Willow

Physiotherapist report – Tilly Dixon Jan 2023 Subjective: Tilly was seen 8/2/23 following a slip in the field resulting in stiffness and reluctant to fully weight-bare on the left hind. Tilly is described as “quirky” and generally is in good health with good muscle covering and tone. Conformationally she has a sloping pelvis and long back. Gait: In walk there was asymmetry in the pelvic drop and reluctance on the left-hind to protract the limb forwards. The right hind-limb laterally circumducts in flight and lands laterally. Some hyperextension of both hind-limbs fetlocks and shortened stride length with both hind-limbs. In trot travelled on 3 tracks with quarters to the left. Moved straighter and more fluidly in shoulders post-physio. Objective: Today there was the majority of tension and tightness around Tilly shoulders, this restricts her ability to move forwards with her front legs and fully propel her trunk. The underside of the shoulders is stuck to the ribcage and this also was seen the affect her pectorals causing trigger points and spasming. Shoulder glide was tolerated. Light covering of muscle over the back and tender around thoraco-lumbar junction with some mild heat and resentment on palpation. This continues into the hind quarters where Tilly becomes guarding and nervous of manipulations. Mild trigger points and spasming was noted over the lumbar region and into the gluteals but was not a key finding today as there was residual muscle guarding. Applied K-tape to left hamstring group and over lumbar region to facilitate continued massage. Manual massage, myofascial release and compressions were used gently to promote tissue elasticity and release some tension that has built up. Range of Motion: Aimed to improve shoulder range of movement over the next few weeks. Exercises [] [] [][]