Dr. Downing is Hospital Director of The Downing Center for Animal Pain Management, LLC. She has received many regional, national, and international awards. Dr. Downing is a Certified Veterinary Pain Practitioner, a certified veterinary acupuncturist, a Certified Canine Rehabilitation Practitioner, and is certified in animal chiropractic (IVCA). She was the third veterinarian to earn the Diplomate credential in the American Academy of Pain Management (a human pain management organization), and the first veterinarian to earn the designation Certified Pain Educator from the American Society of Pain Educators, a second human pain management credential.