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Animal Physiotherapy (VetPhysioLife)

Conversations between Kim Sheader (Chartered Physiotherapist specialising in Veterinary Physiotherapy) and Shailen Jasani (Veterinary Emergency and Critical Care Specialist). VetPhysioLife charts Kim's daily activities. We find out about the cases she sees and the treatments she provides. Includes a lot of useful information and tips for both pet (dog, cat) carers and veterinary colleagues. Brought to you by The Ralph Mobile Physiotherapy and Rehabilitation Service. Please get in touch: email vetphysiolife@theralph.vet or via www.theralph.vet.

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VetPhysioLife Episode 25

This episode starts with an update on the Weimaraner we have discussed in the most recent episodes. Unfortunately, he was euthanised this week due to suspected cancer. We go on to discuss considerations around making the difficult decision to euthanise a pet. And how much is it appropriate to put them through. Kim also fills us in on a 9-10-year-old Labrador that she last saw 6-9 months ago and again this week at the request of his carer. He previously had a fibrocartilaginous embolism (FCE, see here) and has started limping more at the end of his walks. Please note: there is some noise interference during this part of the call from 11 minutes in. But it does not last for long so bear with us. We finish with an update on some of Kim's regular patients. Please get in touch with us. Email vetphysiolife@theralph.vet or use the contact form on the website.

14mins

11 Nov 2017

Rank #1

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VetPhysioLife Episode 26

In this episode we discuss CANINE HIP DYSPLASIA: What it is Why it develops Which dogs are more likely to get it What the potential consequences are What signs an affected dog may show How it is diagnosed How it is managed There is an accompanying blog post here. Please do get in touch. Email vetphysiolife@theralph.vet or use the contact form on the website.

31mins

17 Nov 2017

Rank #2

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VetPhysioLife Episode 30

This episode is dedicated to Lumbosacral Disease. We discuss: What it is; Which animals are most affected; What the consequences are and what signs a dog or cat may show; How it is diagnosed; How it is managed; And, what it means for your pet's lifespan; There is an accompanying blog post here. Please get in touch. Email vetphysiolife@theralph.vet or use the contact form on the website.

39mins

20 Dec 2017

Rank #3

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VetPhysioLife Episode 29

In this episode, we get an update on one of Kim's patients who we discussed in the last episode. He was unwell and had been admitted for treatment at his practice. He ended up being referred to a specialist centre but thankfully is on the mend and back home now. Kim tells about a new patient, an older Yorkshire Terrier. He has had 'slipped' kneecaps (luxating patellae) for a long time. This seems to have caused problems in his back which Kim has started to treat. This dog gets very anxious, especially when parted from his carer. We discuss how the presence of strangers and environment (e.g. vet practice vs. home) can affect patient behaviour - and even findings such as blood pressure. We end the episode by discussing the role of physiotherapy in treating patients with luxating patellae. Physiotherapy has a place in dogs being managed without surgery, in preparing dogs for surgery, and in rehabilitating dogs after surgery. Look out for the next episode which is dedicated to lumbosacral disease. Please get in touch with us. Email vetphysiolife@theralph.vet or use the contact form on the website.

20mins

15 Dec 2017

Rank #4

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VetPhysioLife Episode 3

At the end of the episode we mention intervertebral disc disease. We will share more on this in Episode 4.

10mins

7 Sep 2017

Rank #5

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VetPhysioLife Episode 31

Happy New Year! This is our first episode back after the break and we start by discussing what Kim has found as she revisits some of her regular patients. There will be many more updates next week which is going to be a hectic one for Kim! Kim also tells us about a new patient. A 12-year-old Weimaraner who has a very slow-growing mass behind one of his knees. This is preventing proper drainage of blood from below the knee causing swelling (lymphoedema). Kim tells us about her assessment and treatment plan. This is an unusual condition in veterinary patients but apparently, there are physiotherapists who specialise in the treatment of lymphoedema in people! We end by talking about how physiotherapy is a discipline that is very focused on tailoring treatment to individual patients through the use of clinical reasoning. Please do get in touch. Email vetphysiolife@theralph.vet or use the contact form on the website. Thanks as always for listening!

16mins

5 Jan 2018

Rank #6

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VetPhysioLife Episode 28

In this episode, we start off talking about Kim's regular patients. Firstly about how their care plan may change in colder weather. And then about the bond that Kim forms with her patients and the worry when they are not well. We then go on to talk about a couple of the new patients Kim has seen recently. An older chocolate Labrador with arthritis in his front legs. He fell asleep during Kim's treatment - and protested whenever Kim stopped to sip her tea! And a Collie who previously had one of his 'wrists' (carpus) fused after an injury. He developed an infection in the site after the procedure. We end by agreeing that in many things in medicine, a slow and steady gradual approach is best! Apologies for the sometimes poor sound quality in this episode. Please get in touch: email vetphysiolife@theralph.vet or use the website contact form.

22mins

6 Dec 2017

Rank #7

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VetPhysioLife Episode 24

We start by catching up on the elderly Weimaraner we discussed in Episode 23. He is making progress but not without some ups and downs. These relate to his age, other mobility issues and discomfort. Kim will be seeing him again on Monday and we will keep you updated on his progress. During the discussion, Kim mentions the LASER treatment she has been doing with him. You can read more about this therapy here. We go on to discuss the importance of keeping moving during recovery from injury. This is especially true in older patients but applies to everyone. It needs to be balanced with not overdoing it. But leaving an animal immobile is not good for their recovery. While it may seem kinder, especially if they are uncomfortable or reluctant to move, it is not. We then discuss the need to reassess patients and to have a dynamic approach to their management. Every patient is an individual with different environmental factors and pet carers. We round off with a quick update on Kim's regular patients. Please get in touch. Email vetphysiolife@theralph.vet or use the contact form on the website.

14mins

4 Nov 2017

Rank #8

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VetPhysioLife Episode 23

We spend most of this episode talking about an elderly Weimaraner. Kim has been treating him for some time for problems with his back legs. Over the weekend his mobility acutely worsened and he seemed more painful. There was concern that this might be due to a deterioration in his long-term back leg problems. Euthanasia was being considered if his quality of life was going to be affected going forward. On examination, Kim identified a front leg problem as the probable cause of his current deterioration. Kim cannot be sure but suspects a stumble/fall in the garden. So far he has responded well to Kim's treatments and the antiinflammatory pain-killers prescribed by his vet. The hope is that he will recover from this front end problem and return to his baseline quality of life with ongoing back leg management. Kim will be seeing him again in a few days and we will update you in the next episode. At the end of today's episode, we also discuss the importance of the language we use when speaking to non-medical pet carers. How to explain things simply, accurately and realistically. The importance of avoiding both sugar-coating and unnecessary scaremongering! Please get in touch with us. Email vetphysiolife@theralph.vet or use the contact form on the website.

22mins

31 Oct 2017

Rank #9

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VetPhysioLife Episode 22

In this episode, Kim tells us about a new patient she saw this week. A young Labrador with a history of elbow dysplasia and a current shoulder problem. This leads us on to talking about the use of language in explaining medical conditions. It is actually more informative to keep things simple and use words people will immediately understand. For example, Kim often describes muscles as 'grumpy'! We end with a discussion of the role of physiotherapists in quality of life assessments. Mobility and comfort are two key aspects of assessing quality of life. And physiotherapists are experts in these areas. Please do get in touch. Email vetphysiolife@theralph.vet or use the contact form on the website.

20mins

26 Oct 2017

Rank #10

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VetPhysioLife Episode 21

Sorry, it has been a while since the last episode - last week was hectic!   In this episode, we chat about Kim's patients from last week. In particular, Kim saw a new patient, a lovely Staffie, who had suffered a fibrocartilaginous embolism (FCE) some years back.   We spend a lot of the episode talking about FCE. You can read the accompanying blog post on FCE here.   Please do get in touch. Email vetphysiolife@theralph.vet or via the website.

29mins

17 Oct 2017

Rank #11

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VetPhysioLife Episode 20

This week Kim went back to a home where one of her patients was euthanised last week. We spend some of this episode talking about grief in pets left behind when one of their companions has gone*.   We catch up on some of Kim's regulars and a Weimaraner who fell asleep during his treatment. Kim always takes this to be a good sign!   And Kim lets us know a bit about an upcoming CPD course she is taking near Reading. More on this in due course.   To get in touch: email vetphysiolife@theralph.vet or via the website.   (* Shailen is the founder of The Ralph Site, a non-profit pet loss support website and Facebook community:   Website Public Facebook page Private Facebook group)

15mins

6 Oct 2017

Rank #12

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VetPhysioLife Episode 13

Kim attended a canine chiropractic course this weekend. She really enjoyed it and found it very interesting. In this episode we find out more about the course and why Kim was so impressed.

21mins

7 Sep 2017

Rank #13

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VetPhysioLife Episode 10

In this episode we get an update on some of the cases Kim has seen in the last couple of days. We discuss wobble boards vs. wobble cushions. And we hear how well a Cockapoo with a suspected partial cruciate ligament tear is doing.   We also chat about the benefits Kim sees of providing her physiotherapy and rehab services to dogs in their home environment.   Some terms Kim mentions:   Syringomyelia when talking about one of her Pug patients. You can find out more about this condition here.   FCE: this is a fibrocartilaginous embolism. There is a blockage of the blood supply to part of the spinal cord. The result is loss of function of that part of the spinal cord. It is a problem from which dogs can recover.   Cranial cruciate ligament: this is the key ligament in the knee of the dog (cat, human etc.).

19mins

7 Sep 2017

Rank #14

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VetPhysioLife Episode 9

In this episode Kim tells us about a new patient. A dog who suffered trauma and spent more than 2 months in a rehab centre. We discuss several subjects including the challenges of caring for patients once home. Kim also stresses the need to treat every patient as an individual.   At the end we discuss how the management of osteoarthritis might vary depending on the season.   Some terms Kim mentions: Haemothorax: this is blood in the chest cavity that should not be there. Among other problems, it can stop the lungs from expanding. Femoral head and neck excision: the hip joint is like a ‘ball in a socket’. In this operation the ‘ball’ (the top of the thigh bone) is removed. FCE: this is a fibrocartilaginous embolism. There is a blockage of the blood supply to part of the spinal cord. The result is loss of function of that part of the spinal cord. It is a problem from which dogs can recover.

18mins

7 Sep 2017

Rank #15