Sybil

Patient Name: Sybil Date: 26/3/25 Sybil was seen for a follow-up session to monitor her progression with limping and slowing down. It was discussed that Sybil had some changes in her elbow flexion and carpal flexion on the right side and mildly on the left. Subjective    During routine walking, no scuffing, dragging or issues seen Able to sit, stand and lie well. Can be stiff when on longer walks Objective: Gait assessment shows active walk and trot with no obvious signs of lameness present. On palpation the left forelimb was larger and had more muscle bulk present than the right. Some mild crepitus was felt today on full flexion of the elbow and carpus, this has altered slightly from the ast visit and may be due to the increased loading onto the forelimbs. The carpus on the right was hyperextended and was mildly painful on full carpal flexiuon with some mild crepitus. Bilaterally sybils lumbar spine was reactive and spasming. She actively walked away today as this was tender. Physical Examination Findings:    Reduced right forelimb muscle back pain and tension Thoracic mobility has improved and now the lumbar is the focus P: Plan o o o Strengthening exercises Reduce back pain Monitor walking patterns