Quarterly News , Fall 2015
Please Welcome Liz Rigby to the PulseVet Team!

Liz was born and raised in Camden, Delaware and started riding horses at age five. After high school she decided to pursue a career in the equine industry which led her to Lexington, Kentucky. While attending the University of Kentucky, Liz was a four-year member for the UK Equestrian Team, a regional qualifier and a senior team captain. She interned at the Maker's Mark Secretariat Center located at the Kentucky Horse Park, re-schooling Off The Track Thoroughbreds. Liz's experience also includes working in the veterinary pharmaceutical industry as a sales representative. Her background and passion make her a great addition to the PulseVet sales team.
Featured Indication: Ringbone
Osteoarthritis and periositis of the first or second phalanx, with or without exostoses, is also known as ringbone. 
A summary of the treatment protocol for ringbone is presented below:
Entry Window
Probe
Energy Setting
Number of Shocks
Treatment Interval
 
Dorsal pastern
R05 or R20
E6
800-2000
10 days to 3 weeks as needed
 
The probe is directed toward the dorsal pastern from the metacarpophalangeal joint to the distant interphalangeal joint.  The probe is walked in a linear fashion in an attempt to cover the entire area.  At three weeks re-evaluate and repeat ESWT if the horse is painful.


"High energy focused shock wave therapy accelerates bone healing (A blinded, prospective, randomized canine clinical trial)"
Kieves et al, Colorado State University Veterinary Teaching Hospital, Department of Clinical Sciences; Colorado State University, Department of Environmental and Radiological Health Sciences  Vet Comp Orthop Traumatol 6/2015
  
Highlights:
  • Phase I: 12 dogs (13 stifles); phase II: 42 dogs (50 stifles) randomized to shock wave and control (sham) groups following TPLO procedure for knee stabilization.
     
  • Treatment group received 2 shock wave treatments (immediately post-op and 2 weeks post-op)
-1st treatment under general anesthesia (from TPLO). 2nd treatment under sedation

-Both treatments: Energy setting E6, 500 pulses craniolateral aspect using 20mm trode, 500 pulses caudomedial aspect using 5mm trode (1,000 shocks per treatment total)

-Care was taken to avoid treating directly over TPLO plate

  • Phase I: Radiographic assessment, 10 point scale, at t = 0, 4, 6, 8, and 10 weeks, showed a significantly higher median healing score in the shock wave group (p = 0.0135) at 4 weeks
     
  • Phase II: Radiographic assessment, 10 point scale and validated 5 point scale, at t = 0 and 8 weeks, showed a significantly higher median healing score in the shock wave group at 8 weeks in both scales (5 point - p < 0.0002; 10 point - p < 0.0001)
     
  • May allow shorter recovery time following TPLO
     
  • "Shock wave therapy may be considered a treatment option if accelerated bone healing is desired"

Upcoming Trade Shows, Meet Us There!
American College of Veterinary Surgeons (Nashville, TN) October 22-24
Delaware Veterinary Medical Association (Dover DE) November 10
American Association of Equine Practitioners (Las Vegas, NV) December 5-9