PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES Francesco LONGO (*) Margherita GAZZOLA (**) (*) Veterinary Surgeon, Repr. Spec. It.V.A.S. – SIAV longo.agovet@katamail.com (**) Veterinary Surgeon, Anim. Health Spec. It.V.A.S. – SIAV marghegaz@yahoo.com www.siav-itvas.org PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES THE TRADITIONAL CHINESE VETERINARY MEDICINE (TCVM) HAS A THOUSAND YEARS HISTORY IN PREPARING HORSES TO SPORT COMPETITION PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES IN HIPPIATRICS THERE IS A CONSOLIDATED SYSTEM OF DIAGNOSTIC ACUPOINTS IT IS POSSIBLE TO IDENTIFY THE ORGANS INVOLVED IN THE DISORDER OR THE SEAT OF LIMB DISEASE IT IS THUS PARTICULARLY USEFUL IN SPORT MEDICINE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES E.C.I.W.O. (Embryo Containing the Information of the Whole Organism) THEORY TING POINTS (WHICH ARE AMONG THE ANTIQUE SHU POINTS – WU SHU) BEI SHU POINTS MU POINTS POINTS ON THE EAR DIAGNOSTIC SYSTEM PALPATION EXAM PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES IT IS ESSENTIAL TO FORMULATE A CORRECT ENERGY DIAGNOSIS THE STATE CRITERIA CONDITIONS OF EXCESS OR DEFICIENCY EXPRESS THROUGH PHYSICAL AND FUNCTIONAL SIGNS PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES TREATMENT ACUPOINTS ARE SELECTED ON THE BASIS OF THE TRADITIONAL INDICATION REGARDING THEIR ENERGY AS WELL AS EXPERIMENTAL EVIDENCE THEIR ACTION MANIFEST ITSELF AT DIFFERENT LEVELS ANTALGIC ANTI – INFLAMMATORY NEUROENDOCRINE TROPHIC VASOMODULATOR ACTIVITY INTEGRATED SYSTEM THAT ELICITIS SPECIFIC FUNCTIONAL RESPONSES PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS TRADITIONAL ACUPUNCTURE (CHINESE NEEDLES) HYDROACUPUNCTURE / HAEMOACUPUNCTURE ELECTROACUPUNCTURE LASERPUNCTURE MOXIBUSTION TUINA (CHINESE MASSAGE) PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS TRADITIONAL ACUPUNCTURE (CHINESE NEEDLES) PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS HYDROACUPUNCTURE and HAEMOACUPUNCTURE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS MOXIBUSTION Artemisia vulgaris Artemisia argyi Artemisia sinensis PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS PLUM BLOSSOM PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS ELECTROACUPUNCTURE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS ELECTROACUPUNCTURE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES DIFFERENT WAYS OF STIMULATING ACUPOINTS TUINA (CHINESE MASSAGE) PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES RECURRENT LAMENESS A SPECIFIC JOINT SEGMENT WHICH HAS BEEN SUBJECT TO A PRIOR PHLOGISTIC PROCESS IS PERIODICALLY AFFECTED BY INFLAMMATION PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES RECURRENT LAMENESS ACUPUNCTURE MODIFIES THE ENGRAMS – PATTERNS OF COOPERATION BETWEEN NERVE BUNDLES AT CNS LEVEL IT HEALS PERSISTENT DISORDERS TRADITONAL ACUPUNCTURE NEIGUAN – HOUXI THEY TREAT CHRONIC and RECURRENT DISEASES CHANGE IN THE ENGRAMS RETURN TO A NORMAL STRUCTURAL AND FUNCTIONAL CONDITION PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES OSTEOARTHRITIS PERIODIC RELAPSES ACCOMPANIED BY PAIN AND LIMITATION OF MOVIMENT TRADITONAL ACUPUNCTURE DAZHU – HUANTIAO MODIFY BONE METABOLISM *** LOCAL APPLICATION OF ELECTROACUPUNCTURE HIGHLY EFFECTIVE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES NAVICULAR DISEASE COMPLEX SYNDROME THAT STARTS AS A PODOTROCLEAR BURSITIS PROGRESSIVE INFLAMMATION DEGENERATIVE and EROSIVE LESIONS OF THE FIBROCARTILAGE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES NAVICULAR DISEASE EARLY STAGES OF THE DISEASE TRADITIONAL ACUPUNCTURE ELETTROACUPUNCTURE QIAN TI MEN – MING TANG PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES NAVICULAR DISEASE IN ADVANCED FORMS OF THE DISEASE LASERPUNCTURE SIGNIFICANT ANTI-INFLAMMATORY and ANALGESIC EFFECTS IT PROMOTES TISSUE GROWTH AND INCREASES CIRCULATION and MICROCIRCULATION PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES NAVICULAR DISEASE LASER STIMULATION HAS AN IMPORTANT EFFECT A MARKED DROP (±50%) IN LEVELS OF ENDOGENOUS CORTISOL LOWER STATE OF STRESS PRODUCED IN ALL OF HORSES PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES NAVICULAR DISEASE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN BIOMECHANICALLY THE VERTEBRAL COLUMN IS CRUCIAL FOR ALL OF THE HORSE’S MOVEMENTS *** IN TCVM THE VERTEBRAL COLUMN IS IN THE PATH OF THE DU MAI CURIOUS MERIDIAN SPECIFIC ACUPOINTS ARE USED ACCORDING TO THE REGION INVOLVED PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN CERVICAL REGION VERTEBRAL SUBLUXATIONS (WOBBLER SYNDROME) TRADITIONAL ACUPUNCTURE JIU WEI PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN THORACIC REGION SPECIFIC MOVIMENTS FLEXION EXTENSION LATEROFLEXTION ROTATION TRANSLATION STERNUM FUNCTION DIAPHRAGM FUNCTION SUBLUXATIONS TRADITIONAL ACUPUNCTURE ELECTROACUPUNCTURE DU MAI ACUPOINTS URINARY BLADDER ACUPOINTS HWATO JIAJI (Paravertebral Acupoints) PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN LUMBAR REGION IT IS CONSIDERED AS THE SOURCE OF MOVEMENT FOR THE WHOLE ANIMAL *** IT PRODUCES TWO FUNDAMENTAL FLEXION and EXTENSION MOVEMENTS PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN LUMBAR REGION CHRONIC LUMBAR PAIN SYNDROME BI – SYNDROME CAUSED BY BLOCKED QI (Energy) and XUE (Blood) CIRCULATION PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN LUMBAR REGION INITIALLY INVOLVEMENT OF MUSCLES (Dorsal Longissimus – Lumbodorsal Fascia) INVOLVEMENT OF FASCIA LATA TENSOR ALTERATION IN MOVEMENT CONTINUING CONTRACTION MISALIGNMENT OF THE VERTEBRAL BODIES EFFECT ON GAIT PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN LUMBAR REGION CHRONIC LUMBAR PAIN SYNDROME TRADITIONAL TREATMENT MOXA (Placed in Wooden Box) *** TRADITIONAL ACUPUNCTURE ELECTROACUPUNCTURE WEIZHONG WUSHU YANGLINGQUAN MINGMEN GUANYUAN PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN SACRAL REGION ITS FUNCTION PERMIT OSCILLATION OF THE ILIUM TRANSMISSION OF MOVEMENT TOWARDS L 6 IT MUST ALLOW THE COCCYGEAL VERTEBRAE TO FUNCTION AS A RUDDER FOR THE ENTIRE COLUMN AS IT ACTS AS A AILERON THE SACRUM CAN BE SUBJECT TO MALPOSITIONING EFFECTS ON THE ROCKING MOTION OF THE PELVIS EFFECT ON GAIT PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN SACRAL REGION TRADITIONAL ACUPUNCTURE ZAO BAIHUI SHANGLIAO CILIAO ZHONGLIAO XIALIAO PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN COCCYGEAL REGION THE APPARENTLY RANDOM MOVEMENTS OF THE TAIL ENTIRE COLUMN IS MOBILIZED *** TRAUMATIC INJURIES TRADITIONAL ACUPUNCTURE WEI GEN – WEI BEN – WEI JIAN PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN ENDOCRINE SYNDROME IT AFFECTS COMPETITION MARES CAUSES STRESS FROM TRAINING COMPETITONS RIGIDLY CONTROLLED DIET LACK OF REPRODUCTIVE ACTIVITY USE OF PERFORMANCE ENHANCING DRUGS PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN ENDOCRINE SYNDROME LUMBAR PAIN THAT RADIATES TO THE HINDLIMB LUMBOSACRAL and COCCYGEAL AREAS EXTREMELY SENSITIVE RIGID MOVEMENTS PAIN and TENSION IN THE PARALUMBAR FOSSA INVOLVEMENT OF THE NECK PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES ACUTE and CHRONIC DORSAL PAIN ENDOCRINE SYNDROME TRADITIONAL ACUPUNCTURE SHENSHU JINGMEN MINGMEN YANGCHI JINGMING ZHIYIN HYDROACUPUNCTURE / HAEMOACUPUNCTURE SHENSHU TRANSRECTAL MASSAGE STRETCHING – TUINA PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES POSTOPERATIVE and VISCERAL PAIN TREATMENT SHOULD BE PREVENTIVE BEFORE THE SURGICAL PROCEDURE TRADITIONAL ACUPUNCTURE *** TREATMENT POSTOPERATIVE TRADITIONAL ACUPUNCTURE ELECTROACUPUNCTURE PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES MYOFASCIAL PAIN ABNORMALITIES OF THE INTERNAL ORGANS CAUSE LIMITED CONTRACTION STIFFNESS HARDENING IN THE MUSCLES “TRIGGER POINTS” AS A MEANS OF PROTECTING AFFECTED ORGAN PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES MYOFASCIAL PAIN CUTANEUS STIMULATION OF THESE AREAS INFLUENCES THE CONDITION OF THE INTERNAL ORGAN THROUGH MEDULLARY NERVES PERISTALTIC MOVEMENTS ORGAN CONTRACTION INCREASE LIVER PERFUSION HORMONE SECRETION DISAPPEARANCE OF THE TENSION AT THE TRIGGER POINTS PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES MYOFASCIAL PAIN TREATMENT OF THE TRIGGER POINT TRADITIONAL ACUPUNCTURE HYDROACUPUNCTURE *** TREATMENT OF THE AFFECTED ORGAN TRADITIONAL ACUPUNCTURE HYDROACUPUNCTURE (VIA SOMATOTYPE – USUALLY BEI SHU POINTS) PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES AIM OF WORK THE AUTHORS HAVE ASSESSED THE EFFECTIVENESS OF EACH WAY OF STIMULATING THE ACUPOINTS FOR EACH OF CLINICAL CONDITION ACCORDING TO CLINICAL EXPERIENCES IT IS POSSIBLE INFER PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES RESULTS PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES REFERENCES •American College of Veterinary Anesthesiologists (2006): Position paper on the treatment of pain in animals; www.acva.org/professional/Position/pain.htm •Canavesio E., Giommi D., Longo F. (2002): Produzione di cortisolo endogeno mediante l’impiego della laserpuntura; Rivista Italiana di Medicina Tradizionale Cinese n. 90 (4) ottobre – dicembre 2002, Civitanova Marche •Cantwell S.L. (2010): TCVM: The Mechanism and Management of Acupuncture for Chronic Pain •Gazzola M. (2007): Impiego dell’agopuntura nel cavallo geriatrico; http://www.siavitvas.org/italiano/clinica-pratica/2009/AGOPUNTURA_CAVALLO_GERIATRICO.pdf •Longo F. (2002): L’esame della palpazione in agopuntura veterinaria; Yi Dao Za Zhi, n. 18 ottobre 2002; Laveno Mombello •Longo F. (2006): La malattia cronica in medicina tradizionale cinese; Atti del 53° Congresso Nazionale S.C.I.V.A.C.; 27-30 Maggio 2006, Rimini, 226-227 •Longo F. (2004): Formule magistrali in agopuntura veterinaria; Atti del 48° Congresso Nazionale S.C.I.V.A.C.”; 27-30 Maggio 2004, Rimini, 226–227 •Longo F. (2007): Medicina Veterinaria Tradizionale Cinese; in P. Pignattelli: Medicina Veterinaria Non Convenzionale; Edagricole – Il Sole 24 Ore, Bologna, 115-153 •Longo F., Canavesio E., Giommi D.W. (2003): Effetti antistress dell’agopuntura nel cavallo; in Longo: Agopuntura Veterinaria – Evidenze Cliniche; GMT2000, Laveno Mombello •Longo F.(2006): Diagnosi e terapia delle patologie ortopediche nel cavallo; in Atti del I Congresso V.A.M., 29 – 30/Set – 1/Ott 2006, Barcelona •Longo F. (2007): Gestione della riproduzione equina mediante agopuntura; in Atti del II Congresso V.A.M., 28 – 30/Set 2007, Nice •Longo F. (2008): Tai Yang e Du Mai : movimento e cute nel cavallo; in Atti del III Congresso V.A.M., 25 – 27 Aprile 2008, Mallorca •Mayr G., Longo F. (2010): Il trattamento delle ferite mediante agopuntura; in Atti del workshop “wound care in veterinaria: stato dell’arte e proposte per il futuro”, II congresso A.I.U.C. ‘Laboratorio Ulcere Cutanee’, 17 Aprile 2010, Padova •Shaojiu L. (2005): Akupunktur bei Neurologischesn Störungen, Urban & Fischer München – Jena •Trotter G.W. (2008): Acupuncture – Application in Performance Horse Practice; Veterinary European Equine Meeting, Venice – Cremona 2008 •Wennerstrand J. et alii (2004): Kinematics Evaluation of the back in the Sport Horse with back pain; Equine Vet Journal PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES PAIN THERAPY BY ACUPUNCTURE IN SPORT HORSES Francesco LONGO - Margherita GAZZOLA 谢谢 www.siav-itvas.org