Sparks – Acupuncture puts the spark back into Sparks

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Sparks is an old boy but he still wants to enjoy life to the full.  For several years he has suffered with inflammatory bowel disease (IBD) which is a major cause of sickness and diarrhoea in dogs.

It is caused by the body’s own immune system attacking the bowel.  Sparks’ IBD responds well to drugs that suppress his immune system in a controlled way but his medication has some risk of side effects and this is managed carefully by one of our specialists in Internal Medicine, giving Sparks (and his owners) relief from the misery of chronic bowel disease.  With his bowel disease well controlled for many years, Sparks has enjoyed an active life but now suffers with limping as a result of osteoarthritis which particularly affects his hips. The pain from his arthritis can be partly controlled with non steroidal anti-inflammatory pain killers but in combination with his IBD medication these can make his IBD worse, creating something of a dilemma.

Osteoarthritis is a major cause of pain and functional limitation in both people and our pets.  There are few treatments that combine good safety with good efficacy and this can be particularly challenging in individuals, like Sparks, with complex disorders and conflicting needs in their medication.  At Northwest Surgeons our specialists in Internal Medicine work closely with specialist colleagues in Anaesthesia, Pain Management and Surgery to provide optimal pain management strategies for all of our patients in the same way that a multi-disciplinary team at a specialist human hospital would work. We commonly deal with cases like Sparks which are more complex than most and which take time to find the best solution for both owner and pet.

Amongst other treatments, Sparks was considered as a candidate for acupuncture.  This is an interesting area because although there is good scientific evidence in people for the effects of acupuncture in osteoarthritis, there is little scientific evidence on the effect in dogs.  Nevertheless, acupuncture has the advantage of a favourable safety profile when compared to some other treatments in osteoarthritis, particularly for an older character like Sparks with other medical conditions to take into account.  The evidence in people with osteoarthritis does indicate a small positive effect of acupuncture with a favourable safety profile, making this an ideal treatment to consider when more traditional osteoarthritis treatments are problematic.  Matt Gurney offers electro-acupuncture as a component of pain management strategies in suitably selected patients. Electro acupuncture involves passing a small current between two needles and is considered the gold standard in acupuncture, giving a much greater stimulation and thus a greater pain relieving effect. Usually dogs will receive an initial course of one treatment per week for four sessions and then ongoing sessions as necessary.

Sparks responded very well to his initial sessions and to his owner’s horror even started trying to chase sheep, something which he would previously have been beyond him!

Sparks now receives electro acupuncture at two week intervals, which keeps him comfortable and his owners are now very careful to make sure he is on a lead whenever he is near any livestock! On occasions where he has missed a session his owners and day care centre really notice the difference in his abilities.

References:
Kwon et al (2006) Acupuncture for peripheral joint osteoarthritis:  A systematic review and meta-analysis.  Rheumatology (2006) 45 1331-1337

Manheimer et al (2010) Acupuncture for peripheral joint osteoarthritis:  Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD001977. DOI: 10.1002/14651858.CD001977.pub2

Matthew Gurney

Matthew Gurney Matt graduated from the University of Liverpool in 2003 and spent the next two and a half years enjoying general practice. In 2006 he returned to academia to undertake a residency training in anaesthesia and critical care and he gained the Royal College of Veterinary Surgeons Certificate in Veterinary Anaesthesia in 2007. Matt joined Northwest Surgeons in early 2009 where he provides exemplary expertise in anaesthesia and his passion for pain management is of great benefit to many of our patients.Matt is a diplomate of the European College of Veterinary Anaesthesia & Analgesia and was awarded RCVS specialist status in 2013. Recently he has completed the postgraduate certificate in Veterinary Business Management through the University of Liverpool. Matt is the Vice President of the European College of Veterinary Anaesthesia & Analgesia.Upcoming CPD with MattEach year I run a local anaesthesia course with CPD Solutions. You can register here. In October I have a whole day on pain management with Vets4Pets Learning Academy - that's Friday 5th October. If you are interested in chronic pain then I  have a day with CPD Solutions on 2nd November.CPD I'm attendingAn essential area of my pain management practice is acupuncture. In May this year the Western Veterinary Acupuncture Group is holding a day symposium in Scotland which will be a fantastic opportunity to update in this area. Find out more here.In September I will be attending the International Association for the Study of Pain World Congress on Pain. This 5 day meeting is cutting edge with new information from basic sciences through to clinical application.PublicationsHernon T, Gurney MA, Gibson S (2018). A retrospective study of feline trauma patients admitted to a referral centre. Journal of Small Animal Practice, 99, 617. http://doi.org/10.1136/vr.103859Gurney MA, Bradbrook CA. (2016) Common ECG abnormalities in the peri-op period. In Practice.Gurney MA & Milella, L. (2015) Dental & Oral Surgery. Chapter 20. In: BSAVA Manual of Small Animal Anaesthesia & Analgesia.Gurney MA, Leece EA. (2014) Analgesia for pelvic limb surgery. A review of peripheral nerve blocks and the extradural technique. Vet Anaesth Analg 41(5):445-58Madden M, Gurney M, Bright S. (2014) Amantadine, an N-Methyl-D-Aspartate antagonist, for treatment of chronic neuropathic pain in a dog. Vet Anaesth Analg. 41(4):440-1.Dutton TA, Gurney MA, Bright SR. (2014) Intra-articular mepivacaine reduces interventional analgesia requirements during arthroscopic surgery in dogs. J Small Anim Pract. 55(8):405-8.Gurney MA (2012) Options for intra-operative and early post-operative analgesia: an update. J Small Anim Pract. 53(7):377-86.Kibanda J, Gurney MA (2012) Comparison of two methods for management of intra-operative hypothermia Vet Rec. 170(15) 392.Vettorato E, Bradbrook C, Gurney M, Clark L, Corletto F. (2012) Peripheral nerve blocks of the pelvic limb in dogs: a retrospective clinical study. Vet Comp Orthop Traumatol 25(4):314-20Gurney M, Rysnik M, Comerford E, Cripps P, Iff I. (2012) Intra-articular morphine, bupivacaine or no treatment for postoperative analgesia following unilateral elbow joint arthroscopy. J Small Anim Pract. 53(7) 387-392. 

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