Digger

Date: 1st Feb 2021 Physiotherapy Report Subjective: Walking is improved up to normal levels and paw is settled with occasional toe lifting. Digs is able to grasp, hold and move toys and food with her digits well. Some laxity is present. No issues with mobility reported this week. Objective/Gait: Mild digits in extension (3-4). Sitting very well, straight spinal posture and even weight bearing. The walk and trot are in sagittal plane. No head nod or limb lifting. Good turning left to right. Slightly reduced forelimb protraction bilaterally. Palpation: Pectoral hypertonicity and biceps brachii hypertonicity, some triceps hypertonicity, right extensor carpi radialis hypotonic, anti-clinal vertebrae associated muscle pain, minor trigger points left lumbar region. Range of motion: Range of motion was good in all limbs, spinal range was excellent, slightly less lateral bend right. Extension restricted marginally in thoracic region. Action: Massage (responded well), LASER and myofascial release used on areas of tension. Resolved by end of session. Some lumbar tension remained, heat advised. Exercises:  Continue walks  Walk poles  Spinal stretches Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP Date: 1st March 2021 Physiotherapy Report Subjective: Walking well and still able to function with digits. Some tenderness reported when standing which is worse on hard ground or rocky terrain. Advised this is due to caudal loading of the affected forelimb. Walking well. Objective/Gait: Mild digits in extension (3-4). Sitting very well, straight spinal posture and even weight bearing. The walk and trot are in sagittal plane. No head nod or limb lifting. Good turning left to right. Palpation: The right extensor carpi radialis hypotonic, anti-clinal vertebrae associated muscle pain, minor trigger points in the intercostals and into the lumbar spine (mild). The trigger points were resolved following LASER and massage with myofascial release work. Even muscle mass globally. Range of motion: Range of motion was good in all limbs, spinal range was good. Extension restricted marginally in thoracic region. Action: Massage (responded well), LASER and myofascial release used on areas of tension. Resolved by end of session. Exercises:  Continue walks  Wobble cushion/platforms  Spinal stretches Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP Date: 29th March 2021 Physiotherapy Report Subjective: Walking well, no issues or changes from previous session reported. Able to walk at good capacity. No limb lifting or stopping. Objective/Gait: Mild digits in extension (3-4). Sitting very well, straight spinal posture and even weight bearing. The walk and trot are in sagittal plane. No head nod or limb lifting. Good turning left to right. Palpation: Trigger points in latissimus dorsi and triceps brachii, hypertonicity in the epaxials musculature and slightly more muscle mass on the left forelimb. Even muscle bulk in the hindlimbs. Some hypertonicity in gracillis bilaterally. Range of motion: Range of motion was good in all limbs better retraction with hind-limbs than protraction, spinal range was good. Extension restricted marginally in thoracic region. Action: Massage, LASER and myofascial release used on areas of tension . Raised boards were used to shift weight and increase intensity of sit to stand exercises. Baited stretches were also carried out. Exercises:  Continue walks  Wobble cushion/platforms  Spinal stretches Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP Date: 26th April 2021 Physiotherapy Report Subjective: Injury to digital flexors traumatic in origin. Debridement of pad and seen post surgical intervention. Healed well. Some small areas of recurrent spasming and trigger points around intercostals. Objective/Gait In sit the right forelimb is marginally externally rotated and weight placed on the left forelimb. Straight in stance today. Better turning right. Locomotion is good and no head nod or limb lifting in any gait. Slight kyphosis in the lumbar region. Palpation: Latissimus dorsi reactive bilaterally, some spasming in the longissimus lumborum and iliocostalis. Mild spasming in triceps more so on the right. Spasming and trigger points T10-T12. These were mild but proved difficult to resolve. Range of motion: Good range of motion in limbs and spinal mobility is good in all directions. Action: Used LASER and myofascial release with massage to aid restrictions and improve blood flow and mobility Exercises:  Continue walks  Wobble cushion/platforms  Spinal stretches  Poles  Grabbing toys and digit utilisation Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP Date: 2nd June 2021 Physiotherapy Report Subjective: Some small areas of recurrent spasming and trigger points around intercostals. Previous sensitivity over the back on very rare occasions and spasming on spinal extension. Objective/Gait In sit the right forelimb is marginally externally rotated and weight placed on the left forelimb. Straight in stance.Good turning both ways. Slight kyphosis in the lumbar region. Palpation: Some spasming in the longissimus lumborum and iliocostalis, less spasming inbetween the ribs today. Mild hypertonicity in triceps . Spasming and trigger points T10-T12. These were mild. Hypertonicity down the epaxials thoraco-lumbar junction was more reactive. Range of motion: Good range of motion in limbs and spinal mobility is good in all directions. Action: Used LASER and myofascial release with massage to aid restrictions and improve blood flow and mobility Exercises:  Continue walks  Spinal stretches Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP Date: 1st July 2021 Physiotherapy Report Subjective: Owner feels the digit injury is now at resolution, the next session will be a full assessment to conclude physiotherapy or to continue. Walking is now back up to previous levels of fitness, care is taken on walks to avoid difficult terrain or rocky surfaces due to balance and discomfort due to previous injury. Objective/Gait Sitting posture is very good, straight and even weight bearing. Walking is good with limb movement largely in the sagittal plane. Some base wide movement from the hindlimbs on occasion. Palpation: Some spasming in the longissimus lumborum and iliocostalis. Spreading to both sides of spinal and spasming present on manipulation. Advised heat treatments to start 3x a week. Range of motion: Good range of motion in limbs and spinal mobility is good in all directions. Action: Used LASER and myofascial release with massage to aid restrictions and improve blood flow and mobility. PMFT used in addition. Exercises:  Continue walks  Spinal stretches under and to each side Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP 27th July 2021 Physiotherapy Report Subjective: Full assessment again today to assess progression of treatment. Limb is now at a stage of resolution and continuing grasping, surfaces and gripping the digits will aid prevention of further issues. Objective/Gait Sitting posture is very good, straight and even weight bearing. Walking is good with limb movement largely in the sagittal plane. Some base wide movement from the hindlimbs on occasion. Slightly stilted in the spinal movements when locomoting, reduced protraction bilaterally and reduced flight arc of front limbs. Palpation: Scapula glide reduced bilaterally and protraction is good but limited at the shoulders. Elbow flexion extension good and no crepitus in any joint. Some spasming in the longissimus lumborum and iliocostalis. Cervical region hypertonic (brachiocephalicus) bilaterally. Biceps femoris hypotonic. Reactive mostly T5 region. Range of motion: Good range of motion in limbs and spinal mobility is good in all directions. Action: Used LASER and myofascial release with massage to aid restrictions and improve blood flow and mobility. TENS machine was used to relieve spasming and pain on palpation. Exercises:  Continue walks  Spinal stretches under and to each side Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP