Dasha

Subjective: Dasha was seen for her initial consult today. She has a history of an intermittent lameness that is exacerbated during vigorous exercise or when exerted. Some stiffness seen when rising following sleep. Objective: Posture and weight are very good, some offloading of the right forelimb seen in stance, and when rising. Sit posture is neat, fatigue set in following 5-10 reps of exercises. Palpation: Symmetrical muscle tone globally, right lumbar was reactive with spasming and trigger points, left sild only mild. Right forelimb showed some mild carpal restriction and elbow crepitus. Left was unremarkable, hindlimbs were unremarkable but protraction of the left hindlimb was reduced. Increased hamstring use and tone. Overview: Monitor walking schedule to find the optimum walking time and exercise type. Use heat packs in the mornings over the right elbow and lower back. [] [] []