Page 114 - BSAVA Guide to Pain Management in Small Animal Practice

6 | Physical methods used to alleviate pain: complementary therapies

VetBooks.ir caudal lumbar and sacral segments. Abdominal
points such as abdominal CV points in linea alba
or, for safety and probably better e cacy, the S
points in rectus abdominus in the pain referral
ones cranial for stomach and pancreas;
middle for small intestine; caudal for large
intestine, uterus and bladder can also be used
if safely accessible. Add S 6 and PC6, if
accessible, for antiemesis, gastric acid
reduction and dopamine release igure 6. 1 .
Acute bladder pain
Acupuncture can be used ad unctively for the Acupuncture paraspinally in L L and over
management of pain associated with acute the sacrum for pain and functional bladder
cystitis and to reduce straining around the time problems in the cat.
of treatment of urethral obstruction. Needle over the sacrum only bilaterally two to four
paraspinally L1 L4 in the dog and L L in the needles, through the multi dus muscle and
cat, with needles down to the sacrum at S1 S down to the level of the sacrum to be sure of
for both species for any painful or functional reaching the correct segments .
condition of the bladder igure 6. . If accessi-
ble and tolerated, use electroacupuncture for Acute ocular and aural pain
acute presentations, particularly obstructions as Acupuncture may be a helpful ad unct for the
well as rectal prolapse . or speed, needle S1 S treatment of pain associated with acute otitis
externa, con unctivitis, glaucoma, and corneal
ulceration. Needles should be placed as close
as possible to the eye and ear. his is often
tolerated remarkably well intang and aiyang
are obvious choices, with the temporal muscles
generally being easy to access close to the eye
and around the base of the ear igure 6. . or
recurrent conditions look also at the dorsal neck
muscles, masseter and sternomastoid
cleidomastoid muscles for trigger points that
may be contributing to the pain.

S is a point in the cranial tibial muscle Acupuncture in the temporal muscles
ust lateral to the tibial crest. 3 around the eye is often well tolerated.

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