including medications, supplements, nutrition, restorative rehabilitation, surgery, acupuncture, LASER, chiropractic, massage, myofascial trigger point therapy, joint and spinal injections (e.g. PRP, stem cell and steriod), and orthotic (brace) and prosthetic devices. Treatment begins with an accurate diagnosis of primary and secondary pain generators. Chronic muscle pain is a good example. Just as for humans, chronic pain alters quality of life and can decrease life expectancy. There are effective options for our veterinary patients. Dr. Mich is board-certified in anesthesia and analgesia (DACVAA) and completed an additional two-year fellowship in integrative pain management.