Physical Therapy for Iliopsoas Injuries: Cookie’s Iliopsoas Injury Treatment—Laser, Hydrotherapy and Chiropractic

Now we get to the really good stuff – laser therapy, hydrotherapy, physical therapy, and chiropractic treatments.

The first step in treating iliopsoas injuries is to control pain and inflammation.

Physical Therapy for Iliopsoas Injuries: Cookie's Iliopsoas Injury Treatment—Laser, Hydrotherapy and Chiropractic

This can be achieved with rest and medications but laser therapy can do amazing things both for pain and inflammation control as well as encouraging the healing process. Without reducing pain and inflammation, healing cannot take place. Laser therapy is great to kick-start the healing process.

Laser therapy is one of my favorite go-to treatments for our dogs.

It did great things for Jasmine and it seems to be doing great things for Cookie as well.

I would have never expected that she might be able to actually feel the treatment while it’s happening but it would appear she indeed does. She seems to enjoy the treatments enormously. When the tech pulls out the laser, she lays down on her own, makes herself comfortable and as the treatment starts, she’s on her way to bliss. Most of the time she falls asleep. Which I think is awesome that it feels so good to her.

Some people told me that they tried laser therapy and it didn’t seem to do anything for their dog. I’m sure that’s possible, not everything works for every dog the same way.

With Cookie, though, not only the treatment itself feels really good to her but there is visibly more pronounced bounce in her step after.

It seems quite obvious that she feels better after each of the treatments.

We are clearly seeing the benefit but I was curious why it sometimes might not work for some dogs. I think that one tricky part with these injuries is that the iliopsoas are deep within the body. Perhaps it isn’t as easy to get the photon power all the way to them.

Cookie's Iliopsoas Injury Treatment: Laser, Hydrotherapy and Chiropractic

Laser treatment equipment went a long way.

Not all lasers are the same. There are different classes and types. Lasers are classified according to the wavelength and energy output.

There are different attachments and settings. In general, the lower the class number, the weaker the laser. Both our veterinary hospital and our rehab center are using class IV lasers. I think the class of the laser, the settings, and attachment used can make a big difference.

One thing is for sure – the laser treatments are visibly working for Cookie.

Each of her treatments is half an hour with the class IV laser. Ideally, she’d be getting laser every day at first, but with how far everything is around here we can only do 3x a week.


We also added massage, stretching exercises, and an underwater treadmill. We will be including strengthening exercises, particularly for the hind end and core and other functional exercises while gradually including more activity until Cookie can get back to normal.

Cookie was getting monthly chiropractic treatments all along.

But for now, she’s getting adjusted weekly. At first, she was very sore at the back end and middle of the back. Last time the middle of her back was happy again and the hind end needed only a bit of tweaking.

Cookie’s had issues at the lower back all along and combined with the sore muscles, one thing was feeding on the other. We’re hoping to get things settled and stay ahead of it.

Cookie is steadily improving.

We have to be very careful not to let her do too much too fast so we don’t end up at square one. As much as such a long process sucks for Cookie, it is best to do it properly than having to start all over.

Related articles:
Canine Iliopsoas Injury: A Common Undiagnosed Injury in Dogs
Canine Iliopsoas Injuries Symptoms: Sometimes You Don’t Even Know What You’re Looking At—Cookie’s Hind Legs Transiently Fail To Work

Further reading:
Iliopsoas Muscle Injury – A Common Problem in Active Dogs

Share your thoughts