Canine Arthritis Matters

Elbow dysplasia and developmental elbow disease are complex conditions that can have a significant impact on a dog’s long-term joint health. In this episode, Hannah is joined by veterinary surgeon and orthopaedic specialist Ben Garland to explore why elbows deserve greater attention in veterinary practice. They discuss recognising subtle signs, the importance of early diagnosis, and how developmental abnormalities can lead to osteoarthritis. The conversation explores conservative management, lifestyle modification, rehabilitation, intra-articular therapies and surgical options, highlighting that there is no single solution for every dog. Instead, effective management requires an individualised, whole-joint approach that considers the dog, their environment and their caregiver. 5 Key Take-Home Points Elbow disease is complex – there is no one-size-fits-all solution. Early identification matters – earlier diagnosis can preserve more treatment options. Osteoarthritis is the consequence – developmental elbow disease can drive progressive joint degeneration. Lifestyle matters – weight, exercise and the home environment can significantly influence joint health. Management is ongoing – surgery or medication is only one part of a wider, long-term plan. Guest Bio: Ben graduated from the Royal Veterinary College (RVC) in 2014 and has worked in both first opinion and referral settings as a surgeon. He completed the RCVS Certificate in General Small Animal Surgery in 2020 and became an RCVS Advanced Practitioner in 2021. Ben is a director and surgeon at ‘Debenham Vets Surgical Referrals’ in Suffolk where he treats patients with soft tissue, orthopaedic, and spinal conditions. Outside of clinical work Ben is interested in research and education. He is a reviewer for a for peer-review journal and has published several papers on topics within small animal orthopaedic. Ben regularly provides CPD for vets and is a consultant for N2-UK. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week with Drew Tootle discussing dedicated OA clinics!

In this episode of Canine Arthritis Matters , Hannah Capon is joined by Dr James Guthrie, one of the UK's few specialists qualified in both small animal surgery and canine sports medicine and rehabilitation. Together they explore the current realities of managing canine osteoarthritis, discussing why there is still no cure, the importance of earlier diagnosis, and why treatment decisions should focus on the individual joint, the whole dog, and the family caring for them. James explains the latest surgical options, including joint replacements, arthrodesis and minimally invasive procedures, while highlighting the growing role of regenerative medicine, rehabilitation and conservative management. Through practical case discussions, the conversation tackles difficult clinical decision-making, ethical considerations, and the value of combining surgery with exercise, pain management and lifestyle changes. The episode offers an honest, balanced look at modern osteoarthritis care and reinforces the importance of teamwork, realistic expectations and personalised treatment plans. Packed with practical insights, this episode offers an up-to-date look at managing canine osteoarthritis with compassion and realism from an expert surgeon. References: ExamVet is a personalized, one-to-one coaching service created by Dr. James Guthrie to help veterinarians and veterinary students pass professional board exams, residency evaluations, and school tests on their first attempt. Visit James at Fitzpatrick Referrals 5 Key Take-Home Points Early intervention offers the best chance of slowing osteoarthritis progression. Surgery works best as part of a multimodal treatment plan, not in isolation. Every treatment decision should consider the joint, the dog and the family. Rehabilitation should be proactive, structured and intensive—not an afterthought. Quality of life should always guide treatment choices, even when conversations are difficult. Guest bio: Dr. James Guthrie is one of the UK's leading veterinary surgeons, uniquely holding specialist qualifications in both small animal surgery and canine sports medicine and rehabilitation. Working at Fitzpatrick Referrals, he has a particular interest in minimally invasive surgery, regenerative medicine and helping dogs achieve the best possible outcomes through a combination of surgery and rehabilitation. Alongside his clinical work, James teaches, lectures internationally and mentors the next generation of veterinary specialists. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk

In this first episode of the intra-articular series, Hannah is joined by Dr João Alves to explore intra-articular approaches to canine osteoarthritis and how first-opinion practitioners can confidently bring more targeted treatment into everyday practice. They discuss why early identification and treatment of painful joints may be preferable to waiting until disease is advanced, while emphasising the importance of accurate diagnosis and imaging. João explains how local blocks and mesotherapy can help identify pain-generating joints before committing to more invasive or expensive interventions. The conversation covers corticosteroids, hyaluronic acid, PRP, regenerative medicine and gels, alongside the practical considerations of cost, availability, sedation and treatment protocols. A major theme is managing uncertainty: not every treatment will work for every dog, and plans may need to change. Crucially, the episode highlights communication, realistic expectations, objective monitoring and long-term collaboration with caregivers. The overall message is encouraging: practitioners do not need every available option to start doing more. Links Connect with Dr Joao Alves on LinkedIn 5 Key Take Home Points Treat the painful joint, not just the X-ray. Early, targeted intervention may offer better opportunities. Use diagnosis and imaging to guide treatment decisions. Set realistic expectations—no treatment works for every dog. Good communication and monitoring are essential. Guest bio João Alves graduated from the University of Lisbon, Portugal, in 2012 and has since worked at the Guarda Nacional Republicana (Portuguese Gendarmerie) with their police working dogs, focusing on sports medicine and rehabilitation, helping these animals to achieve their full potential. He completed his PhD in 2021 from the University of Évora, Portugal, in intra-articular management modalities for osteoarthritis. In 2022, he became a European Specialist in Canine Sports Medicine and Rehabilitation (Diplomate of the European College of Sports Medicine and Rehabilitation - Small Animals; DECVSMR). In addition to osteoarthritis, he conducts research and is interested in working dog sports medicine, photobiomodulation therapy, and canine exercise. João has published dozens of papers and chapters and frequently lectures on these topics. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week to hear a surgeons perspective on OA with JAmes Guthrie!

Dr James Hunt returns to chat about non-steroidal anti-inflammatory drugs (NSAIDs) for the last episode in the “Pain Medications” series. NSAIDs often get bad press so we asked James to come and clarify some of the facts from the misinformation. He and Hannah explain what NSAIDs are and how they work, adverse events and how to report them and ways to use these drugs as safely as possible. References Vitis Dr Hunt’s Pet Pain Relief pain management clinic here Dr Hunt’s article An analysis of the relative frequencies of reported adverse events associated with NSAID administration in dogs and cats in the United Kingdom and the article Hannah mentioned is here Guest bio: Dr James Hunt qualified in 1998 from RVC with a strong interest in pain management and worked in mixed practice for six years while completing the RCVS Certificate in Veterinary Anaesthesia. Following this he moved into small animal practice for a further six years, at which time the opportunity arose to undertake an MSc by research at the University of Bristol, investigating perioperative sedation and analgesia in dogs and cats. Enjoying the world of research, he continued at the University of Bristol for a further six years, including working on a 3-year research project investigating pain mechanisms in pet dogs with osteoarthritis. In 2017 he joined the anaesthesia department at a referral hospital in Somerset seeing cases for chronic pain management consultations. He is a Diplomate of the European College of Animal Welfare and Behaviour Medicine, and contributed to the chapter on chronic and osteoarthritic pain in the BSAVA Guide to Pain Management in Small Animal Practice. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Listen in next week when the new series “Intra-articular and injectable treatments” begins!

In this fascinating episode, Hannah Capon is joined by Professor Rodrigo Mencalha, one of Brazil's leading experts in veterinary chronic pain management. Together they explore why osteoarthritis pain is far more complex than simply "wear and tear" and discuss how understanding different pain phenotypes can transform the way we treat dogs with chronic pain. Rodrigo explains why pain management should always be evidence-based, combining scientific research, clinical experience and the goals of each caregiver. He challenges the overuse of medications such as gabapentin, highlights the importance of recognising pain early, and explains why many dogs require an individualised, multimodal treatment plan rather than a one-size-fits-all approach. The conversation also covers pain assessment tools, central sensitisation, regenerative therapies, rehabilitation and the vital role caregivers play in monitoring their dog's progress. This episode is packed with practical insights that will change the way you think about osteoarthritis and chronic pain in dogs. References Visit Professor Rodrigo’s Learning Platform here Follow Prof. Rodrigo on Instagram and LinkedIn 5 Key Take-Home Points Chronic pain is complex—every dog needs an individualised treatment plan. Early diagnosis and intervention can significantly improve long-term outcomes. Osteoarthritis pain isn't just in the joints; the nervous system plays a major role. Regular pain assessments help guide better treatment decisions. Managing chronic pain successfully requires a multimodal approach, combining medication, rehabilitation, weight management and caregiver education. Guest Bio: Professor Rodrigo Mencalha is a veterinarian specialising in anaesthesiology, pain medicine and veterinary neurology, with a clinical focus on chronic pain management and musculoskeletal health. Based in Brazil, he holds a Master's and PhD in neuroscience and pain management in dogs and cats and has dedicated the past 15 years to advancing veterinary pain medicine. Rodrigo is the author of leading textbooks on chronic pain, coordinates postgraduate programmes in chronic musculoskeletal pain, regenerative medicine and rehabilitation, and founded the Veterinary Medicine Without Pain Project, which has trained thousands of veterinarians across Latin America and Europe. An internationally respected speaker and educator, Rodrigo is passionate about improving the recognition, assessment and treatment of chronic pain to enhance the quality of life of dogs and cats. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for out 100th episode with Dr Alex Avery!

This weeks episode features a replay from a 2022 discussion between Dr Hannah Capon and veterinary pain specialist Dr Matt Gurney. Together they explore what the "perfect" arthritis medication would look like—and whether one actually exists. They explain why chronic pain is far more complex than most people realise, highlighting how pain travels through the body and why no single medication can target every stage of the pain pathway. Instead, they discuss the importance of a multimodal approach, combining appropriate medication with weight management, physiotherapy, exercise modification and regular monitoring. The conversation also tackles common owner concerns around long-term medication, safety, side effects and the evidence behind licensed arthritis treatments. Hannah and Matt explain how veterinary drugs are tested, monitored and chosen, while emphasising that early intervention is key to preventing pain from becoming harder to control. This episode provides practical, evidence-based advice to help owners feel more confident when making decisions about managing their dog's arthritis. References Visit Zero Pain Philosophy , the leading veterinary education site for acute and chronic pain in dogs and cats. Matt is currently the Veterinary Lad at Pawra , an expert canine wellness clinic in Chiswick, London 5 Key Take-Home Points No single medication treats every aspect of arthritis pain—multimodal management works best. Early diagnosis and treatment can make arthritis easier to manage long term. Medication is only one part of treatment alongside weight control, physiotherapy and exercise management. Licensed arthritis medications undergo rigorous testing and ongoing safety monitoring. The best treatment plan is the one that is effective, safe and practical for both the dog and owner. Guest bio: Dr Matt Gurney is a European and RCVS Recognised Specialist in Veterinary Anaesthesia and Analgesia, with a particular passion for chronic pain management. Matt is also a co-founder of Zero Pain Philosophy, an educational platform dedicated to improving pain recognition and management within the veterinary profession. A respected international speaker, educator and researcher, he is committed to advancing evidence-based pain management and empowering both veterinary professionals and pet owners with practical, compassionate advice to help animals live happier, more comfortable lives. Matt is currently the Veterinary Lead at Pawra, a brand new canine wellness clinic based in London. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for the second instalment in the August theme of “Pain Medications”.

Episode summary In this heartfelt episode, Hannah Capon is joined by veterinary rehabilitation specialist Dr Jane White to discuss life with a disabled dog and the lessons she's learned through caring for her own Border Collie, Drift, following a devastating spinal cord injury. Jane shares how her personal experience transformed her perspective as a veterinary professional, highlighting the emotional challenges, practical adaptations and mindset shifts that come with caring for a mobility-impaired dog. Together, they explore how many of these lessons apply equally to dogs living with arthritis—from adapting the home environment and maintaining quality of life to managing caregiver guilt and recognising that every dog’s journey is unique. The conversation also tackles difficult topics such as incontinence, rehabilitation, end-of-life decisions and the importance of building a trusted support team. Ultimately, this episode is a compassionate reminder that while life with a disabled or arthritic dog may look different, it can still be full of joy, purpose and meaningful moments. Recourses Visit Jane’s website and buy a copy of Loving Life With A Disabled Dog Pepper’s Place - wheelchairs and support for disabled dogs 5 Key Take-Home Points Don’t focus on what your dog has lost - focus on what they can still enjoy Adapt your dogs environment to make daily life easier and safer If you have to take an activity away, replace it with something equally as rewarding Be kind to yourself - there’s no perfect way to care for a disabled dog Review, reassess and adapt regularly - small changes can make a big difference Speaker bio Dr Jane White is a veterinary surgeon with over 35 years of experience and a passion for rehabilitation, mobility and improving quality of life for dogs and cats. She holds advanced qualifications in feline medicine, behaviour, veterinary physiotherapy and canine rehabilitation, and has extensive experience in hydrotherapy and acupuncture. Jane is also a committee member of the British Veterinary Rehabilitation and Sports Medicine Association. Following a life-changing spinal injury suffered by her own Border Collie, Drift, she wrote Loving Life with a Disabled Dog , sharing practical advice and emotional support for caregivers. Jane is dedicated to helping owners navigate mobility challenges with confidence, compassion and hope. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk

In this episode, Hannah is joined by Lucy Goodright, an experienced McTimoney chiropractor and manual therapist, to explore the role of complementary therapies in supporting dogs with osteoarthritis. Together, they discuss how chiropractic care, physiotherapy, hydrotherapy and other manual therapies can fit within a truly multimodal approach to arthritis management. Rather than promoting any single treatment as a cure, the conversation focuses on collaboration, realistic expectations, and empowering caregivers to make informed decisions. They examine the current evidence for manual therapies, why research remains limited, and the importance of using appropriately qualified, regulated practitioners who work closely with veterinary teams. The episode also highlights the value of environmental adaptations, careful observation, compassionate communication and setting measurable goals when introducing any new intervention. Ultimately, Hannah and Lucy emphasise that every dog is an individual, successful arthritis management requires teamwork, and maintaining quality of life depends on combining evidence-based medicine with thoughtful, personalised care. References: Find Lucy online at AnimalSpine.com Visit the McTimony Animal Association here or Discover MAA Research Animal Health Proffesions' Register (AHPR) Visit RAMP - Register of Animal Musculoskeletal Practitioners PainScience.Com 5 Key Take-Home Points There is no one-size-fits-all solution —arthritis management should always be tailored to the individual dog. Choose qualified professionals who are appropriately trained, insured and willing to work alongside your veterinary team. Set realistic expectations and regularly review whether a treatment is genuinely helping. Small lifestyle changes matter , including home adaptations, weight management and environmental modifications. Communication and collaboration are key —the best outcomes come when caregivers, vets and therapists work together towards shared goals. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us in August for “Pain Medications” month!

In this episode, Dr Michele Broadhurst shares her integrative approach to managing osteoarthritis and chronic pain in dogs, drawing on her expertise in chiropractic, rehabilitation, dry needling, and myofascial therapy. She explains why successful treatment requires looking beyond the affected joint to consider the whole patient, including movement, inflammation, gut health, and lifestyle. Michele and Hannah discuss the importance of early intervention, collaborative multidisciplinary care, realistic home exercise programmes, and empowering owners to make simple but meaningful changes. Together, they highlight that while osteoarthritis cannot be cured, a proactive, multimodal approach can dramatically improve comfort, mobility, and quality of life. Guest Bio: Dr Broadhurst graduated from Chiropractic college in South Africa in 2003 and as a Certified Sports Chiropractor in 2004. Michele is also certified with the International Veterinary Chiropractic Association. Being the first certified animal chiropractor in South Africa Michele built a very successful large and small animal practice specializing in animal chiropractic, dry needling and rehabilitation. Dr Broadhurst and her husband owned and ran a human chiropractic and multidisciplinary clinic for 15 years and she is now co-medical director of an integrative veterinary clinic in Dallas Texas. She is published in several medical journals and lectures both nationally and internationally on the subject of myofascial pain in animals. Referenced Links: Integrative Animal Solutions Rehab4Pets International Veterinary Chiropractic Association 5 Key Take Home Points: Osteoarthritis is a whole-body condition—successful management goes far beyond treating the affected joint. Small, consistent changes at home can make a bigger difference than complicated treatment plans. Movement is medicine—keeping dogs active in the right way helps maintain strength, confidence, and function. There is no one-size-fits-all approach; every dog needs an individualised management plan. The best outcomes come from teamwork between owners, vets, and rehabilitation professionals. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for the final episode of the “Complementary Therapies” chapter!

Can orthotic braces help dogs with osteoarthritis live more comfortably and stay active? In this episode, Hannah is joined by veterinary physiotherapist and hydrotherapist Lizzie Oselton to explore the growing role of canine orthotics in arthritis management. Lizzie explains how modern custom-made braces are designed to improve joint stability, support functional movement and reduce abnormal loading, rather than simply immobilising joints. Together, they discuss which dogs are most likely to benefit, how braces are fitted, common misconceptions, and why orthotics should always form part of a wider management plan alongside weight control, pain relief, physiotherapy and environmental adaptations. They also explore the current evidence, the importance of realistic expectations, and why personalised treatment is essential. Packed with practical advice for both veterinary professionals and dedicated caregivers, this episode offers an accessible introduction to an exciting area of rehabilitation medicine that aims to keep arthritic dogs moving safely for longer. Guest Bio: Lizzie Oselton, BSc (Hons) Equine Management, MSc Veterinary Physiotherapy,, is a veterinary physiotherapist based on the Cambridgeshire, Norfolk and Lincolnshire borders. She runs Meadowside Vet Physio, providing mobile veterinary physiotherapy for horses and dogs alongside a veterinary physiotherapy clinic within a small-animal veterinary practice in Wisbech. Lizzie also holds a Level 4 Certificate in Canine Hydrotherapy. Her interest in canine orthotics developed through treating dogs with osteoarthritis, where maintaining movement is central to long-term management. She sees orthotic support as another tool to help appropriate patients remain active, comfortable and engaged in rehabilitation as part of a multimodal treatment approach. Referenced links: Visit Lizzie’s Facebook page here Meadowside Vet Physio Learn more about Wimba Download the Wimba free case consult app on GooglePlay or Apple Read Bernie’s detailed case study here 5 Key Take Home Points Orthotics support movement and joint stability—they don't cure arthritis or replace pain relief. The best outcomes come when braces are combined with physiotherapy, weight management and veterinary care. Every brace should be custom-fitted and prescribed for the individual dog. Protecting function is just as important as managing pain in dogs with osteoarthritis. Small changes at home and tailored exercise can make a big difference to long-term mobility and quality of life. More about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for more on complimentary therapies!

Communication is one of the most important tools in successful OA management. In this episode of Canine Arthritis Matters , Hannah is joined by registered veterinary nurse and veterinary education specialist Jessica Woolrich from VetLed to explore how better communication can strengthen relationships between caregivers, veterinary professionals and allied teams. Together, they discuss why communication is about far more than simply sharing information. From listening and building trust to navigating difficult conversations, Jess shares practical tips for creating genuine partnerships that improve long-term care for dogs living with chronic pain. Using real-life scenarios from practice, the conversation explores what happens when caregivers leave consultations feeling overwhelmed, why second conversations matter, and how curiosity can help overcome barriers to understanding. Whether you're a caregiver or a veterinary professional, this episode offers simple, practical insights into communicating with confidence and compassion to achieve the best outcomes for dogs with osteoarthritis. Visit the VetLed website: Vetled Or contact Jess on jess@vetled.co.uk Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for the complementary therapies series!

In the last episode of the “Diet & Nutrition” series, we are joined by Lianne O'Boyle , Head of Clinical at Nutravet. We discuss the vital role veterinary nurses play in osteoarthritis management, the growing use of laser therapy in practice, and whether veterinary education adequately prepares clinicians for managing chronic conditions such as OA. Lianne also shares insights from her transition into the supplement industry, offering a balanced perspective on evidence, regulation, client expectations, and the role of ingredients such as omega-3 fatty acids and boswellia in joint health support. Packed with practical advice for both veterinary professionals and pet caregivers, this episode explores how a collaborative, multimodal approach can help improve the lives of dogs and cats living with osteoarthritis. NutraVet Guest Bio Lianne O’Boyle is a Registered Veterinary Nurse with over 20 years of experience across clinical practice, teaching, leadership and business. Early in her career, she discovered a passion for developing others, moving into training and education to support the next generation of veterinary nurses. She later stepped into entrepreneurship, running her own successful veterinary sector business for a decade, before transitioning into senior leadership roles within industry. Today, Lianne is Head of Clinical at a leading pet nutraceutical company, where she combines her clinical background with commercial strategy to drive innovation and animal health. With a career that spans practice, education, business ownership and industry leadership, Lianne is a passionate advocate for the role of veterinary nurses beyond traditional practice. She now shares her insights as a speaker, championing leadership, career growth and the expanding opportunities for nurses in the veterinary industry. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for the new series “Complimentary Therapies”

This week, we’re joined by Dr Conny Moseley, veterinary pain specialist and cannabinoid medicine expert, to explore the role of CBD in managing chronic pain and osteoarthritis in dogs. We discuss the science behind CBD, how it differs from traditional pain medications, what the current evidence tells us, and the practical challenges vets and caregivers face when choosing and using CBD products. A balanced, evidence-based conversation packed with insights on chronic pain management, canine osteoarthritis, and where CBD may fit into modern veterinary practice. Referenced links: Canadian Association of Veterinary Cannabinoid Medicine Does oral cannabidoil oil in adjust to pain medications help reduce pain & improve locomotion in dogs with osteoarthritis? Guest bio Dr. Conny Mosley is a board-certified anesthesiologist and currently the Veterinary Consultant for Pain & Internal Medicine for Elanco Canada. Conny has held faculty positions at North Carolina State University, Oregon State University and Ontario Veterinary College and has been an anesthesiologist in a private specialty practice, where she also ran an Integrative Veterinary Pain Clinic. She continues to consult on pain cases. Conny is certified in acupuncture, served on the WSAVA Global Pain Council and is the founding director of the Canadian Association of Veterinary Cannabinoid Medicine. Conny is a passionate advocate for ethical and practical veterinary care and pain management. Her contributions to the field include publications, lectures, and a deep commitment to both teaching and learning. Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Join us next week for the final instalment in the “Diet & Nutrition” series!

Internal medicine and nutrition specialist, Isuru Gajanayake, joins CAM’s Esme Howells to discuss the nutritional needs of dogs with osteoarthritis and other musculoskeletal diseases. All dogs need a balanced diet and their requirements differ depending on their age but also on their medical issues and body score. Isuru talks us through protein and energy requirements at different life stages and provides guidance on how to choose the right food from the huge range available. Guest bio Isuru Gajanayake is an American, European and RCVS specialist in small animal internal medicine, and an American specialist in small animal nutrition. He works at Willows Veterinary Centre and Referral Service in Solihull, seeing referral cases in both internal medicine and clinical nutrition https://willows.uk.net/ Referenced links WSAVA Nutritional Guidelines https://wsava.org/global-guidelines/global-nutrition-guidelines/ WSAVA Nutritional Toolkit https://wsava.org/wp-content/uploads/2021/04/WSAVA-Global-Nutrition-Toolkit-English.pdf Learn more about CAM CAM website - CAM Education Centre - The Pain Vet Chronic Pain Symposium - CAM Shop - CAM Podcast Socials for Professionals: Facebook pro - LinkedIn - Instagram Socials for Caregivers: Facebook - Instagram - Holly's Army Have questions send them to: podcast@caninearthritis.co.uk Stay tuned to learn more about nutrition with Dr Conny Mosely next week!

Omega 3 fatty acids are one of the few supplements that have some evidence of benefit for osteoarthritis. Nicki Bell talks to Charley Gray about omega 3s, how they work and why they are useful in the management of canine arthritis. Charley explains the different omega 3s and why it is currently EPA and DHA that we are particularly interested in for dogs. Their role in the anti-inflammatory pathway is explained with diagrams and analogies. There are different sources of omega 3s – plants, fish and algae and their pros and cons are described alongside guidance on what might be the best option for dogs. Charley also discusses dosing of omega 3s and how to work out how much your dog needs for their weight. It can be difficult to give a therapeutic dose without giving your dog too much fat in its diet or exceeding safe limits for Vitamins A and D. The session ends with a comparison of omega 3 levels in different joint supplements and other options for providing adequate levels in your dog’s diet.Charley is a vet with a special interest in nutrition. She works as a small animal vet and as a nutritionist helping to audit and formulate diets. She works with owners who want to prepare a home-cooked diet for their pets to make sure the diet is well-balanced and complete. Veterinary Nutrition & Formulation Services: https://www.companion-nutrition.co.uk/ 5 Key Take Homes Omega-3s are one of the few supplements with evidence for canine osteoarthritis EPA and DHA are the most important omega-3s for dogs Omega-3s help by influencing inflammatory pathways Not all omega-3 sources are equally useful Correct dosing is crucial and can be challenging Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritis Instagram: https://www.instagram.com/canine_arthritis Youtube: https://www.youtube.com/c/CanineArthritisManagement LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Have questions, send them to: podcast@caninearthritis.co.uk

In the US, two out of three dogs are obese. This exacerbates the difficulties vets face when trying to manage pain and rehabilitate arthritic dogs. Matt Brunke and Hannah Capon discuss nutrition and supplements and point out that fat doesn’t just increase loading on joints, it secretes inflammatory mediators that make arthritis worse. They then go on to discuss an imaginary case study – an overweight dog with elbow problems – and Matt outlines what he would do to reach a diagnosis and the different options for treatment, from stem cells and platelet rich plasma to the more usual pharmaceutical interventions. With all options, the aim is to get the dog as free from pain as possible so that it can complete a rehab programme aimed at restoring function. Guest Bio: Matt Brunke DVM, DACVSMR, CCRP, CVPP, CVA is a diplomate of the American College of Veterinary Sports Medicine and Rehabilitation and practises rehabilitation, acupuncture and pain management in Maryland, US. 5 Key takeaways: Obesity worsens arthritis Extra fat increases joint stress and inflammation. Pain relief comes first Dogs need pain control before rehab can work. Diet matters Good nutrition and supplements can support joint health. Treatment should be multimodal Combining meds, rehab, weight loss, and therapies works best. Focus on quality of life The goal is better movement, comfort, and daily function. Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritis Instagram: https://www.instagram.com/canine_arthritis Youtube: https://www.youtube.com/c/CanineArthritisManagement LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Have questions send them to: podcast@caninearthritis.co.uk

Carrie Smith joins Hannah Capon to discuss physiotherapy approaches for managing arthritis in dogs through two case studies. Sidney developed allodynia after multiple surgeries, causing normal touch to feel painful due to chronic pain and central sensitisation. His case highlights how painful dogs are often mislabelled as “difficult” and how therapies like kinesio-taping can help. The second case follows Emily, a 15-year-old malamute whose arthritis suddenly worsened despite good management. With extra rest, support, and time, Emily recovered well, demonstrating the importance of adapting care during flare-ups. Carrie also shares an acupuncture case, reflecting her continued passion for rehabilitation therapy. 5 Key Takeaways: Pain is not always obvious Arthritis pain can alter the nervous system, making normal touch feel painful. Behaviour can indicate pain is present “Difficult” behaviour in dogs may actually be a sign of hidden pain. Treatment should be individualised Effective arthritis care needs a tailored, multimodal approach. Flare up are part of the arthritis journey Arthritic dogs often experience flare-ups that require extra support and rest. Patience matters Patience, compassion, and creative therapies can improve quality of life. Guest Bio: Carrie Smith graduated from the University of Western Ontario in 1985 with a Bachelor of Science in Physical Therapy. She holds a certificate GUNN IMS (dry needling), a certificate in Acupuncture from the Acupuncture Foundation of Canada Institute and a certificate in sports physiotherapy. Carrie was the team physiotherapist for the Canadian Women’s National Hockey Team 1996-1998 including the 1998 Olympic Winter Games in Nagano, Japan and team physiotherapist for the Canadian Men’s National Rugby Team 2007-2012, including the 2011 Rugby World Cup in New Zealand. Since 2018 Carrie has been the physiotherapist for the Canadian WAO Team (World Agility Open) and she is the owner of Kemptville Physiotherapy Centre and Kemptville Canine Centre. Learn more about CAM: Facebook: Canine Arthritis Management Instagram: Canine Arthritis Management (@canine_arthritis) • Instagram profile Youtube: Canine Arthritis Management LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Have questions send them to: info@caninearthritis.co.uk

This weeks Facebook Live is with Nicki Bell who is joined by Steph Ellis. Steph is a veterinary nurse turned physiotherapist, shares practical guidance on exercising young dogs and managing arthritis. She questions rigid rules like the “five minutes per month” guideline and instead focuses on tailored conditioning, core stability, and recognising fatigue. The conversation underlines how movement, rest, and early training to settle shape long-term joint health. Steph Ellis is a qualified veterinary nurse and veterinary physiotherapist with over 10 years of experience. She holds a postgraduate diploma and is a member of the National Association of Veterinary Physiotherapists. She has worked for seven years as a self-employed physio with Four Feet Physio, alongside part-time work at a Veterinary Osteoarthritis Alliance affiliated practice. Much of her work focuses on arthritic patients and owner education. Steph also has personal experience managing a young, active dog with multiple orthopaedic conditions, including elbow injury, carpal deformities, and hip dysplasia. Rethink the 5-minute rule Exercise needs to be tailored to the individual dog, not a fixed formula. Focus on conditioning Strength and core stability are more important than just increasing activity. Clarify lead exercise On-lead work should be controlled and purposeful, not just slow walking. Spot fatigue early Small changes in movement or behaviour often signal the need to stop. Teach proper rest Dogs need to learn how to settle, as rest is key for recovery and joint health. Relevant links Support your dog’s joints before issues arise. Download the ramps booklet in the memberzone and learn how to reduce strain in everyday life. https://caninearthritis.co.uk/member-zone/ Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritis Instagram: https://www.instagram.com/canine_arthritis Youtube: https://www.youtube.com/c/CanineArthritisManagement LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Have questions send them to: info@caninearthritis.co.uk Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs. Guest BioKey takeaways

This episode of Canine Arthritis Matters focuses on the role of exercise in managing canine osteoarthritis. Core message: exercise is essential, but highly individual. It is not just about “going for a walk”, but about a structured, adaptive approach that considers the dog’s condition, environment, and behaviour. The conversation between Hannah Capon and Dr. Danielle Anderson expands exercise into a multidimensional tool: • physical rehabilitation • mental stimulation • emotional bonding They highlight that many dogs are either over-exercised or under-exercised due to lack of guidance, and that caregivers often struggle to balance routine, emotion, and medical reality. The episode reframes exercise as a tailored, monitored, and evolving component of a broader care strategy, not a fixed routine. Guest Bio Dr. Danielle Anderson is a Canadian veterinarian specialising in canine rehabilitation and pain management. She graduated from the Ontario Veterinary College in 2002 and later completed her certification in canine rehabilitation through the University of Tennessee. Driven by a need for better pain management solutions, she founded her own rehab facility (SAW Veterinary Rehab), where she focuses on improving mobility, function, and quality of life for dogs with conditions like osteoarthritis. Her work combines clinical expertise with hands-on therapy, exercise programming, and a strong emphasis on owner education. Key Takeaways 1. Exercise is always relevant, but never one-size-fits-all Every dog requires a tailored plan based on age, condition, and lifestyle. 2. “Exercise” is more than walking It includes transitions (standing up), balance work, hydrotherapy, mental stimulation, and targeted rehab exercises. 3. Too much exercise is just as harmful as too little Many dogs push through pain, which misleads owners into overdoing activity. 4. Monitoring is critical The proactive-reactive-reflective approach helps adapt exercise safely over time. 5. Caregiver behaviour is a major factor Emotional attachment, routines, and lack of guidance often drive poor exercise decisions. Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritis Instagram: https://www.instagram.com/canine_arthritis Youtube: https://www.youtube.com/c/CanineArthritisManagement LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Have questions send them to: info@caninearthritis.co.uk Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

This May we are fousing on exercise, Hayley Laches joins Nicki Bell to introduce Canine Hoopers, a low-impact dog sport designed to be inclusive for all dogs and handlers. Unlike traditional agility, Hoopers removes jumping, sharp turns and high physical strain, making it especially suitable for older dogs, dogs with mobility issues or those in pain management programs. Dogs navigate a flowing course of hoops, tunnels, barrels and mats, either alongside their handler or at a distance. The focus is not speed or intensity, but movement, confidence and connection. Hoopers shows that exercise does not need to be high impact to be effective – it can be adapted, accessible and still deeply enriching. The key message for May: exercise should be possible for every dog – it just needs to be the right kind. Guest Bio Hayley Laches is the founder of Canine Hoopers UK (CHUK), established in 2017. She developed Hoopers as an inclusive, low-impact alternative to agility, allowing dogs of all ages and abilities to stay active. Through CHUK, she offers training, competitions and the Good Hoopers Awards, helping owners build stronger relationships with their dogs through accessible exercise. 5 Key Takeaways 1. Exercise is not one-size-fits-all Even dogs with limitations can stay active – the format just needs to be adapted. 2. Low impact does not mean low value Controlled movement without jumping or sharp turns still builds strength, coordination and wellbeing. 3. Confidence is as important as fitness Hoopers supports mental stimulation and reduces fear or frustration linked to movement. 4. Handler flexibility matters Owners can run with their dog or guide from a distance – making it accessible for humans too. 5. Consistency over intensity Regular, manageable movement is more beneficial than occasional high-intensity exercise. Relevant Links Canine Hoopers UK (CHUK) https://www.caninehoopersuk.co.uk/ CHUK Facebook https://www.facebook.com/caninehoopersuk Hayley Laches website http://tamingcanines.co.uk/ Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritis Instagram: https://www.instagram.com/canine_arthritis Youtube: https://www.youtube.com/c/CanineArthritisManagement LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Have questions send them to: info@caninearthritis.co.uk Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.