Alternative Medical care for Pets
The AVMA established guidelines for alternative and complimentary
care of animal in 1996. This is a copy of those guidelines.
AVMA Guidelines for Alternative and Complementary Veterinary
Medicine
Approved by AVMA House of Delegates, 1996
Preamble
Veterinary medicine, like all professions, is undergoing changes with
increasing rapidity. Additional modalities of diagnosis and therapy are
emerging in veterinary and human medicine. These guidelines reflect the
current status of the role of these emerging modalities within the parameters
of veterinary medicine for use in providing a comprehensive approach to
the health care of non-human animals. Use of these modalities is considered
to constitute the practice of veterinary medicine. Any exceptions will
be indicated in the following guidelines. Such modalities should be offered
in the context of a valid veterinarian/client/patient relationship. It
is recommended that appropriate client consent be obtained. Educational
programs are available for many of the modalities. It is incumbent upon
veterinarians to pursue education in their proper use. It should be borne
in mind that because the emergence and development of these modalities
is a dynamic process, as time passes, the following information may need
to be modified.
Veterinary Acupuncture and Acutherapy
Veterinary acupuncture and acutherapy involve the examination and stimulation
of specific points on the body of non-human animals by use of acupuncture
needles, moxibustion, injections, low-level lasers, magnets, and a variety
of other techniques for the diagnosis and treatment of numerous conditions
in animals. Veterinary acupuncture and acutherapy are now considered an
integral part of veterinary medicine. These techniques should be regarded
as surgical and/or medical procedures under state veterinary practice acts.
It is recommended that educational programs be undertaken by veterinarians
before they are considered competent to practice veterinary acupuncture.
Veterinary Chiropractic
Veterinary chiropractic is the examination, diagnosis, and treatment
of non-human animals through manipulation and adjustments of specific joints
and cranial sutures. The term "veterinary chiropractic" should not be interpreted
to include dispensing medication, performing surgery, injecting medications,
recommending supplements, or replacing traditional veterinary care. While
sufficient research exists documenting efficacy of chiropractic in humans,
research in veterinary chiropractic is limited. Sufficient clinical and
anecdotal evidence exists to indicate that veterinary chiropractic can
be beneficial. It is recommended that further research be conducted in
veterinary chiropractic to evaluate efficacy, indications, and limitations.
The assurance of education in veterinary chiropractic is central to the
ability of the veterinary profession to provide this service. Veterinary
chiropractic should be performed by licensed veterinarians; however, at
this time, some areas of the country do not have an adequate supply of
veterinarians educated in veterinary chiropractic. Therefore, it is recommended
that, where the state's practice acts permit, licensed chiropractors educated
in veterinary chiropractic be allowed to practice this modality under the
supervision of, or referral by, a licensed veterinarian who is providing
concurrent care.
Veterinary Botanical Medicine
Veterinary botanical medicine is the use of plants and plant derivatives
as therapeutic agents. It is recommended that continued research and education
be conducted. Since some of these botanicals may be toxic when used at
inappropriate doses, it is imperative that veterinary botanical medicine
be practiced only by licensed veterinarians who have been educated in veterinary
botanical medicine. Communication on the use of these compounds within
the context of a valid veterinarian/client/patient relationship is important.
Holistic Veterinary Medicine
Holistic veterinary medicine is a comprehensive approach to health care
employing alternative and conventional diagnostic and therapeutic modalities.
In practice, holistic veterinary medicine incorporates, but is not limited
to, the principles of acupuncture and acutherapy, botanical medicine, chiropractic,
homeopathy, massage therapy, nutraceuticals, and physical therapy as well
as conventional medicine, surgery, and dentistry. It is recommended that
holistic veterinary medicine be practiced only by licensed veterinarians
educated in the modalities employed. The modalities comprising holistic
veterinary medicine should be practiced according to the licensure and
referral requirements concerning each modality.
Veterinary Homeopathy
Veterinary homeopathy is a medical discipline in which conditions in
non-human animals are treated by the administration of substances that
are capable of producing clinical signs in healthy animals similar to those
of the animal to be treated. These substances are used therapeutically
in minute doses. Research in veterinary homeopathy is limited. Clinical
and anecdotal evidence exists to indicate that veterinary homeopathy may
be beneficial. It is recommended that further research be conducted in
veterinary homeopathy to evaluate efficacy, indications, and limitations.
Since some of these substances may be toxic when used at inappropriate
doses, it is imperative that veterinary homeopathy be practiced only by
licensed veterinarians who have been educated in veterinary homeopathy.
Nutraceutical Medicine
Nutraceutical medicine is the use of micronutrients, macronutrients,
and other nutritional supplements as therapeutic agents. Communication
on the potential risks and benefits from the use of these compounds within
the context of a valid veterinarian/client/patient relationship is important.
Continued research and education on the use of nutraceuticals in veterinary
medicine is advised
Veterinary Physical Therapy
Veterinary physical therapy is the use of noninvasive techniques, excluding
veterinary chiropractic, for the rehabilitation of injures in non-human
animals. Veterinary physical therapy performed by non-veterinarians should
be limited to the use of stretching; massage therapy; stimulation by use
of (a) low-level lasers, (b) electrical sources, (c) magnetic fields, and
(d) ultrasound; rehabilitative exercises; hydrotherapy; and applications
of heat and cold. Veterinary physical therapy should be performed by a
licensed veterinarian or, where in accordance with state practice acts,
by ( I ) a licensed, certified, or registered veterinary or animal health
technician educated in veterinary physical therapy or (2) a licensed physical
therapist educated in non-human animal anatomy and physiology. Veterinary
physical therapy performed by a non-veterinarian should be performed under
the supervision of, or referral by, a licensed veterinarian who is providing
concurrent care. Massage Therapy Massage therapy is a technique in which
the person uses only their hands and body to massage soft tissues. Massage
therapy on non-human animals should be performed by a licensed veterinarian
with education in massage therapy or, where in accordance with state veterinary
practice acts, by a graduate of an accredited massage school who has been
educated in non-human animal massage therapy. When performed by a non-veterinarian,
massage therapy should be performed under the supervision of, or referral
by, a licensed veterinarian who is providing concurrent care.
From: JAVMA, Vol. 209, No. 6, September 15, 1996.
Last edited 12/31/07
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