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           Physical methods

           used to alleviate pain:


           complementary therapies






           Samantha Lindley







            Acupoint abbreviations used in         ■   Acupuncture
            this chapter:                          ■   Physiotherapy
                                                   ■    ydrotherapy
            BL – Bladder                           ■   Chiropractic
            CV –  Conception vessel                ■    steopathy
            GB –  Gallbladder                      ■   Bowen therapy
            GV –  Governing vessel                 ■   Pressure point massage therapeutic
            LI –  Large intestine                    massage
            PC –  Pericardium
            SP – Spleen                               3  Physical therapies commonly used in
                                                         veterinary pain management.
            ST – Stomach
                                                  therapist and animal, changes occur in the
                                                  animal that may have non speci c e ects on
           The use of physical therapies in veterinary pain   the pain. Positive social interactions cause a
           management is increasingly popular with clients   reduction in blood pressure and release of
             igure 6.1  .  his is partly because they have a   neurotransmitters that improve mood, but are
           sense that such approaches must be safe; partly   also associated with pain relief  Uvnas  oberg
           because they feel that such treatments allow   et al., 199 ;  dendaal,      .
           them to have some active involvement in their   Notwithstanding the di culties of a veteri-
           pet s care; and partly because they assume  not   nary, clinically oriented evidence base, some
           always correctly  that such approaches will   physical therapies do have a convincing body of
           avoid or limit pharmacological analgesia.   animal  experimental and human clinical studies.
               uality research on the speci c e cacy of
           an intervention is inherently more di cult for
           physical therapies than for pharmacological   Acupuncture
           treatments because blinding of the sub ect and
           owner  and therapist  is not straightforward. As   Acupuncture, although perhaps not
           soon as physical contact occurs between   immediately thought of as a physical therapy,

           102                      BSAVA Guide to Pain Management in Small Animal Practice. Edited by Ian Self. ©BSAVA 2019



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