The Power of a Collaborative Approach to Canine Physiotherapy
My client was presented to me some 3 months ago as a direct veterinary practice referral. The Vet explained that the dog had HD in the RH hip and was in discussion with the client about conservative or surgical management.
However there was an added complication...
This active dog had also strained the iliopsoas muscle on the same side as the HD issue. ROM was limited and in some planes of movement painful. The veterinary suggested a course of physiotherapy to reduce the muscle inflammation and corresponding pain and loss of movement.
I was contacted by the vet directly and offered a full case history and the opportunity to help in this interesting case. Following treatment the practice team could then make a better conservative or surgery decision for the HD.
Physiotherapy
We started with a gait analysis on the Gait4Life (fitfurlife) treadmill and full palpation. The data from these evaluations would allow us to both understand exactly where on the muscle group the diagnosed issue was and if there were any resulting compensatory problems.
The gait analysis confirmed less weight bearing on the R H/L and increased muscle tension on L H/L and R F/L. Palpation revealed scar tissue on the iliopsoas muscle.
We embarked on a course of therapeutic ultrasound, deep friction massage and stretching. With the owner also carrying out a daily ROM and eventually muscle strengthening home exercise program.
Additionally we applied LASER, massage and ROM to the R hip to relieve muscle tension and any potential OA issues.. Also light massage was applied to reduce compensatory muscle tension in the other limbs.
And the Results?
Well I leave that to an (edited) memo direct from the veterinary practice:
Hi Alan
We were absolutely delighted by progress since the last visit to me.
X has only been given nsaids on 3 occasions which is a good improvement on before. On palpation of the iliopsoas muscle no pain was elicited although a small swelling was still evident when compared to her left leg.
The range of motion in her hip joint has massively increased especially on extension. At no point during the ortho exam did she seem uncomfortable whereas she has done previously and gait was good,
I am very keen to continue with conservative management and on discussion so are the owners. They are keen to come back to yourself for ongoing therapy for a few sessions to really change her muscle memory and make sure she doesn't slip back into her old gait.
Many thanks,
XXXXX BVetMed(hons) MRCVS
IR Video of Treadmill Active Rehabilitation Session
