Course Description

Although all modules of study may be viewed by all participants, some modules have been identified for use by the Veterinarian and some modules have been identified for use by the veterinarian and the vet tech. The course is designed to give all team members the information they need to operate effectively as a team member in OA case management.

 

Introductory Module

Description
Osteoarthritis affects an estimated 20% of the canine population. The Canine Osteoarthritis Case Manager course will provide an in-depth examination of canine osteoarthritis and the practical application of treatments. Relevant clinical studies will be reviewed as they pertain to canine osteoarthritis. This Introductory Module will discuss the concept of the Osteoarthritis Case Manager, the economics of osteoarthritis, and describe the seven course modules.

This portion of the course is available free and online by registering HERE.

Participants
Veterinarians & Vet Techs

Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.


Contents
Unit 1: Introduction to the Osteoarthritis Case Manager        
Unit 2: Managing the Business of Osteoarthritis        
Unit 3: Canine Osteoarthritis Case Manager Curriculum        

Module Length: 1 hr

Module I: Basic Science of Osteoarthritis

Description
This module addresses the basics of osteoarthritis. In order to appreciate the pathophysiology of osteoarthritis we need to understand the importance of normal cartilage structure and function as well as looking at the joint as an organ. We are not going to treat just the articular cartilage; we are going to treat the entire joint. Having a thorough comprehension of the pathophysiology of osteoarthritis will help you understand the efficacy of the different treatments options.

Participants
Veterinarians & Vet Techs

Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.


Contents
Module IA: Normal Cartilage Structure & Function        
Module IB: Pathophysiology of Osteoarthritis        
Module IC: Common Conditions Leading to OA        

Module Length: 3 hrs

 

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Module II: Assessment and Diagnosis of the Arthritic Patient

Description
Early identification of osteoarthritis is key to providing the best long-term care for patients in order to modify the progression of the disease. Unfortunately, the vast majority of patients are not properly identified until they have end-stage osteoarthritis. In this module you will expand your knowledge on how to assess and diagnose arthritis. You will receive tips on how to take patient histories. You will also identify clues that indicate a patient is suffering from this disease, including how to perform a thorough gait evaluation. We will also discuss how to determine if a treatment is having a beneficial effect by identifying and measuring outcomes.

Participants
Veterinarians

Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.

Contents
Module IIA: History and Gait Evaluation of the Arthritic Patient        
Module IIB: Physical Examination & Diagnosis of the Arthritic Patient        
Module IIC: Assessing OA Treatment Outcomes        

Module Length: 3 hrs

 

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Module III: Medical Management of Osteoarthritis

Description
Nonsteroidal osteoarthritic agents are still the mainstay of treatment. This module will explain how these agents work to modify pain, and we will thoroughly discuss the efficacy of each NSAID. We will also address other medications that can help manage pain, disease modifying osteoarthritic agents, and steroids.

Participants
Veterinarians

Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.


Contents
Module IIIA: NSAIDs to Treat Osteoarthritis        
Module IIIB: Disease Modifying OA Drugs        
Module IIIC: Other Medications Useful for Managing OA Pain        

Module Length: 3.5 hrs 

 

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Module IV: Nutritional Management of Osteoarthritis

Description
This module covers the nutritional management of osteoarthritis, not only weight control in the obese patient, but the role of omega-3 fatty acids and the evidence surrounding them. We will also discuss other nutritional supplements and their efficacy.

Participants
Veterinarians & Vet Techs

Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.


Contents
Module IVA: Nutritional Management of OA        
Module IVB: Nutraceuticals in the Management of OA        
    
Module Length: 2.5 hrs

 

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Module V: Exercise & Manual Therapy for Patients with Osteoarthritis

Description
This module will focus on how to use exercises and manual therapy to treat osteorarthritis. Manual therapy techniques are used to improve tissue extensability and range of motion, promote relaxation, modulate pain, and reduce inflammation.

Participants
Veterinarians & Vet Techs
    
Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.


Contents
Module VA: Range of Motion, Stretching, Massage, Joint Mobilization        
Module VB: Proprioceptive Exercises
Module VC: Aquatic Exercises        
    
Module Length: 2.5 hrs

 

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Module VI: Physical Modalities to Treat Osteoarthritis

Description
As far as physical agents go, there are many tools at our disposal to treat the osteoarthritis, including: cryotherapy, low level lasers, extracorporeal shockwave treatment, transcutaneous electrical nerve stimulation, therapeutic ultrasound, pulsed electromagnetic fields, and static medical magnets. In this module we will discuss the use and efficacy of each one so you can determine how best to treat your patients.

Participants
Veterinarians & Vet Techs
    
Instructor
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.


Contents
Module VIA: Cryotherapy        
Module VIB: Low Level Laser Therapy of OA
Module VIC: Extracorporeal Shockwave Therapy
Module VID: Transcutaneous Electrical Nerve Stimulation (TENS)
Module VIE: Therapeutic Ultrasound
Module VIF: Pulsed Electromagnetic Fields & Static Magnets        
    
Module Length: 3.5 hrs 

 

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Module VII: Other Treatments for Osteoarthritis

Description
In the final module of the course, we will be discussing additional treatments for osteoarthritis that may not fit in the categories already discussed. We will cover surgical treatments, other medical treatments, stem-cell therapy, and acupuncture. We will also look ahead at potential treatments that may prove to be effective in the future.

Participants
Veterinarians
    
Instructors
Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P.

Michelle Tilghman, D.V.M., C.V.A., C.C.R.P.


Contents
Module VIA: Surgical Treatments        
Module VIB: Additional Treatments
Module VIC: Acupuncture
Module VID: Future Treatments
    
Module Length: 4.0 hrs