Veterinary chiropractic
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Veterinary chiropractic, also known as animal chiropractic, is the practice of spinal manipulation or
manual therapy Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists, occupational therapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of mu ...
for animals. Veterinary chiropractors typically treat horses,
racing greyhounds In sport, racing is a competition of speed, in which competitors try to complete a given task in the shortest amount of time. Typically this involves traversing some distance, but it can be any other task involving speed to reach a specific goa ...
, and pets. Veterinary chiropractic is a fast-developing field that is complementary to the conventional approach. Veterinary chiropractic is considered a controversial method due to limited evidence that exists on the efficacy of osteopathic or chiropractic methods in equine therapy. There is limited evidence supporting the effectiveness of spinal manipulation or mobilization for equine pain management, and the efficacy of specific equine manual therapy techniques is mostly anecdotal. Contrary to traditional medicine which deals with pathology, chiropractic therapies refer to a holistic medical approach that focuses on restoring homeostasis in the body and allows for the body to naturally heal itself. There is some degree of risk associated with even skilled manipulation in animals as the potential for injury exists with any technique used. It remains controversial within certain segments of the veterinary and chiropractic profession. The founder of
chiropractic Chiropractic is a form of alternative medicine concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially of the spine. It has esoteric origins and is based on several pseudosci ...
, Daniel David Palmer, used the method on animals, partly to challenge claims that the
placebo effect A placebo ( ) is a substance or treatment which is designed to have no therapeutic value. Common placebos include inert tablets (like sugar pills), inert injections (like Saline (medicine), saline), sham surgery, and other procedures. In general ...
was responsible for favorable results in humans. Chiropractic treatment of large animals dates back to the early 1900s. , many states in the US provide statutory or regulatory guidelines for the practice of chiropractic and related treatments on animals, generally requiring some form of veterinary involvement.


History

Chiropractic treatment of large animals dates back to the early 1900s. The founder of the field of
chiropractic Chiropractic is a form of alternative medicine concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially of the spine. It has esoteric origins and is based on several pseudosci ...
, spiritualist Daniel David Palmer, used the method on animals, partly to challenge claims that the
placebo effect A placebo ( ) is a substance or treatment which is designed to have no therapeutic value. Common placebos include inert tablets (like sugar pills), inert injections (like Saline (medicine), saline), sham surgery, and other procedures. In general ...
was responsible for favorable results in humans. In the early 1980s, it began to be seen on the margins of
veterinary medicine Veterinary medicine is the branch of medicine that deals with the prevention, management, diagnosis, and treatment of disease, disorder, and injury in animals. Along with this, it deals with animal rearing, husbandry, breeding, research on nutri ...
. By the late 1980s, a veterinarian who also was a chiropractor, Sharon Willoughby, developed a training program. With the emergence of veterinary chiropractic, both doctors of chiropractic (DCs) and veterinary medicine (DVMs) became able to take additional training to become certified in veterinary chiropractic.


Efficacy and safety

Aside from the common treatment of racehorses, greyhounds, and pets, some animal chiropractors perform adjustments on exotic animals such as birds, dolphins, elephants, iguanas, turkeys, pigs, and llamas. Veterinary chiropractic is considered a controversial method due to limited evidence that exists on the efficacy of osteopathic or chiropractic methods in equine therapy. There is limited evidence supporting the effectiveness of spinal manipulation or mobilization for equine pain management, and the efficacy of specific equine manual therapy techniques is mostly anecdotal. One study done in 2021 on Boxers showed successful signs that veterinary chiropractic treatment may be used to reduce the probability of early development of spondylosis in young Boxers. Another study done on racehorses found significant changes in thoracolumbar and pelvic kinematics with veterinary chiropractic treatment but stated increased numbers of horses and clinical trials are needed. The practice remains controversial. There is some degree of risk associated with even skilled manipulation in animals as the potential for injury exists with any technique used. This risk may increase in the presence of structural diseases, such as equine cervical vertebral malformation (CVM) or canine intervertebral disk disease. Horses have been hurt by very forceful animal chiropractic movements. Adjusting the spine of a dog with a degenerative disk runs the risk of serious injury to the spinal cord.


Practice


Clinical

The American Veterinary Medical Association (AVMA) guidelines recommend that a veterinarian should examine an animal and establish a preliminary diagnosis before any alternative treatment, like chiropractic, is initiated. Before performing a chiropractic adjustment, the chiropractor examines the animal's gait, posture, vertebrae, and extremities. The chiropractor may also make neurological evaluations. In addition to spinal manipulation, other adjustive procedures can be performed to the extremity joints and cranial sutures. Those that specialize in horses are referred to as "equine chiropractors."


Certification and requirements

There are two certifying agencies in North America, the American Veterinary Chiropractic Association (AVCA) and the International Veterinary Chiropractic Association(IVCA). Earning certification from either agency requires attending an approved animal chiropractic program followed by AVCA or IVCA written and clinical examinations. In some locations, a veterinarian must supervise the treatment or provide a referral for the treatment by a veterinary chiropractor. The JAVMA describes chiropractic as a complementary and alternative treatment (CAVM). Other CAVM treatments include
acupuncture Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientif ...
and physical therapy. The AVMA Model Veterinary Practice Act includes CAVM in the definition of veterinary medicine, and that standard has been adopted in 20 states . Different provisions are listed for each individual state regarding the use of CAVM on animals, most of which require some type of veterinary input such as supervision or referral. Veterinary chiropractic is not recognized by the
American Chiropractic Association The American Chiropractic Association (ACA), based in Arlington, Virginia, represents doctors of chiropractic. Its mission is to inspire and empower its members to elevate the health and wellness of their communities. Purpose and mission The m ...
as being chiropractic.


References


External links


American Veterinary Chiropractic Association
{{Chiropractic Chiropractic Alternative veterinary medicine