Sickness exams – we offer a complete array of laboratory analysis to help determine your animals
illness with results in less than 24 hours. We are well versed and equipped to handle most emergencies.
We treat medical colic's on site and have the capability to give large amounts of intravenous fluid therapy, as
required for some medical conditions.

Sale purchase examinations – extensive physical exam and lameness evaluation performed prior to
or after the purchase of the horse. Mainly to provide you with the protection of buying into a pre-existing
problem. Often includes laboratory analysis, Digital radiography, endoscopy and Digita ultrasonography. Dr.
Gamboa's experience as a rider is an unique asset during purchase examinations.

Lameness exams – evaluations include jogging and under saddle evaluations, flexion tests, nerve and
joint blocks, radiography and ultrasonography.

Equine Advanced Dentistry -Dr. Gamboa stated: "I have found that many problems in the equine
athlete are due to dental problems, and once corrected, the improvement is incredible. I decided to perform
equine dentistry because I found that many horses had dental problems and trainers/owners could not find
a capable equine veterinarian doing good equine dentistry".  Dr. Gamboa has been performing dental work
since 1995 and he utilizes the latest technology available in motorized equipment. He has kept up to date on
many techniques and methods through extensive continuing education seminars. During the month of
October, Dr. Gamboa travel through Florida and Georgia visiting farms and performing complete dental
services. During the month of December, he perform dentistry in and around his home town, Aiken. Please
call for appointments and information. The cost for first time patients is $230.00, and for maintenance,
annual and bi-annual dentistry is$185.00, as long as the recommendations are follow. This includes the
complete procedure, sedation as needed and NSAID's. The farm call will be split between the number of
horses done.  95% of my patients fell in this range, if additional services need to be done, an estimate will
be done, or referral may be recommended, depending on each individual case.


Surgery – standing surgery of the horse is performed for biopsy, laceration repair and other surgical
procedures. We also offer on site cryosurgery (deep freezing of tissues using liquid Nitrogen). It is ideal for
sarcoid tumor removal.


Wellness exams – included routine and annual vaccinations for Encephalitis, Tetanus, Rabies,
Potomac Horse Fever, Strangles, Influenza and Rhinopneumonitis. Offered are Coggins testing and health
exams and paperwork for Interstate and International traveling.


Specialized Procedures:

Ultrasonography – The Pico unit, the best digital ultrasound available. Uses sound waves to evaluate
soft tissues like tendons and ligaments, reproductive organs, lumps, tumors. It is painless and non-
invasive. Essential for diagnosis not only of soft tissue lesion but cartilage, bone, etc.

Radiography – Dr. Gamboa purchase the new and most advanced digital system now available for
veterinary practitioners. Visit their website at
www.eklin.com. X-rays are use to visualize bone for
abnormalities including arthritic changes and fractures. Radiographs are available in site, 4 seconds after
the radiographs are taken, and are available immediately for evaluation by your regular veterinarian, if so
desire by you.

Extracorporeal Shock Wave Therapy  - Dr. Gamboa's philosophy as a rider and veterinarian is to
preventive using the latest cutting edge technology to get horses back in action in the shortest amount of
time. The PiezoVet Focused Shockwave Therapy does that! Extracorporeal Shock Wave Therapy  (ESWT) is
used to successfully treat many performance including: ligaments and tendons injuries (bowed tendons,
suspensory ligaments tears); Bone and cartilage injuries (ringbone, bone spavin, sore hocks, navicular
syndrome, bucked shins, splints, fractures) and soft tissue injuries (sore backs) . Shockwave therapy is
known for its property of accelerate healing and alleviate pain and discomfort of injured tissue. And best of
all, there is no risk or side effects if use under the supervision of a DVM. Shock Wave therapy acts by
increasing circulation, stimulating bone and cartilage cells,  and stimulating neurotransmitters.

Endoscopy – a fiber optic device for evaluating the airway of the horse, including the larynx, sinus
passages, guttural pouches and upper esophagus. Useful in pre-purchase exams, pneumonias or reactive
airway diseases.

Cryosurgery – device used to freeze tissues using liquid Nitrogen. Offers a way to remove tumors that
would be otherwise difficult to excise or where it is contraindicated to excise them like sarcoids or warts.

Mesotherapy - Dr. M. Pistor originated the technique of mesotherapy in France in 1952. Today, it is
commonly practiced in France, where more than 15,000 practitioners utilize mesotherapy for the care of their
human patients. Mesotherapy is also practiced in many other countries around the world, including:
Belgium, Colombia, Argentina, and throughout Europe. This technique was introduced into the United
States by veterinarian, Dr. Jean Marie Denoix, for the equine patient at the Veterinary Thoracolumbar Spine
(Back) Seminar presented at Virginia Equine Imaging in the Spring of 2002.

Mesotherapy is a treatment that stimulates the mesoderm, the middle layer of the skin, which will, in turn
relieve a wide variety of symptoms and ailments. The mesotherapy injections involve extremely small
needles that penetrate the interdermal layer of the skin only a very small depth, which is typically four to six
millimeters. The number of treatments needed depends on many variables including the condition, the
abnormal physiology causing the condition, as well as the chronicity of the problem. A minimum of one to
two sessions of mesotherapy is performed generally to assess the horse’s response. It is effective for a
multitude of conditions because it helps reverse the physiology of that condition, and stop the pain spasm
cycle. I have used Mesotherapy in hundreds of horses with a very high efficacy, with conditions such as
chronic back pain and degenerative arthritis of the back and cervical vertebrae (neck).

Vet-Stem Cells - A stem cell is a naturally occurring undifferentiated cel that can trasform into a specific
type of tissue such as tendon, ligament, bone and nerve. Stem cell have the ability to self renew and to
regenerate healthy tissue.
Vet-Stem Cell™ therapy is available now through Dr. Gamboa.  The idea is
simple: Concentrate and deliver active healing cells to the site where healing is needed the most. Vet-Stem
Cells™ are concentrated from adipose tissue (fat) obtained in a minimally invasive procedure, then  re-
implanted at the site of injury. This treatment have is a great tool  for bone injuries (arthritis, fractures, cysts,
OCD) and soft tissue injuries (tendons and ligaments). For more info go to
http://www.vet-stem.com/

IRAP: One of the major inducers of osteoarthritis is the inflammatory cytokine Interleukin - 1(IL-1) which
plays a key role in accelerating tissue destruction and the repair mechanisms. In a healthy joint, IL-1 and
interleukin -1 receptor antagonist (IL-1lRa) are in balanced concentrations. I cases of osteoarthritis, there is
not sufficient IL-1 lRa produced to block the damage caused by increased IL-1. The result is inflammation,
joint pain, and finally cartilage destruction. The procedure begins with drawing blood from the horse that will
be treated with IRAP into a syringe. The syringe is specially prepared with glass beads that stimulate
production of the antagonist protein and an anticoagulant. The blood is harvested, incubated and
centrifuged to separate the plasma (abundant with IRAP) from the blood, then inject the obtained substance
into the affected joints. This can be done as often as needed and depends on the individual horse and the
individual reason to its use. There is no foreign substance introduced, so is natural healing but multiply by
concentrating the IRAP into the affected joint.

TILDREN: Tildren is a biphosphonate drug licensed for use in horses in Europe, but as yet unlicensed in
the United States. In trials in Europe it has been shown to be effective in treating osteoarthritis in humans
and horses. Tildren has the benefit of being a systemic therapy which can be used to treat multiple sites of
osteoarthritis at once with a systemic administration, versus the standard individual intra-articular therapy.
Dr. Revenaugh has been using Tildren successfully since 2002. We are carrying Tildren for the treatment of
bone spavin and navicular disease. Tildren inhibits bone resorption by blocking the osteoclast activity,
preventing bone lysis. It is a promising treatment used in Europe for several years. Contact us for further info
or visit their website at
www.Tildren.com
DR. Gamboa performing motorized dentistry in one of his client's horses
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Services We Provide
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