myofascial trigger points

June Patient of the Month

Raji and mom

Raji's Story

Raji started coming to the VMC in the summer of 2013, when he was 12 years old. He had been showing some signs of arthritis, especially in his back legs and part of his back. Sometimes he was also reluctant to go out on walks and we started to wonder if he might be having some pain. We’d gotten him on some supplements that our veterinarian (Dr. Capparelli) recommended (which definitely helped). However, it seemed like he needed something else to help with the stiffness and increasing reluctance to walk for as long as he used to. Our vet thought acupuncture from Dr. Fleckenstein here at the VMC might help to reduce pain and increase mobility.

Raji started seeing Dr. Fleckenstein and right away we noticed a decrease in the amount of twitching in his back when we petted him in certain areas. He also seemed to have more energy, and he was more interested for his normal walks. He also liked coming to see Dr. Fleckenstein and Sue, who assists with most of our visits and also gives great massages and treats! There is always a calm atmosphere and I think Raj feels very cared for. Dr. Fleckenstein has definitely helped with keeping Raj comfortable in his own body as he ages. She has helped to keep down pain and inflammation from arthritis, and worked out trigger points with the laser and needle acupuncture. Dr. Fleckenstein also recommended a ramp for getting him in and out of the car. This ramp has been so helpful, and it is light and easy to set up; he couldn’t get in the car without it!

In the fall of 2014, Raj started seeing Lis for Physical Rehabilitation. Dr. Fleckenstein recommended her and said she could add another dimension to his care. Lis started doing laser therapy and massage to release the increasing number of trigger points he had, and also made exercise suggestions for home. He liked coming for the rehab sessions and was very comfortable with her and her caring, gentle and friendly demeanor. At first Raji had to get up a few times during the sessions to “shake out” after her manual trigger point release, but as Lis worked with him and the trigger points became fewer, he could sit for whole sessions quite often as she worked her trigger point release magic! Lis also shows me various exercises to do with him. She gave some simple exercises and massage techniques for us to do at home to keep his range of motion as good as possible. We also do the massage techniques she shows us so we can keep some of the trigger points at bay. With the sessions with Lis, we can see changes in Raji immediately: he seems brighter and moves better after she works out all the kinks!

Raji

Just a few days ago, unfortunately, Raji had a vestibular episode. Our vet and the folks at VMC were kind enough to lend a hand. The VMC lent us a special harness to help him get up and walk. So far, he hasn’t been successful, but we are working on bringing him back to his old self. It is nice to know everyone is concerned and willing to help Raji get better. We look forward to resuming his therapies soon!

~McCoy Family

Diagnosis:

  • Rhinitis & Sinusitis
  • Presumptive Hind End Osteoarthritis & Weakness
  • Compensating Muscle Pain
  • Myofascial Trigger Points
  • Vestibular Syndrome

Treatment:

  • Acupuncture
  • Lacer Acupuncture
  • Low Level Laser Therapy
  • Dry Needle Trigger Point Therapy
  • Soft Tissue Mobilization
  • Myofascial Trigger Point Release (Manual)
  • Home Exercise Program
  • Medications, Multiple Herbal Therapies, Supplements

 

June 2015 VMC Pain Management Patient of the Month

Puccini's Story Puccini

My husband and I are proud owners of our 11 year old standard poodle named Puccini. Since Puccini was the runt of a litter of six, he weighs only 42 pounds, whereas, typically, the breed weighs between 60-70 pounds. During Puccini’s initial veterinary visit, Dr. Davis at Lyndon Veterinary Clinic, advised us that sometimes the runt of a litter can develop a variety of health challenges. Clearly, this has proven to be so for our dog. Beginning as early as 3 yrs. old, Dr. Davis diagnosed Puccini with hip dysplasia, with the right hip significantly worse than the left. Just looking at the x-ray of Puccini’s right hip, Dr. Davis commented, “you wouldn’t think he could walk.” Dr. Davis prescribed Cosequin double strength twice a day, and he modified Puccini’s playtime eliminating the run/stop action which was bad for his back legs. In 2009, Dr. Davis diagnosed Puccini with Intervertebral Disc Disease. Dr. Davis referred us to Cornell Companion Animal Hospital where they discovered that Puccini’s hind limb muscles had atrophied. At that time, they recommended Lis Conarton and the Physical Rehabilitation Service at the Veterinary Medical Center. Lis evaluated Puccini, and provided us with a thorough understanding of the problems and challenges he may encounter. She highlighted the various techniques she would use on Puccini including: laser therapy; the underwater treadmill; the “agility course”; and the importance of addressing the Myofascial Trigger Points (muscle knots). We were impressed with Lis—her breadth of knowledge, her professional demeanor, her patience, and Puccini who doesn’t like meeting people warmed right up to her immediately. Lis has been able to markedly improve Puccini’s muscle strength and maintain his muscle mass. Due to Puccini’s aging process, Lis has continually modified his rehab sessions, along with the home exercise program. She informs Dr. Davis of her observations about Puccini which has produced a “winning team” for our dog. We are convinced that Puccini’s quality of life is very good because of Lis. We are not taking anything away from Dr. Davis, who is a great veterinarian, but Lis has skills that are not widely available. We refer to Lis as the “animal whisperer”. Lis is an amazing and talented young woman, who possesses the desire to stay abreast of everything related to her profession. We are always recommending the VMC and Lis to anyone who has an animal in need, because she treats each animal as if she is the owner. To this day, we count our blessings that physical rehabilitation is available in Syracuse and that a highly knowledgeable, competent, and talented woman by the name of Lis Conarton manages the area. ~Puccini’s Family

Puccini

  • 11 year old Standard Poodle
  • Hip Dysplasia
  • Cervical Disc Disease/Intervertebral Disc Disease
  • Right Cruciate Ligament Strain
  • Compensatory Muscle Strain & Myofascial Trigger Points
  • Irritable Bowel Disease

Current Treatments

Weekly Rehabilitation Sessions Including:

  • Hydrotherapy Exercise
  • Under Water Treadmill
  • Low Level Laser Therapy
  • Joint Mobilization
  • Massage Including-Myofascial Trigger Point Release
  • Home Exercise Program
  • Home Massage Program