Joey

Patient Name: Joey Joey was seen following veterinary referral. He has recently had a splenectomy. There was a 3.5cm difference in circumference of the hindlimb muscle mass and audible crepitus from both hindlimbs when locomoting. This is narrowed down more to Joeys hip joints. Joey is weight-bearing on his left hindlimb well and is looking more stable in his stifle joints. Subjective      During routine walking, no scuffing, dragging or issues immediately seen In sit, the left hindlimb is placed laterally – improved from initial visit Lack of musculature around the spine and left hindlimb Audible clicking on rising from sit Reduced gluteal on left hindlimb Objective: Gait assessment shows Joey moves straight and has a good rhythm when walking. His hindlimbs are restricted in their range of movement and his stride length is decreased in both hindlimbs alongside decreased spinal mobility. Turning on a circle shows instability and more so on the left circle   Physical Examination Findings: o Left hind-limb Sartorius and quadriceps tenderness and slight contraction. o Right hind-limb has increased muscle mass and tone o Bilateral latissimus dorsi reactivity due to compensation o Mild scoliosis of the lumbar spine Range of Motion (ROM): o Forelimbs: No issues, mildly resented forelimb protraction o Hindlimbs: audible clicking. P: Plan o o o Strengthening exercises Stability of the joints Reduce compensations