Bub: More Than a Skin Problem

September 14, 2026•3 min read

Veterinary medicine often teaches us to focus on the presenting complaint.

The limp.

The cough.

The skin lesion.

The digestive problem.

Yet sometimes the most important findings are discovered while investigating something entirely different. That was the case with Bub. A 1½-year-old rescue King Charles Spaniel, Bub was brought to the clinic for what initially appeared to be a relatively minor issue. His new owners had noticed two small lick granulomas near the umbilical region and a slight body odor. They wanted answers and hoped to improve his comfort.

What made the case particularly interesting was Bub’s recent history. In the three weeks since being rescued, he had already been evaluated by three different veterinarians.

He had been neutered.

Vaccinated.

Treated for fleas.

Received multiple physical examinations.

Yet no one had identified any significant abnormalities. At first glance, the concerns seemed minor.

A slight odor.

A couple of small skin lesions.

Nothing dramatic.

Nothing urgent.

The consultation began with a discussion about nutrition and possible explanations for the odor.

Several options were considered.

Then a chiropractic examination was performed. Almost immediately, something unusual was discovered. Motion palpation revealed a sacral base posterior subluxation. More importantly, the examination created a feeling that additional investigation was warranted before proceeding further. Rather than simply adjusting the finding and moving on, radiographs were recommended.

The owners agreed after extensive discussion.

This decision proved important.

The imaging findings confirmed that additional evaluation had been the correct choice. The case serves as an excellent reminder that thorough examinations often reveal information not immediately apparent from the presenting complaint. Once the radiographs were reviewed, specific chiropractic adjustments were performed to address the dysfunction identified during the examination.

At the same time, a nutritional plan was implemented. Bub’s diet was changed to a fish-and-potato formulation. Nutritional support was added using Standard Process Dermal Support.

The goal was to improve overall function rather than merely addressing symptoms. The Adaptation Model of Disease provides useful insight into why this approach matters. Health is the ability to adapt.

When function declines, the earliest signs are not always dramatic. Sometimes they appear as skin problems. Sometimes they appear as changes in odor.

Sometimes they appear as subtle shifts in overall vitality. The body communicates through many channels.

One week later, the owners called with an update.

The report was extremely encouraging.

Bub appeared younger.

More energetic.

The lick granulomas had resolved.

The body odor had disappeared.

These observations suggest that the interventions had positively influenced overall function and quality of life. Perhaps the most rewarding outcome occurred later. Within a few months, Bub found a permanent home.

For rescue animals, successful adoption represents more than placement.

It represents opportunity.

A healthier, more comfortable dog is more likely to thrive in a new environment. Bub’s story highlights several important lessons. First, minor complaints should never be dismissed.

Second, thorough examinations matter.

Third, health is often expressed through many different systems simultaneously. And finally, improving function frequently improves quality of life. What began as a simple visit for skin lesions and mild odor became an example of how careful observation and comprehensive evaluation can uncover opportunities for meaningful improvement.

For Bub, those improvements helped pave the way toward a brighter future. And that future included a new home, renewed vitality, and a fresh start.


Healthy nerves. Healthy movement. Healthy animals.

Dr. Ormston (Dr. O to most) is the eldest son of teachers from Marshalltown, Iowa. He started out in private practice and owned one in Hays, Kansas and one in Climax Springs, MO before moving to Celina, TX. In 1998 he attended Options for Animals and earned his certificate in Animal Chiropractic. Following his move to Texas he found himself in need of continuing education for the American Veterinary Chiropractic Association and sponsored a conference in Dallas, TX at Parker Chiropractic College. Soon after this endeavor he founded the Animal Chiropractic Program at Parker Chiropractic College with the sponsorship of the continuing education department. In conjunction with his partner, Dr. Amy Hayek, he founded and currently teaches for Animal Chiropractic Education Source, the only online course with both AVCA approval and SCAV CE approval.
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