The Rehab Vet

  • Home
  • The Rehab Vet

The Rehab Vet Veterinary rehabilitation and physiotherapy for dogs and cats in Herts, UK. Do you have a lame, stiff or injured dog? I look forward to hearing from you!
(29)

I should be able to help you: I give specialist rehabilitation advice and physiotherapy tailored to the individual patient. I have great success with all kinds of dogs, from pups with developmental problems to elderly dogs with stiffness and weakness. My special areas of interest are (1) Recovery from cruciate ligament disease without surgery, and (2) Recovery from spinal injury or “IVDD/IVDH”. I

worked as a vet in small animal practice from 1996-2020. On qualifying as a small animal physiotherapist in 2014, I set up my own canine & feline rehabilitation business and have over the years built up a huge amount of experience. I always link in with the pet’s usual vet to ensure a streamlined recovery. The referral process is straightforward, and my service includes detailed written reports back to your vet. On my website at http://therehabvet.com/ , I’ve built up a free-of-charge information resource for owners of recovering dogs. You’ll also find (on the “About Me” section of that website) links to papers that I’ve had published in peer-reviewed journals on the subject. Please message me to check for appointment availability. The first appointment is a one hour video consultation. For those living near to me in North Herts, UK, I then follow this up with home visit appointments. During the covid19 pandemic, visits are socially-distanced and held out in the garden. For clients who are not local, video supervision of the entire recovery programme is possible.

Over the past couple of years, some of you may have heard of the Cambridge Vet School non-surgical IVDD study. The resul...
30/07/2024

Over the past couple of years, some of you may have heard of the Cambridge Vet School non-surgical IVDD study. The results have just been published. It’s a great write-up and quite groundbreaking!

Dogs unable to walk due to disc extrusion (IVDD) were cared for WITHOUT surgery. They had an MRI scan at the start of the study and another MRI scan after 12 weeks. These scans helped to make the diagnosis, and they also showed how compressed (squashed) the spinal cord was in each case.

The big questions were:
❓How many of these dogs would start walking again without having had surgery?
❓How compressed was each dog’s spinal cord at the start of the study?
❓Were they still just as compressed at the end of the study, 12 weeks later?

Results were interesting and included the following:
✅Out of the dogs that had deep pain sensation, NEARLY ALL of them (49 of 51 dogs, 96%) started walking again within 12 weeks. Most of them walked much sooner than this.
✅Out of those with NO deep pain sensation, nearly half of them (10 of 21 dogs, 48%) started walking again within 12 weeks. That’s WITHOUT surgery.
✅Spinal cord compression reduced in some dogs over the 12 week study period. That’s despite not having had surgery to remove the disc material that caused this compression.
✅Many dogs started walking again despite the fact that their spinal cord was still compressed, ie ‘Recovery was not dependent on the resolution of compression’

💛The authors concluded that if spinal surgery isn’t possible as it’s not available in the area or is too expensive, non-surgical management is a valid alternative.

There’s plenty of detail in the write-up, and it’s free for all to read or download via this link: https://onlinelibrary.wiley.com/doi/pdf/10.1111/jvim.17149

Many thanks to Jep for this photo

Due to cancellation, I've got a couple of home visit slots available in the Harpenden/Wheathampstead area on Friday 7th ...
04/06/2024

Due to cancellation, I've got a couple of home visit slots available in the Harpenden/Wheathampstead area on Friday 7th June.

Perhaps I've worked with your dog before and they could now do with a mobility MOT?
Or maybe you're interested in starting a new course of physiotherapy or rehabilitation for your animal?

Email me and we can arrange something! My contact details are on this page of my website: https://therehabvet.com/contact-2/

Many thanks to Samantha Hurley for this lovely photo.

01/06/2024

Here's how the first six weeks of non-surgical cruciate recovery can look. This lovely dog is Zeffie the collie. She'd injured the cranial cruciate ligament of her left stifle (knee). You'll see in the video that she can barely use that leg to start with, even at a slow walk.

By week 6, Zeffie is putting much more weight on this leg. Recovery is expected to be gradual, and she still has some way to go before we can build up her walks. But I'm delighted to say that Zeffie has made great progress and is right on track with her recovery! She even managed to cut her painkillers right down over the past few weeks.

By the way, you might notice that Zeffie sometimes wears a sleeve on her FRONT leg, and that she doesn’t bend that front leg normally. This follows on from a joint fusion operation she had last year, a ‘pancarpal arthrodesis’.

For the cruciate ligament injury, Zeffie's rehabilitation has been supervised over zoom by The Rehab Vet, plus she's had pain meds and hands-on assessment from her usual vets. Zeffie's rehab programme has mainly involved gentle exercises using a lead and harness, plus a lot of activity restriction. It's essential that she doesn't rush around on this leg until it's strong enough, so she's been set up in a large pen at home.

Stick at it Zeffie, you're doing really well! 🥰🐾🐶

For more information on helping a dog recover from cruciate ligament disease without surgery, see https://therehabvet.com/cruciate-ligament-disease/

, , , ,

Little and often is best for exercises! This is especially true for animals recovering from spinal conditions. Their mus...
22/05/2024

Little and often is best for exercises!
This is especially true for animals recovering from spinal conditions. Their muscles tire really fast.

Here's lovely Attie the mini dachshund showing us how it should be done for the sit to stand exercise. He'd been recovering from an episode of IVDD (disc extrusion or 'slipped disc').
There are full illustrated step-by-step instructions for 'sit to stand' and for a full set of other exercises in The IVDD Handbook. Here's a link: https://therehabvet.com/the-ivdd-handbook/

, , ,

For recovering dogs and those that are unsteady on their feet, some ground surfaces are easier to walk on than others. S...
12/05/2024

For recovering dogs and those that are unsteady on their feet, some ground surfaces are easier to walk on than others.

Some good options:
✅Short grass
✅Astroturf
✅Sand (not too deep)

Think twice about these:
❓Concrete, tarmac or pavers - they're fine for most dogs, but avoid if yours often knuckles or drags their paws.
❓Deep sand - they may need to build up strength to walk on this, so don't make their first beach walk too long!
❓Longer grass - can be difficult in early recovery as they may need to lift their feet higher than usual to manage this
❓Slopes - can be challenging for some dogs

Avoid these:
⚠️Gravel - it gets trapped between their pads and can be very uncomfortable for them to walk on. Avoid if possible
⚠️Very hot surfaces - on a hot day, check the ground temperature with your hand first, especially if going over tarmac, pavers or sand. Of course, this applies to any dog
⚠️Slick, slippery ground
⚠️Steep slopes

The above applies if your dog is unsteady on their feet due to old age, or if they're recovering from a neurological or orthopaedic condition.

For practical guidelines on helping your dog recover from IVDD (disc extrusion, a neurological condition), you might be interested in The IVDD Handbook. Here are the links to the book's page for various countries:
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In the US: http://www.amazon.com/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5




Who's used a lick sleeve lick this one after a hind leg operation? How did your dog get on? Was this all they needed, or...
12/05/2024

Who's used a lick sleeve lick this one after a hind leg operation? How did your dog get on? Was this all they needed, or did they end up having to wear a cone too?

Has your dog used a lick sleeve after an operation on their hind leg? Many dogs are doing well with these and, in my experience, they can allow the dog to settle down more easily than when wearing the 'cone of shame'!
But lick sleeves are fairly new in the UK. What have you noticed? Dog owners, vets, vet nurses etc., you're welcome to share in the comments here.

Photo (shared for cuteness) is from the lick sleeve website at https://licksleeve.uk/

,

Are you starting to build your dog’s walks up again after an episode of IVDD (disc extrusion or 'slipped' disc)? These d...
28/04/2024

Are you starting to build your dog’s walks up again after an episode of IVDD (disc extrusion or 'slipped' disc)? These dogs can tire surprisingly quickly, so don’t be too ambitious. Instsead, increase the length of their walks gradually.

Once they can walk well, an absolute maximum is to add five minutes per week to the length of their main daily walk. But this build-up is far too quick for many dogs. A key tip is to rest them if they’re showing any of the following signs of tiring:

✅ Footfalls becoming less neat and regular
✅ One or other leg starting to buckle or ‘give way’
✅ Paws placed upside down (knuckled)
✅ Legs crossing when placed
✅ Increasing sound of claws scraping on hard ground

A dog stroller or pushchair is handy when you need to give them a break. For dachshunds in the UK, these can be loaned from the charity Dedicated to Dachshunds 🙏🐶🥰🌟

For more details on building up their walks, see Chapter 70 of The IVDD Handbook. Here are the links to the book's page for various countries:
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In the US: http://www.amazon.com/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5

💖💖With thanks to Lisa and Tim West for sharing this lovely photo of Darcy Dolittle 💖💖

, , ,

Some dogs with cruciate ligament disease are unable to have surgery. The cost is way beyond budget for some dog owners a...
26/04/2024

Some dogs with cruciate ligament disease are unable to have surgery. The cost is way beyond budget for some dog owners and, in a few other cases, the dog can't have a full anaesthetic for one reason or another. I'm still happy to take these patients on for non-surgical management of their lameness.

We have some good success, though the dog's owner must be prepared to get involved and to take their dog's rehabilitation on as a bit of a project! Click on the link for more information and to see the updated recovery statistics. https://therehabvet.com/cruciate-ligament-disease/

, ,

I offer non-surgical treatment for cruciate ligament disease in dogs SUMMARY 1) Well-performed surgery plus excellent aftercare gives the most reliable recovery. But surgery is expensive, requires …

For many recovering dogs, food is a top highlight of the day! But, if your dog is recovering in a crate or pen, pay atte...
15/04/2024

For many recovering dogs, food is a top highlight of the day! But, if your dog is recovering in a crate or pen, pay attention to WHEN you hand them any food.
Get the timing right, and it will help them to settle down. Get it wrong, and your dog might become more and more restless, constantly whining to get your attention.

The top tips are as follows:
✅ DO give your dog a bit of food from their ‘ration’ whenever you return them to their crate/pen. Or have something ready for them in there each time. This could be their meal in a bowl, or food from a lick mat, snuffle mat, or filled Kong (if they’re allowed one). Or it could just be a few kibbles from their daily ration scattered over the floor of the crate/pen.

❎ DON’T hand them anything to eat while they’re crying or whining. Wait instead for a time when they’re settled or wait for a gap in the crying.

The above advice is particularly important early in recovery, when your dog is starting to use the crate or pen. This will help them accept it as a nice, positive place.

For more tips on introducing your dog to a crate or pen, you might be interested in this page of my website: https://therehabvet.com/2017/04/introducing-your-dog-to-the-recovery-crate/

Crate introduction: Top tips Do make the crate comfortable before showing it to your dog. Introduce the crate as a step-by-step process, over several days if possible. Handle your dog gently throu…

Delighted to have had the opportunity to give a talk, ‘Rehabilitation of Spinal Patients’, to neurologists at the BVSN S...
22/03/2024

Delighted to have had the opportunity to give a talk, ‘Rehabilitation of Spinal Patients’, to neurologists at the BVSN Symposium in Manchester on Thursday. This slide showed my top four practical ways to help avoid ‘compensatory gait’. Follow these tips to help them learn to walk well.

Dogs and cats are particularly good at ‘cheating’ (i.e. moving with a compensatory gait pattern) as soon as one or two of their legs are either weak or paralysed. They’ve got four legs, so they’ve got extra ways to cheat when getting around!!!
For example, they soon learn to drag or scoot about if two legs are paralysed. Or, if they can walk but their two hind legs are weak, they cheat by throwing their weight forward onto their front legs… the typical lurching, wobbly walk of the IVDD patient.

Part of good rehabilitation involves helping patients to move well so they strengthen the correct muscles and learn useful, healthy movement habits. Here’s how we help them avoid the problematic, habit-forming compensatory gait movement patterns:

✅AVOID SLICK FLOORS – dogs and cats move much better on non-slip footing.
✅CONFINE THEM to a pen or crate – that way, they won’t have the chance to drag, scoot or lurch across the room. Otherwise, these movement patterns soon become habits.
✅SLOW THEM from lead and harness when they’re walking – slow their front end to give their hind paws a better chance to step. That way, they’ll move much better.
✅REST THEM when they’re tired. A couple of minutes of good-quality walking is much better than quarter of an hour of wobbly walking. Once their weak muscles fatigue, they’ll start to lean more on their stronger legs, causing a more ‘wobbly walk’.

💖 💖 💖
For the photos on this slide, huge thanks to:
Vicky Watt-Hedges and Burt
Rachel Williams and Walter
and Julie Austin and Bella
💖 💖 💖

If you’d like more details on helping dogs with IVDD and other spinal issues walk better, you might be interested in The IVDD Handbook. Here are the links to the book's page for various countries:
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In the US: http://www.amazon.com/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5

, ,

Here’s a happy solution to a tricky problem! How do you keep your beloved dog safe after joint surgery if she’s:- too bi...
13/03/2024

Here’s a happy solution to a tricky problem! How do you keep your beloved dog safe after joint surgery if she’s:
- too big to fit comfortably in a standard crate
- but too bouncy to stay confined in an indoor pen?
Tosca the very friendly golden retriever shows us how it can be done 🐕 💖

Tosca’s family have cleverly clipped together two dog crates to create an extra-large space, 4ft10in long, 4ft wide, and 2ft8in high. This created a super-comfortable den. Lucky girl….with two crate pads to cover the base, and sheepskin fleeces on top of these, she’s set up really well for recovery!

Technical tip: before fitting the crates together, pliers were used to remove the hinges. Clips were removed from the edges of one of the crates (this took time and patience) and these clips were then used to attach the two crates together.

Before Tosca tested it out, her family checked the double-size enclosure for stability, and they added the comfy padding, bedding, a water bowl and food-dispensing toys.

We’re very impressed with this solution, and we all wish lovely Tosca the best for her ongoing recovery! 🐕🐾🥰

Alice the whippet is such a gentle kind-natured girl. Here's her recovery pen as she's getting through a neck injury at ...
25/01/2024

Alice the whippet is such a gentle kind-natured girl. Here's her recovery pen as she's getting through a neck injury at the moment.

And the snood is a popular whippet accessory at this time of year, particularly for those with neck issues!

21/01/2024

This is unusual! More than a year after having spinal surgery, Benny is continuing his rehab by doing some careful aquatherapy in the sea with his owner. You certainly wouldn't want to try this in the UK at this time of year but, luckily, Benny is in Australia.

To help keep Benny moving steady and straight, his owner is using paddle elastics designed for surfers. Here, the elastics are looped around the front of Benny's chest and through the side pieces of his harness. The sea has reached an amazing 28 degrees C, and the tides have been in their favour over the past few weeks.

This aquatherapy has been helping Benny to get stronger and more stable on his hind legs. And he really loves it! Two of Benny's favourite things are paddling and watching the fish 🐶🐠💕

💚💚💚If considering home aquatherapy for your own dog, take special care. It's not suitable for every dog! Even in the shallows, water can be dangerous for dogs with coordination problems.
Each dog is different. Have yours assessed first by a vet and hydrotherapist, and take their professional advice regarding safety and how to get started💚💚💚

20/12/2023

It's amazing to see Remy starting to walk without a sling! He went down with severe IVDD (disc extrusion or 'slipped disc') about four weeks ago. His neurologist gave him a less than 5% chance of walking again. At that point, both of Remy's hind legs were paralysed and one of them had lost deep pain sensation.

This super little dog didn't have an operation. Instead, his family have been caring for him at home. This has involved pen rest, painkillers and some home exercises. For the first few weeks, they used a sling to support Remy during toilet breaks. Now Remy is just starting to manage without. It's a pleasure to see him doing so well. Keep it up, Remy! ☺🐾🥰

Is your vet or therapist happy for you to start letting your IVDD dog start walking without a sling? Here are some top tips:

💚Slow your dog down using a harness and lead. Slowing their front end will give their hind paws a better chance to step.
💚Don't be too ambitious. Aim for just six foot or so of walking at the first attempt.
💚Get them motivated! Try putting one of their favourite people on the finish line, or perhaps some food. Be ready to use the lead as brakes though, as they might surprise you and dash forwards!

For a more complete guide to helping your dog to walk without a sling, see pages 152 to 154 of The IVDD Handbook.

Delighted to see that The IVDD Handbook already has 96 reviews on Amazon (showing up on the UK site). We'd put great car...
19/12/2023

Delighted to see that The IVDD Handbook already has 96 reviews on Amazon (showing up on the UK site). We'd put great care into writing, illustrating and designing this book, hoping to create a helpful home guide for owners of dogs with neck and back problems. It's lovely to read comments from owners who have found this handbook useful. And sometimes people include a picture of their recovering dog too - that's very special!

Perhaps we could get this up to 100 reviews some time soon!!!? It just takes a couple of minutes to post a review on Facebook. This is something you could do if you'd bought The IVDD Handbook and have found it useful. Here's how: Simply go to the book's page on your country's Amazon site, select 'Write a product review' in the 'Customer Reviews' section, and select a star rating. Optionally, add text, photos or videos and select 'Submit'. Your review will then appear within a few days.
Perhaps it will be review number 100! ☺🥰🐶

Thank you so much!

Here are the links to the book's page for various countries:
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In the US: http://www.amazon.com/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5
, ,

The IVDD Handbook: Helping your dog through back and neck problems

It's always best to be prepared! Around one in five mini dachshunds can expect to get a back or neck problem due to IVDD...
27/11/2023

It's always best to be prepared! Around one in five mini dachshunds can expect to get a back or neck problem due to IVDD at some point in their life. Standard dachshunds and French bulldogs are also very commonly affected. And many other dogs can get IVDD too, especially the small and short-legged breeds and their crossbreeds.

The IVDD Handbook is not just for dogs suffering from the condition. It also includes advice on reducing the risk and on being prepared, plus tips on behaviour, comfort and nutrition that are relevant to all dogs. And it's full of colour photos.

This cool picture is of Ernie, owned by Elaine Brechin. He’s in the photo twice, both on the front cover and next to the book! 🐶🥰

The IVDD Handbook is available from Amazon from various countries. In case you’d like to get a copy for a dog-owning friend, here are the links:
In the US: http://www.amazon.com/dp/B0BFTWP9H5
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5
, ,

Did I once help (or try to help) your dog when they had cruciate disease? And did they have non-surgical treatment for t...
16/11/2023

Did I once help (or try to help) your dog when they had cruciate disease? And did they have non-surgical treatment for this condition? If so, you can expect to receive an email from me soon!

I’ve recently been asked to record how dogs get on during the few years AFTER their non-surgical treatment. We hope that this information will eventually help to advise other vets and dog owners.

It's clear from the results so far that many dogs do well without having an operation on their leg. That's good news, because the operation is quite invasive, and many owners simply cannot afford the cost of this.
Out of 68 recorded cases, 54 (79.4%) have been a 'success' without surgery, whereas 14 dogs (20.6%) turned out to need surgery.
Out of the 'successful' dogs, 39 had an excellent outcome, 12 were very good, and 3 were satisfactory.
I'm now looking at what has happened to these dogs since then. We're looking at whether they've had any further problems with their leg, and what sort of walks they've managed.

New cases are always welcome!
But please bear in mind that the non-surgical recovery programme can feel quite challenging to many dog owners:

💚 the dog needs to be confined in some way throughout recovery (no stairs, jumping or free running). Room rest works for some dogs, while others need a pen or extremely large crate.
💚 for at least the first 3 months or so (sometimes much longer than this), they must be kept on a fixed-length lead whenever outdoors. And most of their recovery exercises are done on a harness and lead
💚The time taken for full non-surgical recovery varies very widely between dogs – from about 3 or 4 months to as long as 9 months.

This lovely chap is Couper. While recovering from a severe neck issue, he needs help to sit, stand and walk. All four of...
03/11/2023

This lovely chap is Couper. While recovering from a severe neck issue, he needs help to sit, stand and walk. All four of his legs are affected, plus his neck isn't as strong as it used to be.

Couper likes to be able to see his family: the photo on the left shows him propped up on his front with cushions on each side to keep him stable. He has a huge flat mattress to lie on in the living area so that he can feel part of the family.

Couper's owners have been giving him amazingly dedicated home care. And Couper is already starting to make progress! We all wish him every success with his ongoing recovery 🐾🐶🥰

Some dogs do best if they avoid stairs and slick floors. For example:💚dogs with osteoarthritis, to help prevent flare-up...
26/10/2023

Some dogs do best if they avoid stairs and slick floors. For example:

💚dogs with osteoarthritis, to help prevent flare-ups
💚dogs after recovery from a bout of back or neck disease ('IVDD')
💚dogs that 'wobbly-walk' due to other neurological issues such as DM (degenerative myelopathy)
💚dogs recovering from injuries such as cranial cruciate ligament disease. This includes the period just after their 'crate rest' time if they've had to go through this.

A safety gate across a doorway can be a nice solution. This keeps your furry friend in their dog-safe part of the house without having to completely shut the door on them.

Of course, this is only an option if your dog respects stairgate-height barriers and won't try to jump over!

This lovely photo is of Darcy Dolittle. It was taken by Emma West.

You'll find this and many more practical tips in The IVDD Handbook, available at:

In the US: http://www.amazon.com/dp/B0BFTWP9H5
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5
, , , ,

This is Vespa the Labrador at 5 months old. Isn’t she adorable? Here she is, resting her head on her owner's hand, durin...
16/10/2023

This is Vespa the Labrador at 5 months old. Isn’t she adorable? Here she is, resting her head on her owner's hand, during a home visit assessment from The Rehab Vet. Vespa was lame on a front leg, so she needed to have her joints and muscles checked out.

Vets should be gentle when examining dogs. We need to find out where they hurt, but of course our main aim is to leave each dog feeling better. Here are a few top tips:

💚Slow down. Give them time to process what’s happening.
💚Help them settle into a comfortable position. Lying on their side (lateral recumbency) is ideal for examining their uppermost legs. But that won’t always be possible, especially in a clinic. See what the dog is comfortable with. You may need to have them sit or stand, perhaps while they lean against their owner or a nurse/technician.
💚Be methodical and check out the whole leg. But leave what you expect to be their most painful area until last. Otherwise, they’ll be anxious and on-edge for the rest of the assessment.
💚Looking for their sore spot might be called ‘pain testing’ in the textbooks. But don’t try to make the dog yelp! Instead, watch for more subtle signs of pain such as: licking their lips, yawning, tensing the muscles around the joint that you’re examining, or starting to pull their leg away.
💚Move a joint slowly when you’re assessing its range of movement. Don’t try to force or yank anything.
💚Have ‘kind hands’ and be gentle. Remember that you went into this job in the first place because you like animals 🥰🐶

Vespa’s sore spot seemed to be one of her elbows. She wasn’t comfortable with this joint being flexed or internally rotated.

Of course, not every dog dozes off by the end of their examination like Vespa!!! 🐶😴💤

Please share this post if you know any vets, vet nurses or other people who work with dogs.

, , ,

06/10/2023

It's great to see Bella the beautiful mini longhaired dachshund walking again. Poor Bella had lost the use of her hind legs due to IVDD (disc extrusion or 'slipped disc'). She didn't have an operation for this. Instead, Bella has had some weeks of pen rest and gentle exercises supervised by The Rehab Vet.
We're delighted that Bella now feels back to normal and is happy and comfortable. She's also enjoying short walks again, and now has a lot more freedom at home. At this stage, Bella is continuing with a few exercises to help get her even stronger. We all wish her well with her ongoing recovery.

For more information about IVDD and how to help your dog through this condition, you might be interested in The IVDD Handbook. Here are the links:

In the US: http://www.amazon.com/dp/B0BFTWP9H5
In the UK: http://www.amazon.co.uk/dp/B0BFTWP9H5
In Canada: http://www.amazon.ca/dp/B0BFTWP9H5
In Germany: http://www.amazon.de/dp/B0BFTWP9H5
In France: http://www.amazon.fr/dp/B0BFTWP9H5
In Italy: http://www.amazon.it/dp/B0BFTWP9H5
In Spain: http://www.amazon.es/dp/B0BFTWP9H5
In The Netherlands: http://www.amazon.nl/dp/B0BFTWP9H5
In Sweden: https://www.amazon.se/dp/B0BFTWP9H5

, , ,

21/09/2023

Long after an episode of IVDD (disc extrusion or ‘slipped disc’), dogs can still get stronger and steadier on their paws.

Benny came home from spinal surgery unable to walk. He had physiotherapy and hydrotherapy sessions early on, but his initial recovery seemed a bit disappointing. He learned to walk a bit, but he got to the point where he seemed to stop improving. He kept falling over and injuring himself by dragging and scuffing his paws.

Eight months after his surgery, I started supervising Benny’s rehabilitation over zoom. After each consultation, his family would send me videos of his latest exercises (their ‘homework’). Then we’d get together again online and discuss the best way forward.

Benny loves to be active, and he lives in a beautiful part of Australia, so we made a point of getting him outdoors as a big part of his recovery regime. We’ve mainly focused on lead exercises using a harness and fixed-length lead. Improvement is expected to be very gradual so long after his initial injury, but Benny is now right on track with his recovery.

Benny is a very well-loved chap who enjoys spending time with his family. He’s got the potential to continue getting stronger than this. Looking ahead, we all wish him every success!

Do you have a dog with a back or neck problem such as IVDD? You’ll find general recovery advice in The IVDD Handbook. It’s available from the UK at http://www.amazon.co.uk/dp/B0BFTWP9H5 or from the US at http://www.amazon.com/dp/B0BFTWP9H5 , or try searching for ‘The IVDD Handbook’ on your country’s Amazon site.

At thirteen and a half years old, Ollie the sweet-natured Labrador x golden retriever is enjoying his golden days 🥰Ollie...
19/09/2023

At thirteen and a half years old, Ollie the sweet-natured Labrador x golden retriever is enjoying his golden days 🥰

Ollie has been slowing down a bit lately, but it's good to see him more comfortable now and enjoying his walks and social life. Ollie has had a thorough assessment and a few physio sessions from The Rehab Vet. And he gets his medical care from the great team at Alistair Poole Vets.

These photos include nice examples of home adjustments for older dogs:
💚 A good ramp for the garden door
💚 Non-slip rugs
💚 A large, flat bed, offering plenty of space for your dog to stretch out.

Looking ahead, we wish Ollie all the very best for his ongoing comfort and mobility! 🐾☺🐶

Here's the free-access recording of Professor Paul Freeman's webinar about IVDD (disc extrusion) from a couple of weeks ...
10/09/2023

Here's the free-access recording of Professor Paul Freeman's webinar about IVDD (disc extrusion) from a couple of weeks ago. It's aimed at dog owners, breeders, vets, and anyone else interested in the condition.
Scientific understanding of the condition is changing, there's more research going on right now at the Cambridge IVDD Research Group, and new evidence is emerging for how to treat affected dogs. Watch to find out more!

https://www.youtube.com/watch?v=WLw_enoRLYo

, ,

Find out more information at thekennelclub.org.uk/IVDD.

Address


Alerts

Be the first to know and let us send you an email when The Rehab Vet posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Business

Send a message to The Rehab Vet:

Videos

Shortcuts

  • Address
  • Alerts
  • Contact The Business
  • Videos
  • Claim ownership or report listing
  • Want your business to be the top-listed Pet Store/pet Service?

Share

Our Story

Do you have a lame, stiff or injured dog? I should be able to help you: As a veterinary surgeon and physiotherapist, I give specialist rehabilitation advice and physiotherapy tailored to the individual patient.

I have great success with all kinds of dogs, from pups with developmental problems to elderly dogs with stiffness and weakness. My special areas of interest are (1) Recovery from cruciate ligament disease without surgery, and (2) Recovery from spinal injury or “IVDD/IVDH”.

I worked as a vet in small animal practice from 1996-2020. On qualifying as a small animal physiotherapist in 2014, I set up my own canine & feline rehabilitation business and have over the years built up a huge amount of experience. I always link in with the pet’s usual vet to ensure a streamlined recovery. The referral process is straightforward, and my service includes detailed written reports back to your vet.

On my website at http://therehabvet.com/, I’ve built up a free-of-charge information resource for owners of recovering dogs. You’ll also find (on the “About Me” section of that website) links to papers that I’ve had published in peer-reviewed journals on the subject.