New SOAP Note

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. Laser applied to lumbar epaxial muscles and left stifle for 8 minutes at 8J/cm². Patient relaxed well during treatment.

e.g. PEMF applied over the thoracolumbar region on 15Hz for 20 minutes. Patient remained comfortable throughout.

e.g. Soft tissue release and trigger point therapy performed on cervical musculature and right shoulder region.

e.g. Passive hamstring and hip flexor stretches performed bilaterally, held for 30 seconds x3 repetitions.

e.g. EMS applied to quadriceps muscles for 15 minutes using a continuous program. Mild visible contractions achieved.

e.g. TENS applied to the lumbar region for pain management at low frequency for 20 minutes. Patient appeared more comfortable after treatment.

e.g. Kinesiology tape applied to support the left carpus and reduce swelling around the distal limb.

e.g. Heat pack applied to thoracolumbar muscles for 10 minutes prior to manual therapy.

e.g. Ice pack applied to right stifle for 15 minutes post-exercise to reduce inflammation.

e.g. PROM exercises performed on both hindlimbs with 10 repetitions per joint. Mild resistance noted in left hip extension.

e.g. Hindlimb support harness fitted to assist with mobility during short walks.

e.g. Equissage applied over back and hindquarters for 20 minutes. Patient showed signs of relaxation.

e.g. BEMER session completed using recovery protocol for 16 minutes prior to exercise.

e.g. Underwater treadmill completed for 12 minutes at slow walking pace with good weight bearing throughout.

e.g. Cavaletti poles, 2 sets of 10 weight shifting, and 2 sets of 10 sit-to-stand exercises performed with good engagement and mild fatigue noted.

e.g. Sit-to-stand x8, twice daily for 7 days.

e.g. Lead walks only, avoid ball chasing this week.

e.g. Recheck in 7 days; reassess lameness grade.

e.g. Continue controlled leash walks for 10 minutes twice daily, avoid slippery surfaces, and monitor for signs of discomfort after exercise.