Clean Run Magazine - January 2007 - 67
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Acute cases of bicipital tenosynovitis may be treated by conservative
medical management and rehabilitation therapy. Conservative medical
management should include controlled activity, non-steroidal
anti-inflammatory drugs NSAIDs , cryotherapy icing , and possibly
injections of hyaluronic acid or cortisone directly into the joint itself
intra-articular . To promote healing and decrease adhesion formation,
laser therapy is recommended to increase circulation and to remove waste
products. Acupuncture also can be used to promote healing and decrease
pain levels. Initiating low load, pain-free, high repetition exercise and
range of motion ROM movements early in the healing process is important.
Pain relief and reduction of inflammation can be achieved with electrical
nerve stimulation therapy. Acute tendon injuries should not be stretched
because of the potential for producing more microtears due to the chemical
changes in the tissue. Pain-free, passive ROM movements flexion and
extension of the limb while the dog is not weight bearing and gentle
wobble board activities all directions, front to back and side to side ,
and alternating leg lifts are recommend first, with progression to active
ROM exercises weight-bearing exercises that cause flexion and extension of
the limb . A strengthening program consisting of controlled leash walking,
stepping over cavaletti, wobble board use, and stabilizing exercises such
as handstands on the forelimbs, slowly progressing to wheelbarrowing
exercise should follow. With chronic BT, the inflammatory process must be
reinitiated to break down scar tissue and remodel the tendon fibers into
the proper orientation, which increases the tendon’s load capacity.
Because of the need to reinitiate the inflammatory response, NSAIDs or
intra-articular corticosteroids are not recommended for chronic
tendinopathies. Appropriate therapy for chronic tendinopathies includes
deep cross-friction massage, heat, and ultrasound therapy. Acupuncture and
laser to increase circulation and for pain control may be beneficial. The
exercise progression is similar to that recommended for acute
tendinopathies, but stretching after treatment is advised. Active ROM
exercise such as walking for longer periods also is recommended. Because
of the chronic nature of the tendon changes, your dog will usually take
longer to recover and progress through the healing and exercise stages. Be
sure not to become impatient and push your canine athlete too quickly.
Surgical treatment is recommended for chronic cases of BT that are not
responsive to medical management or rehabilitation therapy. Surgical
options include reattaching the tendon at a new location tenodesis or an
arthroscopic tendon release. Biceps tendon ultrasound therapy Biceps
stretch Rehabilitation Controlled activity is an important component
during rehabilitation and the postoperative period and should include
leash walks of increasing duration and end-stage eccentric exercises, such
as walking and trotting down hills. Short periods of off-lead activity are
allowed once the lameness has resolved. Toward the end of rehabilitation
therapy retraining should begin. Examples of retraining techniques for BT
may include starting with low, straight-line jumps with very wide sweeping
turns that progress over time to higher jumps with tighter angles. Do not
include the A-frame and weave poles until late in the retraining period.
Be sure to start with turns toward the injured limb and progress to turns
toward the uninjured limb. Following a warm-up, make sure to perform
biceps stretching techniques shoulder flexion and elbow extension .
Following agility work, use an appropriate cool down with ice therapy 5
minutes on, 5 minutes off, 5 minutes on . Cavaletti Handstands January 07
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Clean Run Magazine - January 2007
Table of Contents for the Digital Edition of Clean Run Magazine - January 2007
Contents
Editorializing: Our Sport, Our Selves
Tip of the Month
Everything You Always Wanted to Know About Agility...
Backyard Dogs
On Course with Robin Kletke
Beyond the Backyard
It’s Not Easy Being Green
Agility Course Design: Changes through the Years
Reflections of a Novice, Year One
Alphabet Drills
Distance Challenge
Taming the Teeter
The Judge’s Debriefing
Shoulder Conditions in Agility Dogs
Review
The Audition
Nested Courses for a Busy World
The Construction Zone
Course Diagram Keys
Letter to the Editor
Clean Run Magazine - January 2007 - 1
Clean Run Magazine - January 2007 - 2
Clean Run Magazine - January 2007 - Contents
Clean Run Magazine - January 2007 - 4
Clean Run Magazine - January 2007 - Editorializing: Our Sport, Our Selves
Clean Run Magazine - January 2007 - 6
Clean Run Magazine - January 2007 - 7
Clean Run Magazine - January 2007 - Tip of the Month
Clean Run Magazine - January 2007 - Everything You Always Wanted to Know About Agility...
Clean Run Magazine - January 2007 - Backyard Dogs
Clean Run Magazine - January 2007 - 11
Clean Run Magazine - January 2007 - On Course with Robin Kletke
Clean Run Magazine - January 2007 - 13
Clean Run Magazine - January 2007 - 14
Clean Run Magazine - January 2007 - 15
Clean Run Magazine - January 2007 - Beyond the Backyard
Clean Run Magazine - January 2007 - 17
Clean Run Magazine - January 2007 - 18
Clean Run Magazine - January 2007 - 19
Clean Run Magazine - January 2007 - 20
Clean Run Magazine - January 2007 - 21
Clean Run Magazine - January 2007 - 22
Clean Run Magazine - January 2007 - 23
Clean Run Magazine - January 2007 - 24
Clean Run Magazine - January 2007 - 25
Clean Run Magazine - January 2007 - It’s Not Easy Being Green
Clean Run Magazine - January 2007 - 27
Clean Run Magazine - January 2007 - 28
Clean Run Magazine - January 2007 - 29
Clean Run Magazine - January 2007 - 30
Clean Run Magazine - January 2007 - 31
Clean Run Magazine - January 2007 - 32
Clean Run Magazine - January 2007 - 33
Clean Run Magazine - January 2007 - Agility Course Design: Changes through the Years
Clean Run Magazine - January 2007 - 35
Clean Run Magazine - January 2007 - 36
Clean Run Magazine - January 2007 - 37
Clean Run Magazine - January 2007 - 38
Clean Run Magazine - January 2007 - Reflections of a Novice, Year One
Clean Run Magazine - January 2007 - 40
Clean Run Magazine - January 2007 - 41
Clean Run Magazine - January 2007 - 42
Clean Run Magazine - January 2007 - 43
Clean Run Magazine - January 2007 - 44
Clean Run Magazine - January 2007 - 45
Clean Run Magazine - January 2007 - 46
Clean Run Magazine - January 2007 - 47
Clean Run Magazine - January 2007 - 48
Clean Run Magazine - January 2007 - 49
Clean Run Magazine - January 2007 - Alphabet Drills
Clean Run Magazine - January 2007 - 51
Clean Run Magazine - January 2007 - 52
Clean Run Magazine - January 2007 - 53
Clean Run Magazine - January 2007 - Distance Challenge
Clean Run Magazine - January 2007 - 55
Clean Run Magazine - January 2007 - 56
Clean Run Magazine - January 2007 - 57
Clean Run Magazine - January 2007 - 58
Clean Run Magazine - January 2007 - Taming the Teeter
Clean Run Magazine - January 2007 - 60
Clean Run Magazine - January 2007 - 61
Clean Run Magazine - January 2007 - The Judge’s Debriefing
Clean Run Magazine - January 2007 - 63
Clean Run Magazine - January 2007 - 64
Clean Run Magazine - January 2007 - Shoulder Conditions in Agility Dogs
Clean Run Magazine - January 2007 - 66
Clean Run Magazine - January 2007 - 67
Clean Run Magazine - January 2007 - 68
Clean Run Magazine - January 2007 - 69
Clean Run Magazine - January 2007 - 70
Clean Run Magazine - January 2007 - Review
Clean Run Magazine - January 2007 - 72
Clean Run Magazine - January 2007 - The Audition
Clean Run Magazine - January 2007 - 74
Clean Run Magazine - January 2007 - 75
Clean Run Magazine - January 2007 - Nested Courses for a Busy World
Clean Run Magazine - January 2007 - 77
Clean Run Magazine - January 2007 - 78
Clean Run Magazine - January 2007 - 79
Clean Run Magazine - January 2007 - The Construction Zone
Clean Run Magazine - January 2007 - 81
Clean Run Magazine - January 2007 - Letter to the Editor
Clean Run Magazine - January 2007 - 83
Clean Run Magazine - January 2007 - 84
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