Alfie

Alfie Crook/Dempsey – Physiotherapy Notes - 30/10/24 Patient Name: Alfie Date:30/10/2024 Veterinarian: Valentines Castleton Subjective - Patient previously treated for a left shoulder injury, now recovered. - Owner reports concerns regarding right shoulder function and appearance. - Veterinary Notes showing limited shoulder extension and muscle loss - Home adaptations and routine discussed - Completely NWB on right forelimb Objective - Significant muscle atrophy observed in the supraspinatus and infraspinatus muscle groups on the right side. - Right shoulder appears thickened and enlarged. - Right brachiocephalicus muscle is hypertonic. - Left latissimus dorsi muscle is reactive and exhibiting spasms. - Left digits and foot flattened due to overload of body weight - Bilateral lower back shows kyphotic posture and reactivity with the spine laterally flexed left. - Hindlimbs positioned in a wide stance. - Full range of motion in the left shoulder; right shoulder extension restricted by 50%. - Crepitus noted on full flexion of the right elbow. - Initially, the right forelimb was 10 cm off the ground, which improved to 3 cm by the end of the session. Plan - Continue with targeted physiotherapy interventions focusing on strengthening the right shoulder muscles (supraspinatus and infraspinatus). - Incorporate stretching and relaxation techniques for the hypertonic right brachiocephalicus and spasming left latissimus dorsi. - Implement exercises and heat packs to improve posture and reduce kyphotic stance. - Monitor and reassess range of motion and forelimb elevation in subsequent sessions. - Owner aware of pain relief options and to use if needed to allow for increased comfort --- horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162