Frazer

Becky Black BSc(Hons) AdvCertVPhys CertClinEd (AccMdx) RCH MIRVAP(VP) www.horsestohoundsphysio.co.uk 07729002162 Physiotherapist report – Frazer Sept 2022-10-01 Subjective/Objective : Frazer started physiotherapy due to compensatory patterns resulting from a hindlimb amputation following complications with patella surgery. A lowered head carriage was observed with reluctance to locomote freely. Excessive load was placed on the forelimbs and there was pain, spasming and muscular tension around the lumbar spine. Mild restrictions were felt in the carpus and elbow, lattissimus dorsi showed some muscular and myofascial spasming. Difficulty lowering and rising from sit to stand. Adductors were hypertonic in the hindlimb and protraction was restricted. Work has aided the majority of compensatory patterns in the forelimbs. Some mild spasming and trigger points are present in the lower back (lumbar region) but are likely secondary to the lateral flexion of his spine. K-Tape applied to the lower back in parallel strips to ease tension and offer support. LASER was used and massage and stretching to alleviate the initial areas of compensations. Exercises 1. Sit to stands, these should be slowly done and aim for a controlled lowering with feet all facing forwards – 10x a day 2. Paw and stretch – Give paw with each forelimb and stretch this forward to stretch the shoulders. This will aid the tension that builds up here. 5x each paw each day 3. Rocking forwards and back – This will need a treat and move your hand gently towards the chest and back out so the paws lighten or load but do not move place. This should be slow and rhythmical – 20 rocks each day. Further notes: Walks can be split into smaller walks to enable the same amount of exercise to be done, but to allow rest periods where the muscles can relax then recover to then work again. This is also very good for joints and allows them to work continually through the day at a lower intensity. Hot water bottles can be good before walks and when back (10 minutes) on the back and shoulders can help if you feel that it is a “sore day”