Tilly

Tilly P 24/09/24 Tilly was seen following a recent veterinary visit where she had some intermittent forelimb lameness, radiographs had not shown anything of substantial promise for the underlying cause. On paracetamol and metacam. Initially very nervous and tense. Head and neck movement and mobility was very good. Tilly is of a good weight and is a fit and healthy dog with good coat and alertness. Left prescapular musclulature was tense and hypertonic. Superficial and deep pectoral were restrictive and hypertonic limiting abduction. Biceps brachii hypertonic but shoulder flexion and elbow extension did not produce a response. Forelimb protraction was good, shoulder extension was the only mobility point of note where tension appeared. Mild fasciculations over teres major. Right elbow initially repeatedly restricted and mild crepitus in full flexion. Resolved through session. Hindlimbs and back showed nothing of note. Gait: Mild head nod noticed intermittently on the left forelimb. More noticeable when circling. Initially when turning left the olecranon (point of elbow) was very visible so the shoulder was turning in, the elbow was turning out and the carpus was turning in. This had improved by the retest at the end. Sitting: Posture is good, a little nervous today. horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162