In addition to lameness diagnosis and treatment, Dr. Miller offers general and routine equine veterinary care. these services include general wellness, medical and traumatic emergencies, internal medical issues, and non-lameness related equine issues requiring veterinary intervention .
Diagnostic modalities are used to localize and image the structure(s) of concern which may be causing the presenting issues. This confirmation of the anatomic localization provides the diagnosis and guides the subsequent treatment. The use of diagnostic imaging equipment does not replace a thorough exam by a competent, experienced clinician, especially when dealing with equine sports-related issues.
Dr. David Miller has extensive experience in evaluating horses from a multitude of disciplines that includes:
Digital radiography is the process of using computer-enhanced radiographs to evaluate almost the entire array of skeletal structures of the body. This technology may be used at the clinic or stable. The resulting images can be viewed immediately and also be transferred electronically when consultation or referral is required. Dr. Miller uses state of the art digital radiograph equipment for diagnostic radiology.
Digital ultrasonography provides imaging of soft tissue structures, including tendons, ligaments, joints, joint capsules, muscles, cartilage surfaces, and fluid-filled masses. Dr. Miller uses state of the art ultrasound equipment for his ultrasound imaging services.
Respiratory endoscopy is used to diagnose respiratory noises, shortness of breath, chronic respiratory problems, including allergies, infections and other maladies.
A flexible endoscope is used to evaluate :
Gastroscopy is performed using a 3 meter video endoscope to evaluate the upper GI tract for ulcers, masses, chokes and other upper GI diseases. Horses must be fasted prior to gastroscopy.
Dr. Miller uses state of the art stomach scope and respiratory scope equipment for viewing and recording images of the upper respiratory and GI tracts.
Using remote motion sensors applied to the horse, the stride of each limb is measured and analyzed. The resulting data is interpreted, in order to determine which limb or limbs are likely contributing to subtle stride deficiencies or obvious lameness. This is useful for identifying the affected limb and when diagnostic blocking. The system used is called The Equinosis Q with Lameness Locator, often called simply the Lameness Locator.
Acupuncture point reactivity correlates with an imbalance of energy flow through the meridian on which it lies. The meridians are mapped out and follow the general anatomy of the nervous system. Point reactivity aids in localization of the source of pain and is useful to determine a region of discomfort in the body including internal medical issues and limb involvement
Horses are affected by numerous medical issues including infectious disease, chronic respiratory and skin diseases, behavioral issues that may be psychogenic or secondary to an underlying condition. Diagnosis and treatment is achieved by following a logical step-wise approach.
After diagnosing a specific condition, we discuss and offer all types of conventional therapies available. Considering the patient’s age, overall health, use, long and short term benefits, and economic considerations, we develop a best-suited plan for the patient.
High energy focused wave impulses are projected in a focused axis into injured soft tissue and bone structures to stimulate healing, increase blood flow, and provide pain relief. Dr. Miller uses state of the art shockwave equipment (extracorporeal shockwave equipment) to provide maximum benefits for his patients.
PRP is Naturally occurring growth factors and platelets (similar to stem cells) are harvested from the horse’s blood and used to stimulate and expedite the healing of injured tendons and ligaments.
Pro-Stride (Autologous Conditioned Plasma) is also made from your horses blood and contains high concentrations of anti inflammatory and healing factors. The prepared solution is injected directly into the affected joint or joints.
Naturally occurring anti-arthritic and anti-inflammatory proteins are present in the blood. These proteins are harvested, concentrated, processed, refined, and then injected into the affected joints in a series of 3 to 6 injections over several weeks.
The result is slowing of the arthritis cascade, pain relief, and normalization of the affected joint.
Complimentary therapy, includes acupuncture, manipulative therapy, herbology, homeopathy, and other therapies.
These are used adjunct to more common therapies known as "conventional" or "western" medicine.
Acupuncture and manipulative therapy (chiropractic and osteopathy) are the most common.
Acupuncture is useful for providing minimally invasive pain relief, treating back soreness, and compensatory pain in other parts of the body that results from a new or previous injury.
As previously stated, acupuncture is also useful to diagnose musculoskeletal, external (skin), and internal medical conditions.
There are several types of acupuncture that are used in equine practice. These include dry needling, aqua-puncture, electro-acupuncture, moxibustion, and gold bead implants.
Osteopathy involves manipulation of the body to influence the correct alignment of the spine and axial skeleton. Osteopathy is performed by gently assisting the horse in moving his body through a point of restriction. A thorough understanding of anatomy and kinesiology is vital to maximizing the effects of osteopathy.
It is used to treat soft tissue injuries; an infrared laser is useful to stimulate new tissue regeneration in wound therapy.
The application of infrared light waves causes excitation of the tissue at the cellular level, enhancing blood flow and the growth of new cells. These factors are crucial to reducing inflammation and stimulating the healing process.
Liquid nitrogen is circulated through a small tip at the end of a probe applied to the surface of the skin. Cryotherapy may be used for the management of skin lesions and specific bone and soft tissue injuries.
Wellness Care includes routine physical exams, vaccinations, and deworming. This program is designed in part by, recommendations established by the American Association of Equine Practitioners.
For sport horses, we recommend annual or semi-annual foot radiographs to assess the
coffin bone-pastern-hoof axis for optimum shoeing.
Office phone number : 330-666-7909
Office and Clinic address:
1745 North Hametown Road
Akron, OH 44333