Dr. Millis is a graduate of the College of Veterinary Medicine at Cornell University. He is an associate professor of orthopedic surgery at the University of Tennessee College of Veterinary Medicine and is a diplomate of the American College of Veterinary Surgeons. His research interests include physical rehabilitation, treatment of osteoarthritis, and methods to enhance bone healing.
Medical treatment of osteoarthritis is multifaceted and includes physical modalities, controlled exercise, weight reduction, slow-acting disease-modifying osteoarthritic agents, alteration of the environment, and anti-inflammatory medications.
The foundational pieces of multimodal treatment of canine osteoarthritis should include: nonsteroidal anti-inflammatory drugs (NSAIDs), a pet food rich in eicosapentaenoic acid (EPA), and chondroprotective injectable polysulfated glycosaminoglycan (PSGAG). The ultimate goal of a multimodal approach is to provide the maximum quality of extended life with a minimal effective dose of pharmacologics. The optimal multimodal approach is an overlapping of medical and nonmedical management.
After an orthopedic procedure, it is common to have a convalescent period of weeks to months before recovery is attained. Physical rehabilitation may help patients achieve maximum recovery. Physical therapy is also valuable for easing chronic pain in pets.