Hudson Highlands Veterinary Specialty Group offers a wide range of orthopedic and soft-tissue procedures for our clients’ pets as well as surgery referral cases from other local veterinary practices. Pets that receive surgical care at our practice are thoroughly monitored during all procedures and receive the highest level of care possible.

We understand that the decision to allow your beloved companion to undergo surgery is never an easy one. We strive to ensure your pet’s surgical procedure is as comfortable and stress free as possible. Perhaps the most important pre-surgical step we take is to discuss with you why we believe a particular procedure is necessary and what it entails. We also provide information on proper postoperative care and answer any questions you may have so that you feel comfortable knowing you are making the right choice for your pet. We approach this aspect of our profession with a deep sense of compassion for all animals.

Our hospital is well-equipped with a comprehensive surgery department including a complete surgical suite with state-of-the-art anesthetic and monitoring capabilities. Dr. Paul McNamara, veterinary surgery specialist and Diplomate of the American College of Veterinary Surgeons, is a highly qualified surgeon and experienced in performing general, orthopedic, gastrointestinal and urologic surgery.

Surgery is performed using the most current and safest anesthetics available today. Anesthesia is individualized for each pet based upon a number of factors including the type of procedure, pre-existing conditions, blood test values, age, breed and prior anesthetic experience. We limit the amount of anesthesia (without sacrificing pain control) by employing pre-medications, local anesthetics, epidurals and by using continuous rate infusions of pain medications. Your pet’s anesthesia time is also reduced by having a highly trained and organized surgery team, utilizing the most up-to-date instruments that shorten surgery procedure time.

We believe it is in your best interest and the best interest of your pets for us to offer as wide an array of surgical services from our facility as possible. While our general practitioners provide for your pet’s regular surgical needs (such as spays, neuters, declaws, growth removals, etc.), our surgical team is also able to offer advanced state-of-the-art procedures in soft tissue and orthopedics. We view every surgical procedure as a major operation, from the common spay to the complicated orthopedic case.

Like us, your pet feels pain and discomfort. Pain management is a top priority in all our surgical cases. Every hospitalized pet at Hudson Highlands Veterinary Medical Group has his or her pain level checked regularly. Management of your pet’s pain is a top priority throughout the twenty-four hour nursing care that our veterinarians, technicians and staff members provide. We want our facility to be a pain free zone for your pet.

It is important for you and your pet to receive care in a friendly and welcoming facility from people you both have come to know in order to reduce stress and promote healing.

Specialty Services for Your Pet

Hudson Highlands Veterinary Specialty Group accepts referrals from other general practice veterinarians.

General practice veterinarians around the tri-state area look to us to provide specialty care for their clients. This partnership is critical in order to offer each client with the best treatment plan for their pet. We respect the relationship between the referring doctors and their clients. Patients are directed back to their primary veterinarian upon completion of their treatment plan with us.

Referring veterinarians are welcome to visit our facility to see the benefits of partnering with us. Consultations with specialists are by appointment only, please call (845) 221-2244 and speak to Tara, our Referral Coordinator.

If your pet needs to be hospitalized, we provide 24-hour care.

Surgery Department

Soft Tissue Surgeries Performed by Dr. Paul McNamara, Board Certified Veterinary Surgeon

The surgical procedures we offer include but are not limited to:

  • Abdominal and Intestinal Surgery
  • Anal Sacculectomy
  • Cystotomy, Urethrostomy
  • Uterine Infections (pyometra)
  • Stomach Surgery – Tumor, Outflow Obstructions, Torsions
  • Ear Surgery – Ablations, Ear Canal Resections, Tumor Removal, Bulla Osteotomies
  • Hernia Repair
  • Reconstructive Surgery and Skin Grafting
  • Thyroid Surgery

Orthopedic Surgery Performed by Dr. Paul McNamara, Board Certified Veterinary Surgeon

We offer a full range of orthopedic surgeries including but not limited to:

  • Tibial Plateau Leveling Osteotomy Surgery (TPLO)
  • Fracture Repair
  • Hip Evaluations
  • Patella Luxation Surgery
  • Femoral Head Osteotomy
  • Growth Abnormalities

Dr. McNamara has extensive experience in canine sports medicine and in sports injuries. This interest most recently led him to be qualified to perform the Canine Unicompartmental Elbow Resurfacing (CUE) procedure to treat Medical Compartment Disease (MCD), the “end stage” of elbow dysplasia. Dr. McNamara and his team will be offering this technique in the near-future.

Cryo and Laser Surgery

Cryosurgery is the application of extreme cold to destroy abnormal or diseased tissue. We use this type of therapy to treat a number of diseases and disorders, especially a variety of benign and malignant skin conditions.

Warts, moles, skin tags, solar keratoses, Morton’s neuroma and small skin cancers are candidates for cryosurgical treatment. Several internal disorders are also treated with cryosurgery, including liver cancer, prostate cancer, lung cancer, oral cancers, cervical disorders and, more commonly in the past, hemorrhoids. Soft tissue conditions such as plantar fasciitis and fibroma can be treated with cryosurgery.

Generally, all tumors that can be reached by the cryoprobes used during an operation are treatable. Although found to be effective, this method of treatment is only appropriate for use against localized disease, and solid tumors larger than 1 cm. Tiny, diffuse metastases that often coincide with cancers are usually not affected by cryotherapy.

Cryosurgery works by taking advantage of the destructive force of freezing temperatures on cells. At low temperatures, ice crystals form inside the cells, which can tear them apart. More damage occurs when blood vessels supplying the diseased tissue freeze.

PennHIP Evaluations

Dr. McNamara and his surgical technicians are certified in the PennHIP technique for assessing canine hips. This established scientific methodology is useful when evaluating dogs for potential breeding and in service.

For FAQs or more information you regarding this type of evaluation you can visit this website.

If you are interested in having your pet evaluated please contact our office for scheduling.

Stem Cell Therapy

Have you searched YouTube lately? If you type “stem cell treatment for dogs” you will get over 26,000 results. Our clients are all over the internet, searching, watching and reading about all types of therapies for their pets. In the last few years, stem cell therapy has hit the mainstream news and as it gains success in human medicine, pet owners will want to know… is this an option for us?

Hudson Highlands Veterinary Specialty Group is pleased to announce the availability of stem cell treatments right here in the Hudson Valley. Dr. Paul McNamara is a board certified small animal surgeon credentialed to perform stem cell surgery. “This exciting area of veterinary medicine uses autologous mesenchymal stem cells to treat a variety of conditions, including osteoarthritis and tendonitis and may have significant additional uses in the near future,” says Dr. McNamara. Stem cell therapy compliments his special interest in pain management as well as his previous research and publications on the medical management of osteoarthritis in the companion animals.

Checklist for Stem Cell Therapy

Pets with the following conditions are the best candidates:

  • Leg joint osteoarthritis due to hip dysplasia, elbow dysplasia, other congenital malformation, normal wear and tear of any leg joint, etc., but x-rays or arthroscopy are suggested to confirm diagnosis
  • Partial tears (25% or less) of tendons or ligaments
  • Polyarthritis (arthritis in many joints with immune system involvement)
  • OCD, cartilage damage (suggest treating bony fragments with arthroscopy and cells together)
  • Fractures

The pet should be in general good health as indicated by a recent physical exam. A current diagnostic workup indicating good health may include chest x-ray, CBC, chemistry profile, urinalysis, thyroid test and/or tick titers.

We look forward to working with you to bring this state of the art technology to your patients. To find out more, please contact Hudson Highlands Veterinary Specialty Group at 845-223-8682.

Internal Medicine

What is a Board Certified Veterinary Internal Medicine Specialist?

Just as your own primary care doctor might send you to a specialist to address an unusual or difficult problem, your family veterinarian may feel your pet requires a specialist to diagnose and treat certain conditions.

Veterinary Internal Medicine specialists have several years of advanced training in Internal Medicine beyond veterinary college. Board certified Internal Medicine specialists have achieved the highest level of specialization in veterinary medicine that is possible. They have done both an internship and residency, published scientific publications and passed rigorous examinations therefore meeting all the criteria established by the American College of Veterinary Internal Medicine (ACVIM). Many years of concentrated training has focused their knowledge and skills to improve their ability to diagnose and treat the problem presented. Internists are sometimes called “the puzzle solvers of veterinary medicine.” In order to create a complete picture of a pet’s health issues, internists collect and match the many pieces of information they can glean from the patient’s history, clinical signs, lab results and imaging studies, and special testing.

Specialists work closely with your family veterinarian to help provide complete veterinary care for your pet by giving second opinions on difficult cases, providing specialized hospitalization and therapies if required and performing complex diagnostic procedures.

Consultations and outpatient diagnostics are available at our main facility in Hopewell Junction with board-certified specialist Dr. John Broussard. For an appointment, please call Tara, our referral coordinator, at 845-223-8682. Or have your general practice veterinarian complete the form in the referral forms section of this website.

The Internal Medicine service at the Hudson Highlands Veterinary Medical Group specializes in the diagnosis and treatment of serious health problems of dogs and cats including:

  • Metabolic diseases, such as pancreatitis
  • Infectious diseases, such as tick borne and fungal diseases
  • Endocrine disease, such as diabetes, Cushing’s and Addison’s disease, and hyperthyroidism
  • Hematological disease, such as immune mediated hemolytic anemia (IMHA) and thrombocytopenia (IMT)
  • Gastrointestinal disease, such as inflammatory bowel disease, protein-losing enteropathy
  • Liver disease, such as chronic hepatitis and hepatic lipidosis
  • Renal disease, such as acute or chronic renal failure
  • Lower urinary diseases, such as urinary incontinence and urinary tract infection
  • Fever of unknown origin

Your Visit

The internist is available by appointment to help you and your pet with their medical needs. We know that this is a stressful time for all pet parents and their furry companions. One on one consultation allows our specialist to get a complete medical history, examine your pet, and discuss treatment options available. Our goal is to provide you with the information you need to help you through this difficult time and make the best decisions possible for your pet. By providing you with second opinions and advanced treatment options, we work as a team with your family veterinarian to provide complete medical care for your special family member. It is very helpful if you can fill out our online questionnaire prior to your scheduled appointment.

Internal Medicine Services and Procedures

  • High resolution ultrasonography (abdominal, cervical, thoracic, appendicular) with fine-needle aspirates
  • Endoscopy with high definition video
  • Upper and lower gastroenteroscopy
  • Foreign body retrieval
  • Bronchoalveolar lavage
  • Computed Tomography (CT)
  • Glucose curves
  • Bone marrow aspiration and core biopsy
  • Blood pressure and pulse oximetry monitoring
  • Selected chemotherapy


Ultrasound is a tool that Internal Medicine specialists use to help diagnose illnesses in pets. Ultrasound is safe, comfortable and non-invasive diagnostic tool used to diagnose abnormalities such as a tumor in the liver or spleen, enlarged adrenal glands, inflamed pancreas, thickened intestines or abnormal kidney size. We are also able to use our ultrasound machine to perform ultrasound guided fine needle aspirates or collect biopsies. These procedures allow us to gather fluid samples or tissues for analysis and to aid in diagnosis. Our internist is using the new state-of-art high-level ultrasound system to pick up every detail and assure an accurate diagnosis.


Endoscopy allows our Internal Medicine specialist to visualize the internal organs of patients by using a scope that projects the live image on to a monitor. We can visualize the patient’s internal organs, in real time, just like live television. There are several different types of endoscopic procedures offered at our clinic. Flexible endoscopes are used to examine the oral cavity, esophagus, stomach and small intestines, or passed through the rectum for colon biopsies. Foreign bodies can be removed without the need for invasive surgery.

Endoscopic procedures do require general anesthesia. However, with this non-invasive procedure most pets are able to rejoin their families the same day and will have minimal to no exercise restrictions following the procedure.

CT (computerized tomography)

CT scans reveal great detail in and around the bony structures of the body. It is especially useful in aiding in the diagnosis of diseases affecting the nasal cavity and the middle/inner ear, the nervous system and joints, as well as identifying problems located in the chest and abdomen.


Dr. Lauren Pinchbeck of Northeast Veterinary Dermatology Specialists is no longer visiting Hudson Highlands, she is consolidating her services to an office in Norwalk.  To schedule with her please contact her appointment line at 914-777-DERM (3376).

Cardiology Care

Dr. Jonathan Goodwin has partnered with us to provide referral consultations. Dr. Goodwin enjoys personally helping clients combat congenital and acquired cardiac issues identified in their family pets. Appointments can be arranged thorough Tara in our referral office.