FAQs
What is Canine Rehabilitation?
Canine rehabilitation is similar to Physical Therapy for humans. Canine rehabilitation is the treatment of dogs for orthopedic, geriatric, athletic, neurological injuries and conditions. It is dogs recovering from injury or surgery, trying to prevent injury or surgery, and managing chronic conditions as it relates to the musculoskeletal and neurologic systems. Physical therapy is an essential component to recovery in the human medical field, and I take the same principles and apply them to the treatment of your pet!
As a physical therapist since 1992 (Cleveland State University Graduate), and many years of experience working in human PT before transitioning into canine rehab; I am placed in a unique position to help you as well. I will focus on teaching you how to care for your pet in a safe way, avoiding common injuries like back pain that arises when assisting a pet who has decreased mobility. I can also help develop an exercise home program for you, the pet owner, so you are strong and healthy to better assist your pet.
What conditions are typically seen in canines referred for Canine Rehabilitation?
Movement dysfunction from a variety of causes
Gait abnormalities
Balance & Proprioception problems
Functional mobility: problems-ascending/descending stairs, sitting, getting into the car
Sports-related issues, changes in ability (jumping, running, going over the A-frame, etc.)
Endurance limitations
Orthopedic
Joint conditions- hip dysplasia, elbow dysplasia, patella luxation, etc.
Preoperative conditions
Postoperative care & recovery
Arthritis
Muscle strains/sprains/tears
Tendon & ligament injuries (cruciate ligament or ACL and medial shoulder instability etc.)
Fractures
Geriatric
Arthritis
Muscle atrophy
Lack of mobility
Sports Injuries
Agility
Competition
Herding
Sporting
Breed-specific
Neurological
Intervertebral disc disease (IVDD)
Degenerative myelopathy
Disc herniations
Paralysis/paresis
Lumbosacral disease
Wobbler syndrome
Wellness/prevention
Weight management
Conditioning
Home exercise program (HEP)
Maintenance in order to prevent injury
While some conditions cannot be “cured”, the goal of rehabilitation is to improve your pet’s quality of life.
What is an animal rehabilitation therapist and what makes a canine rehab professional?
I am a licensed human physical therapist (PT-CSU Graduate 1992) and a certified canine rehabilitation therapist (CCRT). Since I am a licensed physical therapist, my education and experience have afforded me with an advanced understanding of biomechanics and joint kinematics making me a skilled manual therapist/movement expert. Furthermore, in addition to the many years of experience as a licensed physical therapist, working the last two years at Animal Rehabilitation Facility with Dr. Mary Cardeccia has given me some hands-on experience and success in the practice of working with canines.
Canine rehabilitation, in most states, is still considered an up-and-coming field. It can be difficult for even the most experienced pet owner to find where quality rehabilitation takes place for their furry friends. A professional with the proper training is what your pet will receive from someone like myself who has taken the certification program in rehabilitation therapy for canines (CCRT) from The Canine Rehabilitation Institute (CRI) A CCRT is an individual who received formal training in canine anatomy & physiology, canine behavior & handling, common orthopedic conditions/ injuries, physical therapy assessment techniques with problem solving and goal setting, manual therapy, physical modalities, therapeutic exercises, neurological, sports injuries (25 + sports for dogs to participate in). Physical therapists are regarded as rehabilitation experts given their four or more years of higher education on the subject- before any kind of training with canines had begun.
It is important to note that vet technicians and physical therapy assistants may also provide canine rehabilitation to your pet, but they should be following a plan of care prescribed by a veterinarian or physical therapist with training in canine rehab.
Dogs in particular are such amazing creatures in how they interact with humans and play such a huge role in people's lives.
My dog just had surgery. How soon can they start?
It is recommended for many procedures to get started right away! I can start with passive range of motion and modalities to relieve pain and decrease inflammation to expedite healing. Once the incision has healed, we can get started with low-impact exercises. Every pet is different, and I do require that your pet be cleared by his/her veterinarian (Referral Form) prior to seeing me for rehabilitation therapy. I will continue to be in good communication with your pet's veterinarian throughout their rehabilitation process
How long is a typical appointment and what’s included in the visit?
The initial evaluation or comprehensive physical assessment takes 60 -75 minutes. The evaluation/assessment includes a general exam, basic strength testing with girth measurements, myofascial exam, range of motion/flexibility assessment in all joints to get a baseline to what is normal for your pet, neurological testing- condition, ataxia scale, postural reactions, reflexes, Orthopedic evaluation, gait assessment- lameness scale, posturing/movement, and stance analysis. Even if I see your pet for one specific issue, I will still assess his/her entire body to identify other areas of pain or decreased mobility and treat your pet as a whole. By doing this comprehensive assessment, I will be able to develop a treatment plan specifically suited for your pet’s needs.
The first treatment session will take 30-45 minutes and may include manual therapy and/or laser therapy and therapeutic exercises as indicated. This first treatment session will also include instructions in a beginning home exercise program (HEP). Follow-up treatment sessions range between 20-60 minutes depending on your dog’s needs.
How do I get my dog started? What are your hours?
I have a flexible schedule and will work to accommodate your schedule as well. I am a mobile unit (I come to you) and also will see some clients at my home. To make an appointment please call or text 440-220-0008 and fill out the New Client Intake Form.
Return form via e-mail renee@clek9rehab.com I will contact you to set up an appointment.
The universe is just awakening to how incredible dogs truly are.
Does my dog have to see their veterinarian prior to me coming to see you for an appointment?
Yes, I require that your pet be seen for the issue that requires rehabilitation. I only treat patients and leave the medical diagnosis to your primary and/or specialist veterinarian. This is required to ensure that your pet is in good medical condition, he/she is appropriate for rehabilitation, and to inform me of any underlying medical issues that could affect their plan of care. To ensure continuity of care for your dog, an assessment report, along with the proposed treatment plan, will be sent to your veterinarian and dog's specialist, if appropriate. I can even come to your veterinarian’s clinic to discuss what rehabilitation is all about before we even get started upon request.
What treatment options are available for my dog?
I offer a wide variety of treatment options, and I will work with you to design a treatment plan to target your pet's specific needs. Almost all treatment plans will include a home exercise program (HEP) that you will be taught to perform with your dog to ensure your dog regains muscle strength and flexibility, joint range of motion, and improved balance reactions. This will also reduce the risk of re-injury in the future. In order for treatment to be effective and for your dog to achieve maximal recovery, the exercises need to be performed on a regular basis. This is the reason you will be taught how to perform these exercises at home. Other treatment options include Manual therapy/mobilizations -trigger point release, myofascial release, joint mobilization, massage & stretching, and cross friction massage. Also, neuromuscular stimulation (NMES), transcutaneous electrical stimulation (TENS), therapeutic exercises/home exercise program (HEP), cold laser therapy, balance therapy, pulsed electromagnetic field therapy (PEMF), and therapeutic ultrasound. Click to see individual treatment options for further explanations of treatments. After my assessment portions of the initial evaluation, I will inform you of the specific treatment options that your pet could benefit from and discuss a treatment plan that will benefit your pet, just like you would do if you were to see a human physical therapist.
I feel strongly that animals come into our lives to strengthen our own learning journey in life.
Does physical rehabilitation really help dogs?
The techniques I employ are similar to those that are used in human physical therapy. The goals are to increase mobility and function, reduce pain, speed time or extent of recovery, or slow deterioration of aging/degenerative processes- ultimately improving your animal family member's quality of life.
What do I need at my dog's first visit with you?
At each appointment, you should have a signed referral form from your veterinarian (unless you e-mailed it to me prior to the appointment), a leash, your dog's favorite toy, and high-value treats. If you use a muzzle when your dog goes to the vet, or for other situations, please have that available. I aim to ensure that the assessment is performed calmly so as not to stress your dog. If your dog becomes anxious it may be necessary to stop the assessment early, and if your dog displays signs of aggression or anxiety you may be asked to muzzle your dog. This is for my own safety and the safety of your dog. However, most dogs tolerate treatments well, particularly with the use of treats.
How much does physical rehabilitation cost?
Each pet/client and case are an individual! The cost is variable, depending on your pet's specific needs and course of therapy. At the initial evaluation ($150), your pet's situation will be assessed and recommendations made as to the expected course of treatment. Your pet will be continually reassessed and changes made according to your pet's improvements. My treatments range from $10 - 120 for a full price list click here. Individual costs will be discussed at your first home session. A minimal travel fee does apply to all home visits.
Dogs impact our lives in so many different ways, that it’s hard not to look at them as angels here on earth.
What forms of payment are accepted?
I currently accept cash, electronic payment (Venmo, Paypal, & Zelle), and personal checks. Payment is due at the time the services are performed.
What if I don't have the money for rehabilitation?
Keep in mind that physical rehabilitation often reduces the need for pain medications, and in some cases may help reduce the likelihood of your pet needing surgery. This saves you money in the long run. Even if you are not able for me to see your pet often as prescribed, I likely will have a plan that will fit your financial and time needs and still help your pet. Remember too that I will be teaching you some basic at-home techniques that can help. Physical rehabilitation is often considered a " conservative dollar well spent "
Do you accept pet health insurance?
I do not; however, you should check with your individual insurance company directly to see what is covered under your specific plan. If you have coverage, most pet health insurance companies will reimburse you directly.