Dexter

Physiotherapy Notes and Exercises – Dexter Turner - 251124 S: Subjective Previous diagnosis of elbow dysplasia and thickening and also hip dysplasia/arthritis. Some palpable masses found, largest is over the right ribcage/thoracic region and is approx 9cm, small mass on chest 2-3cm and one over right sacral region 3cm. Walks for 1 mile 3x a day and slightly more at weekends. Noticed scuffing of hindlimbs and nails are worn bilaterally in the hindlimbs. Carpets in high traffic areas and steps for sofa. Body condition is good. O: Objective Gait Assessment: Straight moving, lameness in hindlimbs more noticeable and weight shifting in forelimbs. Able to walk. Low flight arc in both hindlimbs which will have contributed to the nail scuffing and wear. Sit posture is good, right hindlimb tends to be slightly abducted. Palpation: Left elbow thickened and restricted in flexion approx 30%, right elbow restricted mildly 10%. Low muscle mass in hindlimbs, hamstring group bilaterally is hypotonic and hypotrophic and quadriceps and biceps femoris both hypotrophic. Excessive strain in shoulders seen through latissimus dorsi reactivity. Forelimb protraction restricted and hip extension bilaterally limited 60%. Left gastrocnemius under tension suggesting left stifle is painful. Reactivity and spasming along epaxial muscles. A: Assessment Increased weight bearing on the forelimbs may be due to primary hip complaint. This will exacerbate the elbow thickening and contribute to lattissimus reactivity. The back pain is mild and most likely due to straining when rising as functional testing shows Dexter finds the push from sit to stand difficult. P: Plan Massage, stretching and laser was utilised alongside targeted exercises.