Peer-reviewed veterinary case report
New shockwave tool is easier for awake dogs with muscle and joint pain
By Gina L. Joseph et al.·Published in Frontiers in Veterinary Science·2023·Department of Clinical Sciences, Colorado State University, Fort Collins, CO, United States, CH·View original on DOAJ →
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Original publication title: Use of a novel shockwave trode results in better patient acceptance in awake canine patients treated for musculoskeletal disease
- Species:
- dog
Plain-English summary
A group of dogs with joint pain received a new type of shockwave therapy while awake, instead of being sedated. This treatment aimed to help with musculoskeletal issues affecting their hips, knees, elbows, or shoulders. The dogs tolerated the new shockwave device better than the standard one, allowing for more treatment sessions and higher energy levels during therapy. This means that the new device may be a more comfortable option for dogs undergoing this type of treatment. Further research is needed to confirm how effective this new device is compared to traditional methods.
People also search for: dog joint pain treatment · shockwave therapy for dogs · musculoskeletal disease in dogs
Abstract
IntroductionExtracorporeal shockwave therapy (ESWT) is used as a treatment option for several musculoskeletal pathologies in dogs. When performing ESWT using electrohydraulic devices, sedation is commonly recommended due to the noise and discomfort associated with the treatment. The aim of this study was to compare the tolerance of ESWT delivered by a standard or novel trode in awake canine patients with musculoskeletal disease.Materials and methodsThis was a prospective, blinded clinical trial in which dogs with musculoskeletal disease received awake treatment with ESWT with a gradually increasing energy protocol using both standard and novel trodes with an electrohydraulic generator in a randomized fashion. Noise reactivity and tolerance to treatment as measured in number of shocks and energy level achieved were recorded.ResultsForty client-owned dogs with pathology affecting the hips, stifles, elbows, or shoulders were enrolled. Thirty-three dogs completed all three treatment sessions, three dogs completed two sessions, and four dogs completed one session. There was evidence of improved patient tolerability with the novel trode, based on an increased average number of shocks delivered (n ± SD = 848 ± 334 for novel trode; n ± SD = 767 ± 358 for standard trode; p = 0.0384) and higher average treatment energy level achieved (E ± SD = 6.5 ± 2.5 for novel trode; E ± SD = 5.3 ± 2.8 for standard trode; p = < 0.001). Decreased noise reactivity was found to be positively correlated with tolerability of shockwave treatment (energy level: p = 0.0168; number of shocks: p = 0.0097).DiscussionAdministration of electrohydraulic ESWT is feasible in select awake patients using a gradually increasing energy protocol, and the tested novel shockwave trode is better tolerated than the standard trode. Further studies are required to determine the efficacy of the novel trode, and if gradually increasing energy protocols are clinically equivalent to current standard protocols that employ a consistent energy level.
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Search related cases →Original publication on DOAJ: https://doi.org/10.3389/fvets.2023.1249592