Multimodal Management of Canine Osteoarthritis - Hardcover

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Multimodal has become a popular term in the recent
medical literature. Arguably introduced as an acronym for balanced anesthesia , denoting induction by a multiple
drug approach, multimodal is currently recognized to
identify any protocol that includes multiple drugs, agents,
adjuncts, or delivery methods. Marketeers have also come
to embrace the term, as they tout the virtues of
administering their products as part of a given protocol.
Frequently this leads to advertising, where one is
encouraged to incorporate a given product within your
multimodal protocol . Herein, at issue is actually
identifying a foundation protocol.
The multimodal management of osteoarthritis described
in this work delineates an evidence-based approach for the
canine patient with osteoarthritis, pursuing the objective of
the best available medicine. Appreciating that surgical
intervention may initially be required, particularly for
stabilizing a joint, the major focus of this work is the conservative management of osteoarthritis. A simplistic
approach is taken with the overlapping of two three-pointed
triangles of management: medical and nonmedical. Medical
management includes NSAIDs, chondroprotectant, and
adjunct agents; while the nonmedical management includes
weight control/exercise, EPA-rich diet, and physical
rehabilitation. Each of these approaches has been
independently shown to be effective, and while there are no
published works on their collective synergism, the concept is
intuitive.
As we learn more about the pathophysiology of
osteoarthritis, we are also becoming more aware of how to
implement treatments to attack various components of
these pathways. Our challenge as veterinary health
professionals is to maintain awareness of contemporary
issues in treating osteoarthritis so that we can offer canine
patients the care they need and deserve.
This textbook is intended for veterinary healthcare
professionals seeking to understand better the issues related
to pain management associated with canine osteoarthritis.
The images presented are referred to in the text in bold font.
The multimodal approach is a trademark of Novartis AG.