Multimodal Management of Canine Osteoarthritis 2nd Edition PDF. ‘Multimodal’ has become a popular term in the recent medical literature.
Multimodal Management of Canine Osteoarthritis 2nd Edition PDF
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. Marketers 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 (OA), 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 OA.
A simplistic approach is taken with the overlapping of two three-pointed triangles of management: medical and non-medical. Medical management includes nonsteroidal anti-inflammatory drugs (NSAIDs), chondroprotectant and adjunct agents; while the non-medical management includes weight-control/exercise, an eicosapentaenoic acid-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 and three actual case examples are overviewed.
As we learn more about the pathophysiology of OA, 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 OA so that we can offer canine patients the care they need and deserve.