Advanced Care, Speciality Care, & Rehabilitation Services

Providing Advanced Care to the Donner-Truckee and Tahoe Regions

aaha logoSometimes a pet requires more than preventive and routine care, so we provide a range of advanced care services in a compassionate, friendly environment. Whether your pet needs surgery, rehabilitation services, or ultrasounds and X-rays, we have them covered. We also have direct access to specialists who are board-certified in radiology, so we can get quick results when those services are needed.

Canine Rehabilitation Services

Dr. Amanda Stuart, DVM: Amanda is a Certified Canine Rehabilitation Therapist and DVM. Read her bio >>

Elizabeth (Liz) McCuskey, LVT

Elizabeth (Liz) McCuskey, LVT:
Liz is Certified Canine Rehabilitation Assistant & Veterinary Technician. Read her bio >>

When dogs have orthopedic, neurologic, and other injuries, rehabilitation is a vital component to their comfort and recovery.  Canine rehabilitation treatment goals are designed to increase and optimize movement and provide a much better quality of life for the patient.

Some people have the perception that any vet can practice rehabilitation with some exercise equipment and an underwater treadmill. This is not so. Actually, vet rehabilitation is based on a new diagnostic algorithm that must be understood first before patients can benefit from rehabilitation services.  Certified rehabilitation professionals, like our own Dr. Amanda Stuart and Liz McCuskey, complete many hours of coursework and hands on training to become certified.  They are very highly skilled in the different aspects of rehabilitation.  We are so grateful to have such experienced professionals on our team!


Hydrotherapy is a very effective rehab tool that we use to improve canine muscle and joint functions. Hydrotherapy provides many benefits to dogs.  The most noted is the non-impact exercise for dogs with orthopedic issues such as arthritis, post surgical, or muscle atrophy.  The water’s buoyancy reduces the impact on joints and helps lift the body so weaker muscle groups can be strengthened while walking in a safe environment.  The warm water helps loosen tight muscles and improve range of motion in limbs.

The variable speed and resistance makes this an effective way for dogs of all fitness levels to get a great workout in short periods of time.  The underwater treadmill provides sensory stimulation for neurological patients that are non ambulatory.  Often, dogs that are recovering from neurological issues walk in the water before dry land.  With the benefits of the treadmill, we can help your canine family member return to leading a happy and healthy life.

Watch a patient in action with Liz, click here.

Diagnostics: Radiology, Ultrasounds, and Laboratory


X-rays are an important and cost-effective veterinary diagnostic tool for your cat or dog. They are extremely helpful at identifying and diagnosing a number of medical conditions affecting your pet’s lungs, heart, abdomen, oral cavity, bladder, and kidneys. For example, a diagnostic radiograph of your pet can detect cancerous tumors, stage heartworm disease, detect bladder and kidney stones, and identify the presence of foreign objects that may have lodged in your pet’s body. X-rays are also very important for helping diagnose and treat injuries such as broken bones, joint injuries, illnesses and many other orthopedic conditions. With a high-speed internet line, digital radiographs and, as mentioned, direct access to specialists who are board-certified in radiology, we can have results back in as little as an hour, rather than the typical five or six hours. When an animal is under anesthesia for any reason, time is always of the essence. This allows us to provide the proper advanced care your pet requires. Also, because these images are digital, they are of a higher quality than standard X-rays and can be sent to your regular veterinarian via email or CD.

Ultrasound: An Important Veterinary Diagnostic Tool

Ultrasounds provide a very precise look at your pet’s internal organs, chest and abdomen without surgery or sedation.  This is an incredibly important diagnostic tool for your pet’s health.  For example, veterinary ultrasounds are invaluable for making treatment decisions for various types of heart disease, assessing the function and health of internal organs, and identifying lesions, determining their origin, and if they have spread.  During surgery, ultrasounds are a very powerful surgical aid to guide our veterinarians while obtaining a biopsy.

The Diagnostic Lab

We offer a wide range of veterinary diagnostic laboratory tests with an in-house as well as an outsource lab. Diagnostic testing can detect heartworm disease, Lyme disease, infections, feline leukemia, intestinal parasites, urinary tract infections, and many additional diseases and conditions that can go unnoticed in their early stages. Early pet blood testing can show evidence of diseases such as diabetes, changes in liver or kidney function, or simply provide a baseline for future reference. We use diagnostic testing for pre-anesthetic screenings prior to dental or surgical procedures that require general anesthesia.


We offer a wide range of orthopedic and soft tissue surgeries. From elective care to emergency procedures, our extensive surgical capabilities include:

  • Fracture repair
  • Cruciate ligament repair (TPLO) by a certified surgeon
  • Laminectomies
  • Oncologic surgery
  • Thoracic, hepatobiliary, endocrine and urogenital procedures
  • Head, neck and upper airway
  • Hernia repair
  • Joint surgery and arthrodesis
  • Corrective osteotomies

Other advanced care diagnostics and treatments (in-house or by referral) include:

  • Laboratory
  • Radiology
  • CT/MRI/Scan
  • Laparoscopy
  • Endoscopy
  • Bronchoscopy
  • Rhinoscopy
  • Oncology
  • Ophthalmology (cateract, corneal, glaucoma and eyelid surgery; cryosurgery; electroretinography; Cerf (breed) examinations)
  • Dermatology and allergy (biopsy interpretation; allergy testing; chronic case; rhinitis; asthma)
  • Dentistry (routine care; periodontics; dental radiology; oral surgery and medicine)
  • Chemotherapy

If your animal has an emergency:

  • Get help as quickly as possible
  • Do not try home remedies
  • Be careful – animals in pain can bite or scratch
Dog Daycare at Donner Truckee Veterinary

Advanced Care

In most cases, our sophisticated instruments and diagnostic capabilities allow us to receive results within minutes and to be sent on to specialists for secondary evaluation.
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