Page 113 - BSAVA Guide to Pain Management in Small Animal Practice

BSAVA Guide to Pain Management in Small Animal Practice

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Electroacupuncture is the most potent form
of stimulation with acupuncture needles.

ramp up the cumulative e ects in the
relevant epaxial muscles, using
electroacupuncture if tolerated.
■ Post surgically acupuncture can be applied
initially at the segments either side of the Acupuncture around the sti e and hip girdle
surgical site into the epaxial muscles or muscles for cruciate and other sti e pain.
paraspinally into multi dus muscles.
■ nce the wound has healed the a ected
segments can be treated directly. Acute gastrointestinal pain
hile the main thrust of treatment is uid
It should be noted that acupuncture will support and resolution of the main signs of
optimi e wound healing see Chronic dermato- disease, pain and nausea should not be ignored
logical pain, below but, unless wound healing is and may be treated ad unctively with acupunc-
poor, the surgical site is avoided initially because ture. here is experimental dogs, rats, mice
it is likely to be bruised and hyperalgesic. evidence that acupuncture can also normali e
function, reduce gastric acid, and stimulate
Acute orthopaedic pain dopamine release from the adrenals, which may
Acupuncture can be used for ad unctive pain have an impact in acute septic conditions Sato
relief in patients with acute orthopaedic pain. et al., 199 ; orres Rosas et al., 14 .
Probably the most useful indication is for Very painful visceral disease such as
cruciate disease prior to assessment for surgery. pancreatitis can also create myofascial pain in
Acupuncture around not into the knee oint epaxial and abdominal muscles supplied by the
into S 6, BL4 , SP9 and SP1 and into the hip same spinal nerves as the a ected viscera.
girdle B , BL 9 for an acute presentation hese trigger points will contribute to the pain
should be performed igure 6. . If the of the acute disease and also maintain pain and
disease has been present for some time before signs in between acute episodes of disease.
the acute presentation then secondary trigger Treat segmentally into the paraspinal
points will be identi ed in the contralateral multi dus muscles in the appropriate
pelvic limb and the epaxial muscles possibly segments. or stomach, pancreatic and kidney
also the contralateral thoracic limb . he sooner disease, needle the caudal thoracic and cranial
acupuncture is started, the better the prospects lumbar segments; for small intestinal disease
for e ective rehabilitation post surgically or if use the cranial lumbar segments; for large
conservative treatment is chosen. intestinal, uterine and bladder disease, use the

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