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Animal Rehabilitation and Wellness Frequently Asked Questions What is animal rehabilitation? Animal rehabilitation - also called therapeutic rehabilitation, therapeutic exercise or exercise rehabilitation – is equivalent to physical therapy in people. Physical therapy has been used for nearly a century to assist people recovering from major debilitating illness, injury or surgery. As medical and surgical care for companion animals becomes increasingly sophisticated, these same techniques and modalities can be applied to pets to support recovery and maximize quality of life. How do I schedule an appointment? Therapy appointments are scheduled by referral through your regular veterinarian. Conditioning and weight loss appointments for overweight but otherwise healthy animals can be scheduled directly with us by calling (925) 234-2364 Monday-Friday from 8am to 5pm. What conditions do you treat? Cranial cruciate ligament rupture – with or without surgical stabilization Other orthopedic surgical patients, including total hip replacement, femoral head & neck excisions and fracture repair Intervertebral disc disease – with or without surgical intervention Degenerative myelopathy Sports injury, including iliopsoas injury, gracillis tendon contracture, biceps tenosynovitis, etc. Patellar luxation – after surgical stabilization Obesity Arthritis and chronic pain What does an underwater treadmill do? An underwater treadmill has many uses in an exercise therapy program. There are numerous benefits to exercise in an underwater treadmill vs. “dry land”. Foremost among these is the reduced impact on painful limbs or joints and the increased resistance underwater which allows the patient more time to react to changes in speed or footing and builds confidence. It is not unusual for patients immobilized by neurologic disease, arthritis or obesity to simulate walking movements underwater. Movement is key to recovery and weight loss and gives patients a tremendous confidence boost. This kind of exercise is also extremely effective at building core body strength and improving cardiovascular fitness. What is laser therapy? Laser therapy is the use of specific wavelengths of light to penetrate tissues and stimulate cellular activity. Laser therapy has been shown to increase blood flow, help clear inflammation, reduce pain and speed healing of chronic or infected wounds. Laser may also help speed healing of nerve tissue after spinal cord injury. What is e-stim? E-stim or electrical stimulation is the use of electrical impulses to stimulate increased tissue growth, reduce swelling, numb nerves to reduce pain, and also strengthen muscles. E-stim is similar to the use of “TENS” (transcutaneous electrical nerve stimulation) in people – a common treatment for chronic pain, especially joint or back pain. What is therapeutic ultrasound? Therapeutic ultrasound (as opposed to diagnostic ultrasound used to make images of the internal organs and a pregnant woman’s fetus) is the use of sound waves outside the range of human hearing to stimulate soft tissues. Therapeutic ultrasound causes deep heating where surface heating methods are ineffective as with large muscle sprains and/or scar formation. Deep heating is beneficial for improving blood flow, relieving pain and also allowing more effective stretching to prevent injury or tissue contraction. Specialized ultrasound units that emit very low frequencies of sound can be used to accelerate bone healing after fracture or infection. Why does your facility look more like a gymnasium than a hospital? Our facility is designed to be a safe and encouraging space for our animal patients. We do not perform any invasive medical diagnostics or treatment at our facility. Because we do not do any painful procedures, dogs and cats are more relaxed and cooperative for their treatment sessions. Our goal is to make therapy seem like “playtime”. We use lots of treats, toys and positive reinforcement to give pets the confidence they need to recover. How is this different from exercising my dog at home? Home exercise is an important part of every pet’s lifestyle and can be critical to the success of their ongoing program. However, during recovery from a major injury or surgery, exercise needs to be appropriate and kept in proportion to the patient’s physical status and abilities - dogs and cats will not always follow “doctors’ orders” and they rarely rest when you tell them to!! At ARW, our staff members have extensive training in animal anatomy and physiology and the practice of therapeutic exercise to target specific body parts without causing stress, pain or injury to the animal. What if my dog is afraid of water? The use of the underwater treadmill differs in many ways from the experience dogs and cats have in a bathtub, pool or open body of water. The patient’s movement is more controlled and predictable in an underwater treadmill machine and they are often reassured by the fact that their feet are never off the ground- they do not have to “jump in” or work to keep their head above water. Lastly, the water is kept at a comfortable temperature for exercise and to prevent the “shock” of a sudden temperature transition. Much of the time spent during the first few sessions involves desensitizing the patient to any anxiety about the treadmill. Most dogs are comfortable being in the treadmill by the second session and within several sessions they are familiar enough with the process to enter the treadmill without guidance. What is medical boarding? Medical boarding is a specialized service where patients who need overnight care but are not in critical condition can be monitored until the regular veterinarian is open again in the morning. This option is significantly less expensive than a stay at a standard 24-hour emergency care facility. How is medical boarding different from regular or traditional boarding? For medical boarding patients, our staff remains on-site with the patient overnight, checking on them every few hours and administering fluids or medications as needed. Our traditional boarding services include oral medications, meals & regular walks, but not 24-hour care or injections. What other services do you offer? Animal Rehabilitation and wellness also offers acupuncture by appointment, grief counseling in group and individual sessions, and nutritional consultations. We sell a limited number of prescription diets for patients with specific nutritional needs as well as a selection of therapy equipment and harnesses for patients who will be continuing their rehabilitation therapy at home.