella, who had been a very anxious dog, was held by her owner. During the MFR session, Bella relaxed and nearly fell asleep in her owner's arms. Once the treatment was completed, she immediately started sprinting across the room. We performed one additional MFR treatment on Bella and are pleased to report that she has returned to her normal self. Colby initially came in for a psoas injury but was found to have a very stiff back and medial patella luxation. During the initial assessment, he exhibited significant back pain, flinching when touched along the spine. We started with dry needling followed by MFR. Colby transitioned from being anxious to lying down and relaxing during the treatment. After MFR, the back pain stopped, with no more flinching. He returned a week later with much milder back pain, which we are still addressing, but he seems to be moving better after just one treatment. We also treat some humans who have experienced enhanced mobility or alleviation of symptoms like dizziness and headaches, along with reduced back pain. We refer to this as our "better together program," where we provide treatment for both the dog and the owner. Contact us today to see how we can help your pet (and/or yourself)!

If no one told you, senior dog care is hard and not for the faint of heart. One day they are your young pup, and the next they have sugar coated muzzles, slower to get around, and sleeping more than they are awake. It feels like the change occurs overnight, but looking back, you see how it has been creeping along for years. I was lucky enough to have over 14.5 years with my soul dog. Pet owners, such as myself, begin having anticipatory grief, which is a common occurrence. You begin getting emotional and sad thinking about they day when your beloved pet is no longer here, even though they are right there with you. Luckily there are support groups such as Pet Loss Community that can help you navigate those feelings. Other pet owners are also great sources of support because they know exactly how you feel. Enjoy every movement you have left with them . Let them do the things that they enjoy (within reason). When your dog hasn't felt up to playing fetch in months, and suddenly wants to play, indulge them. However, be smart about reintroducing activities as they are not as spry and agile as they used to be. Short, soft throws that don't force them to make quick, cutting movements. Limit it to 5 throws at a time and make them rest. Keep them physically and mentally stimulated. Take them on "sniffari's", which are short, meandering walkings, allowing them to sniff around and provide new or unusual scents. This is like their form or "social media". Short, more frequent walks may be more beneficial, or consider things such as a wagon to tote them around. They like and need the fresh air, and the change in environment can help manage depression and provide sensory stimulation. Consider slow feeders or treat puzzles as well to help keep their mind sharp. Of course, consider canine rehabilitation/physical therapy to help improve strength, mobility, and manage pain to help them continue living their best lives. Bailey loved her poop snacks. In the end, there was no point arguing with her. She got her way no matter what, and she knew it. She no longer wanted to go in the backyard, but demanded to sniff around the front yard and find all the cat poop. You can see the joy she found in doing so and felt no shame or guilt. This was the mental and physical stimulation that she loved and needed to keep her happy and active. Consider home modifications, foot care, and equipment to help them get around better. Often times, the pets have a harder time getting around, it is important to make their environment as friendly and accessible as possible. This may include using Yoga mats or runners on the floor to provide traction. Boots, toe grips, or stickers can be used to help provide some traction for footing as well. Making sure their nails or short and toe hair trimmed also are ways to provide more support. Other equipment may be help 'em up harnesses, knee/elbow sleeves, or wheelchairs to help provide support and stability. Also consider orthopedic beds such as Big Barker to provide extra support for achy joints. Regular check-ins with a veterinarian, senior screenings, and routine visits aid in identifying problems and managing symptoms and diseases. We were frequent fliers at the vet clinic, but my vet knew Bailey very well. We had open discussions about treatment options, medications, surgical interventions, etc. We also discussed how to determine when it was time to say good-bye. I frequently told my vet that I could not be objective about Bailey and that she would have to tell me when it was time. The relationship and trust I have with my vet was instrumental in helping Bailey to live a long, happy life as well as helping me know when to say our final good-bye. Bailey would not have lived over 14.5 years without the caring veterinarian support team. Be aware of your physical and mental limits when caring for your pet. This can be a difficult realization. As your dog grows older, or if illness or injury occurs, your pet's physical and mental needs may change. They might require more physical help, along with the emotional and mental strain that caregiving involves. This can include accidents in the house, falls, unsteady walking, physical assistance for all activities, or special food for them as well as cognitive changes such as trouble sleeping at night, getting lost, confusion, barking, or being extra needy. Caregiver burnout is a genuine concern. It's crucial to recognize what you can physically and mentally manage for your pet. You don't want to develop resentment towards your pet, but you also want them to feel your deep love. However, if you injure yourself while caring for them, you won't be able to give them the proper care they need. How do you know when it's time to say your final good-bye? Companies such as Senior Dog Co as well as talks with your veterinarian can help you know when the time has come. Is your pet happy? Are they hungry? Are they drinking? Do they act like they want to be there? Has their personality changed? Am I physically and mentally able to provide the care they need? Sometimes our dogs just know when it's time to say good-bye and help make the decision for us. Bailey started having seizures a month prior, but was managing well with medications, once we go over the balance issues associated with the seizure medication. She was happy and hungry until the day she crossed the rainbow bridge. That day was different. The vet had told me that if Bailey started having cluster seizures that could not be controlled by medication, that would be the sign. Sure enough, that is what happened. She was not hungry and no longer smiled. The light in her eyes was gone. She fought until the bitter end. She was truly the toughest dog I've ever know. Coping after the loss of your beloved pet can be a long and tedious journey, but you are not alone. R.M. Drake in his book "Dog People" wrote, "It's hard getting over a dog. Not because you can't accept they're gone, but because everything in you still remembers how it felt when they were here. You remember the way their head would tilt when you spoke, as if your voice was the only sound that mattered. The way they seemed to understand you on days when no one else could. The way they made the world feel softer, safer, somehow lighter--just by existing beside you. The hardest part isn't the goodbye. It's all the days after. It's realizing there's no one waiting by the door. No one watching you with those eyes that saw the best in you, even on your worst days. It's how the world keeps moving forward, but part of you stays back with them, in the moments you'd give anything to live again. You don't "move on" from a dog. You just learn how to walk through life carrying the echo of their love. And on the loneliest nights, you still hope that somehow, somewhere, they know you never stopped missing them." Don't feel guilty about your decision. It is easy to think that you made the wrong decision or wonder if you made your pet suffer. Know that you are an awesome and amazing pet parent. You did the best you could with the resources (time, money, energy) that you could and you loved your pet with every fiber of your being. You gave them the best life possible. They love you and saw the best in you. Rest in Peace my pups. You are finally together again. The best dogs anyone could ask for. I love you and miss you both. #seniordog #rainbowbridge #caninecancer #vetmed #ilovemydog #caninerehab #caninerehabilitation

Electrical stimulation is a use of mild electrical pulses to stimulate nerves or muscles to either create a muscle contraction for strengthening or for reducing pain. TENS and NMES are often thought to be the same and that the machines can work interchangeable, but that is not true. Transcutaneous Electrical Nerve Stimulation (TENS) is what is most often thought of when the term electrical stimulation is thrown out. This is what people think of for using for pain management and often used in physical therapy or chiropractor clinics to help reduce pain. TENS is a lower frequency and stimulates sensory nerves, and help to block the pain mechanism. Neuromuscular Electrical Stimulation (NMES) is used for neuromuscular re-education. It is a higher frequency and threshold to stimulate the nerves to provide muscle contractions. Many dogs with injuries will lose muscle mass (atrophy). Simply stated, the muscles are not working and contracting like they should. The dog's legs will look much skinner than before injury. Both TENS and NMES are well researched in the human world. There is not as much research in the veterinary realm, but all research does support the use of both types of electrical stimulation. NMES is something I use on dogs who have any neurological disorder, especially IVDD . Even with dogs who are deep pain negative have been able to get muscle contractions to help them walk. I also use it post surgical, especially for TPLO / CCL injuries . It helps to improve muscle activation and decrease atrophy from non-use. Contact us today to treat your pet! #IVDD #Caninerehab #caninerehabiliation #caninephysicaltherapy #caninePT #caninephysio #caninephysiotherapy

Canine PT for CCL injury Surgery can be intimidating for both animals and humans. We want to avoid our pets' suffering and understand that our actions are for their benefit. Given the high costs of surgery, it's important to ensure your dog recovers well afterward, helping them return to their former level of function. Investing in canine rehabilitation is one of the most effective ways to ensure a healthy recovery. Although the costs might seem high compared to the surgery expenses, it is more affordable than undergoing another surgery and aids in proper healing and strengthening. After orthopedic surgery, a crucial factor is encouraging weight-bearing on the affected leg. Owners might believe their dog is fully weight-bearing if the leg isn't lifted off the ground, but they may not notice that the leg is positioned so far from the dog's body that it's merely serving as a balance point. Consequently, by the time weeks or months have passed since the surgery, the leg may be barely functional. Our primary objective is to alleviate pain through soft tissue techniques (such as massage, myofascial release, stretching, and range of motion exercises) and various modalities (including heat, ice, and TENS). After pain reduction, we focus on exercises and functional activities to enhance overall strength and mobility. This might involve simple tasks like stepping over objects or engaging in activities that encourage weight bearing. We aim for the dog to regain trust in their body. At times, we must provide support to prevent falls. We strive to determine the most effective method for each dog to learn how to use their leg. Just as every human is unique, each dog learns in their own way. Once we have determine the exercises, we provide a home exercise program and have you demonstrate the exercises for us to ensure understanding. One of the most important factors for improvement is follow through at home. Without it, success will be limited. We e-mail you a copy of the exercises with pictures and instructions within 48 hours of our evaluation so that you can continue to work on the exercises at home. Consistent follow-up and ongoing therapy yield the best results. Just like humans, dogs experience both good and bad days, so we adjust exercises and activities accordingly. As the dog improves, we introduce new exercises or enhance existing ones to maximize strengthening. We are very hands-on to ensure proper technique and minimize compensation. Dogs that have had surgery frequently experience pain in other areas because they try to avoid using the injured leg. Those with #CCLinjuries often have restricted "ankle" movement or back pain from keeping the limb elevated. The front limbs might develop soreness and tight muscles due to overuse. Therefore, we ensure to assess, monitor, and treat the whole body, not just the injured leg. Who can offer canine rehabilitation? Ideally, you should consult a professional specifically trained in animal rehabilitation. There are specialized certification programs for healthcare professionals to work with animals. Seek out individuals who are Certified Canine Rehabilitation Therapists (CCRTs), Certified Canine Rehabilitation Practitioners (CCRPs), or Veterinarians with board certification in Rehabilitation. These are postgraduate programs for those with a degree in healthcare or veterinary medicine who wish to deepen their expertise in rehabilitation. Avoid asking local physical therapists to provide rehab unless they are certified in animal rehabilitation, as working with animals differs greatly from working with humans. In my role as a CCRT, I collaborate closely with your veterinarian to achieve the best outcomes. I submit my evaluation to your vet within 48 hours after completing it and encourage open communication among all parties involved. Furthermore, we need veterinarian approval before beginning work with any animal. #caninerehab #caninerehabilitation #caninephysicaltherapy, #caninePT, #PTfordogs, #CCLinjury, #TPLO, #MPL, #FHO, #caninephysio, #caninephysicaltherapist

14 year old Bailey, loving life We love our pets! I know I would do anything and spend any amount of money to ensure my pet was happy and healthy forever. Cherish every moment with them! While it can be painful to watch them slow down and age, there are some things we can do to help them! Ways to help your dog age well Congrats on being an amazing pet parent! The perspective of pet ownership has drastically changed over the years and pets are now considered family. We love them dearly and want to do everything we can to help them live long, happy, and healthy lives. Dogs are living longer and healthier lives because of proactive pet parents like yourselves. Seeing your veterinarian for regular and yearly wellness exams, yearly labs, and dental  health are all very common ways to help your dog stay healthy. But there is more that you can be doing.  As your dog starts to age, you may start to noice them slowing down or struggling to stand up, or not getting on to the couch like they used to do. Once you start noticing these things, you hope it will pass in a few days, and it typically does, or at least you may not notice the consistent struggles. This is often when you wonder, do they need help? Is this just part of aging? Ddid they just overdo it the day before? It could be a combination of all those things, but this is the time to start helping them! There tends to be the desire to bubble wrap them or not let them continue with activities, but as the saying goes, “if you don’t use it, you lose it”. Activities may need to be modified, but “movement is medicine”.  Promote Body Awareness Everyone walks about socialization with pups and how it important it is, and they are right. New sights, new sounds, and learning to be safe and neutral in those environments are key to a confident and well rounded pup, however this continues no matter their age. New surfaces, textures and physical activities are important for general body development. This can include walking on grass, rocks, sand and woodchips to start, as well as hilly surfaces. Then your pup can progress to different obstacles, such as curbs, walking along the curb like a balance beam, playground equipment, on/off park benches and cavaletti poles. You don’t have to buy fancy equipment, as the great outdoors and parks generally have everything you need or things around the house, such as Amazon boxes and broom sticks. Anything new helps to build body awareness, improve strength, improve core strength, and increase confidence.  General Activity Guidelines As your pup reaches their “golden years” as a senior and geriatric dog, activities will likely need to be modified. Shorter, more frequent, and less intensive activities are warranted to help muscles strong while promoting healthy blood flow and reducing injury. Warm up and cool down sessions such as stretching or walking may be required. Fetch should be limited to 5 gentle throws with several minutes of rest in between sessions. The abrupt stopping and changing directions can cause ligament and tendon injuries. Play and exercises should be fun for you and your dogs, so if you notice hesitation or lack of interested, the dog may not be enjoying the activity or they may be in pain.  Aging Well Wellness Program This program is designed specifically to help your dog maintain their mobility as they age. The first session is to meet you and your pup, identify key areas of concern, treat those areas, determine appropriate exercises and teach you the exercises to do at home. You will be given a Home Exercise Program within 48 hours the electronic version with videos and pictures will be sent to you via e-mail. Subsequent visits will be to re-visit the areas of concern and treat as needed, determine how exercises are going at home and modify or progress as needed. This is a less intensive and less in-depth than the canine rehabilitation program. If a more intensive program is warranted, canine rehab route will be encouraged.  Maintain a Healthy Weight As your dog ages, their nutritional needs change, primarily with protein intake which need sot remain high to maintain the muscles they do have. Ve very mindful that being overweight, even by 5%, significantly increases the load placed on their joints and can lead to progressive degenerative changes. Talk to your veterinarian about what diet is most appropriate for your pup. Be mindful of the treats and frequency you give your pup, and consider switching them out at times for veggies, such as carrots.  Mental Enrichment Cognitive Decline and Dysfunction happen in pets, just like humans. It is important to keep their minds sharp as they age. There are tons of puzzle toys out there to challenge a dog’s mind and sniffer. Pinterest and the internet have tons of ways to help make your dog keep those mental faculties strong. Mental stimulation is often more tiring than physical activities. Consider adding “sniffaris”--slow meandering walks that allow your dog to sniff the environment without rushing them. Some say this is the dogs version of social media. Talk to your veterinarian about supplements and medications that can help with cognitive decline and function.  Hands on time Our hands are one of our greatest assets.  Giving intentional pets along sore spots or massaging their legs in the evening when they are stiff,  can help to increase blow flow and ease muscle tension. Belly rubs and ear scratches also help to communicate love and affection while release endorphins which are the “happy chemicals” in the brain. Strengthening and Stretching program  Regular exercise and activity are essential for maintaining wellness. Be intentional about your activities and introduce new surfaces and directions. Keep your dog moving. Consider joining the “Aging Well Wellness Program”  or  Canine Rehab  to meet your dogs specific needs.  Home Modifications:  Consider adding rugs, yoga mats, or carpet to slick flooring in order to provide your pup with some stability. Orthopedic beds such as Big Barker can provide them with comfort and support during their naps and bedtime. Adding ramps or “stair stepping” modifications to your couch so they can cuddle without causing pain. Consider booties for traction as well.  Watch for:  Any abrupt changes in activities, decreased desire to participate in activities, increased panting, decreased appetite can all be signs of pain. You may notice intermittent limping, difficulty settling dog, exaggerated sway of the hips or frequent weight shifts, and change in the foot placement while standing or walking (wider or more narrow stance). Contact your veterinarian if you notice these changes.  Love on your pets! Let them know they are loved! Regular vet visits and knowing your pet and when something seems "off" is important!

Low Level Laser Therapy (LLLT aka cold laser) LLLT  is a non-invasive treatment that uses low-intensity laser light to induce the healing process and thereby lower pain and inflammation. LLLT uses wavelength ranging from 600-1000nm, allowing it to reach both superficial and deeper tissues.  What is red light therapy Red Light Therapy primarily uses LED bulbs, similar to standard household lighting, to emit therapeutic light. These LEDs typically operate at lower power levels (wattage) and within a wavelength range of 600-800nm. Due to this lower wattage and wavelength, red light therapy is limited in its ability to reach deep tissues, making it most effective for surface-level skin concerns, such as wounds.  How are LLLT and Red light therapy different?  Both laser and red light therapy use different wavelengths of light, ranging from visible red light to infrared light that we cannot see, to stimulate electrons in the mitochondria of pets’ cells. This increase in cell activity results in faster healing, better blood flow, and decreased inflammation.  The main difference between laser therapy and general red light therapy is that the Class 3b and IV lasers used in veterinary and human medical offices offer stronger and significantly more targeted treatment. Clinical models of these low-level laser devices (LLLDs), harness specific wavelengths of light that don’t produce heat. These “cold lasers” hone in on specific treatment areas—even deep in the body, like hip joints—and ensure that cats and dogs remain comfortable throughout the procedure.  Why use laser therapy? LLLT is a painless treatment that uses light to simulate natural biological process to facilitate healing and pain reduction. Cells in the body absorb laser energy that stimulates the body to release pain relieving compounds, increases circulation and energizes the cells to participate in the healing process. There are no side effects.  At times laser therapy can take the place of pharmaceuticals and surgery to treat long-term, degenerative diseases. Low Level Laser Therapy Different Types: Continuous Wave vs Super Pulsed  Continuous diodes deliver a constant and stable power output, ideal for most treatment situations. (2" Depth penetration) Super pulsed laser diodes use very short pulsed of laser energy, just fractions of a second, but at very high power (up to 50Watts) to enhance laser penetration into deep tissue. By turning the laser on for a brief period at very high power, you achieve the benefit of deep penetration without the risk of heating or burning that arises when using higher power, continuous wave diodes for long periods. It has up to 5" penetration with NO RISK of burning What can it treat? IVDD Arthritis Degenerative Myelopathy Soft tissue Injuries Joint issues such as Hip Dysplasia Ligament and Tendon injuries such as CCL injuries Wounds And much more! Contact us today to learn more and schedule an appointment.

Idiopathic Geriatric Vestibular Disease is a common neurological disorder observed in senior dogs, usually over the age of eight years. It affects the vestibular system, responsible for maintaining balance and spatial orientation. Despite its unsettling symptoms, “idiopathic” denotes that the cause remains unknown. Experts believe the disease may be linked to age-related degeneration or inflammation in the vestibular nerves or brain regions controlling balance. Signs and Symptoms -Head tilt, often severe -Loss of balance and difficulty walking, leading to staggering or falling -Rapid and involuntary eye movements (nystagmus) -Nausea or vomiting due to dizziness -Disorientation and confusion How does therapy help? Balance and Coordination Exercises: Specialized exercises targeting the vestibular system help dogs regain their sense of balance and coordination. Through gentle movements and controlled activities, rehab encourages the brain and body to re-establish connections, enhancing the dog’s ability to walk and navigate confidently. Strength and Endurance Building: Muscle weakness often accompanies vestibular issues. Therapeutic exercises focus on strengthening the affected muscles, improving endurance, and reducing the risk of falls or injuries. Sensory Integration: Rehabilitation integrates sensory stimuli to help dogs adapt to their altered perceptions. This might include visual tracking exercises and proprioceptive work, which helps dogs understand their body position in space. Pain Management and Comfort:  IGVD can be uncomfortable and distressing for our canine friends. Canine rehabilitation incorporates pain management techniques, ensuring dogs are as comfortable as possible during their recovery. Supportive Devices:  Assistive devices, such as harnesses or slings, may be used to provide dogs with extra support while they regain their balance and mobility. Contact us today to schedule an evaluation!

My dog, Bailey, is a labradoodle who LOVES to play fetch. She would play fetch all day long, every day if she could…or if I would let her. The day after she had 5 tumors removed with a drain in her, she had the ball and was begging to play fetch. Here she is (pictured above) all bandaged up but putting the ball at my feet, telling me she is fine and ready to play.  How could I deny her?! I am definitely guilty of playing fetch for 30 minutes nonstop.  My personal instagram handle is @busyplayingfetch, if that doesn’t clue you in about how obsessed Bailey is with fetch and how I would do anything to make my dog happy. I used to let ailey dictate when she was tired and needed a break. Is there such a thing as too much fetch?? Prior to getting my CCRT, I had never considered that there could be something as too much fetch. However I learned some information that caused me to alter my game of fetch with Bailey. 1.    Fetch can signal a canine’s instinct for hunting. They see the ball as “prey” and their drive mechanism takes over. This is the fight or flight that causes adrenaline to be realized into the body. Unlike a human, the dogs cannot recognize what is happening and cannot turn it off. 2.    Continuous fetch can foster a compulsive behavior, which causes the dog to be obsessed and unwilling to stop. This can lead to things such as dehydration or heatstroke during hot weather. I remember playing fetch inside with Bailey once to the point where she was jumping over the furniture to get the ball and urinated while jumping because she would not stop playing fetch. 3.    The physical adaptations required during a game of fetch can lead to physical injuries. There are quick and explosive movements to begin the chase. Then as approaching the ball, it can often cause a quick deceleration and/or turn in directions. It can also cause “tunnel vision”, in which the dog is so focused on the ball that they don’t see things. This can lead to injuries such as Cranial Cruciate Ligament (CCL) tears, repetitive strain injuries, toe injuries, heat stroke, or broken bones. What does this mean? The good news is, we can still play fetch! We just have to be aware of things such as the weather, the environment (clear of obstacles), and our dog’s fatigue level. We have to be in control, not our pup. Limit the amount of throws to about 5, then make your dog rest for several minutes before giving 5 more throws. This will allow the adrenaline to decrease and help prevent the drive instinct from taking over. Ways to decrease injury with fetch Fetch is a great way for exercise and makes our dogs happy! We can make modifications to our games to help them stay healthy, active and mentally stimulated. •    Start with a warm up of close, low, and slow throws •    Gradually increase the distance •    Know the signs of fatigue and pain •    Limit your throws to about 5 at a time with long rest periods (several minutes) •    Find alternatives such as walking, jogging, or scent work •    Take more frequent and longer breaks during the summer heat •    Keep your pups at a healthy weight Resources: https://www.mcrehabilitation.com/blog/why-playing-fetch-with-your-dog-is-more-dangerous-than-you-think https://pethelpful.com/dogs/Help-My-Dog-is-Obsessed-with-Playing-Fetch-Ball-Obsessions-in-Dogs https://wholesomecanine.ca/blogs/articles/fetch-innocent-fun-or-full-on-addiction

Librela is a newer injecitable medication for dogs with osteoarthritis. Many older dogs are susceptible to arthritis and my start showing signs of slowing down, difficulty getting up, limping, or no longer wanting to play fetch or go on walks. Regardless, if your dog is showing any of these signs, it is important to be evaluated by a veterinarian to determine the best course of action to help your dog's mobility improve and pain decrease. To be clear, I am neither encouraging nor discouraging pet owner's from taking or not taking librela. It is up to the pet owner to do their research, join facebook discussion groups, and talk to their veterinarian. Every pet is different and as their owner, you know them better than anyone. There are some of my personal friends and veterinarians who absolutely love it, some who are against it, and some who are still on the fence or will only use it in certain situations. As with any and every medication, there is nothing that will work for everyone. All I can advise is to do your research and determine what is best for your pup and your family. What is clear, is that for the dogs whom have had great results, there have also been injuries associated with feeling better. As humans, most of us are smart enough to know that if we suddenly have no pain that we can't go from walking to running a marathon in one day. However, dogs do not have those kinds of thoughts or restraint. Prior to the clearing of pain, the dog limited it's ability and movement. Humans and dogs alike, the saying is the same "You lose it if you don't use it". When range of motion is restricted, the muscle grow shorter and weaker. If you suddenly try to use the full range of motion instead of your restricted range of motion, there is a huge risk for injury. That is where Canine PT comes in. Canine PT uses an individualized approach to treating your dog and their specific needs. A dog with arthritis in the front limbs will have a different focus of exercises for those in the hind legs. A certified canine rehabilitation therapist (CCRT) or a certified canine rehabilitation professional (CCRP) can help identify areas of concern and work towards slowing increasing strength, stability, and return your dog's mobility is a safe manner. Canine Rehab can also use other modalities to help decrease pain. We utilize soft tissue work (massage, range of motion, etc), as well as laser therapy and PEMF (electromagnetic therapy) to help decrease pain. We pair these techniques with exercise to safely re-education the muscles how and when to work properly in order to provide the safest means of mobility. If you decide that Librela is the course for you, definitely consider working with a canine physical therapist or certified rehabilitation vet or professional. Looking for a more holistic approach? Find a certified canine rehabilitation therapist near! Check out this site to find someone near you . #librela #caninePT #caninerehab #caninerehabilitation #caninephysio #caninephysiotherapy #caninephysicaltherapy #animalPT, #animalphysicaltherapy #holisticpet #holisticpetcare #PEMF #laser #ilovemydog