Milo

Patient Name: Milo Date: 23/10/24 Milo was seen on the 23rd October 2024. He was alert and bright and able to locomote unassisted. Previous diagnosis of hip dysplasia and luxating patella. Able to walk but sporadic as sometimes does not want too, has slowed down recently and Owner looking for pain relief and comfort improvement. S: Subjective   Owner reports Milo has been hesitant to bear weight on the right hind-limb and shows reluctance during walks. Milo prefers to sit with the right hind-limb held laterally during sitting and will sit with increased frequency when locomoting around. O: Objective   Physical Examination Findings: o Limited forelimb protraction bilaterally observed during gait assessment. o Bilateral hindlimb lateral circumduction during walk. o Nail wear is fine on both hind-limbs, no evidence of scuffing was noted. o Lower back pain and tenderness o Right hindlimb Sartorius and quadriceps tenderness and slight contraction. o Global reduction of muscle mass noted, of particular note the hamstring group bilaterally. o Right hind-limb shows hesitation to bear weight; the dog appears to favor the left limb during movement as shown by foot flattening and weight felt through each hindlimb on raising. Range of Motion (ROM): o Forelimbs: Reduced protraction noted. o Hindlimbs: Limited retraction on the right hindlimb, within normal limits on the left. A: Assessment    Milo displays signs of discomfort and altered gait mechanics due to bilateral luxating patella and muscular atrophy. The hesitation to bear weight on the right hindlimb, combined with the altered sit posture, suggests potential pain and instability in that limb, likely contributing to the overall reduction in mobility. The global reduction of muscle mass indicates a need for targeted rehabilitation to strengthen and stabilize the affected limbs. P: Plan o o o Strengthening exercises Proprioceptive training to enhance stability and confidence in movement. Pain relief and control of tension via heat therapy