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Multimodal analgesia is simultaneous administration of 2 or more analgesic drugs (pain medications) affecting different parts of the pain pathway, simultaneously.

This is very helpful because it allows us to treat the pain more completely and effectively and sometimes even decrease drug dosages because various classes of drugs have additive or synergistic analgesic effects when given together. As a result, adverse side effects from each of the drugs in the combination can be anticipated to be less.

Different ways to administer these drugs also can be included in multimodal analgesia (pain relief). These can include (but are not limited to), intravenous (into a vein) medications, epidural medications (around the spinal cord/nerves), and local blocks (giving medication at the site of the injury or to the nerves that go to that site).

Other methods of pain control can also add to the multimodal definition. These can include physical rehabilitation, massage, laser therapy, acupuncture, as well as diet.

When our patients’ pain is treated more completely we can see fewer complications as well as faster recoveries!


Surgery at VCA VES/VSC brings experience in advanced surgical techniques to the care of your pets. We work with you and your primary care veterinarian to get your family pet through their surgical experience with as little discomfort and stress as possible. In our facility we routinely work with specialists in oncology and internal medicine for those patients having more complicated medical needs.

Our experienced emergency doctors are here 24/7 for continuous care of our surgical patients in the postoperative period.

VCA VES/VSC Surgery Services

  • Orthopedic Surgery
  • Neurosurgery
  • Thoracic Surgery
  • Hepatobiliary Surgery
  • Gastrointestinal Surgery
  • Urogenital Surgery
  • Oral, Head & Neck Surgery
  • Oncologic Surgery

Specialty Soft Tissue Surgery

Your primary care veterinarian likely performs many routine soft tissue surgeries such as spay, neuters, bladder stone retrieval, skin mass removals, and repair of wounds. Advanced soft tissue surgeries are available at VCA VES/VSC because of our additional training, extra personnel, specialized equipment, an in-house blood bank, and the availability of 24-hour postoperative care.

Our surgeons have specialized training to perform:

  • Abdominal surgery
  • Urogenital surgery
  • Head, Neck, and Airway Surgery
  • Hernia Repair
  • Emergency surgery and trauma
  • Thoracic Surgery
  • Amputations
  • Anal Gland Surgery
  • Oncologic (Cancer) Surgery
  • Plastic and reconstructive procedures such as:
  • Wound Management
  • Burn Treatment
  • Skin Grafting
  • Tumor Removal

Orthopedic Surgery

Dogs and cats can be very "creative" in finding ways to injure themselves. Pets that suffer from fractures or tendon/ligament injures may require orthopedic surgery. Our goal is to restore comfortable weight-bearing on the injured limb as soon as possible.

VCA VES/VSC has the equipment and expertise to repair a wide variety of musculoskeletal problems, including:

  • Fracture Repair of limbs, pelvis, spine, skull, and jaw
  • Tendon and Ligament Injuries
  • Cranial Cruciate Ligament Rupture
  • Congenital Orthopedic Conditions
  • Degenerative Joint Conditions/Limb Salvage

If your pet suffers from an accident or trauma resulting in any visible wound or bone fracture, you should take him to your veterinarian for examination immediately. VCA VES/VSC's Middleton and Madison locations are also open 24/7 for after-hours emergency evaluation, with our Janesville location open nights and weekends. Even if your pet doesn't display any outward signs of physical harm, your doctor can help to determine whether internal injuries or other damage are present.


Certain dogs, such as dachshunds, pugs, shih-tzus, and other toy breeds, may be at increased risk for spinal cord problems due to intervertebral disc disease. Urgent evaluation is critical to preserving spinal cord function in these patients. At VCA VES/VSC we have the ability to perform computed tomography (CT scans) as well as myelography with high-quality, digital radiographs. This is a contrast dye study of the spinal canal which can pinpoint the location of a herniated disc and help plan an emergency surgery.

The goal of our surgeons, registered veterinary technicians and our highly skilled support staff is to provide comfort and pain free personalized treatment with unparalleled care for each and every one of our patients. In addition, the surgery service is supported by our emergency/critical care, internal medicine, radiology, neurology and rehabilitation departments, ensuring the most comprehensive care available anywhere for your pet.

What Is A Board Certified Veterinary Surgeon?

A board certified veterinary surgeon is a licensed veterinarian who has obtained intensive, additional surgical training. A veterinary surgeon can offer special assistance in the following kinds of cases:

  • Traumatic injury and emergencies (such as fractures, skin wounds and lacerations, correction of gastric dilatation-volvulus, and exploratory (abdominal/thoracic) surgery.
  • Orthopedic surgeries (such as total hip replacements (THRs), cruciate ligament surgeries (TPLOs), and arthroscopy for joint exploration).
  • Soft tissue surgeries (such as tumor/cancer removal and correction of congenital defects).
  • Neurological surgeries (such as herniated discs and spinal injuries).
  • Stem cell therapy(such as osteoarthritis and other orthopedic problems).

While your general practitioner veterinarian can diagnose and treat many health problems, certain diseases and conditions require the care of a doctor who has had specialized, intensive surgical training in order to provide the very best outcome for your pet. Your veterinary surgeon will work closely with your general practitioner veterinarian, as well as'"depending on your pet's condition'"other board certified specialists in internal medicine, veterinary oncology, veterinary neurology, and veterinary radiology.

Why Does My Pet Need A Veterinary Surgeon?

Just as your own primary care physician may feel the need to refer you to the care of a specialist from time to time, your general practitioner veterinarian may feel your pet needs the additional expertise of a board certified surgeon for certain surgeries. In fact, many general practitioner veterinarians refer all but the most routine of surgeries to specialists'"orthopedic and neurology cases, reconstructive surgeries, tumor removals, etc.Board certified veterinary surgeons also are often affiliated with referral hospitals where they may have access to specialized diagnostic or surgical equipment, the latest and safest anesthesia monitoring equipment, physical therapy or rehabilitation capabilities, and other critical care services that a general practitioner may not have access to. All of these specialized services may be necessary for the optimal care and recovery of your pet.You can be assured that a veterinarian who knows when to refer you and your pet to a veterinary surgeon is one that is caring and committed to ensuring that your pet receives the highest standard of care for his or her problem

What Kinds of Problems Require the Expertise of a Veterinary Surgeon?

Board certified veterinary surgeons can repair complex fractures, perform total hip replacements, and use advanced techniques to repair torn ligaments (ruptured cruciate ligaments) within the knee. They can also remove cancerous growths, manage extensive or non-healing wounds, and perform reconstructive surgery, such as grafting skin over large injuries. Veterinary surgeons can perform intricate surgeries in the chest or abdomen, such as kidney transplants in cats or repairing heart defects in dogs. Spinal injuries and herniated discs are problems that are also commonly referred to board certified surgeons. Veterinary surgery is also expanding into minimally invasive surgery, such as arthroscopy, thorascopy, and laparoscopy.

Will My Regular Veterinarian Still Be Involved?

In many if not most surgical cases, your regular veterinarian will still supervise your pet's veterinary care, especially if your pet is continuing to cope with a disease or chronic condition. It depends on your pet's particular disease and health problem, however. Typically, though, your general practitioner veterinarian will oversee many aspects of your pet's pre-op and post-op care, just as in human medicine. Recovery periods are often prolonged in many surgical cases, particularly in orthopedic surgery, and it is very important to follow your veterinary team's recommendations concerning at-home recovery guidelines for your pet, follow up care and appointments, as well as any rehabilitation that has been prescribed.

Our Surgery Services

Advanced Anesthetic Monitoring
Bone and Joint Surgery
Bone Biopsy
Comprehensive Peri-Operative Monitoring

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