It's a tough job dealing with cute and cuddly animals... :) Here is: Suna & Tikka, Kyda, Rayne and Bella ...

A lovely mix of some cute dogs & kitties visiting our clinic :)
Pepper - 9 yr old Catahoula mix
Bella - 4 month old Rag Doll kitten
Koda - 11 yr old Shih-Tsu mix
Chairman Mau - 12 yr old Siamese

Say hello to: Zyla, an 11 yr old lab; Luna, a 6 month old kitty; and Salsa, a 6 yr old Boston Terrier :) ...

Rehabilitation and Physical Therapy

We are excited to announce that we now offer rehabilitation and physical therapy services to our canine and feline patients!

Nibs with her rehab laser goggles

Nibs with her rehab laser goggles


Dr. Robin Rainford and Anila Rondeau RVT, have completed certification through the Canine Rehabilitation Institute in Colorado and Florida.  Dr. Tutteli Pukarinen continues to practice acupuncture.

We are passionate about maximizing your pets' recovery after injury or orthopedic surgery.  Patients who undergo rehabilitation and physical therapy have improved healing times and return to normal activity more rapidly.  Senior pets benefit from rehabilitation through improved mobility and better quality of life.


Our goal is to ensure proper diagnosis and treatment options for your pets' particular condition.  Soft tissue injuries, such as tendinopathies and muscle strains can be particularly difficult to diagnose and treat. 

It is very common to find compensatory problems which makes a full body assessment very mportant.  Our initials assessments are one hour long and consist of history taking, gait and posture analysis, a full orthopedic, soft tissue and neurologic exam and a recommended treatment plan for the condition.  The treatment plans may include Pulse Electromagnetic Field Bed Therapy (PEMF), laser therapy, acupuncture, manual therapy, tens or Electrical Muscle Stimulation, massage, stretching and in-clinic and home exercise programs.




We welcome our current patients as well as referrals from other veterinarians.






  class3vsclass4 chart

Class 3b vs Class IV Lasers

The dose of energy administered to your pet with the Laser is measured in Joules (energy per pulse). Both Class 3b and Class 4 lasers are capable of delivering exactly the same number of Joules, however a Class 3b laser will take slightly longer time to deliver the required number of Joules. This is not necessarily a bad thing. Studies have shown that low doses and long time is more effective for the reduction of inflammatory processes, whereas high power and short time are inhibitory, helping with acute pain, but the actual healing is slower. Class3B lasers do not produce heat, so it can be used with contact and pressure to the skin. With contact, more light is forced into the tissue. And by using pressure, blood, being the main absorber of the light, is reduced in the area and the light can more easily penetrate the tissue. The pressure will also lead the laser probe closer to the target. Thus, a Class 3B laser can penetrate deeper into tissue than a Class IV laser. At Coastland we are very happy with the results we see with our Respond 3b laser.


  Ruptured Cruciate Ligament (Part 1)

The knee is a complicated joint consisting of the femur bone above, the tibia below and the kneecap or patella to the front, held in place by tendons and ligaments. There are two cruciate ligaments that cross inside the knee joint: the anterior (or more correctly in animals, the cranial) and the posterior (in animals, the caudal) cruciates. They connect from one side of the femur on top to the opposite side of the tibia on the bottom, the two ligaments forming an X inside the knee joint. These ligaments prevent the tibia from slipping forward out from under the femur.

The ruptured cruciate ligament is the most common knee injury of dogs. Young, athletic dogs playing roughly or turning quickly can take a bad step and injure the knee. Older or overweight dogs can have weakened ligaments that slowly stretch or partially tear and the problem may or may not be apparent until the ligament breaks down completely. Without an intact cruciate ligament, the knee is unstable. Wear between the bones and cartilage becomes abnormal and the joint develops degenerative changes as soon as one to three weeks after the injury. This process can be slowed or arrested by surgery, but cannot be reversed.

Cranial Cruciate Ligament injury can occur in any dog, large or small, flabby or lean, and some breeds may be particularly at risk for this disease. Due to the greater weight bearing on the knee joint of a large breed dog the injury may be more profound and surgical stabilization of the knee is particularly recommended. Larger overweight dogs that rupture one cruciate ligament frequently rupture the other within a year's time.


Cranial Cruciate Ligament Part 2


There are three different surgical techniques commonly used to repair ruptured Cranial Cruciate Ligaments. The Extracapsular Repair, TPLO and TTA. Your veterinarian can advise you on which would be the best procedure for your pet.

Extracapsular Repair

In this procedure a strong nylon line is placed to hold the stifle in place. The suture will eventually break, but by that time the dog has formed scar tissue enough to hold the knee in place without the extra support of the line. During the surgery the knee joint is opened and inspected and the torn cruiciate ligament removed. After the procedure your dog will require at least 12 to 16 weeks of restricted exercise and rehabilitation. This procedure is typically considered in small to medium sized dogs or geriatric/older patients.

TPLO (Tibial Plateau Leveling Osteotomy)

In this procedure the biomechanics of the joint are changed. The knee joint is again opened and the damaged meniscus and cruciate ligament inspected and removed as needed. Then a section of the tibia bone is cut and rotated to change the angle of the joint and create greater stabilization. Special metal hardware is placed to hold everything in place. Typically these dogs are toe-touching by 10 days post surgery, but again restricted activity and rehabilitation exercises are required for 12 to 16 weeks. Most patients are back to normal activity 6 months after surgery. This procedure is typically considered in young, very active and large breed dogs.

TTA (Tibial Tuberosity Advancement)

Similar to the TPLO, in this surgery the tibial crest where the patellar ligament attaches is cut and repositioned using titanium implants and bone grafts to stabilize the new angle. The recovery is similar to that of the TPLO and it is also recommended for young, large and very active dogs. Which of these two surgeries is better? Whichever one your surgeon is more comfortable performing. Studies have shown that the results at one year post-operative seem to be the same regardless of which procedure is performed.

Arthritis and Laser Therapy (video):  https://vimeo.com/199855413/b7ddc983cd

What is PEMF therapy and how it works http://respondsystems.com/pemf/how-it-works/

How does the laser workhttp://respondsystems.com/laser/laser-how-it-works/

Please visit the below links

Canine Rehabilitation Institute     http://www.caninerehabinstitute.com

Canine Fitness Center    http://caninefitness.com/index.php

Respond Systems     http://respondsystems.com