Focus on….The Regenerative Medicine Team

 

 

Fresh from their success at the recent Linnaeus Achievement Awards we caught up with Andy Armitage, Clinical Director for the Regenerative Medicine team at Greenside, to dig a bit deeper into the UK’s leading referral centre for regenerative therapies and find out more about the revolutionary techniques they provide for treating pets.

 

 

 

How does it feel having been awarded the Freedom Award at the recent Linnaeus Awards?

It was actually a total surprise. We weren’t expecting it but the whole team was very excited to hear our name revealed as the winner. We were all buzzing after the news and it made us feel so honoured to be chosen from such a group of worthy potential winners. We are very proud of the achievement and after such a difficult year for the whole team, it really couldn’t have come at a better time to go into 2021 with a renewed sense of achievement and recognition.

How long has the Regenerative Medicine team been operating at Greenside?

We started regenerative treatments at Greenside about seven or eight years ago. What started off as a few cases for our own clients has grown and developed over the years to become a comprehensive service providing advanced treatments, not only for our first opinion patients but also for referral clients from all over the UK and even Europe. The unit first opened as a dedicated clinic for regenerative medicine four years ago.

And Andy, what made you decide to specialise in Regenerative Medicine techniques?

When I started treating patients with regenerative medicine many years ago (at a time when the technology was still very new) I soon came to realise that this was the treatment of the future. Some of my early cases had end-stage osteoarthritis and were on a cocktail of drugs, with their pain and debility not well controlled. I found that by targeting areas of pathology with stem cell therapy it often resulted in miraculous improvements with the reduction of pain, increased mobility and improved quality of life. The more cases I treated, the more amazing the responses I observed. When we were seeing such an amazing effect, we knew we had found a new treatment option that was minimally invasive and was able to reverse the chronic degenerative conditions that we were trying to treat. Therefore, it was not really a decision to specialise in this field but rather an evolution of mindset, with my workload becoming more focussed on using these therapies.

What techniques/treatments are included under the term Regenerative Medicine?

Regenerative medicine is defined as a branch of medicine that uses biological therapies to grow, repair or replace damaged or diseased cells, organs or tissues. Stem cells are used in regenerative therapies to enhance the body’s ability to regenerate damaged tissues and metabolic processes after acute or chronic insult. In addition to stem cells, we also use platelet-rich plasma as another form of biological therapy as well as other treatment modalities such as laser therapy, shockwave therapy and physical therapies to help stimulate the healing process. Unlike traditional treatments, regenerative therapies have the ability to modify and reverse a disease process and restore function instead of just masking clinical signs, such as pain.

How do these differ from other treatments that are available?

Regenerative therapies are minimally invasive treatment options that do not require surgical intervention or drugs that may have side effects. We are using the body’s own regenerative cells to treat or cure a disease process. Regenerative therapies can not only stop further degeneration but also repair and replace abnormal tissues such as torn tendons or damaged cartilage.

What benefits does Regenerative Medicine provide to the animal?

It provides an alternative treatment option which does not involve invasive procedures, and that has the potential to address the underlying disease process and treat pain and debility without any side effects or complications. We have developed protocols to successfully manage patients with elbow dysplasia without surgical interventions and believe we have found the most successful treatment option to treat this challenging and common condition. Regenerative medicine provides additional options for managing many conditions where traditional treatments are not effective or have failed. It gives owners more options to consider and, in many cases, provides greater efficacy and better outcomes in a minimally invasive manner.

You recently refurbished the Regenerative Medicine facilities at Greenside – what do you now have available for treating those animals referred to you?

We now have a purpose-built separate centre for regenerative medicine and rehabilitation and pain management. We have a diagnostic suite that allows us to take incredibly detailed radiographic images and high-resolution musculoskeletal ultrasound to investigate soft tissue problems, intra-articular structures and intervertebral discs. We have needle scopes to visualise intra-articular structures in a minimally invasive manner that is even less invasive than arthroscopes. The new facility also boasts two areas for objective gait assessment – including a gait analysis treadmill and a static force plate and stance analysis. These are used to diagnose subtle lameness and compensatory issues as well as to measure the response to treatments in an evidenced-based objective manner. We have two purpose-built physiotherapy suites with all the equipment required to successfully rehabilitate animals following surgery or regenerative therapies. We also have an underwater treadmill that is used for hydrotherapy.

Is there a particular case that stands out for you over the years?

One of the first cases I treated with stem cells was Cassie, a spaniel with severe generalised end-stage osteoarthritis and intervertebral disc disease. She was on a combination of drugs and multimodal approaches to control her pain, but she was deteriorating. Her owners were considering euthanasia when I offered regenerative treatments. We injected all of Cassie’s joints and spine with autologous stem cells and she had an awesome response. In twelve weeks, she went from a dog with little quality of life to one that was full and active. Her joints prior to treatment were inflamed, painful, restricted and any movement resulted in audible crepitus due to complete loss of cartilage. Three months following treatment the range of motion in her joints had increased dramatically, any movement was smooth without crepitus, and her mobility and activity restored. Cassie went on for three more, pain-free, years. Cassie’s response to treatment changed the way I practiced veterinary medicine.

What is the best thing about working as part of the Regenerative Medicine team at Greenside?

Having a multidisciplinary team that are all involved in the care and management of the case. Also, having colleagues who are my friends with everyone working hard to ensure the best outcomes for the patients under our care. The responses we see are life-changing for the patient, as well as the owners, and it is so rewarding to work in an environment where we can truly make a difference to our patients’ lives.

And finally, what does the future look like for you and the Regenerative Medicine Team?

The service and team have grown organically over the years and we are looking forward to welcoming four new members of the team in January to allow expansion of our services and caseload. We have collected a lot of data on treatment responses to regenerative therapies over the years and are now in a position to publish the data. We hope to publish a paper in the early part of 2021 detailing the response to treatment in hundreds of dogs. We hope that this publication will raise awareness and promote the efficacy of our pioneering treatments so that we can provide these to many more patients and improve their quality of life.


The Regenerative Medicine Team from left to right – Leanne, Katrina, Christina, Catherine, Kathryn, Andrew, Aimee.

You can find out more about the work the team do here.

 

Tooth Brushing Guide for Small Animals

Brushing is by far the best method for keeping your pet’s teeth clean and is more successful if taken in stages. Ideally, it would help if you brushed your dog’s teeth at least once daily to help remove plaque and prevent tartar build-up.

STAGE 1: Build confidence

  • Smaller pets can be placed at a comfortable height where they feel secure, such as on a chair, table, or lap covered with a towel to prevent slipping.
  • For cats, it can be easier if there are two people. For larger pets, it may be best to leave them on the floor.
  • Gently rub the face and muzzle with fingers and hands only. Work up to being able to gently hold the mouth closed for a short period. This can be done by placing fingers on top of the nose, or muzzle, with the thumb under the chin.
  • Do this for approximately 30 seconds and then reward with some fuss, play, a treat, or all the above.
  • Repeat daily for at least five days or until your pet is relaxed and comfortable with this.

STAGE 2: Finger brushing

  • Place your pet in the same position you used when building their confidence (Stage 1).
  • Gently close the mouth as practiced. The lips will be relaxed, so there is no need to try and hold the mouth open.
  • Apply a small amount of pet-specific toothpaste to a fingertip or finger toothbrush and slide under the lip to rub the paste onto the teeth.
  • Start from the canine (fang teeth) and work backward.
  • Many pets find the incisors (small teeth at the front of the mouth) very sensitive, so only brush these once your pet has become used to the other teeth being brushed.

STAGE 3: Moving on to a toothbrush

  • Once your pet is happy with the finger brushing, you can progress on to a toothbrush. Brushes specifically designed for both dogs and cats are best.
  • Place the pet-specific toothpaste onto the brush, slide under the gum, and gently brush the teeth.
  • We recommend working hard at ensuring that both sides of the mouth are equally brushed. This may mean starting on the side that you feel least comfortable brushing.
  • When you start brushing, you may notice a small amount of blood on the toothbrush. As you continue to brush this will stop appearing as you will be tackling the gum disease responsible for the bleeding. If it does not stop, please contact us so we can advise on the next steps.

 ADVANCED LEVEL

Consider the gums
If you find the brushing easy and your pet is very tolerant, you may also be able to brush their gums. To do this, you will need to look carefully at which teeth you are brushing. Angle the toothbrush so that the bristles gently clean the gum around the base of each tooth. This is advanced level brushing and only to be attempted if you and your pet are comfortable and confident to do so.

In addition to brushing, the following can also help keep teeth and gums healthy…

GELS
Gel products are beneficial for pets that suffer from or are likely to develop gum disease. Gels can also be helpful for cats where brushing is not tolerated as they can be applied with a cotton bud initially, and may allow for progression to a toothbrush.

ORAL RINSES
Oral rinses are useful if gums are too sore to brush, especially immediately after dental treatment. Like gels, oral rinses are to be used daily.

SPECIALIST DIETS
Some brands of pet food offer a range specifically designed to be kind to your pet’s teeth and to be used in conjunction with brushing. The biscuit size, shape, and texture is formulated to provide an increased abrasive action. Please speak to us to find out which diet would be the most suitable for your pet.

DENTAL CHEWS
Dental chews may help to reduce plaque accumulation and tartar formation on teeth, and pets love the taste. However, it is important to not solely rely on them as evidence indicates that chews alone are not capable of maintaining long term oral health.

For more information or advice, please contact us.

January is National Walk Your Dog Month

If you’re a dog owner, you’ll know that every month is walk your dog month, as our canine friends need regular exercise all year round! But during January – with the enjoyment of Christmas a distant memory, the cold weather continuing, and those dreaded January blues to deal with – it can be tempting to put off walking your dog.

Walking your dog can bring benefits for both of you, which can be especially important in January, so our advice is to embrace this time of year.

Exercise

Many of us will have indulged over Christmas, and our waistlines may be showing the effects of one too many mince pies. Regular walks with your dog can help to combat December’s Christmas indulgence without the need to hit the gym. Weight management is important for your dog too, and walks are a good way of helping to regulate their weight alongside a healthy diet.

Mental wellbeing

Getting out and about can be good for your mental wellbeing as it takes you away from the stresses of everyday life. With time to process your thoughts, the effect of your dog’s excitable happiness when they realise it’s time for ‘walkies’, and the shared camaraderie and exchanges with other dog walkers will leave you feeling brighter and more enthusiastic.

Fresh air

If you’ve been spending more time indoors lately with windows closed and the heating on, you may have forgotten just how good it feels to get some fresh air. Getting outside and breathing deeply can clear your lungs, unblock a congested nose, give you more energy and focus your mind. It’s good for lowering heart rate and blood pressure too.

Plus, being outside gives your dog the chance to be a dog! Dogs love sniffing out scents and exploring so, while it may not be the fresh air they’re breathing in, they’ll appreciate the benefits it brings. It will also aid their food digestion and energy levels.

Technology downtime

If you’re guilty of spending a lot of time on your mobile phone, games console, or watching box sets on TV, going outside can be a welcome distraction. Take in your local area, absorb your surroundings, and enjoy living in the moment. Spend time focussing purely on your dog; run around the park with them or take a ball to play fetch. They’ll appreciate your attention. Your tech will still be there when you get back.

Ensure you stay safe by reminding yourselves of our tips for walking your dog at this time of year here

Now grab that lead, put on your warm coat, and off you go!

Pet Passports no longer valid from 1 January 2021

You can no longer use a pet passport issued in Great Britain (England, Wales and Scotland) for travel to an EU country or Northern Ireland. You can still use a pet passport issued in an EU country or Northern Ireland.

Instead, pets travelling from Great Britain to an EU country or Northern Ireland will need an Animal Health Certificate (up to five pets on one certificate).

Your pet must:

  • Have a functioning microchip
  • Have a rabies vaccination at least 21 days before travel
  • Enter the EU via a designated Travellers’ Point of Entry
  • Have an Animal Health Certificate written in the official language of the country they will enter the EU unless you have a pet passport issued in an EU country or Northern Ireland
  • Dogs travelling directly to Finland, Republic of Ireland, Northern Ireland or Malta must be treated for tapeworm no less than 24 hours and no more than 120 hours (5 days) before you arrive

The Animal Health certificate is:

  • Valid for ten days from the date of issue
  • Valid for a single trip into the EU
  • Valid for onward travel within the EU for four months or until the date of expiry of the validity of the rabies vaccination whichever is sooner
  • Valid for re-entry to Great Britain for four months after the date of issue provided rabies vaccination is kept up to date

We suggest that you discuss your travel plans with your vet at least one month before your intended travel plans to ensure your pet is prepared for travel.

Please contact us to advise on the steps required to ensure your pet is prepared for travel and ensure you have the required appointments booked for your pet.

For the most up to date information, visit the government website by clicking here

Senior Pets Physiotherapy

There are a variety of complementary treatments available to help our senior pets, one of these being physiotherapy. Below we take a closer look at physiotherapy as a therapy and the benefits it can have for your pet.

What is physiotherapy?
Physiotherapy is a hugely beneficial discipline in helping manage senior patients, especially those who suffer from degenerative conditions such as osteoarthritis, and lumbosacral disease. It can consist of a range of treatments including therapeutic exercise, manual techniques, ultrasound, laser therapy, TENs therapy, and pulse wave therapy.

For a senior pet, physiotherapy could involve the use of high-tech equipment, or simply hands and gentle positioning. Based on your pet’s condition, the physiotherapist will employ the right tools to achieve the best results.

What is the aim of physiotherapy?
As a complementary therapy in helping senior pets, physiotherapy aims to improve mobility, restore normal function, and relieve pain by improving muscle strength, muscle stamina, and joint range of motion. Managing degenerative joints is a key focus for a veterinary physiotherapist; painful joints always mean painful muscles because of the compensating and adapted gait pattern. As such, prolonging a good quality of life for your pet is a major priority.

What are the benefits of physiotherapy?
Owners are often unaware that their pet is in pain. A physiotherapy assessment on patients, can identify signs of pain and start the process of adjusting medication, managing the degenerative disease, and preserving the quality of life. By closely working with veterinary surgeons, physiotherapists can constantly reassess patients to make sure any pain is managed, whilst providing an additional perspective for the vet asides from that of the owner. In most cases, a consultation with a vet may be limited to around 15 minutes, however, a physiotherapy appointment will tend to last for an hour at a time, where mobility, musculoskeletal systems, lifestyle, and behaviour can be thoroughly assessed and discussed.

Physiotherapy plays an essential role in advising owners on crucial management strategies to help senior pets cope better. These can include:

  • Discussing adjustments to their home life
  • Adjusting the exercise and play regime
  • Keeping pets’ arthritic joints warm in winter to prevent inflammatory flare-ups and maintain quality of life.

The undertaking of simple, quick exercises fitted into your daily routine can also improve your dog’s muscle strength and mass, as well as energy levels.

Catching degenerative diseases early is crucial for success in long term management. Many professionals recommend having annual physiotherapy check-ups once your pet reaches adulthood to identify early and mild symptoms.

More information on treating arthritis in dogs, using complementary therapies such as physiotherapy, can be found here.

If you would like to discuss physiotherapy for your pet, please don’t hesitate to contact us

Antimicrobial Awareness Week

Supported by the World Health Organisation (WHO), Antimicrobial Awareness Week aims to increase awareness of global antimicrobial resistance (AMR) and to encourage best practices among clinicians, policymakers, and also the public to avoid the further emergence and spread of drug-resistant infections.

Antibiotics have had an incredibly positive impact on human healthcare, animal health, and animal welfare, enabling clinicians to treat conditions successfully that were previously fatal. However, there are an increasing number of bacteria that are resistant to the antibiotics we have available.

There are increasing reports of bacteria that are resistant to all antibiotics and these mechanisms can be passed to other bacteria. This could mean that conditions previously curable will no longer be treatable so it’s important to re-evaluate how we use antibiotics and reduce any unnecessary prescribing.

Here are some frequently asked questions that might be on your mind as a pet owner …

How can we protect the ability of antibiotics to kill bacteria?
The overuse of antibiotics kills susceptible bacteria, leaving behind the resistant mutants and allowing them to thrive in the absence of competition. Therefore, we should adopt an approach of using antibiotics only when they are indicated rather than ‘just in case’.

My vet has always prescribed antibiotics for the same condition in the past?
As in human medicine, the veterinary profession is continually learning and improving treatment protocols. In particular, we have an increased understanding of conditions that are self-limiting and don’t require antibiotics such as some forms of diarrhea.

If my vet doesn’t prescribe antibiotics, what happens if things get worse?
Following any consultation, we will recommend treatment that may or may not include drug therapy. We will also provide you with information on how to monitor your pet to ensure things are getting better in the expected time frame and not worse. If your pet is not getting better as expected then they will be re-examined to review the diagnosis and the treatment plan.

Don’t worry, if your pet does need antibiotics we are still able to prescribe them and will work with you to ensure the best possible treatment is provided for your pet.

Focus on Osteoarthritis in dogs

With the onset of colder weather, certain conditions that affect our pets can start to worsen. One of these conditions is Osteoarthritis (or OA for short) and below we take a closer look at the disorder and what can be done if your dog is diagnosed with it.

What is OA?
Osteoarthritis is a disorder that slowly develops over time, caused by the wear and tear of the cartilage found in the joints. Commonly affected joints are high-motion joints that move a lot, such as the knee, elbow, shoulder, and hip.

How many dogs are affected by OA?
It is estimated that there are over six million dogs in the UK and that 80% of those dogs aged 8 years and older have the disorder. That said, it can also affect young animals less than a year of age.

What should I be looking out for?
Most of the signs are typical of what you might expect from a joint disorder, including restricted joint function and muscle loss. Questions to ask yourself can include:

  • Does your dog lag behind on walks?
  • Do they hesitate before jumping into the car or onto the sofa?
  • Do they struggle to get up the stairs?
  • Do they limp after exercise?
  • Are they restless at night?

You may also find that your dog’s behaviour has changed, their amount of activity has reduced, and they are showing stiffness after periods of rest.

What treatment is available?
There are various stages of treatment that are available to help those animals suffering from OA, and any treatment given should be based on the advice of a veterinary professional. These include:

  • Control of body weight
    A good place to start is with weight loss, which not only helps reduce the rate of deterioration in the joint but can lower the level of discomfort for your dog through having less pressure on their joints.
  • Exercise
    As well as complimenting and aiding the weight loss treatment, exercising your dog will help to maintain their muscle strength and overall fitness. The severity of OA in your pet will dictate the intensity of any exercise undertaken, but it is said that generally, it should be little and often (typically three lead walks per day).
  • Pain Control
    Several options are available for helping to control your dog’s discomfort, including:

    • Nutritional Supplements such as omega-3 fatty acids
    • Anti-inflammatory medication (as prescribed by a vet)
    • Warm/Cold compresses to warm up stiff joints or reduce inflammation
  •  Surgery
    If any of the above options have not proved successful in controlling the condition, then surgical procedures such as joint replacement or joint fusion could be considered, but once again, this would be after consultation with a vet.

Will any treatment cure my pet’s OA?
Unfortunately, no, but the use and management of treatment mean that most animals can enjoy an excellent quality of life.

If you feel that your dog is displaying symptoms of OA, or have any concerns, please contact us to discuss advice and next steps.

More information, as well as useful resources for tracking the signs of OA, can be found on the Canine Arthritis Management (CAM) website.

 

 

Source: Davies Veterinary Specialists

Exercising your pet in the house during colder months

As the weather gets colder, you and your pet may be spending more time indoors on the sofa. The lack of exercise can have a negative impact on the physical and mental wellbeing of both you and your pet. With ongoing limitations to outdoor activities because of COVID-19, knowing how to keep your pet fit at home could help keep them healthy and happy.

As with any exercise, the amount and type of activity will vary according to the age, species, breed, and overall health of your pet. If you are unsure if these activities are suitable for your pet, please contact us.

Here are some ideas on how you can keep your pet healthy with some indoor exercises:

  • Brain games. You can get special interactive brain games for pets through major online pet supply retailers. These can help with their mental and physical wellbeing. You can also save money and create a game on your own. The simplest one could be hiding a favourite toy under a plastic bucket and mixing it up with other empty buckets. Then get your pet to try and pick the correct one.
  • Hide and seek. If you have a dog, you can play an exciting game of hide and seek with your pet. They will use a variety of their senses to discover where you have gone. When they find you, they will be extremely excited!
  • Laser pointer. Cats are natural predators and love capturing things. A laser pointer provides an outlet for cats to have fun chasing and “batting” about the moving dot. Please use laser pointers explicitly designed to play with cats, as some can be harmful to your pet. You should always avoid pointing the laser at their eyes. Low wattage lasers designed for cat toys should not be a risk if the light flashes across their eyes for a split second. Try pointing the laser at the ground in front of them or beside them. Please remember that they can also cause frustration as the laser can never be ‘caught’. Finishing your play session by aiming the dot on a small toy or treat can help alleviate this.
  • Introduce some new toys. There is a lot of research that suggests that pets love new toys. The festive season is a period where many pet supply retailers have many sales on pet toys. By adding new toys to their collection – it will maintain their interest and keep them active.
  • Rotate existing toys. As a pet owner, you can quickly build an extensive collection of toys that your pet eventually disregards. Rotate toys this winter so that they do not get bored of them – bringing one out of storage elicits a new bout of excitement and hopefully some exercise!
  • Puzzle feeder. You can make dinner exciting with puzzle feeders. There are some super engaging puzzle feeders available to buy that can be filled with your pet’s regular food, which make them use their brain before they eat.

Remember that your pet may have even less self-control than you do over the cold winter days during the festive season! Keep them from piling on the pounds by ensuring everyone within the household does not continually give food or treats to your pets. You can get your family or household members involved in playtime to keep everyone entertained, healthy, and happy!

If you have any concerns about your pet’s health, please give us a call.

Road Safety Week

From 16-22 November, it is Road Safety Week in the UK.

This week aims to inspire the country to take action on road safety, promoting lifesaving and awareness around speeding. When walking your dog you should be extra careful, especially during this winter season. Information on how to make sure your dog can be seen, and other helpful tips, can be found below:

  • Always make sure your dog is kept on a lead. For more tips on walking your dog safely, read our post here.
  • Make sure you teach your dog road awareness by training them when to “stop” and “come away”.
  • Wear light coloured or hi-vis clothing to ensure you and your dog can be seen.
  • Ensure your dog is microchipped so you can be reunited with them in the worst case of them going missing.

 

Source: https://www.pdsa.org.uk/taking-care-of-your-pet/looking-after-your-pet/puppies-dogs/road-safety-tips-for-dog-owners

Holiday Season 2020 Opening Hours

With Christmas around the corner and continued uncertainty, we wanted to ensure we had our opening times for the festive period in place. 

Please see below for our opening times over Christmas and New Year.

 

St Boswells 

Christmas Eve:                       8:30am – 5:00pm

Christmas Day:                      Closed (emergencies only)

Boxing Day:                             Closed (emergencies only)

27th December:                    Closed (emergencies only) 

28th December:                    Closed (emergencies only)

New Years Eve:                      8:30am – 5:00pm

New Years Day:                      Closed (emergencies only)

 

Jedburgh

Christmas Eve:                       Closed

Christmas Day:                      Closed (emergencies only) 

Boxing Day:                             Closed (emergencies only)

27th December:                    Closed (emergencies only) 

28th December:                    Closed (emergencies only) 

New Years Eve:                      Closed

New Years Day:                     Closed (emergencies only)

 

If your pet requires a prescription or specific food over the festive period, we kindly ask that you request this well in advance.

If you require any further information, please contact us.

If your pet requires out-of-hours emergency care, please call 01835 823 257