Services

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, radiography, endoscopy and 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 trainer/owner could no 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.

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.

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 treatment is used to stimulate the Giant fibers. The
technique involves the injection of substances to stimulate the mesoderm for various biological purposes.
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. Mesotherapy is effective for a multitude of conditions because it helps
reverse the physiology of that condition, and stop the pain spasm cycle. We have used this technique on a
number of horses 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: Defects in articular cartilage can induce osteoarthritis by causing molecular changes in the synovial
fluid. One of the major inducers of osteoarthritis is the general 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 concentrationns. 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.