Buddy

Buddy Fisher – Clinical Notes 07/03/24 Subjective: Buddy was see following TPLO surgery for his initial consultation. Functional tests reveal he is WB on all 4 limbs and able to sit, lie and walk unaided. Toiletting and sleeping routine is good. Challenges are there are some slippy surfaces in the home and 6 small flights of stairs to get to the flat. Sitting: Straight sit posture, on rising still weight-shifts right and moves toes. Objective: The left hind-limb has minimal swelling around the stifle and no heat palpable. Assessment: There was muscle reactivity around the thoraco-lumbar junction and around the caudal scapula area bilaterally into lat. dorsi. Crepitus felt on full flexion left stifle. Sartorius was reactive and painful on palpation on the left and semitendinosus and biceps femoris on the right restrictive of HL protraction. Gait: Left hind medially placed. Tarsal valgus and toe out left hind. Good rhythm of the walk, minimal scuffing, minor rhythm changes on the turn. Plan: Therapeutic exercises, walking modifications and home modification 25/03/24 Subjective: No change to sleeping, demeanour or toilet habits. Buddy has developed some reduced weight bearing on the LH following a walk this week. Advised to follow with a vet visit to check lameness. Sitting: Altered sit posture with increased lateral placement and stifle extension of LH. Objective: The left hind-limb has minimal swelling around the stifle and no heat palpable. Assessment: There was muscle reactivity around the thoraco-lumbar junction and around the caudal scapula area bilaterally into lat. dorsi. horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 Crepitus felt on full flexion left stifle. Midial placement of LH in walk and stance with decreased weight bearing evident from visual and leg lifting. Gait: Left hind medially placed. Tarsal valgus and toe out left hind. Rhythm slow and minimal LH movement on the turns. Plan: Veterinary check 15/04/24 Subjective: The vet check revealed nothing additional to Buddys condition. Advised to rest and monitor. NSAIDS prescribed and administered by owner as directed. Buddy has improved with the period of rest and we are now building back up to full function. Sitting: Straight sit posture, on rising still some weight-shifts right minimal toe movement. Objective: Muscle mass measures 11 inches LH and weak on biceps femoris, 11.5 inches RH. Assessment: There was mild muscle reactivity around the thoraco-lumbar junction and around the caudal scapula area bilaterally into lat. dorsi. More reactive right side lumbar longissimus. Mild crepitus felt on full flexion left stifle. Gait: Left hind straighter and almost placed sagitally (mildly medial). Tarsal valgus minimal and toe out left hind. Good rhythm of the walk, no scuffing. Plan: Slowly increase walking levels in accordance to plan 5 mins each fortnight if no bad days. Continue exercises for function. horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162