This is a full length article, so please pop the kettle on, make a brew, sit down and enjoy!
The current situation
The fundamental right to the freedom of choice in the healthcare of our animals is currently being eroded by governing bodies in several countries including the UK by the Royal College of Veterinary Surgeons (RCVS), which published a controversial statement on Complementary and Alternative Medicine (CAM) in 2017. This most recent position statement effectively bans alternative treatment unless conventional treatment is given before or alongside, thus rendering it complementary.
This article will demonstrate that alternative veterinary modalities used exclusively may, in certain circumstances, be in the best interests of the animal. They may also be useful as an integrated part of the animal’s overall veterinary healthcare package. Unfortunately, the RCVS’s view on CAM casts a wide shadow on treatment protocols and can limit vets from referring animals on for CAM treatments. Many CAM modalities can be offered as successful first line treatment, giving a valuable alternative to the purely pharmaceutical drug approach, which may bring with it the risk of unwanted side effects and antibiotic resistance.
To this end, the RCVS 2017 statement will be discussed and critically analysed, followed by the response of CAM4animals, a consumer group representing a wide range of animal owners, farmers, and CAM vets and practitioners. The article will conclude by suggesting a possible way forward to benefit all concerned, particularly our animals.
It is important to state that all vets, including those who use CAM and holistic approaches, are governed by their professional codes of conduct and the welfare of the animal must be paramount in whatever treatment is selected. In no way does this article seek to dismiss conventional treatments as a first line option or in emergency situations.
The ongoing discussion around the RCVS statement
On November 2nd 2017 the RCVS issued a new position statement on CAM, including homeopathy. It states:
“Homeopathy exists without a recognised body of evidence for its use. Furthermore, it is not based on sound scientific principles. In order to protect animal welfare, we regard such treatments as being complementary rather than alternative to treatments for which there is a recognised evidence base or which are based in sound scientific principles. It is vital to protect the welfare of animals committed to the care of the veterinary profession and the public’s confidence in the profession that any treatments not underpinned by a recognised evidence base or sound scientific principles do not delay or replace those that do.”
Anyone who is familiar with homeopathic research would take issue with this statement, starting with the first line: “Homeopathy exists without a recognised body of evidence for its use.” This is unquestionably incorrect. Research studies continue to be published in peer reviewed journals, demonstrating the effective use of homeopathic remedies in animals. A prime example of animal research can be found in the following study where homeopathy was used to replace antibiotics in a case of E. coli in piglets with highly successful results (Camerlink et al., 2010).
The Italian Homeopathic data base of veterinary research studies (Marino, F.V.) features a collection of studies on pets and/or livestock animals treated with homeopathic medicines. The source is mostly PubMed (The US National Library of Medicine) and many have positive findings, with several demanding more research. There are also extensive studies listed here: Americans for Homeopathy Choice (2019). These sites are simply a sample of specific veterinary research: there are many more. It is difficult to imagine how the RCVS can dismiss such evidence, or at least fail to research it further. In addition, there are many high-quality research trials on humans via these data bases: (CORE-Hom) and (Bell, I. 2018).
Similarly, I question “Furthermore, it is not based on sound scientific principles.” Homeopathy has its own, very strict set of principles which I outlined in an earlier article ‘Clarification of the Basic Homeopathic Principles’ (Hpathy.com: 2017).
In short, homeopathy is not based on the same principles as conventional medicine in that it treats the whole individual rather than singular symptoms and is hard to test using the randomised controlled trials (RCT’s) by which conventional medicine is typically gauged. However, there is on-going revolutionary research giving insight into how homeopathy might work as evidenced by the New Horizons in Water Science Conference at The Royal Society of Medicine in 2018. Eminent scientists (with no homeopathic bias) including Nobel Laureates, were assembled from around the world. They met to discuss the latest in their findings and revealed that current research is bridging the gap between mainstream science and the cutting-edge science surrounding the homeopathic mechanism of action and Ultra High Dilutions.
The RCVS considers that there is a lack of scientific rationale for homeopathy, thus it needs to be complementary rather than alternative. The words “lack of evidence base” in reference to homeopathy are touted frequently despite the fact many trials have been undertaken, as detailed above. In addition, it is difficult to quantify the vast number of cases treated which are evidenced empirically. What has to be taken into account, are the paradigmatic differences in the two systems of medicine. Systematic reviews, meta -analysis, RCT’s and controlled studies rarely do justice to homeopathic treatment because homeopathy treats the patient and not the disease.
It is imperative to understand that some things do not always make scientific sense in the first instance. However, knowing that they do exist, such as the phenomenon that is gravity, means it can be acceptable for them to be outside the realm of what science can currently explain. Another example is the action of aspirin, which was widely used, and its effectiveness lauded many years before its action was understood. (Walach, 2001). In addition, it is worth considering that both Louis Pasteur and Galileo were initially ridiculed and discredited, yet their theories were eventually embraced and changed science as we once knew it.
The RCVS statement goes on to say: “It is vital to protect the welfare of animals committed to the care of the veterinary profession.” Absolutely. This is why those of us involved in holistic medicine integrate it into our practices; we are not limited to one approach, we have the benefit of education and experience in many different therapies. This optimises rather than threatens animal welfare. The response to the global antibiotic resistance crisis is a good example. The College of Medicine and Integrated Health (2018) stated that “GPs who are trained in complementary medicine including homeopathy, prescribe less antibiotics than GPs without integrative medicine training.” This statement is applicable to those vets who also have the advantage of extensive training in both systems of medicine. This should be embraced and applauded by critics. Indeed, banning the use of homeopathy as a first line treatment under RCVS’s new guidelines is counterintuitive given the dangers surrounding antibiotic use, particularly where further research is being encouraged into homeopathy and herbs: (IAHV: 2017) and (NIHM: 2018).
My advice would be: if homeopathy or other CAM modalities work, is safe and prescribed by qualified vets or doctors, then use it. Veterinary medicine also has to deal with resistant superorganisms, adverse drug reactions, and the problems caused by polypharmacy. Alternative methods of treatment should be widely researched and, where proven to be effective, incorporated into treatment regimes. Likewise, it goes without saying that a purely conventional approach should be subjected to the same scrutiny in terms of research and results.
The RCVS’ rationale and The Faculty of Homeopathy’s response
Under the Animal Welfare Act 2006, animal owners and keepers are responsible for taking reasonable steps to ensure that their animals’ welfare needs are met. One of those basic welfare needs is protection from pain, suffering, injury and disease.
The RCVS states: “We consider that this welfare need is best served by the use of treatments underpinned by sound scientific principles, and would recommend that both vets and animal owners have this uppermost in their minds when considering treatment.”
The Faculty of Homeopathy’s statement in response to the RCVS can be read in full here. Their response reflects the concerns of their members and pet owners who embrace holistic health modalities. They point out that the RCVS states it expects veterinary surgeons to offer “treatments underpinned by a recognised evidence base.”
The Faculty states: “The evidence base for many conventional medicines used in veterinary practice as well as human medicine is inconclusive. If the RCVS were to apply the same evidential criteria used for homeopathy to all treatments, there would be far fewer clinical options available to the profession.”
There is growing interest in homeopathy from animal owners as they see conventional medicines regularly failing or producing adverse side-effects. This is especially true in livestock farming where there is a drive to reduce the dependence on antibiotics in the light of concerns about antimicrobial resistance, AMR. At such a time, it is contradictory that the RCVS fails to engage with vets who are best placed to offer advice on the appropriate use of homeopathy.
It is clear that by adopting their position in relation to homeopathy and other complementary therapies, the RCVS is limiting the clinical freedom the veterinary profession has always enjoyed. Moreover, in allowing a vocal minority to influence a policy stance, the RCVS has set a dangerous precedent where similar groups could not only influence and further restrict clinical freedom in the future, but also stifle innovation, research and the development of new treatments. This presents a far greater threat to animal welfare than homeopathy could ever do.
The RCVS statement has taken away its members’ freedom to choose what is the best course of treatment for an ill animal. The RCVS has also applied a blanket ban to the use of all alternative therapies even where there are successful trials. This blinkered approach is not just applicable to the RCVS. For instance, acupuncture for humans has become the latest casualty. NICE has failed to include it as a recommended treatment for urinary incontinence (British Acupuncture Council, 2019) even though they were alerted to a high-quality study demonstrating its effectiveness.
The response to the RCVS from CAM4animals
CAM4animals was formed because of a widespread concern that the RCVS Statement is a ban on all alternative modalities reducing both the clinical freedom of vets and customer choice in veterinary healthcare. Initially, CAM4animals launched a Care2 petition to allow members of the public to show their support for holistic vets and this achieved well over 21,500 signatures within a year.
Following on from this, an Animal Owners Charter was devised in order to further support holistic health choices and ensure informed choice (and consent) for all proposed treatment plans for their animals. Much of the Charter should be common practice since it is included in the RCVS Code of Conduct. Nevertheless, there are animal owners who have not experienced this, hence the need for the Charter.
CAM4animals audit reveals shaky foundations for RCVS position statement
CAM4animals acknowledges that CAM, including homeopathy, should be rigorously examined, as should all forms of veterinary medicine. However, it became evident that CAM in general, and homeopathy in particular, were not given adequate consideration in the discussion and development of the RCVS statement.
After much lobbying, CAM4animals received the documents used by the RCVS on which they based their statement. CAM4animals conducted an in-depth audit of the RCVS documents and found that they were factually weak, scientifically flawed and narrow in scope. In summary they found the following:
In addition, CAM4animals is concerned that RCVS Council members have been seemingly influenced by non-veterinary organisations which promote science scepticism regarding CAM in general and homeopathy in particular. The result is that RCVS’s own members are now placed in the vulnerable position of being formally disciplined and having to provide evidence to support the use of treatments they are legally and professionally qualified to practice and which have supporting evidence from their professional bodies. Evidence the RCVS appears to have chosen to disregard.
The RCVS denies that there has been any change to their position and yet repeatedly states that only treatments backed by sound, scientific evidence can be given. Although their statement is clearly biased towards making this relevant to CAM and homeopathy in particular, it is logical that this evidence requirement should apply to all treatments. Yet we know that many treatments offered by conventional vets have not been backed up with specific research on their application to a broad spectrum of species, but vets are able to choose to use such treatments without fear of censure from the RCVS. The RCVS has placed the onus on the vet to provide the evidence to support his/her use of an alternative treatment. The RCVS do not see their role as researchers which may go some way to explain why they did not examine homeopathy and other CAM adequately when considering their latest position statement. The implications of publishing the statement without engaging with all relevant stakeholders and gathering all the evidence in support of these treatments is consequently jeopardising animal welfare and compromising the position of their holistic veterinary colleagues.
What is particularly significant and disturbing is the fact that the RCVS report was based on flawed studies. These are outlined below and shown in more depth here.
Science & Technology Committee EC2 Report, 2010
This is a non-scientific report compiled by a committee of 14 MPs, only four of whom considered it and only three ratified it with the remaining one abstaining concerned by the “balance of witnesses”. One of the four is an associate of Sense About Science which actively campaigns against CAM. An independent critique by Earl Baldwin of Bewdley concluded that the report was “an unreliable source of evidence about homeopathy.” His view is of particular significance given his familiarity with S&T Committee procedures and his involvement in the 1999-2000 S&T Committee on CAM. As a result, the 2010 report caused sufficient concern for 70 MPs to sign an Early Day motion. It was subsequently dismissed by the Department of Health.
The Lancet Report, Shang et al., 2005
This report was incorporated into evidence for the S&TC EC2 Report above. Its findings are clearly unreliable and outdated. It has been superseded by at least 41 published placebo-controlled randomised trials, which would have been suitable for inclusion but were ignored. Read more on this here.
NHMRC, The Australian Report, 2013
This report shows evidence of deliberate bias and misreporting. As a result, it is currently under investigation by the Commonwealth Ombudsman for “scientific misconduct”. I recommend further reading here.
EASAC Statement on Homeopathy, 2017
This is based on the flawed EC2 Report and the biased NHMRC Report above. It includes second-hand scientific analysis and excludes quality evidence from a wider body of homeopathic research supporting its efficacy. Read more here.
Given all the post publication stakeholder responses to the statement and CAM4animals findings -particularly the flawed reports and the influence of non-veterinary organisations which promote science scepticism - everyone should be gravely concerned about how these documents were used as the ‘evidence’ on which the RCVS Council decided to change a well-balanced and long held policy statement.
In addition, I feel there is a vast amount of confusion around homeopathy as evidenced by the chaotic analysis of a study which concluded that homeopathy only appears to work because of ‘perceptual errors’: (RCVS: 2017) which stated (my emphasis):
“Therefore, animals with conditions that could be treated by an approved veterinary medicine are going without effective treatments in favour of ineffective homeopathic products. Furthermore, not all homeopathic products are neutral in their effect and are sometimes administered in highly concentrated forms that can potentially harm patients. Although homeopaths report that their remedies are effective when used in their practice, efficacy beyond placebo is not apparent in well-controlled clinical trials that eliminate biases and other non-specific effects.”
I am seriously not sure how homeopathy can be referred to as “placebo” and “ineffective” and then, in complete contrast, “all homeopathic products are not neutral in their effect and sometimes administered in highly concentrated forms that can potentially harm patients” in the same paragraph. This nonsensical account of homeopathy goes to show the ignorance with which it is frequently faced. There is a knock-on and compounding effect with one poorly written paper being incorporated into the next and so on. Furthermore, there is a frequent lack of understanding by critics of this very complex therapy which requires much in-depth study and practice.
The Austrian model - one to take on board
In contrast, the Vets Österreichische tierärztekammer (Austrian Veterinary Chamber) released their position statement in January 2019 stressing the importance of integrative medicine and CAM. The modalities they embrace are homeopathy, chiropractic, osteopathy, phytotherapy, acupuncture (and TCM) and osteopathy. They do NOT rule them out as alternative therapies and insist on respectful, unbiased communication and education within the profession regarding all forms of CAM. It is suggested by CAM4animals that this would be a good example to follow. I believe this method of working should be adopted globally.
Detractors: social media and sceptic organisations
This article would be incomplete without briefly discussing the effect that certain social media figures and sceptic organisations are having on CAM therapies in the veterinary field. You may have heard of the Good Thinking Society and The Nightingale Collaboration which actively campaign against alternative practices such as chiropractic and homeopathy. Vet Danny Chambers promoted their views and went on to start a petition in 2016 to ban vets from using homeopathy: “A call to ban veterinary surgeons from prescribing homeopathy as a treatment for animals.
This had a mere 3,335 supporters. In contrast, the petition adopted by CAM4animals has almost 22,000 supporters, including animal owners, farmers, vets and CAM practitioners. From 2016 - 2017, The Good Thinking Society promoted Mr Chambers’ view on homeopathy and his position onto the RCVS Council. He worked with the now President of the RCVS to release the statement on CAM in November 2017. This situation, with reference to CAM detractors and their negative effect on veterinary practice as a whole, will be covered in more depth in my next blog in this series for CAM4animals.
The British Association of Homeopathic Veterinary Surgeons (BAHVS) in response to Mr Chambers’ petition issued a statement.
“The whole premise of this campaign is based on the blatant misrepresentation that homeopathic medicines are ‘only water’. This is plainly not true. A global initiative of over 100 researchers from a multiplicity of disciplines (GIRI- Groupe International de Recherche sur l’Infenitésimal: http://giri-society.org/ ) has been studying solutions described as ‘ultra-dilutionse’ for 30 years. They have observed unequivocal evidence of their bioactivity. PubMed alone contains more than 100 papers. Recently, researchers have proven existence of nanoparticles in such solutions.” Since this response was made, considerable developments have been made in relation to such cutting-edge science, see here: (Salter, C: Dec 2018).
Once again, the very fact the petition by Danny Chambers exists, shows how little research these uninformed and sceptical disparagers have done. Chambers stated after the RCVS published its statement, ‘‘I recognise that the majority of veterinary homeopaths are acting with the best of intentions, but unfortunately being well-intentioned but deluded is no substitute for being right, especially when the consequences could lead to unnecessary suffering and even death.’ (Chambers, D, cited by Fearon, R: BMJ.)
When you consider iatrogenic disease (adverse effects of drugs), this statement is not only erroneous in the light of the evidence above, but also short sighted and almost laughable; the irony does not escape me. As with all vets, no homeopathic/holistic vet would intentionally harm an animal. They would simply choose the best method of treatment out of the many options available to them, giving them a greater choice than those limited to one approach - an approach which may come with a host of potential problems and adverse effects.
As was pointed out by the Veterinary Record, “A spokesman for the BAHVS said the (RCVS) council had been ‘seduced’ into a ‘precedent setting restriction on the clinical freedoms the profession has always enjoyed.” The RCVS was now in a position where it could be accused of “putting profits before probity” and “corporations before conscience”, said the spokesman (No evidence for homeopathy, says RCVS, 2017 (Fearon, R. BMJ,: no date)
It is important to note that these claims of suffering and poor practice by anti-CAM campaigners are widely bandied about, but in fact no cases of poor practice by CAM practitioners have actually been brought to the RCVS. All vets are bound by Codes of Professional Conduct. If cases of poor veterinary practice - whether through conventional treatments, lack of treatment, maltreatment or even, in the highly unlikely event, by CAM treatments - are identified, then vets or their clients should bring these to the attention of the RCVS and let them be addressed by their disciplinary procedure.
Subsequent to the RCVS statement, the Department for Environment, Food and Rural Affairs (DEFRA) stated that vets using homeopathy are not putting animals at risk. They were responding to a parliamentary question tabled on 28 March 2018 by David Tredinnick MP, who had taken up the cause of vets unhappy at the RCVS position statement. In his written answer the Secretary of State, George Eustice MP, was unequivocal: “The Department does not have any evidence that shows that homeopathic vets are a risk to animal welfare by using homeopathy as an alternative treatment to conventional medicine options.”
Peter Gregory, veterinary dean of the Faculty of Homeopathy, said: “This drives a coach and horses through the Royal College’s reasoning for adopting its anti-homeopathy stance. The argument that homeopathy endangers animal health is spurious, unsubstantiated and wrong.” He continued: “Growing numbers of pet owners and farmers are seeking a more holistic approach to animal health and have found homeopathy can help to achieve this. In light of the Secretary of State’s statement, I call on the Royal College to look again at its position on the use of complementary medicines in veterinary practice.” . Thus, the division of opinion is still evident, and all are looking for justice to be done, for the sake of the animals and those treating them.
The way forward
The following are suggested as a way forward by CAM4animals:
By implementing the above, I feel all the RCVS objectives would be achieved. We would be putting the animal first by enabling a wider range of treatments to be available at the discretion of a qualified vet.
CAM4animals considers that integrating expertly chosen holistic modalities as first line treatments where appropriate (frequently obviating the need for potentially harmful drugs) into veterinary practice would enhance overall animal care. I share this view. Where alternative homeopathic and other holistic treatments have been seen to be effective, it is, in my opinion, unjust and unreasonable that conventional medicine should always take precedence.
The statement from the RCVS, to make conventional medicine the first line of treatment, has been critically analysed here and contested. However, it is appropriate to re-iterate this article does not seek to dismiss conventional treatments as first line or emergency treatment options.
In summing up, I suggest that there should be an overall recognition of the benefits of alternative medicine and that it should be integrated into general veterinary care to be used as first line treatment where appropriate. In addition to homeopathy, this includes chiropractic treatment, osteopathy, acupuncture, herbs, massage and other therapies which have been proven to be effective both empirically and in controlled trials. As shown here, all these therapies are currently seen as complementary under the new RCVS statement and cannot be used in the first instance.
I would strongly suggest that observation and judgment must always take precedence over statistical analysis alone, and that the benchmark for so called standards is changed to include those which have already been proven to be effective.
Clinical evidence in the form of numerous studies, RCTs, Real World Trials and those documented empirically, has been referenced within this article. These demonstrate that the homeopathic approach improves the health of animals and successfully treats a wide range of clinical conditions in veterinary medicine beyond the placebo effect.
In delving further into the RCVS statement and its supporting evidence, there has clearly been little attempt to present a balanced, unbiased view of CAM. The RCVS Council avoided communication with the College’s own CAM qualified members. It ignored positive studies in homeopathy and totally excluded consideration of all other forms of holistic modalities. Instead, to the detriment of animal welfare, they chose to lean on the side of denialism.
If you haven’t already done so, please sign the CAM4animals charter
Other homeopathic veterinary research sites
Gill Graham, BSc (Hons), BA (Hons), DHMHS
Gill is a busy practicing homeopath and author of many articles for various natural health publications and homeopathic journals; she also sits on various editorial panels. She has a strong sense of duty to educate a wide cross section of people on recent developments and research in CAM therapies and is a tireless advocate for an integrative approach to healthcare and the right to freedom of choice in medicine. She would like to see patients’ options in healthcare naturally expand to include alternative and complementary modalities.
If your initial response is an immediate “no” then keep reading because I may change your mind!
When I mention canine physiotherapy to people I often see their eyes glaze over, or a look of confusion appear on their face. I mean how on earth do you get a dog to do physiotherapy and why would it ever help them?
Well you would be surprised how many dogs out there actually really need it and would benefit from it. The problem is that, because it is so misunderstood, it constantly gets overlooked as a viable treatment for dogs. In addition to that, lameness and musculoskeletal conditions in dogs often go undiscovered until there are very obvious and visible signs of pain. Both vets and owners alike can struggle with the idea that many dogs are coping with various levels of disability without it ever being noticed. I mean surely you would see it if a dog was lame – right? Or surely it would be picked up at the annual vet check?
Wrong! Many dogs have a subtle lameness that is invisible to the untrained eye in most situations. They appear very active and even extremely fit and healthy from the outside. They don’t hold a limb up or fall over and they don’t cry out in pain. They will chase a ball all day and seem to never be tired. They may even compete in sports and win! However this doesn’t mean they have no pain or difficulty.
They also can be missed at the vet health check. A 10 minute vaccination appointment is not adequate to see subtle lameness. In fact, even half an hour in a standard vet consulting room can also reveal nothing. The dog is in a state of high arousal, the room is small, they might be scared. All these things mean you struggle to ‘see’ the signs in that environment.
So what are the signs……..?
The vast majority of my behaviour cases over the last couple of years have had pain as a cause or contributing factor without anyone realising, despite annual vet health checks. Now you might be thinking that your dog does not have a behavioural problem and isn’t limping and therefore they have no need of physio. Hopefully that is true, but my experience tells me there is every chance it isn’t, because the behavioural signs can be misinterpreted. Let me explain.
“He has always been like that” is an expression I hear over and over again from an owner, when I broach the subject of their dog’s behaviour being a clue to a deeper physical problem. For example, the dog that has always barked hysterically when it is playing. Its just having fun – right? Well maybe not. It may be that, via that very behaviour, the dog is displaying signs of not coping due to a physical problem. From the owners perspective it is just something the dog has “always done” and is just “who he is”.
What is very possible is that the dog has “always been like that” because, for example, they have ‘always’ had a luxating patella (kneecap), or mild hip dysplasia, or arthritic joints. They bark hysterically when they play because they are in pain and/or feel unbalanced or unsafe. It doesn’t necessarily mean they would refuse to play. If they are very driven to pursue a behaviour they will often work through a great amount of discomfort to do so. They will also work very hard to please us when we ask them to do something, despite their own discomfort, and this is why it is possible to not ‘see’ considerable pain suffered by them, because they don’t react like we would.
So often dogs like Jake are labelled as ‘nasty’, ‘aggressive’, ‘grumpy’ or ‘dominant’. It is assumed they are purposefully exhibiting these behaviours because they are trying to ‘control’ people or their environment and in a way that is true, but the motivation is not what people assume. They are trying to control things, but not in a domineering or belligerent way. They are trying to control the people and things around them to protect themselves, so they don’t get hurt or feel unsafe. When they growl they are trying to convey their level of concern and worry to you about the situation they are currently in. How else could they tell you they don’t want you to do something they fear?
I was fairly certain as soon as I heard about Jake that he had a pain issue and my advice was to check for physical problems. After x-rays it became apparent that his hips were in shockingly bad shape, especially his right one. It was no wonder he had been ‘misbehaving’ and amazing how active he was. So how was that missed when it was so advanced as a physical problem?
It’s actually really understandable.
Dogs are truly amazing creatures when it comes to compensating for a pain issue. Often you only clearly see the clinical signs of lameness when they have been struggling for a while. They have four legs and so, unlike us, they can shift their weight and movement to the ‘good’ legs and keep going fairly well. Sometimes for many years! Jake had likely had the problem from being a very young dog, so really you have to applaud the fact that he never did anyone serious harm and was so eager to get up and go every day.
He had been guarding the top of the stairs probably because he had been told to go down them by the previous owner. Going down stairs would be painful for him and made worse by the fact that his previous owner might have got frustrated with him ‘not obeying’ the command to go down them because he was being ‘stubborn’. Then he is forced into a painful situation with an angry human close behind him hurrying him up!
He was guarding the sofa for the same reason. When he was told to get off immediately it meant getting to his feet and jumping down. Again, this would be painful and with the angry human assuming he was stubbornly refusing, and getting more and more insistent, it was a doubly uncomfortable situation.
He growled and was unpredictable because, depending on how bad the pain in his hips was that day, he would be less willing to have his hips or back roughly stroked in play or affection because it hurt. That didn’t mean he didn’t like the person trying to be affectionate with him. You may love your partner but if you have a severe migraine and they playfully ruffle your hair or ask you to get up and help them with something, you are likely to not be very friendly if you refuse and they insist you do it and try to pull you out of the chair!
Jake now lives with me because I understand him and as a physio and behaviourist I can see when he has a good day or bad day. He still gets a lot out of life and his pain is carefully managed now, as is his exercise. To see him doing the zoomies around the garden most people wouldn’t be aware he has any issues, (and its not something I encourage him to do, given his problems!). However, there are other more subtle signs if you know what to look for.
So, how as a physio have I helped Jake?
His pain is managed. I know his signs of fatigue so don’t let him over-do it. I have removed exercise that worsens his condition and replaced it with enjoyable alternatives. His weight is managed. He is on a very good quality, non-processed diet. I include certain things in his everyday life that improve his balance and the way he uses his limbs. His bed is a suitable one in a suitable place and I address the secondary signs of compensation in various places on his body if and when he allows it. This last part is the part where physiotherapy can make all the difference as it is often not the offending injury site that causes the most pain but the part they are now using more instead. For Jake that is his front limbs and shoulders and neck.
Most importantly, I appreciate he will have bad days, that he has a level of distrust and worry about some things and in those situations I let him be and allow him to decide how he wants to go about something. I also give him time to do it.
After reading this you may now be wondering if your dog has a problem but still don’t really see how physio can help them. It's a much larger subject than most people think, with more possibilities for your dog than you ever imagined. It's much more than just repeating endless exercises, stretches and massage. Physiotherapy treatment is now very sophisticated with up to date techniques that you and your dog can actually enjoy. In fact, your dog should always leave in better shape than they came in, whether they have a problem or not. I would say every dog could benefit from an annual physio assessment as they age, or even before, to catch problems early and prevent them from completely falling down one day when they have run out of good legs to hide it from you!
Do you now feel your dog may have a problem and don’t know what to do next? Contact a veterinary physiotherapist for help and ask them about an assessment for your dog. This will require a referral from your vet to give them permission and they will relay their discoveries back to your vet so they can decide how to help you. We are good at spotting even the smallest clues (especially if we are also TTouch trained) and helping your dog without stressing them out.
Julie is a canine behaviourist, veterinary physiotherapist and TTouch Practitioner. She started Best Behaviour in 2005, which has since become part of her new venture, Canine Mind and Body Balance. She has a special interest in integrative veterinary care, where CAM therapies play an important role in truly holistic animal care. Her passion is working with older animals to give them back the best quality of life possible and she is committed to education and enabling people to recognise early signs of lameness in our dogs.
The shoulder dips, the legs go in the air, the body twists in delight, and before you have time to shout “STOP!!!!”, your dog is covered in fox poo and stinking. Usually, there are no consequences other than a ripe smell in the car on the way home and a cold (or warm if you’re feeling generous) shower for the pooch.
Sometimes, however, your dog starts to itch and lose bits of fur. Your nightmare becomes reality - your dog has sarcoptic mange, i.e. scabies. You start to scratch at your own skin, put everything in the washing machine, and promptly make an appointment with the vet.
The general convention for diagnosing sarcoptic mange is a skin scrape and a prescription of topical treatment. When you have a dog with a fear of being touched, let alone having chemicals put on his neck, you have to think outside the box.
Ralphie’s vet decided that as his presenting symptoms were so indicative of sarcoptic mange, he could forgo the skin scrape as it is not 100% accurate and the sedation it would inevitably entail was an extreme measure when using symptoms alone was good enough. How to treat the mange was a big question, however. The only way to get topical treatment onto his neck would be to physically pin him down with force. The other option was to use a chemical dip, with his owner having to wear protective clothing to protect herself - hardly a selling point! All parties felt that this was far too harsh an option and not in Ralphie’s best interests. An alternative plan was required.
The owner had already done some research into options and presented them to the vet, who agreed that they would try and see if they worked. So the owner purchased some neem shampoo and a spray which acts as a contraceptive, preventing the life cycle of the mites. Secondly, a homeopathic protocol was used for sarcoptic mange. A follow up appointment was made to see if the alternative treatment had worked.
Ralphie isn't fussy about what sort of poo he rolls in - ultra fresh cow pats is perfectly acceptable!
To the vet’s delight, Ralphie presented two weeks later with no evidence of mange. His skin had cleared up and he was no longer scratching. She was so impressed that she asked for the details so she could do her own research.
Having a skin scrape and forcing a chemical topical or dip treatment on him would have completely destroyed Ralphie’s trust of his owners, ruining their relationship, and making him fearful of ever visiting the vet again.
Having the option to choose a safe, natural and alternative treatment, with the full backing of a vet, is worth its weight in gold. It can save a lot of heartache and shows just how important it is to be able to consider all treatment options in a full and open discussion with your vet.
Ralphie's sister is also partial to a bit of poo!
Seven years ago, a very special puppy was born in Hilbrae Rescue Kennels after his Mum was taken in by the centre in Shropshire. Kai the Belgian Shepherd Malinois was adopted by Mat Dixon and so began the start of a wonderful and very unusual relationship.
Although Kai is nimble and sure-footed, the nature of his work means his body gets a battering and he can suffer aches, pains and stiffness as a result. A chance meeting at Crufts a year ago resulted in Kai receiving Galen Myotherapy sessions with founder, Julia Robertson. Galen Myotherapy is a unique and highly specialised manual and exercise management therapy for dogs. It uses appropriate, effective and targeted massage techniques and exercise to manage chronic muscular pain, reduce inflammation and to maximise muscle function. Perfect therapy for a very active fire dog!
Mat and Kai at Crufts demonstrating Galen Therapy with Sue MacLennan
Galen also considers the needs of the whole dog, and the relationship they have with their owner.
Mat, who has always had a deep bond with Kai, admits he was sceptical at first, thinking he was keeping Kai nice and fit and allowing him to live life to the full. “I thought there was little need to consider anything else,” he says.
However, during his initial session with Julia, she advised him not to take Kai running with him to the degree he was currently. She explained that Kai was happy to run with Mat simply to be with him, but that this was not necessarily the same as it being good for him to run the distances they were covering especially on top of all the other physical work Kai did. Mat says that he hadn’t appreciated this view but could see it made sense.
Following this revelation, Mat realised that much of his leisure time with Kai was previously spent engaging in exciting play, tugging and jumping on and off things, and chasing and jumping up to catch balls. Mat could see that so much frantic activity on top of Kai’s busy working day was not helping his dog to relax and was actually over-stimulating for them both.
This prompted Mat to attend a Galen Myotherapy course for owners where he learned how to perform two simple hands-on techniques, along with an insight into canine functional anatomy that enabled him to find tender areas on Kai. Also, by spending quiet time on the special mat used for their at-home Galen treatments, Mat has found that he’s built a much calmer and empathetic relationship with his dog.
Julia feels that Galen Myotherapy is an investment in this special dog. “It costs a considerable amount of money to train working dogs, particularly specialists like Kai,” she says. “Routine care like this enables these dogs to stay well and enjoy their working lives for longer.” Mat agrees and believes that keeping Kai healthy - physically and mentally - will extend his working life as a firedog. When he’s operating in the most demanding and hazardous situations, holding an injury may place him in even greater danger and might even shorten his working life. The routine Galen Myotherapy is keeping Kai more mobile and flexible and he can now rely on his body more.
An unexpected bonus of receiving Galen Myotherapy is an increase in Kai’s ability to focus at work. Firedogs such as Kai are problem solving dogs. They can be used where no man, machine or technology can work. Traces of flammable materials are measured in parts per million. It is now known that dogs can smell in parts per quadrillion – that’s 1,000,000,000,000,000,000,000,000!
“The problem here is that dogs are sensing material where even the lab equipment can’t. You have to learn to trust your dog,” says Mat. Now that his empathy and understanding of Kai has improved, this is even easier for Mat to do.
You can follow Firedog Kai on Facebook at “Fire Dog Kai” and on Twitter @WMFireDogs
For information on the courses run by Galen Myotherapy for dog owners, vets and potential therapists click here.