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Initial Consult – Oso
Oso was referred for physiotherapy to look at his holistic health and investigate neck and
back pain. After initial onset of pain and veterinary referral Oso has been on restricted
walking, had raised feed bowls (could not bend to eat) and does have a history of night
blindness which may have contributed to trauma.
Gait Analysis:
When walking lower back is tense and held still with reduced hip mobility and
increased lateral swing. Paw placement and Proprioception in tact. Turning is good
and balance is good. On occasion will sit with a hindlimb laterally placed – not
consistent. Looks braced, will trot and move round the house well.
Muscular Evaluation: Head and neck musculature is symmetrical with no signs of heat,
spasming or changes in muscle tonicity. Forelimbs symmetrical tone, slightly hypertonic
bilateral triceps. Sporadic vocalisation on several areas not always repeatable: (Chest, lower
back/sacrum/scapula boarder and when getting up or down). The vocalisation was
repeatable on full lateral neck movement to left and right sides but worse to the right. Coat
discolouration and scarring felt over scapula dorsal boarders (previous injury).
ROM: Painful lateral neck movements and when the head presses into object. Thoracic
spine restricted in dorsi-flexion. Limb ROM good, left elbow reduced flexion.
Plan: Refer for pain review and monitor