PT Assessment 101: Physical Therapy Assessment in Vet Medicine

01 Aug 2018
Often the most important part of successful rehab is the assessment and diagnosis made by the rehab therapist. The assessment techniques, novel deductive reasoning skills, and examination of overall function are what physical therapy and physical therapists are bringing to the veterinary field. • Veterinary medicine tends to rely on what can be called a ‘patho-anatomical’ diagnosis, whereas physical therapy and human medicine to a certain extent look at what can be termed a ‘patho-functional’ assessment. Differences will be elucidated.• Weak muscles, short muscles, tight muscles, overactive muscles, joint restrictions (articular movement dysfunctions), peripheral nerve impairments, and/or pain can impact the FUNCTION of a patient.• Joint-play, end-feels, myotomes, dermatomes, resisted tests, and special tests... and how they impact your physical examination and ultimate diagnosis. (Scroll upwards after pressing ’play’ to actually watch the video!)
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Interprofessional Collaboration - Veterinary and Physical Therapy Perspectives

01 Aug 2018
The future of the field of canine rehabilitation / physiotherapy is likely to depend heavily on how the professionals in the field learn to work with each other. This paper was presented at the Canadian Physiotherapy Association Congress in 2012. The authors hope it sparks dialogue, professionalism, and the extending of ’olive branches’ between the professions. xxx
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Video Training 175: How to Gain Terminal Extension

22 Jul 2018
That stubborn shoulder or the post-op cruciate case is making you pull your hair out! Perhaps one of the issues is that your patient is lacking terminal extension! Watch the video to learn why it's important and how you can address this issue!
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2018: July-Aug: Volume 7, Issue 4

08 Jul 2018
Behaviour studies & rehab! Just a bunch of unique and interesting studies about behaviour. Can you correct poop eating? Can you get an owner to acknowledge their dog is fat? Which dogs are greater bite risks? How and how much should you exercise a reactive dog? What's up with cognitive dysfunction? Can a ketogenic diet improve ADHD in dogs? Check out these articles to learn the answers!
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Video Training 174: DIY An UWT Chair!

24 Jun 2018
Is your back sore when you're in the underwater treadmill? Check out this nifty Do It Yourself underwater treadmill chair! Thanks to Tania Costa of Canine Wellness Centre in the Toronto Area for this helpful video!
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Outcome Measures & Forms: 4Leg Initial Assessment

17 Jun 2018
Here is a basic template of my Initial Assessment form.
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Lumbo-Sacral Disc Disease Overview & Update

10 Jun 2018
Thanks to Dr. David Lane (Points East West Veterinary Services in Whistler, BC) for this commentary. It's an overview of the topic as presented at the 2016 ACVS conference. Wanna know what the surgeons are saying??? Then have a listen! (Even if it will make you a bit angry!)
Download Right click the link and select Save As to download the audio file.

Video Training 173: Rottweilers with & without tails

27 May 2018
Thank you to Dr. Amber Ihrke for this video. In this video, Dr. Ihrke presents her research on the evaluation of tailed versus non-tailed Rottweilers and correlations as they pertain to cranial cruciate disease & spondylosis. Sit back, watch, and listen to a great presentation from the author herself!
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2018: May-June: Volume 7, Issue 3

12 May 2018
Recent and relevant rehab related canine literature - post-op TPLOs, rehab versus non-rehab, bracing for CCL-deficiency, water levels in UWT rehab, digit injuries, and phantom limb pain! Read up and learn on!!
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Protocol: Medial Shoulder Hypermobility

28 Apr 2018
Printable on your own letterhead! MY first attempt at creating an MSI protocol!
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Video Training 172: Medial Shoulder Manual Therapies

15 Apr 2018
And Part 3 of the Medial Shoulder Series looks at manual therapies. What manual techniques should you be doing? What could you prescribe to your owners! Have a plan to treat or prevent MSI! (Stay tuned... and I'll put these suggestions into a protocol to handout to owners!)
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Video Training 171: Medial Shoulder Exercises Part 2

01 Apr 2018
Here we go with Part 2 - Exercises for Medial Shoulder. More things that you can do and progress with for your medial shoulder instability / compartment syndrome cases. (Treatment OR Prevention I believe!!) (And Stay Tuned for Part 3...)
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Video Training 170: Medial Shoulder Exercises Part 1

18 Mar 2018
Medial shoulder instability / compartment syndrome is becoming recognized more and more. However, very little exists in regards to non-operative treatment, post-operative treatment, or prevention for this condition. Sit back and prepare to be taken through a 3-part plan to address such things. Part 1 - Exercises for Medial Shoulder Dysfunctions.
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2018: Mar-Apr: Volume 7, Issue 2

04 Mar 2018
Hot Hot Hot! These articles are all about dogs and hot weather. What you need to know. What to do. How it impacts different dogs. How best to measure internal temperatures... Check it out!
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Video Training 169: Don't Exercise!

18 Feb 2018
...To Lose Weight that is! WHAT?? Yes, you read that right! Some new, very interesting research sheds some light on weight loss / weight maintenance, and where exercise fits into the picture. And while it's not dog specific. It is very interesting and would have a canine-relevant application. ENJOY!
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Mesenchymal stems cells and osteoarthritis

04 Feb 2018
What's the scoop on using Mesenchymal stem cells with osteoarthritis? Catch the latest with Dr. David Lane (www.pointseastwest.com).
Download Right click the link and select Save As to download the audio file.

Video Training 168: Vestibulitis 'left overs'

21 Jan 2018
I had a question a while back asking about what to do with the vestibular dog, AFTER the Epley, and after the 'dizziness' was gone. This video tried to address some of those questions for dealing with the geriatric vestibular dog.
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2018: Jan-Feb: Volume 7, Issue 1

07 Jan 2018
The Muscle Issue. Want to learn about muscle fibre types, differences between different breeds, what the Intercostal Muscles actually do, and more? Well your dreams have come true. Dive on in and learn about these things and more! Have fun in there!
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Video Training 167: DIY Toe-Ups

24 Dec 2017
The first in the series of Do It Yourself Videos from Tania Costa of the Canine Wellness Centre in Toronto, Canada. This video is how to create a Toe-Up Device for short term use with your neurologic canine patients. Enjoy!
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Business & Marketing - Part 19 - Your best FREE online advertising!

10 Dec 2017
OPTIMIZE Your best FREE ONLINE ADVERTISING! Have you pimped your Google Business Listing? If not, you are likely missing out on generating some great leads into your business. Listen on to learn more!
Download Right click the link and select Save As to download the audio file.

2017: Nov-Dec: Volume 6, Issue 6

25 Nov 2017
The digital cancer & osteosarcoma issue. Cancer always needs to be in our brain as a differential diagnosis for the limping pet we see before us. This issue looks at digit cancers (of which I have seen my fair share of troubles in the toes), and osteosarcomas (another all too common cancer). Read up to familiarize yourself.
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Video Training 166: Treatment Planning for Degenerative Disc Disease

12 Nov 2017
Now continue the thought processing on how to treat a dog with a degenerative disc in her caudal cervical spine / cranial thoracic spine. Enjoy!
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Video Training 165: Assessing a Suspected Degenerative Disc

29 Oct 2017
Watch as I test and process information on my own dog (the rarely seen Syri). I have suspected her to have degenerative disc disease in her caudal cervical spine or cranial thoracic spine. Without radiographs (which may or may not help), this is how a physical therapist does a physical exam & uses deductive reasoning to make a Physical Diagnosis upon which he/she proceeds with treatment (or referral back to the doctor for advanced imaging or further medical testing). Enjoy!
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Regenerative Medicine Overview

15 Oct 2017
An overview of Regenerative Medicine... (there are multiple things to know and understand). Get up to date and clarified! Thank you to Dr. David Lane (www.pointseastwest.com) for this enlightening audio!
Download Right click the link and select Save As to download the audio file.

Video Training 164: Skin Rolling

01 Oct 2017
Check out how this simple technique could add a big missing element to your therapy regimen!Myofascia. Myofascial. Skin. Dermal.
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2017: Sept-Oct: Volume 6, Issue 5

17 Sep 2017
The Digit Issue! This issue is filled with toes! Most of what I could find in the literature pertained to the digital flexors and repair. I found a study of interest and a gross article just for fun as well. Dip your toes in and learn about the digits!!
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Video Training 163: Vestibular Rehab - After the Epley

03 Sep 2017
You've done the Epley. The dog seems better, but what do you do next to help restore balance, and vestibular function? Check out this video (courtesy of Shari Sprague, MPT, CCRT) on what to do next!
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Does a harness affect gait?

20 Aug 2017
Another great audio brought to you by Dr. David Lane (www.pointseastwest.com). Reviewing a bit of research in regards to the wearing of harnesses on a dog's gait.Enjoy!
Download Right click the link and select Save As to download the audio file.

Video Training 162: UPDATED - Treatment of BPPV - Vestibulitis

06 Aug 2017
Benign Paroxysmal Positional Vertigo & Idiopathic Geriatric Vestibulitis can be treated in the same way. Check out this video to learn not only the Epley Maneuver, but also the Side Lie / Semont Technique, and the Gufoni Maneuver. Treating the vestibular dog.
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Video Training 161: UPDATED - Background & Assessment of BPPV - Vestibulitis

23 Jul 2017
Benign Paroxysmal Positional Vertigo & Idiopathic Geriatric Vestibulitis are most likely the same thing. Watch this video for some background into the condition and how to assess it. Then tune in for the next video training to learn about treatment techniques! Recognizing the vestibular dog.
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2017: July-August: Volume 6, Issue 4

09 Jul 2017
THE SHOULDER ISSUE! Lots in info in here! Shockwave, Adhesive Capsulitis, Diagnostic Imaging, Exercises for ROM, Infraspinatus Contractures, and Shoulder Instabilities.
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Product Survey Results

24 Jun 2017
The results are in! What products do you love, use, recommend, and/or sell! Check it out and see what you find!
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Video Training 160: DIY, Teaching patients, & Teaching owners

11 Jun 2017
Thank you Tania Costa - Canine Wellness Centre - Toronto, ON, Canada for this video. Tania is a master of creativity. See what she's created, and how she trains both the dog and owner to navigate exercise therapies.
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Video Training 159: My youngest patient - Leg Deformity

28 May 2017
A case of bilateral rear leg deformities. This breeder-client asked if we could do anything to help her 5-day old puppy. Of course I was going to try!!! Watch to see how he looked, what I tried, and what actually worked!!! :)
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2017: May-June: Volume 6, Issue 3

14 May 2017
LASER UPDATE Issue! Laser for hair loss & wound healing! Laser for post-op and pre-op! Lasers and stem cells! Lasers for Pain! Read up and be up to date!
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Manual Therapy & Acupuncture for MSK lameness & pain

30 Apr 2017
Enjoy listening to how manual therapy and acupuncture provide immediate short term comfort and mobility - a first of it’s kind paper… and enjoy the spin of humour mixed within! Thank you to Dr. David Lane for providing this audio! Check him out at www.pointseastwest.com.
Download Right click the link and select Save As to download the audio file.

Video Training 158: Pain Management Part 11

16 Apr 2017
The final instalment of Pain Management 101 - Mini Course! This video contains case studies as they relate to pain management in the rehab setting. Thanks for hanging out until the end.
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Pain Management - Part 10 - Nutraceuticals & Natural Medicines for CHRONIC Pain

03 Apr 2017
Nutraceutical and Natural Medicines for Chronic Pain! This is a great section! Your clients are looking for info, they're asking questions, and you should know the answers!
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Video Training 157: Pain Management Part 10

02 Apr 2017
Nutraceutical and Natural Medicines for Chronic Pain! I really enjoyed researching this component for pain management. Learn more about things like glucosamine, green lipped muscles, curcumin, magnesium, and more! Be sure to go to the Articles section (under pain management course) to print out the handouts.
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Protocol: Puppy Rear End Awareness

02 Apr 2017
A printable format of exercises to help build awareness / proprioception of the rear end in puppies.
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Canine Athlete Considerations: Functional Exercises to Strengthen the Core

19 Mar 2017
In a printable format - the blog I wrote on functional exercises to strengthen the core!
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Pain Management - Part 9 - Psychosocial Aspects of CHRONIC Pain

18 Mar 2017
My favourite section! There is more to pain management than just biological processes. Learn about how your might manage or advise regarding the psychosocial aspects of a dog's life in order to manage pain!
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Video Training 156: Pain Management Part 9

18 Mar 2017
Psychosocial measures for the Management of CHRONIC Pain. This is one of my favourite categories. It is very much in favour in human medicine at the moment. So, how can we apply psychosocial aspects of pain management to our canine companions? Then go to the Articles section (under pain management course) to print out the handouts.
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2017: Mar - Apr: Volume 6, Issue 2

05 Mar 2017
Welcome to the Neurology Update Edition. In this issue we'll compare intervertebral disc extrusions in Cockers vs Daxies, We'll delve into diskospondylitis. We'll look at acute noncompressive nucleus pulposus extrusion and compare it to ischemic myelopathy. And lastly a little bit on fibrocartilaginous emboli! Be prepared to think!
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Functional Exercises!

22 Feb 2017
Be sure to watch for quality of movement. Think WHY am I doing this exercise? What do I want to accomplish? And so on...! (Featuring the fabulous Kimbo!)
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Video Training 155: Making a rear end harness

19 Feb 2017
Arts & crafts time!! There are times when you, the practitioner, or a dog owner may need a temporary solution to helping get a dog around. A band around the belly isn't always the most reasonable solution. Check out this video on how to create a rear end harness using re-usable grocery bags.
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Pain Management - Part 8 - Exercise Therapies for CHRONIC Pain

05 Feb 2017
Exercise Therapies for the Management of CHRONIC Pain. What works & why? And most importantly, how will you apply it to your patients?
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Video Training 154: Pain Management Part 8

05 Feb 2017
Exercise Therapies for Chronic Pain Management. Should you prescribe exercise? What kind of exercise works? What's in the literature? Then go to the Articles section (under pain management course) to print out the handouts!
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Video Training 153: Pain Management Part 7

21 Jan 2017
Manual Therapies for Chronic Pain Management. What works & why it works. And more importantly how to use it for your patients! Then go to the Articles section (under pain management course) to print out the handouts.
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Pain Management - Part 7 - Manual Therapies for CHRONIC Pain

20 Jan 2017
Manual Therapies for the Management of CHRONIC Pain. What works & why? And most importantly, how will you apply it to your patients?
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2017: Jan-Feb: Volume 6, Issue 1

07 Jan 2017
The EXERCISE & THE BRAIN edition! What happens when you exercise your dog before or after a 'learning' event? How does exercise impact canine brain changes in aging? This newsletter will give you an insight into these topics!
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New in cruciate treatment

27 Dec 2016
Thank you to Dr. David Lane of Points East West Veterinary Services for providing this audio update. Listen to new information on SIMITRI, CORA, & stem cell + PRP for cruciate tears / cruciate disease.
Download Right click the link and select Save As to download the audio file.

Business & Marketing - Part 15 - Facebook Marketing

15 Dec 2016
Facebook is an economical way to market your business! This 30 min audio will get you started. NOTE: I FORGOT to include to make sure that your website has a Like us on Facebook icon, as does your e-mail appt. reminder 'signature', your e-blasts, and put a sign up in your waiting room / rehab department - Like us on FB (and provide your FB address).
Download Right click the link and select Save As to download the audio file.

Video Training 152: Functional Exercises

11 Dec 2016
The full length version. Be sure to watch for quality of movement. Think WHY am I doing this exercise? What do I want to accomplish? And so on...
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Video Training 151: Pain Management Part 6

27 Nov 2016
Modalities for the Management of CHRONIC Pain. Here you will learn what works, what doesn't, and what settings are going to be best in regards to chronic pain management. Don't forget to go to the Articles section (under pain management course) to print out the handouts.
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Pain Management - Part 6 - Modalities for CHRONIC Pain

27 Nov 2016
Modalities for the Management of CHRONIC Pain. Learn about dosages, settings, and more!
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Video Training 150: Pain Management Part 5

13 Nov 2016
The Impact of Pain on the Body. Be well rested and ready to think when you watch or listen to this video. It's important stuff! This video discusses the impact of pain on the body - the neuromusculoskeletal system, the immune system, the endocrine system... Then go to the Articles section (under pain management course) to print out the handouts.
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Pain Management - Part 5 - The Impact of Pain on the Body

13 Nov 2016
The impact of pain on the body. It has wide reaching implications!
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2016: Nov-Dec: Volume 5, Issue 6

30 Oct 2016
The CANNABIS edition! Medical Marijuana, Hemp, Cannabinoids, Cannabadiol! Have you wondered if it's useful? Have you wondered if it's helpful? THIS newsletter will help you to better understand the research behind cannabis.
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Protocol: Iliopsoas Strain

20 Oct 2016
Iliopsoas strains! Let this handout help you to help your patients recover from this condition! Print off on your own letter head!
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Video Training 149: Pain Management Part 4

02 Oct 2016
What can rehab do for acute pain? Check out this video to learn more. Follow along by printing out the handout in the Articles Section (under Pain Management Course).
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Pain Management - Part 4 - Acute Pain & Biomedical Rehab Management

02 Oct 2016
What to do for acute pain - from a rehab perspective.
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Pain Management - Part 3 - Pharmaceutical Management of Pain

28 Sep 2016
BASIC pharmaceutical management of pain. (Sorry it's in colour - the Black & White version was missing font! Do feel free to print in B & W however!)
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Video Training 148: Pain Management Part 3

18 Sep 2016
Pharmaceutical management of pain. (This video primarily targets acute and chronic pain. Peri-operative treatment is not covered.)
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2016: Sept-Oct: Volume 5, Issue 5

04 Sep 2016
Cool science to back up, validate, and elucidate the mechanisms of action of acupuncture, as well as a review of the evidence (what works), and a comparison between acupoints and myofascial trigger points! BIG Informative Newsletter!
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Video Training 147: Pain Management Part 2

21 Aug 2016
Part 2 of the Pain Management series is about Evaluation of Pain. Check out the Articles section for the handouts (in the Pain Management Course category). The pain management forms can be found in the Objective Measaures & Forms category in the Articles section.
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Pain Management - Part 2 - Evaluation of Pain

21 Aug 2016
Evaluation of Pain
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Outcome Measures & Forms: Glasgow Pain Scale

21 Aug 2016
Glasgow Canine Pain Scale - Short Form
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Outcome Measures & Forms: CSU FELINE

21 Aug 2016
CSU - acute pain measurement FELINE
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Outcome Measures & Forms: CSU CANINE

21 Aug 2016
CSU - acute pain measurement CANINE
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The Marketing Manifesto Workbook

09 Aug 2016
Watch the videos. Follow along with the powerpoint handouts. Then print this out as your actionable WORKBOOK to jump start your canine rehab success! The password to open this document is: Growyourbusiness
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FourLeg Newsletter - Shockwave Therapy - Part 1

08 Aug 2016
Ever wondered about shock wave therapy? Should you buy one? Are you using yours correctly? What else can you be treating? This issue contains information about what shock wave is... its use on calcific tendon lesions... and even using it for fracture healing! Read up!
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FourLeg Newsletter - Shockwave Therapy - Part 2

08 Aug 2016
Shock wave and The Spine... Osteoarthritis... Neurogenic Hypertonia... Plantar Fasciitis, Other Soft Tissue Tendinopathies... Read up!!
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FourLeg Newsletter Shockwave (Part 3) and More

08 Aug 2016
This newsletter has information on lasers & swimming as well as on Shockwave. One shockwave article is a review (and spoiler alert, it looks awesome for RADIAL shockwave). The other is a review of a published paper on the use of radial shockwave for canine hip osteoarthritis.
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More Shockwave Literature

08 Aug 2016
Not convinced about shockwave yet? How about some more papers to help convince you!
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Video Training 146: Pain Management Part 1

07 Aug 2016
This is the beginning of a multipart series on Pain Management. Part 1 deals with the Basics of Nociception. Check out the Articles section to find the handouts this presentation within the section Pain Management Course.
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Pain Management - Glossary of Terms

07 Aug 2016
Glossary of Terms for Pain Management
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Pain Management - References

07 Aug 2016
References for the entire Pain Management course
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Pain Management - Part 1 - The Basics of Nociception

07 Aug 2016
The basics of nociception.
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Video Training 145: Achilles Tendon Treatment

24 Jul 2016
Remember the video on assessment of Achilles tendon tears? (Video Training 132) This is the follow up video that looks at the post-operative treatment of the surgically repaired Achilles tendon tear.
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2016: July-Aug: Volume 5, Issue 4

09 Jul 2016
Read this newsletter to learn more about PRP and it's use for osteoarthritis, and checkout two reviews on lumbosacral disc disease! Enjoy the learning!
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Video Training 144: Exercise Creativity

26 Jun 2016
Looking for ideas for exercises: A wobbly 3-legged plank? Abdominal activation? Obstacles with a twist? Power Ups for Quads, Glutes, Hams?
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How to increase your busy-ness!

14 Jun 2016
Based on a survey, what to do when you're not busy! This is a compilation of thoughts, ideas, suggestions and strategies. ENJOY!
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Business & Marketing - Part 18 - Target Market Sequencing (to get vet referrals)

28 May 2016
You don't go on a date and ask the other person to marry you right away! So why would you expect the vet to want to refer to you just because you handed him or her your brochure? Learn how to strategically stage your marketing efforts!
Download Right click the link and select Save As to download the audio file.

2016: May-June: Volume 5, Issue 3

15 May 2016
In this newsletter, you'll learn more about Laser (superpulsed & continuous wave as well as laser & stem cells), shockwave (radial vs focused and use on hip OA), and lastly swimming and hip osteoarthritis. Dive right in and enjoy!
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Video Training 143: First Rib - Scalenes - Myofascial

01 May 2016
Treating first rib without the 'YIPE'! Try this myofascial hold to target the Scalenes.
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Supplies and steps for stifle casting (for bracing)

17 Apr 2016
So you're going to cast a leg in order to send away for a stifle brace. Here's a simple list of what to gather & what to do!
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2016: March-April: Volume 5, Issue 2

03 Apr 2016
This newsletter is fairly interesting to me. Stem cells as they relate to neurologic issues. Some of these things I found to be absolutely fascinating (IV injections of stem cells for example)! Enjoy!
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Video Training 142: Stretches for the spine (chest, torso, abdomen)

20 Mar 2016
PART THREE: And finally in the series of keeping YOU healthy, stretches for the spine. Stretches for YOUR spine!
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Video Training 141: Stretches for the Lower Body

06 Mar 2016
PART TWO: Keeping YOU healthy and able to do canine rehab longer! Stretches for YOUR lower body!
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Video Training 140: Stretches for the Upper Body

20 Feb 2016
PART ONE: Keeping YOU healthy and able to do canine rehab longer! Stretches for YOUR upper body!
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Video Training 139: Intro to Visceral Manipulation

07 Feb 2016
Now, keep an open mind! Visceral manipulation is an osteopathic technique for helping with organ mobility & motility. And organ dysfunction could have an impact on the musculoskeletal system. So in this video, we will discuss the background to this area of practice and go over one technique - sphincter release - that could be helpful for your patients!
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Pricing & Packaging

31 Jan 2016
Based on an e-mail question, and subsequent survey of FourLeg Members, here is a compilation of current trends in regards to pricing & packaging of services. I hope it helps you in making relevant decisions in your business!
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Video Training 138: Ttouch Wraps for Sensory Integration

24 Jan 2016
Did you see that guest blog by Silvia Lavallee on the Sensory Integration Ttouch wraps? Well, here is a little video of a few different wraps from the Ttouch wraps books. Try them out and see if they help any of your patients!
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Video Training 137: Sensory Integration Cases

17 Jan 2016
Now you have an idea of what Sensory Integration is, here is a video that gives you some case examples. And as my former neurology professor once said, "if these techniques work on a neurologically compromised system, just think how well they might work on a normal nervous system".
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Video Training 136: Sensory Integration Background

10 Jan 2016
Sensory integration is the process of taking in, sorting out, and responding to all of the sensory information in the environment. But what if that system is not functioning properly? Then that is a sensory processing disorder. Okay... so that can happen... Now what? Check here to learn more!
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2016 Jan-Feb: Volume 5, Issue 1

02 Jan 2016
This newsletter is about Stem Cells, and in particular their use in tendinopathies and osteoarthritis. Check it out!
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Video Training 135: Casting for an Orthotic

27 Dec 2015
At our last staff meeting, we did a little casting practice for sending moulds away to the different orthotic companies. Here is a little compilation of the event and our tidbits of wisdom in doing these over the years. Bracing. Orthosis. Brace. Splint. Splinting.
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Video Training 134: Post-PRP Rehab Protocol

20 Dec 2015
So, you have a patient coming to you who has just had a PRP injection. What do you do? Here is the best I could come up with for a rehab plan based on the information I could find! Get the written document in the Protocol section in Articles. Platelet-rich plasma.
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Protocol: Post-PRP Injection Rehab

20 Dec 2015
Ideas for what to with with your patient that has had a PRP injection. (Watch the video training 134 to expand upon these ideas.)
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