New Initial Assessment

e.g. Limping 3 weeks, gradual onset, worsening after exercise.

e.g. Previous TPLO, OA medication, prior rehab in 2024.

e.g. Field work 4x/week on mixed terrain.

e.g. Tense with unfamiliar handlers.

e.g. Intermittent limping after long walks.

e.g. Started 2 weeks ago, worse after activity.

e.g. Avoids stairs, slower to rise from lying.

e.g. Reluctant to jump into the car.

e.g. Left forelimb lameness 2/5 at trot.

e.g. Mild tightness over right shoulder extensors.

e.g. Reduced hip extension on left side.

e.g. Proprioception intact bilaterally.

e.g. Goal: pain reduction and return to normal walks.

e.g. BCS 3/5, MCS 4/5, mild postural asymmetry with reduced right hindlimb weight bearing, decreased left hip extension, and delayed paw replacement on the right hind.

e.g. CX: Mild tightness in left brachiocephalicus (2/5). TXLx: Moderate epaxial muscle pain over T13–L3 (3/5). FQ: Reduced right shoulder extension with mild discomfort (2/5). HQ: Severe hamstring tightness and stifle pain on left hind (4/5).

e.g. Compensatory dysfunction pattern with fair prognosis if compliant.

e.g. 1/5 pain in the right shoulder.

e.g. Easier rising in the mornings.

e.g. Improved from 2/5 to 1/5.

e.g. Improved pelvic symmetry at rest.

e.g. Thigh diff 1.5cm; hip extension 140°; video ref logged.

e.g. 7-year-old active Labrador presenting with chronic hindlimb stiffness and reduced performance.

e.g. Owner reports difficulty rising, reluctance to jump, decreased walk endurance, and occasional post-exercise stiffness.

e.g. Improve mobility, reduce stiffness after exercise, return to normal daily walks, and improve overall comfort.

e.g. Reduced left hindlimb weight bearing, lumbar epaxial muscle tension, decreased hip extension, and mild stifle instability identified.

e.g. Improve hindlimb strength and symmetry, reduce lumbar tension, restore hip extension range, and improve functional gait pattern.

e.g. Owner travel schedule may affect treatment frequency. Home environment includes slippery flooring contributing to mobility challenges.

e.g. 1 session/week for 4 weeks, then reassess.

e.g. Sit-to-stand x8 twice daily and lead walks 10 min twice daily.

e.g. Improve symmetry in gait and reduce post-exercise stiffness within 2 weeks.

e.g. Recheck in 7 days; refer for further diagnostics if lameness worsens.

e.g. Laser over left stifle 8 J/cm² for 8 minutes; PEMF thoracolumbar 20 minutes.

e.g. Soft tissue release to lumbar epaxials and gluteals bilaterally.

e.g. Cavaletti poles x2 sets, weight shifts x10/side, tolerated well.

e.g. Improved stride length post-treatment; no adverse response observed.