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Evidence-Based Complementary and Alternative Canine Orthopedic Medicine
Erin Miscioscia1, Jennifer Repac1
1Department of Comparative, Diagnostic and Population Medicine, College of Veterinary Medicine, University of Florida, 2015 Southwest 16th Avenue, Gainesville, FL 32608, USA.
Summary
Complementary and alternative veterinary medicine (CAVM) offers safe options for canine osteoarthritis pain management when conventional treatments fail or are contraindicated. Evidence supports acupuncture and herbal supplements as effective adjuncts.
Area of Science:
- Veterinary medicine
- Pain management
- Canine osteoarthritis
Background:
- Complementary and alternative veterinary medicine (CAVM) use is increasing for chronic pain in dogs.
- Canine osteoarthritis is a common condition often requiring multimodal pain management.
- Comorbidities or lack of response to conventional therapy drive CAVM interest.
Purpose of the Study:
- To review the evidence for CAVM in managing canine osteoarthritis pain.
- To identify safe and effective complementary approaches for canine osteoarthritis.
Main Methods:
- Literature review of veterinary studies on CAVM for canine osteoarthritis.
- Assessment of evidence for acupuncture, herbal supplements, and chiropractic.
Main Results:
- Acupuncture and certain herbal supplements show growing evidence for efficacy in canine osteoarthritis.
- Chiropractic evidence is primarily from equine and human studies, with limited veterinary data.
- CAVM can be a safe and effective adjunct to conventional pain management.
Conclusions:
- Evidence-based CAVM, particularly acupuncture and herbal supplements, can be valuable in managing canine osteoarthritis.
- Further research is needed to solidify the evidence base for all CAVM modalities in veterinary pain management.

