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Veterinary Orthopedic Manipulation PDF Print E-mail

Veterinary Orthopedic Manipulation (VOM):  is a healing technology that locates areas of the animal's nervous system that has fallen out of communication, and re-establishes neuronal communication and thus induces healing.   VOM is singularly the most simple, effective and safe healing modality in veterinary care to date. For the VOM practitioner it is an exquisitely objective, fast and easy to apply technology that takes a minimum amount of time to master and whose scope of application appears has yet to be fully appreciated.

VOM Theory
Alterations in the biomechanical or physiological dynamics of the joints of the vertebral column (called a subluxation) cause spinal nerve dysfunction as the nerve roots leave the spinal cord. This is the Vertebral Subluxation Complex (VSC). The dysfunction can lead to mobility problems in the joint, swelling and inflammation in the joint, or spasms of the muscles immediately around the vertebrae. The nerve root that has a dysfunction causes disease in many internal organs that are innervated by a particular nerve root.

The negative forces that caused the dysfunction in the first place are from trauma and environmental toxins. Most pets have had significant trauma to their spinal canal since they were young. It comes in the form of playing with a Frisbee, jumping off or onto something, general play, and excessive running. For some pets, going down stairs might be the biggest predisposing factor to subluxation. We recommend harnesses for most dogs since collars put extra strain on the neck and might predispose to VSC.

In many cases, the changes in the vertebral column that surround the area of nerve dysfunction do not show any changes, and thus are normal on a radiograph. When radiographic changes of this nerve dysfunction are present, they occur long after the problem originated. In some cases the nerve dysfunction from the subluxation can be low-grade or intermittent, taking years to show up on a radiograph.


In vom we counteract nerve dysfunction by "re-setting" the joint with a gentle and painless force. We are counteracting all of the negative forces that have built up on the spinal canal and its nerve roots over a period of time. The nerves in the area can begin acting normally again, which increases blood flow to internal organs, correcting many diseases. Some of the diseases that are responsive to vom therapy include:

·         Kidney Disease

·         Liver Disease

·         Inflammatory Bowel Disease (IBD)

·         Incontinence

·         Arthritis

·         Recurring Ear Infections

·         Feline Urinary Disease (FLUTD)

·         Feline Hyperthyroidism

·         Hypertension (High Blood Pressure)

·         Allergies

·         Hip Dysplasia

·         Canine Wobblers (Cervical Instability)

·         Disk Disease

·         Fecal and Urinary Incontinence

·         Brachial Plexus avulsion

·         Degenerative Myelopathy

·         Megaesophagus

·         Lick Granulomas

·         Feline Hyperesthesia Syndrome (skin-spinal reflex phenomenon)

·         "Wry-Neck" or anterior cervical disease

·         Lumbo-sacral subluxation complex

·         The Caudal Cervical Syndrome

 

 

The nature of this technique allows us to detect disease states before clinical symptoms appear, allowing us to initiate treatment before your pet exhibits clinical signs of disease. This means that we now have at our disposal a tool to determine if your pet is starting to get a disease before the disease becomes well entrenched. This approach is far superior to allowing a disease to become entrenched, and thus is not as easily treated. When treated at this early stage the disease process can be minimized, and sometimes even eliminated. In a sense, vom is a form of preventive medicine.

Equipment

Activator (spinal accelerometer)
This device fires a very fast and concise force to the subluxated vertebrae. It takes at most 4 milliseconds to administer this force. The fast speed of the accelerometer, combined with its small mass, allows us to administer a concise force only to the problem area. Since there is no pain involved, anesthesia is not needed.

This is the manual activator. The activator is pain-free.

Image

 

Technique
There are several reflexes to help us pinpoint areas of subluxation causing nerve dysfunction:

Panniculus
Animals have a muscle under the skin (the cutaneous trunci muscle) that allows them to flinch their skin, unlike humanoids. This is a great advantage to them when they want to rid their haircoat of pesky insects, but have no hands to scratch with. When the dorsal or lateral process of the bones of the vertebrae from T-3 to L-6 have a dysfunction, the skin in the lower to mid back will flinch, indicating a problem.

Sometimes the problem is so apparent that just pushing gently on the spine in this area will cause the skin to flinch. In many cases though, we need to gently stimulate the area with the activator to elicit this response.

This movement or response is also called a "read". A positive read indicates an area of subluxation. These reads will change when we actually treat the area, which is an indication that we are affecting a cure.

Medications, particularly anti-arthritic medications will make it difficult to interpret reads.

Ear and Facial Reflexes
In the C-2 to T-10 area there is a reflex in animals that shows up as an ear twitch. Sometimes a pet will look like it has this reflex when it is really only reacting to the slight clicking sound of the activator.

Postural Reflexes
When an animal stands it maintains tone to the extensor muscles of the legs. A spinal segment that has a problem will temporarily shut down the signal to these extensor muscles when stimulated, causing a momentary change in posture. This change can be very subtle, and might range from a yawn to a twitch, stumble, collapse, or sign of pain. Sometimes the only indication of this response is a subtle change in posture that is felt by the person holding the pet.

Once we have determined if there is a subluxation, and where it is most likely to be by analyzing our diagnostic tests and checking for reflexes, we initiate treatment. The activator is also used to treat, making the same pass as the initial one where we determined likely areas of subluxation. We pass the activator at least 2 times in most cases, and look for changes in the reads.

One of the effects of the vertebral subluxation is muscle spasms in the muscles along the back. If we stimulate this area we can relieve the muscle spasm, causing a return to normal posture and relief of pain and discomfort. Stimulating the muscles over the vertebrae also stimulates nerve centers (called ganglia-remember the pictures above?) that reside along the vertebrae.

Pets that have internal problems like urinary incontinence and inflammatory bowel disease are treated at their Somato-Visceral points. These areas are located near the angle of the jaw on either side.

Treatment Timetable
In most pets we treat at day 1, day 3, day 7, and then every 1-4 weeks depending on response. For the typical dog it takes a total of 5-6 adjustments to make a cure, for the cat it takes 4-5. Some pets respond well initially, and seem to be symptom free after only several treatments. These pets are not cured yet, and should be treated until there are no more reads. Our goal is to affect a cure, and then treat only once every 3-6 months to maintain the cure. The Feline Hyperesthesia Syndrome can take up to one year to cure in some cases.

Every pet is an individual, so your exact treatment timetable might be modified by one of our doctors as treatment progresses. It is important not to let your pet jump into the car or from the front seat to back seat on the way home from our office. This can cause an adjustment to fall out of place.

vom is not effective if your pet has a nutritional problem. This problem needs to be corrected to prevent an inadequate response to treatment.

Hypothyroidism can interfere with treatment. If your dog has this problem it needs to be supplemented with thyroid hormone. In many cases treating this problem with vom can affect a cure down the road.

Hyperthyroidism also poses a problem, and needs to be treated if present. vom therapy might also affect a cure for this problem.

VOM was developed by William L. Inman BS, BS, DVM, CVCP, in Seattle, WA, in Dr. Inman's clinical practice from July of 1982 to 1996. It continues to be enhanced and perfected due to the input of over 6700 practitioners worldwide who have taken the VOM Technology training.

 
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