Canine Arthritis Matters

In this episode of Canine Arthritis Matters, Hannah Capon welcomes Professor Clare Rusbridge, a world-renowned veterinary neurologist, to discuss the complex overlap between neurological and orthopaedic disease in dogs. Together, they explore how conditions such as Chiari malformation, syringomyelia, neuropathies, and osteoarthritis often coexist, and how misinterpretation can lead to over-medication or even unnecessary surgeries.Clare highlights practical diagnostic tips for vets in general practice, shares stories from her extensive clinical experience, and tackles the risks of polypharmacy when pain is assumed to be the sole culprit. The conversation also explores the role of validated tools like Chiari Check, the importance of reassessment, and the need for a more multidisciplinary approach to chronic pain.Guest Bio:Professor Clare Rusbridge is a diplomate of the European College of Veterinary Neurology and Professor in Veterinary Neurology at the University of Surrey. She also serves as a senior neurologist at Wear Referrals. With over 160 scientific publications and numerous book chapters, including contributions to both veterinary and human neurology, Clare is an internationally recognised leader in neuropathic pain.Her work focuses on Chiari malformation and syringomyelia, and she has been instrumental in raising awareness about neurological causes of chronic pain in dogs. In addition to her clinical and academic work, Clare runs the educational YouTube channel Claire-NeuroVet and serves as a trustee and patron for several welfare organisations, including the Dog Breeding Reform Group and Cavaliers Matter.Key Takeaways:1. Neurological disease and orthopaedic pain often overlap, making careful assessment essential to avoid misdiagnosis.2. Polypharmacy can worsen clinical signs; drug side effects such as sedation may mimic progression of disease.3. Simple observation tools—like gait videos and pain scoring—can reveal hidden neurological or orthopaedic causes of mobility problems.4. Chiari malformation and syringomyelia remain under-recognised, particularly in toy and brachycephalic breeds, but screening tools like Chiari Check can help.5. Chronic pain management requires layered planning: acute care, long-term management, and flare protocols for caregivers and vets.Relevant Links:Join the CAM Member ZoneAccess exclusive resources, webinars, and practical tools for managing canine osteoarthritis and chronic pain.Join here: https://www.caninearthritis.co.uk/member-zone/Explore the Chiari Treatment AlgorithmLooking for structured guidance on managing Chiari malformation and syringomyelia in dogs? Use the free treatment algorithm here: https://caninechiari.com/treatmentAlgorithmChiari Check Questionnaire: https://www.chiaricheck.co.uk/Clare Rusbridge’s YouTube Channel (Claire-NeuroVet): https://www.youtube.com/@claire-neurovetLearn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Dr. Hannah Capon is joined by Dr. Mark Epstein, a leading voice in veterinary pain management and co-owner of Total Bond Veterinary Hospitals in the US. Together, they dive deep into the complexities of recognising, assessing, and managing chronic pain in dogs and cats. From validated clinical metrology instruments (COAST, LOAD, CBPI, CSOM) to the promise of anti-NGF monoclonal antibodies, Mark shares insights from both research and everyday practice.The discussion also touches on the potential role of AI in the near future, the importance of multimodal management beyond pharmaceuticals, and the need for better caregiver communication. With candid reflections on successes, challenges, and the risk of polypharmacy, this episode offers both practical advice and thought-provoking perspectives for anyone involved in chronic pain management.Guest BioDr. Mark E. Epstein is a board-certified diplomate of the American Board of Veterinary Practitioners in canine and feline practice. He serves as medical director and co-owner of Total Bond Veterinary Hospitals in North Carolina. With decades of experience in companion animal pain management, he is a founding fellow of the ABVP’s Companion Animal Pain Management and the International Veterinary Academy of Pain Management.Mark is a certified veterinary pain practitioner, frequent lecturer, and author of peer-reviewed journal articles and book chapters. He has chaired the American Animal Hospital Association’s Senior Care Guidelines and Pain Management Guidelines Task Force. Despite his global reputation, Mark emphasizes that most of his work is still first-opinion general practice — making his insights directly relevant to everyday clinicians.Key Takeaways1. Pain recognition and assessment remain the biggest challenges in chronic pain management; validated tools like COAST, LOAD, CBPI, and CSOM can help but each has strengths and weaknesses.2. COAST staging provides a common language for veterinarians, particularly useful for early identification (Stage 1 dogs at risk).3. Multimodal care must go beyond drugs — weight management, exercise, client education, and lifestyle changes are essential.4. Polypharmacy requires caution; gabapentinoids in particular may contribute to sedation and proprioceptive issues that are misinterpreted as disease progression.5. The future of pain management includes monoclonal antibody therapies and potentially AI-based assessment tools, but empathetic caregiver communication will always be central.Relevant linksFor more practical tools, resources, and ongoing education in osteoarthritis and chronic pain management, visit the CAM Member Zone:https://www.caninearthritis.co.uk/member-zone/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Dr. Hannah Capon speaks with Dr. Tyler Carmack, Director of Hospice and Palliative Care at Caring Pathways. Dr. Carmack shares her journey from emergency medicine into dedicating her career to hospice and palliative care for companion animals. Together, they explore how end-of-life care can be approached with compassion, planning, and innovation, particularly in cases of chronic pain and osteoarthritis. From emergency kits to integrative therapies and caregiver communication, this conversation sheds light on an area of veterinary medicine that remains under-discussed but deeply impactful.Guest BioDr. Tyler Carmack is the Director of Hospice and Palliative Care for Caring Pathways. She founded Hampton Roads Veterinary Hospice in 2011 and has practiced exclusively in hospice and palliative care for over a decade. Dr. Carmack has served on the board of the International Association for Animal Hospice and Palliative Care (IAAHPC) since 2016 and lectures internationally on end-of-life care. She holds certifications in animal hospice, palliative care, veterinary acupuncture, Chinese food therapy, traditional Chinese veterinary medicine, and end-of-life care. Her professional passions include pain management and caregiver support during the most difficult stages of a pet’s life.Key Takeaways1. Hospice and palliative care are distinct yet complementary approaches—palliative can begin early in life to support comfort, while hospice typically refers to the final stages.2. Emergency medication kits provide families with peace of mind and help manage crises until veterinary support is available.3. Tools like quality-of-life and frailty scales can empower caregivers and improve communication with veterinary teams.4. Simple lifestyle adjustments—traction mats, ramps, and planned mobility support—can dramatically improve quality of life in older or frail pets.5. End-of-life care requires not only medical expertise but also time, compassion, and proactive planning for both pets and their families.Relevant linksIf you want to deepen your understanding of hospice and palliative care, explore resources at:Caring Pathways – https://charlotte.caringpathways.com/meet-our-team/dr-tyler-carmack-director-of-hospice-and-palliative-care/International Association for Animal Hospice and Palliative Care (IAAHPC) – https://iaahpc.org/For veterinary professionals, further tools and handouts are available in our CAM Member Zone:https://www.caninearthritis.co.uk/member-zone/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Hannah Capon is joined by ACPAT veterinary physiotherapist Amy King to discuss one of the most common causes of pelvic limb lameness in dogs: cruciate disease. As the leading driver of stifle arthritis, cruciate ligament injuries demand careful management, whether surgical or conservative.Amy explains the underlying causes and pathophysiology of cruciate disease, key interventions and why they matter, and practical rehabilitation approaches tailored for both post-surgical and conservatively managed dogs. With insights drawn from her clinical work and research, Amy highlights how physiotherapy supports recovery, reduces the risk of further joint deterioration, and helps maintain mobility and quality of life.Guest Bio:Amy King has worked as a physiotherapist since 2012 and earned her MSc in Veterinary Physiotherapy from Hartpury in 2018. She joined The Win Clinic in Somerset in 2019, where she treats a varied caseload including orthopaedic, neurological, and musculoskeletal conditions, as well as sporting dogs.In 2021, Amy presented research on canine hypermobility at the ACPAT seminar, reflecting her interest in advancing evidence-based rehabilitation. At home, she enjoys training her Labrador, Tolly, in recreational gundog work.Key Takeaways: 1. Cruciate disease is the leading cause of stifle arthritis and must be managed carefully to reduce long-term joint damage. 2. Surgery is generally the gold standard, but some cases can be managed conservatively with appropriate support. 3. Physiotherapy plays a critical role in both surgical and conservative cases, aiding recovery and preventing compensatory problems. 4. Rehabilitation should be tailored to the individual dog’s needs, age, activity, and concurrent conditions. 5. Early intervention and structured support can significantly improve long-term quality of life for cruciate patients.Relevant Links:Join the CAM Member ZoneGain access to exclusive resources, webinars, and support materials for managing canine arthritis in clinical practice and at home.Join here: https://www.caninearthritis.co.uk/member-zone/Use the CAM Vet Nurse Flip ChartThe OA Flip Chart is a practical consultation tool designed to help veterinary nurses explain osteoarthritis and its management to owners clearly and confidently.Find it here: https://www.caninearthritis.co.uk/product/oa-flipchart/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Hannah Capon is joined by Professor Natasha Olby of North Carolina State University to explore the emerging but under-recognised concept of frailty in companion animals. Frailty is widely studied in human medicine but rarely discussed in veterinary practice, despite its major implications for how we interpret behaviour, manage medications, and support quality of life in ageing dogs.Together, they discuss how frailty differs from chronic pain, why misinterpreting one for the other can lead to over-medication or missed interventions, and how recognising frailty creates opportunities for prevention, lifestyle modification, and better caregiver guidance. Natasha also introduces her team’s newly developed frailty screening tool for dogs and explains how it can help veterinarians and owners identify pre-frail states and take action earlier.Guest Bio:Professor Natasha Olby is a veterinary neurologist at North Carolina State University. She earned her PhD in spinal cord injury, completed advanced surgical training in neurosurgery, and has received numerous awards, including the Faculty Achievement Award from the American Association of Veterinary Clinicians and the Dr. Kady M. Gjessing and Rahna M. Davidson Distinguished Chair in Gerontology.She has authored countless publications and edited the BSAVA Manual of Companion Animal Neurology. Her current research focuses on ageing of the nervous system and frailty in dogs, with a landmark paper published in 2024:Russell, K. J., Mondino, A., Fefer, G., Griffith, E., Saker, K., Gruen, M. E., & Olby, N. J. (2024). Establishing a clinically applicable frailty phenotype screening tool for aging dogs. Frontiers in Veterinary Science, 11. https://doi.org/10.3389/fvets.2024.1335463Key Takeaways: 1. Frailty is not simply “old age” but a clinical syndrome of accumulated impairments across multiple systems, leading to increased vulnerability.2. Frailty and chronic pain can look similar, but confusing the two risks over-prescribing medications or missing opportunities for lifestyle support.3. Frailty is multidimensional: physical, nutritional, social, and cognitive domains all contribute.4. Pre-frail states can be modified—early recognition allows exercise, nutrition, and environmental changes to slow progression. 5. Frailty screening tools can help veterinarians and owners identify risk, predict outcomes, and tailor interventions more effectively.Relevant Links:Join the CAM Member ZoneGain access to exclusive resources, webinars, and a supportive community dedicated to improving life for dogs with chronic pain and frailty.Join here: https://www.caninearthritis.co.uk/member-zone/Access the Chronic Pain Symposium On-DemandMissed it live? You can still watch all lectures and expert discussions through our Education Centre.Access now: https://www.cameducation.co.uk/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Hannah Capon speaks with Dr. Deborah (Deb) Torraca of Wizard of Paws, a pioneer in veterinary rehabilitation. Together they dive into one of the most overlooked challenges in managing osteoarthritis: comorbidities such as kidney disease, heart disease, or cancer that often overshadow pain management.Deb shares her wealth of experience treating complex cases, showing how rehab, lifestyle modifications, and manual therapies can still transform quality of life—even when drugs like NSAIDs are limited or contraindicated. She emphasizes the importance of “baby steps” in building sustainable care plans, the overlooked role of enrichment and fun, and how simple tools like rugs, nail trims, and mobility aids can have life-changing impact.This is a practical and inspiring discussion that calls for a cultural shift: osteoarthritis care should not be sidelined, and rehabilitation should be seen as a first-line option, not a last resort.Guest Bio:Dr. Deborah Torraca is the founder of Wizard of Paws Rehabilitation in the United States and a leading international educator in veterinary rehab. Originally trained as a human physical therapist, she shifted her focus to animals and has since authored and co-authored numerous textbook chapters, published research, and spoken at veterinary conferences worldwide.Deb combines clinical practice with teaching, research, and industry collaboration, making her uniquely placed to comment on the real-world challenges of managing canine osteoarthritis and chronic pain. Her philosophy is rooted in practicality: use what’s available, start with the basics, and empower owners with realistic, effective steps to improve their dog’s life.Key Takeaways:1. Comorbidities should not eclipse pain management. OA is often deprioritised in favour of conditions like kidney or heart disease, but untreated pain worsens overall health and quality of life.2. Rehab is a first-line treatment, not a last resort. Many dogs improve significantly through lifestyle adjustments, exercise, and manual therapies—sometimes avoiding surgery altogether.3. Baby steps matter. Introducing gradual, sustainable changes is more effective and affordable than overwhelming dogs and caregivers with every possible intervention at once.4. Practical tools make a big difference. Rugs, mobility aids, nail care, and enrichment activities can improve comfort and reduce stress on painful joints.5. Quality of life includes joy. Beyond pain relief, ensuring enrichment, fun, and family connection is central to managing chronic conditions in dogs.

In this thought-provoking episode of Canine Arthritis Matters, Hannah Capon sits down with Vincent Hoogstad, a physiotherapist turned animal rehabilitation practitioner and educator. Together, they explore the complexities of pain: how animals and humans perceive it differently, the cultural drivers that shape our response to it, and why pain behavior is not always a reliable indicator of suffering.The conversation dives into evolutionary perspectives, the distinction between emotions and feelings, and how caregivers’ expectations often complicate decision-making in veterinary practice. Vincent shares stories from his clinical work and his broader studies in ethology, primatology, and conservation, alongside reflections from his book Monkey Business.Listeners are invited to challenge assumptions about pain, embrace observation over assumption, and reflect on how empathy and environment shape the way we interpret suffering in both humans and animals.Guest Bio:Vincent Hoogstad began his career as a human physiotherapist in Rotterdam before shifting his focus to animal rehabilitation and behavioral ecology. He has trained extensively in physical rehab (University of Tennessee), primatology, wildlife conservation, and the One Health perspective. Based in Crete, he runs a small rehabilitation business while lecturing internationally.Vincent is also the author of Monkey Business, a book exploring empathy, sociality, and the interconnectedness of humans and animals. He is passionate about bridging science, philosophy, and practice to better understand pain and behavior across species.Key Takeaways1. Pain is always real, but pain behavior is heavily influenced by environment and context.2. Animals often hide pain, especially prey species, which makes observation skills critical.3. Human cultural expectations strongly influence how caregivers interpret and respond to their pet’s pain.4. Observation is often more reliable than owner reports when assessing discomfort.5. Education, empathy, and environmental modification are as powerful as medication in managing chronic pain.Relevant Links:Monkey Business (Vincent Hoogstad’s book): https://www.amazon.co.uk/Monkey-Business-Empathy-Animals-People/dp/1916238549/Join the CAM Member ZoneAccess tools, guides, and exclusive education to help you better understand and manage arthritis in dogs. From lifestyle modification resources to validated pain questionnaires, the Member Zone equips you with everything you need to improve your dog’s quality of life.Join here: https://www.caninearthritis.co.uk/member-zone/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Hannah Capon speaks with João Alves MRCVS, a veterinary surgeon with a special interest in chronic pain and osteoarthritis. Together they discuss why spotting pain early is vital, how misinterpreting behaviour can delay care, and why arthritis should be considered long before obvious lameness develops.João shares practical advice for general practitioners on integrating chronic pain assessment into everyday consults, from history-taking to subtle movement observation. He and Hannah also explore the importance of teamwork with owners, how simple validated tools can improve accuracy, and why communication and empathy are often as powerful as prescriptions in managing canine OA.Guest Bio:João Alves MRCVS is a veterinary surgeon based in the UK with a strong focus on chronic pain management and welfare. He has built his clinical practice around improving outcomes for dogs living with osteoarthritis and other long-term pain conditions, ensuring that both vets and owners have the knowledge and tools to intervene earlier. João is passionate about bridging the gap between research and everyday practice, making pain management more accessible and effective for all.Key Takeaways: 1. Chronic pain is often under-recognised. Behavioural changes such as reluctance to jump, subtle stiffness, or reduced play may be early red flags.2. Owners are key partners. Teaching them to recognise and record changes helps provide better evidence for diagnosis and management.3. Validated assessment tools reduce subjectivity and help track progress more reliably than owner memory alone.4. Pain management should begin early—waiting for overt lameness means lost time and welfare compromise.5. Empathy, continuity, and communication are central. Building trust leads to more accurate reporting and better adherence to management plans.Relevant Links:Join the CAM Member ZoneAccess webinars, guides, case studies, and a supportive community of professionals and pet owners working to improve canine arthritis care.Join here: https://www.caninearthritis.co.uk/member-zone/Use the Suspicion of Chronic Pain FormHelp identify dogs that may be living with hidden pain. This validated form supports early recognition and structured conversations with owners.Download here: https://caninearthritis.co.uk/suspicion-of-chronic-pain/Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

This episode of Canine Arthritis Matters takes a practical look at how telehealth can strengthen osteoarthritis care in the UK (and beyond). Host Hannah Capon is joined by registered veterinary nurse Evie Tumon and senior anaesthetist/pain specialist Dr. James Hunt to unpack what remote guidance adds: time to listen, continuity, calmer conversations outside the “white coat” setting, and a clearer framework for weight, lifestyle, and analgesia decisions that owners can take back to their primary vet. The team discuss variability in current OA care, why “no recipes” means we must monitor and adapt, and how validated tools (like the Canine Brief Pain Inventory) help align owner perception with a dog’s day-to-day function. They also share how the CAM teleguidance service supports overloaded practices by offering owners structured coaching, while reinforcing that in-person exams and prescribing stay with the primary vet. Guest Bios:Evie Tummon, RVNEvie is a registered veterinary nurse working in clinical practice and on CAM’s tele-platform, where she hosts discovery calls and leads nurse calls. Her focus is demystifying choices for overwhelmed caregivers and breaking change into doable steps that fit each home and dog. Dr. James HuntJames is a senior anaesthetist at a multidisciplinary referral hospital, runs Pet Pain Relief (a clinic dedicated to pain management), and is a specialist in ethics and welfare with a PhD focused on chronic pain/OA. In CAM’s tele service he helps owners and vets build robust, basics-first plans—weight, lifestyle, analgesia—and use validated tracking so everyone can see what’s working. Key Takeaways:1. Telehealth complements, it doesn’t replace. Remote sessions remove time pressure, reduce the “frozen in the consult room” effect, and let clinicians tailor plans to the caregiver’s reality—then loop back to the primary vet for exams and prescribing. 2. Framework over “fix.” OA management isn’t a one-step recipe; start with weight, daily life changes, and clear priorities, then add/adjust analgesia and adjuncts based on response. 3. Measure what matters. Pair an owner’s unique pain indicators with a validated tool like the Canine Brief Pain Inventory to track severity, interference with activities, and quality of life over time. Expect scores to spark useful conversations, not just produce a “number.” 4. Lower the stress to raise the care. For reactive or anxious dogs, remote guidance can be a lifeline; it builds caregiver confidence and plans for low-stress vet visits (timing, ramps, car setups) before the next in-person appointment. 5. Plan for flares and continuity. Set expectations that flare-ups happen, agree an analgesic “flare plan” in advance, and keep the same clinician(s) involved so owners feel heard and supported across visits. Relevant Links:Get Support Through TeleguidanceWhether you’re feeling overwhelmed with options or just want a clear, step-by-step plan for your dog’s osteoarthritis care, our teleguidance team is here to help. You’ll receive personalised advice you can take straight back to your own vet—without leaving home.Find out more: https://caninearthritisteleguidance.co.ukChronic Pain Symposium On-DemandMissed the live event? Watch all lectures anytime through the Education Centre and level up your OA toolkit.Access now: https://www.cameducation.co.uk/Join the CAM Member ZoneGet ongoing support, templates, webinars, and Q&As to manage canine OA more confidently.Join here: https://www.caninearthritis.co.uk/member-zone/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, Hannah Capon speaks with Ben Cormack, an international educator and musculoskeletal therapist with over 20 years of experience, about the relevance of the biopsychosocial (BPS) model in veterinary care.Ben explains the history and philosophy behind the BPS model, why it should be seen as a framework rather than a fixed treatment method, and how it can enhance communication, trust, and treatment outcomes. Together, they explore the parallels between human and veterinary medicine, highlighting how lifestyle, environment, psychology, and social factors can influence recovery as much as the physical diagnosis itself.They also discuss the pitfalls of over-relying on polypharmacy, the importance of prognosis over diagnosis, and why taking time to truly listen to clients and patients can be transformative. Ben shares personal stories, including how he applied these principles to his own dog, Teddy, and how small environmental or emotional adjustments can make a big difference in an animal’s comfort and quality of life.Guest Bio:Ben Cormack is a musculoskeletal therapist, international presenter, writer, and educator with a patient-centred approach to rehabilitation. He owns Core Kinetic and co-owns The Better Clinician Project, offering evidence-based education to health professionals. Ben specialises in movement and exercise-based rehab, integrating the biopsychosocial framework into his work. He lectures globally, contributes to academic publications, and still works clinically to stay connected to real-world patient needs.Key Takeaways:The biopsychosocial model is a philosophy of care, not a fixed checklist, and should enhance rather than replace biomedical precision.Listening to the patient (or client) is fundamental—understanding context and personal circumstances often guides better treatment decisions.The source of pain is not always the cause; genetics, environment, behaviour, and emotional factors often play major roles.Over-reliance on medications can overlook lifestyle and environmental changes that may have a bigger long-term impact.Veterinary care can benefit from adopting strategies from human healthcare, such as focusing on prognosis, social factors, and patient-centred communication.Relevant Links:Core Kinetic: https://www.core-kinetic.com/The Better Clinician Project: https://www.betterclinicianproject.com/Chronic Pain Symposium On-DemandMissed the live event? You can still access every lecture from the Chronic Pain Symposium through our Education Centre. Learn from leading experts in pain management and rehabilitation at your own pace.Access now: https://www.cameducation.co.uk/⸻Join the CAM Member ZoneGet ongoing support, resources, and exclusive content designed to help you manage canine arthritis more effectively. The CAM Member Zone offers webinars, guides, Q&As, and a community of like-minded professionals and pet owners.Join here: https://www.caninearthritis.co.uk/member-zone/Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode of Canine Arthritis Matters, host Hannah Capon speaks with Dr. Laurie McCauley, a leading voice in veterinary rehabilitation. Together, they explore how movement, touch, and integrative therapies can transform the lives of dogs living with osteoarthritis.Dr. McCauley shares practical strategies for at-home care, discusses the power of isometric exercises, and explains how tools like lasers and tuning forks can play a supportive role in reducing pain and improving mobility. The conversation also highlights common missteps by both caregivers and clinicians and emphasizes low-cost, high-impact interventions that anyone can implement.Whether you’re a vet, physio, or pet parent, this episode offers grounded advice and inspiration for helping dogs move and feel better—no matter their age or condition.Guest BioDr. Laurie McCauley has dedicated her career to keeping pets happy, healthy, and mobile. A graduate of Colorado State University’s School of Veterinary Medicine, she spent six years in general practice before pioneering the field of veterinary rehabilitation. She designed the first underwater treadmill for dogs and opened one of the first dedicated rehab clinics.Board-certified in canine sports medicine and rehabilitation, Dr. McCauley is also certified in acupuncture and chiropractic therapy. She served on the faculty of the Canine Rehabilitation Institute for 14 years, lectures internationally, and contributes to leading veterinary journals and textbooks.She currently runs Red Tail Rehab, a mobile rehab clinic based in North Carolina, and is the founder of Optimum Pet Vitality—an online education platform offering courses for both professionals and pet parents.Courses include laser therapy, myofascial work, and her widely popular tuning fork therapy program. Her mission is to teach people how to help their pets live longer, stronger lives through hands-on care, education, and empowerment.Key Takeaways1. Use isometric exercisesRhythmic stabilization and three-legged stands are low-risk exercises that build strength safely. They are especially valuable for geriatric or fragile dogs and can be done at home with minimal equipment.2. Touch is therapyGentle, intentional touch can reduce cortisol, improve circulation, and support pain relief. It’s not just emotional—it’s physiological. Don’t underestimate the power of your hands.3. Walk your dog dailyEven dogs with arthritis benefit from daily walks. Movement maintains joint health and stamina. Frequency, not distance, is what matters.4. Exercise must be tailoredActivities like ball play can be risky if done without thought. Understanding the dog’s physical condition is critical to choosing appropriate, safe exercises.5. Therapies like PEMF and tuning forks work—but require knowledgeModalities such as lasers, tuning forks, and PEMF devices can reduce pain and support healing—but they’re most effective (and safest) when used by someone trained.Relevant Links: • Optimum Pet Vitality online learning hub: https://www.optimumpetvitality.com/ • Tuning Fork Therapy Course: https://courses.optimumpetvitality.com/tuning-into-your-dog This episode is supported by Accord Animal Health, makers of PerNic® Cox—a palatable joint support paste for dogs, formulated with cold-pressed Green Lipped Mussel oil. It’s delivered in an easy-to-use syringe for precise dosing, ideal for dogs with osteoarthritis.Learn more about PerNic® Cox and the full range of natural supplements at:https://accord-animalhealth.comLearn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

Hannah Capon speaks with PhD researcher Georgia Wells about functional mobility in dogs—what it really means, how it differs from lameness, and why current tools like CBPI and LOAD only scratch the surface. Georgia shares the path from dog grooming to academia, her current research on developing a functional mobility scale for caregivers to use at home, and why assessing everyday activities like toileting, eating, and play could be key to detecting problems earlier. A must-listen for anyone invested in chronic pain, early OA detection, or environmental modification.Georgia Wells is a PhD candidate with Scotland’s Rural College and the University of Edinburgh, researching functional mobility in dogs. Her background spans zoology, locomotion studies (including pangolins!), and hands-on grooming experience. This blend of academic and real-world insight informs her work on developing a functional mobility scale that empowers caregivers to notice and act on subtle movement changes in dogs. Georgia is passionate about improving welfare through better owner-led assessment and early detection of compromised mobility.Key Takeaways​Functional mobility = more than gait—it’s about how dogs do daily tasks like toileting, eating, and moving between spaces.​Caregivers are uniquely positioned to notice changes, but they need the right tools and guidance.​Georgia’s scale is designed to be practical, accessible, and usable at home—unlike current vet-only tools.​Environmental factors (stairs, flooring, access) often go unnoticed but drastically impact function and comfort.​Functional changes may signal disease earlier than clinical signs—making this scale a future game-changer.Useful CAM Tools Mentioned (All in Member Zone):​Chronic Pain Indicator Chart​Suspicion of Chronic Pain Form​Good Day – Bad Day Diary​It’s My Home Too – Environmental Checklist (Home FAST adaptation)Join the CAM Member ZoneFor just £35 per year, get access to CAM’s full library of caregiver tools, printouts, and support materials.https://caninearthritis.co.uk/the-cam-member-zone/Get Involved – Participate in Georgia’s StudyGeorgia is currently recruiting dogs (healthy and mobility-compromised) to validate her functional mobility scale.Register your interest: https://static.onlinesurveys.ac.uk/static/common/html/maintenance.htmlOr email: georgia.wells@sruc.ac.ukRead her paper here - https://pure.sruc.ac.uk/ws/portalfiles/portal/89957113/1-s2.0-S1090023324000625-main.pdfSponsor AcknowledgementThis podcast is sponsored by ZoetisWe’re proud to acknowledge Zoetis for supporting the education of veterinary and allied professionals, including through their sponsorship of the Chronic Pain Symposium (CPS).Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode, physiotherapist and researcher Nicole Bausch joins Hannah Capon to explore the overlooked concept of acute flares in canine osteoarthritis. Drawing from her background in the human health sector, Nicole explains how flares have only recently been formally defined even in people, and why this definition is essential for improving communication, treatment decisions, and outcomes in dogs. Hannah shares real-world challenges from clinical practice and personal experience, highlighting the risks of overmedication, caregiver distress, and missed welfare concerns when flares are not recognised or understood.Key Takeaways1. Acute flares are common but under-recognised. Until recently, even the human sector lacked a clear definition of OA flares.2. Flare-ups can resolve spontaneously. Without awareness, vets may escalate medications unnecessarily or prematurely consider euthanasia.3. Flares affect quality of life. They can cause days or weeks of discomfort, disrupting sleep, mood, and daily activity.4. Imaging often doesn’t reflect pain. Radiographs or scans may not match what the dog is showing behaviourally.5. Triggers matter. Nicole and Hannah discuss how physical and emotional triggers like overactivity or stress can initiate flares.6. Better communication prevents problems. Hannah suggests that clearer explanations could reduce inappropriate spending and treatment.7. Real-life insight: Nicole describes flare patterns in her own 16-year-old Jack Russell and how understanding them changed her approach.8. Hannah on definition scope: “That’s all of OA until you cut it out, really isn’t it?”Don’t let flares catch you off guard.The CAM Acute Flare Kit is designed to help caregivers and professionals recognise, track, and respond to flare-ups quickly and confidently—reducing suffering and avoiding unnecessary treatment changes.Packed with practical tools, guidance, and templates, it supports you in managing discomfort as it happens and helps you spot patterns before they escalate.Access the Acute Flare Kit now in the CAM Member ZoneJoin the CAM Member ZoneFor just £35 per year, get access to CAM’s full library of caregiver tools, printouts, and support materials. - https://caninearthritis.co.uk/the-cam-member-zone/External Tools / Concepts Discussed:1. FLARE-OA16 Questionnaire (human OA flare measurement – currently in development)2. James Lind Alliance Research Priorities – https://www.jla.nihr.ac.uk3. OMERACT Working Group Flare Definition – https://omeract.org Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode, Professor Duncan Lascelles joins Hannah Capon to explore the future of pain management in dogs with osteoarthritis. Duncan shares insights from his extensive research into pain detection and his work on AniV8’s development of objective tools to measure chronic pain in companion animals. They walk through a case study to demonstrate how early recognition and a structured approach can transform outcomes. The discussion highlights why osteoarthritis should be viewed as a disease of younger dogs, and why early intervention opens the door to more treatment options and a better quality of life.Published 2023 – https://youtu.be/M_adx3azXT0Brief BioDuncan Lascelles is Professor of Small Animal Surgery and Pain Management at North Carolina State University. He leads the Translational Research in Pain (TRiP) program, which investigates how to detect and treat pain associated with spontaneous disease in animals. He is also Director of the Comparative Pain Research and Education Centre (CPREC) and Co-founder of AniV8, a company dedicated to developing innovative tools for measuring pain in companion animals. His work aims to advance both veterinary and human pain medicine.Key TakeawaysOsteoarthritis is not just a disease of older dogs—early onset is common and often overlooked.Objective tools to measure pain are crucial for both research and day-to-day treatment monitoring.AniV8 is working on new tech to measure pain through real-time, data-driven methods.A structured approach to case workups ensures no aspect of the dog’s condition is missed.Early diagnosis improves quality of life and increases the number of effective treatment options.Relevant LinksAniV8 – https://aniv8.comUseful CAM Tools Mentioned (All in Member Zone)Chronic Pain Indicator ChartSuspicion of Chronic Pain FormGood Day – Bad Day DiaryJoin the CAM Member Zone - For just £35 per year, get access to CAM’s full library of caregiver tools, printouts, and support materials.🡆 https://caninearthritis.co.uk/the-cam-member-zone/External Tools MentionedCanine Brief Pain Inventory (CBPI) – University of Pennsylvania:https://www.vet.upenn.edu/research/centers-laboratories/research-laboratory/clinical-investigation-center/current-clinical-trials/canine-brief-pain-inventoryLOAD (Liverpool Osteoarthritis in Dogs) – Elanco resourcehttps://mypetandi.elanco.com/uk/dog/loadHelsinki Chronic Pain Index (available via the Pawsita app)https://www.pawsita.comLearn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this CAM Live episode, Dr. Rowena Packer joins Hannah Capon to discuss her 2012 research on how dog owners often perceive breed-related health issues as “normal.” This perception can delay diagnosis and treatment and contribute to the continued breeding of dogs with extreme physical traits. The conversation focuses on the welfare consequences of conformational disorders, the caregiver burden, and how changing owner education and perception could lead to better outcomes. Rowena shares insight from her academic work and practical suggestions for improving veterinary communication around these issues.Published 2023 – https://youtu.be/nktzMyjR4boBrief BioRowena is the Senior Lecturer in Companion Animal Behaviour and Welfare Science at the Royal Veterinary College, London. Rowena leads a research group exploring diverse topics in this area, including the impact of chronic and inherited disorders on dog behaviour and welfare, the impact of owner knowledge, attitudes and behaviour on canine welfare, and caregiver burden. Rowena has co-authored >90 peer reviewed papers and book chapters and co-edited the textbook ‘Health and Welfare of Brachycephalic (Flat-faced) Companion Animals’ (2021). Rowena holds a PhD from the Royal Veterinary College (2013) which explored the impact of extreme conformation on canine health. Rowena is a founding member of Brachycephalic Working Group and the Legal Advisory Group on Extreme Conformation in Dogs.RVC profile: https://www.rvc.ac.uk/about/our-people/rowena-packerKey Takeaways 1. Many owners mistake clinical signs of inherited disorders as typical breed traits, delaying diagnosis and care.2. Extreme conformations can contribute to a wide range of health and behavioural problems, including chronic pain.3. Vets should proactively educate owners on the difference between breed standards and actual welfare concerns.4. Breed-driven expectations contribute to caregiver burden and complicate decision-making.5. Open access research and better communication are key tools in challenging the normalisation of suffering.Relevant LinksOriginal 2012 paper – https://www.researchgate.net/publication/225280218Follow-up studies:– https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0219918– https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0237276– https://www.mdpi.com/2813-9372/1/3/32 This podcast is in relation to this paper - Packer, R. M. A., Hendricks, A. & Burn, C. C. (2012) Do dog owners perceive the clinical signs related to conformational inherited disorders as ‘normal’ for the breed? A potential constraint to improving canine welfare. Animal Welfare 21, 81-­93Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this CAM Live episode, Dr. Brennen McKenzie (known as the SkeptVet) joins Hannah Capon to discuss why evidence-based medicine is essential in protecting animals and caregivers from ineffective or harmful treatments. They explore common arthritis-related therapies and highlight the importance of rigorous scientific testing. Topics include the use of NSAIDs, turmeric, CBD, glucosamine, PEMF, LED/laser therapy, essential fatty acids, and zoopharmacognosy.Published December 2020 – https://youtu.be/9l2PrUvQjW0Brief BioBrennen McKenzie is a small animal veterinarian, writer, and lecturer with a background in biology, physiology, and epidemiology. He holds a veterinary degree from the University of Pennsylvania and an MSc in Epidemiology from the London School of Hygiene and Tropical Medicine. He is the author of the book Placebos for Pets and founder of the SkeptVet blog, where he advocates for science-based veterinary care. He has served as President of the Evidence-Based Veterinary Medicine Association and continues to publish and lecture on veterinary decision-making and critical thinking.Key TakeawaysEvidence-based medicine helps prevent physical, emotional, and financial harm to both pets and owners.Many commonly used supplements and treatments lack strong scientific support for their effectiveness.NSAIDs remain one of the most well-researched and effective treatments for managing arthritis pain in dogs.Caregivers should understand how scientific evidence is built through rigorous testing, not anecdote.Evaluating claims critically helps caregivers make informed decisions and avoid unnecessary interventions.Relevant LinksSkeptVet Blog – http://skeptvet.com/Blog/Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode, Dr. James Elliott joins Hannah Capon to explore the use of radiotherapy in treating osteoarthritis-related pain in dogs. Known primarily as a cancer treatment, radiotherapy is now being examined for its potential in managing chronic pain when conventional treatments are not enough. James shares clinical insights, including the case of his own dog, and discusses the promise and challenges of this emerging approach.Brief BioDr. James Elliott is a veterinary oncologist at Southfields Veterinary Specialists. He graduated from the University of Edinburgh and completed a residency in medical oncology at the University of Liverpool. He later trained in radiation oncology in the United States. His current work includes using advanced radiotherapy techniques to manage both malignant and non-malignant conditions in animals, including osteoarthritis.Key TakeawaysRadiotherapy is being explored as a novel option for managing arthritis pain, particularly in dogs that cannot tolerate standard treatments.Modern radiation techniques allow short, targeted sessions, reducing stress and side effects.Not all dogs benefit equally; success may depend on the stage of the disease and location of pain.There is a low but present risk of radiation-induced side effects, including secondary cancer in younger animals.More research is needed, but early clinical results suggest radiotherapy could become a valuable tool in multimodal pain management.Relevant LinksPodcast episode – https://youtube.com/live/lhPF54u4DaASouthfields Veterinary Specialists – https://www.southfields.co.ukCAM Teleguidance service – https://caninearthritisteleguidance.co.ukCAM Member Zone – https://caninearthritis.co.uk/the-cam-member-zone/Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this CAM Live episode, Emma Milne joins Hannah Capon to discuss the impact of breed-related disease on dogs, the veterinary profession, and society. The conversation covers the ethical, economic, and welfare consequences of breeding for appearance, particularly in brachycephalic breeds. Emma shares her insights from years of animal welfare advocacy and challenges the industry to take stronger action to protect canine health.Published November 2023 – https://youtube.com/live/lhPF54u4DaABrief BioEmma Milne graduated from Bristol University in 1996 and worked in general practice before becoming a clinical nutrition advisor. She has been a trustee for the Animal Welfare Foundation and the Dog Breeding Reform Group and has worked with multiple charities. Emma is the founder of Vets Against Brachycephalism and has written nine books on animal welfare. In 2021, she was awarded a Fellowship by the RCVS for her contributions to the profession in the field of welfare. She now lives in France, continuing her welfare work and writing.Key TakeawaysBreed-related diseases, especially in flat-faced dogs, are preventable but continue due to outdated breeding standards.The veterinary profession needs to lead by example and stop enabling harmful breeding practices.Economic and ecological consequences are tied to these breeds through increased medical care and reduced animal wellbeing.Public perception of pedigree breeds needs to shift—purebred does not mean healthy.Greater unity and action are required from all professionals to create lasting change in animal welfare.Relevant LinksVets Against Brachycephalism - Emma’s campaign to highlight the cruelty of extreme dog breeding – https://www.vetsagainstbrachycephalism.comFunctional Dog Collaborative – A movement supporting healthy, temperamentally sound mixed-breed breeding - https://www.functionalbreeding.orgValley Vets - A practice refusing artificial fertility support for brachy breeds – https://www.valleyvets.netRVC VetCompass – A new framework to judge canine health by features, not breed name - https://www.rvc.ac.uk/vetcompassCAM Member Zone - £25/year for access to 450+ hours of education and tools – https://caninearthritis.co.uk/the-cam-member-zone/Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

Hannah Capon delivers a comprehensive recap of the 2024 Chronic Pain Symposium, a four-day event organized by Canine Arthritis Management (CAM). She explains its objectives, the interdisciplinary approach to chronic pain in animals, and the inclusion of various topics such as osteoarthritis, visceral, dental, and dermatological pain. Hannah discusses the planning, team efforts, guest speakers, session highlights, and the resources available for continued learning via CAM’s LearnWorlds platform.Key TakeawaysInterdisciplinary Approach: Chronic pain management requires a collaborative effort across veterinary professionals, behaviorists, caregivers, and more. This event emphasized breaking down professional silos.Massive Undertaking: The symposium took over 6 months of planning and involved a wide global network, offering 4 days of content, including Bite Size Friday with 30–40 mini lectures. Accessibility Matters: Live attendance was free, ensuring inclusivity. Recordings and additional materials are available through VIP access on CAM’s LearnWorlds platform.Content Variety: Lectures covered topics from osteoarthritis and palliative care to behavioral science and ethics. Expert sessions featured in-depth exploration of pharmaceutical, surgical, and integrative modalities.Global Impact & Ongoing Access: Content will be translated into 12 languages and remains accessible post-event. The entire package (lectures + notes + CE credits + CAM Member Zone) is available for £125.Unlock Even More with the CAM Member Zone!Join the CAM Member Zone today and gain instant access to hundreds of expert interviews, downloadable resources, caregiver courses, clinical tools, and ongoing CPD content. Whether you’re a vet, nurse, therapist, or trainer—this is your chronic pain management toolkit, all in one place.👉 Become a Member Now - https://caninearthritis.co.uk/cam-membership/Learn more about CAM:Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this inspiring VNAM special, CAM’s Hannah Capon speaks with Emily Ashdown, a veterinary nurse whose impressive career path has spanned clinic work, physiotherapy, hydrotherapy, global education, and industry leadership. They discuss the evolving role of veterinary nurses in managing osteoarthritis (OA), how to build sustainable arthritis services in clinic, and the importance of caregiver communication. Emily shares practical advice from her multifaceted experience, including time-saving tips, how to manage client expectations, and ways to bring meaningful change to OA care. Their honest conversation also touches on sensitive topics like euthanasia and caregiver guilt, showing how deep empathy and good communication can reshape veterinary practice.Brief BioEmily Ashdown is a Registered Veterinary Nurse, qualified animal physiotherapist, and industry educator. With over 13 years of experience, she has worked in mixed and charity practice, out-of-hours care, rehabilitation, and laser therapy. She now works globally in veterinary education, delivering training and clinical support, particularly around laser therapy. Emily also runs an academy for veterinary laser education and is currently pursuing a business degree, teaching qualifications, and assessor certification.Key TakeawaysReframe arthritis clinics into arthritis care teams. Successful OA support should span weight, rehab, bloodwork, and medication follow-ups—led by coordinated, passionate vet nurses.Understand what quality of life means to each pet. Success begins by identifying what matters most to each animal and caregiver, then building a plan toward that goal.Laser therapy needs precision. Devices must be used with correct dosing and anatomical understanding. Caregivers deserve maximum benefit from the time and money they invest.Regular, proactive check-ins matter. Even short follow-up calls or WhatsApp messages can boost owner confidence, reveal pain progression early, and increase long-term clinic loyalty.Don’t delay hard conversations. Talking about euthanasia earlier with caregivers reduces stress, guilt, and rushed decisions. Advanced planning—even payment—can be empowering.Relevant LinksHolly’s Army Facebook Support Group - https://www.facebook.com/groups/2161091580843717Good Day / Bad Day Diary - A helpful tool for tracking your dog’s daily wellbeing to assist in managing arthritis. https://caninearthritis.co.uk/wp-content/uploads/2022/04/CAM-good-day-bad-day-v1.pdf“It’s My Home Too” Tool - A home assessment checklist to help identify hazards or stressors in the dog’s living space.View via CAM Tools: https://caninearthritis.co.uk/how-cam-can-help/tools/Accessible to CAM Member Zone subscribers• Vet Nurse Flip Chart• Prescription Pad• Kennel Cards• Acute Flare Kit (Professional and Owner Versions)Access these tools by joining the CAM Member Zone:https://caninearthritis.co.uk/how-cam-can-help/tools/Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdHave questions send them to: info@caninearthritis.co.ukStay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.