ST. LOUIS – Breathing hard, the elderly patient limped off a treadmill in Jacquie Welkener's physical therapy office in suburban Manchester, Mo., and sat down to rest.
Welkener leaned in close, placed a comforting hand to her client's face and said, "Does that feel better?"
The patient responded the only way it could.
It licked Welkener on the cheek.
"That's something that didn't happen when I was treating people," Welkener said, returning the affection with a peck on the head of Lakota, a 15 ½-year-old red heeler dog recovering from vestibular disease.
Welkener and her business partner, Sherry Bunch, operate Healing Paws Rehabilitation. On a typical day, Welkener, 49, treats 20 dogs. She occasionally cares for cats. "But they don't cooperate with physical therapy very well," she said.
One afternoon last week, a steady flow of owners brought dogs to Healing Paws. There was a dachshund recovering from hip surgery, a bichon poodle with a herniated disc, an American cocker spaniel "agility dog" with lower back instability, and a big black Labrador retriever rebounding from a staph infection that almost killed it last summer.
Lakota was the old man of the group. The dog was a pup when owner Brent Coder, 39, of south St. Louis, got him while living in Colorado.