Explore every episode of the podcast Canine Arthritis Matters

In this episode of Canine Arthritis Matters, Hannah is joined by animal behaviourist and neuroscience expert Daniel Shaw to explore canine cognitive dysfunction (CCD) and its relationship with chronic pain. They discuss how CCD is often underdiagnosed, why its early signs can be subtle, and how pain, sensory decline and anxiety can mimic or worsen cognitive symptoms. Daniel explains that while age-related brain changes cannot always be prevented, we can support healthy brain function through appropriate physical activity, cognitive and social enrichment, good nutrition and quality sleep. They also explore the importance of adapting activities to each dog's individual needs and recognising that chronic pain and CCD can coexist. The episode highlights the value of a holistic, multidisciplinary approach to helping older dogs maintain their wellbeing and quality of life.

5 Key Take-Home Points

• CCD is often underdiagnosed: Early signs can be subtle and easily mistaken for normal ageing.

• Chronic pain and CCD are linked: Pain can mimic or worsen cognitive and behavioural changes.

• Keep the brain active: Cognitive, physical and social enrichment can help support brain health.

• Adapt to your dog's changing needs: Prioritise safe exercise, sniffing opportunities, social interaction and quality sleep.

• Take a holistic approach: Pain management, appropriate nutrition and lifestyle adaptations all contribute to a better quality of life.

References mentioned

The Canine cognitive dysfunction rating scale (CCDR): a data-driven and ecologically relevant assessment tool Hannah E. Salvin 2010

Evidence-based clinical management of Canine Cognitive Dysfunction Syndrome: Diagnostic algorithms, practical guidelines, critical appraisal of biomarkers and translational limitations M Dondi et al 2026

Cognitive disturbances in old dogs suffering from the canine counterpart of Alzheimer’s disease Rofina et al 2005

DISHAA table for dogs and cats

Dog Aging Project

Guest bio

Daniel shaw BSc (Hons), MSc, CDBC

Daniel is an experienced animal behaviourist and the owner of Animal Behaviour Kent (ABK). With a master’s degree in neuroscience and a background in psychology, Daniel takes a science based but practical approach, focusing on why behaviour happens rather than simply trying to suppress it. His work prioritises emotional wellbeing, safety, and realistic change, particularly in complex or high risk cases. Alongside his clinical work, Daniel also runs the Brain and Behaviour Academy, providing accessible education in animal behaviour, training, and neuroscience for those who want a deeper understanding of their animals.

Animal Behaviour Kent

Brain and Behaviour Academy

Brain & Behaviour Podcast on Spotify

Learn more about CAM

CAM website - CAM Education Centre - The Pain Vet

Chronic Pain Symposium - CAM Shop - CAM Podcast

Socials for Professionals:

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Socials for Caregivers:

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Have questions send them to: podcast@caninearthritis.co.uk

This episode explores the complex relationship between chronic pain, behaviour, movement and the human-animal bond. Hannah is joined by Dr Findy and Elena Wilson to discuss why chronic pain can be difficult to recognise, particularly when behavioural or mobility changes are misinterpreted as training issues, ageing or stubbornness. They explore the importance of understanding the emotional and social impact of pain, supporting caregivers through difficult diagnoses, and recognising that dogs are continually communicating with us. The conversation also highlights the value of true interdisciplinary collaboration, combining veterinary, behavioural and physiotherapy expertise to provide more holistic care. Ultimately, effective chronic pain management goes beyond medication, requiring individualised support, environmental adaptations, appropriate movement, emotional safety and a strong team around both the dog and caregiver.

5 Key Take Home Points

• Learn to recognise the subtle signs of pain.

• Pain is biopsychosocial.

• The caregiver is part of the treatment team.

• Work collaboratively.

• Look beyond medication.

Guest bio

Dr Findy Let's Talk Paws Veterinary Behaviour

Elena ELEVATE Veterinary Physiotherapy

Dr Findy, a vet from Australia and Elena Wilse, a vet physio from the UK. Dr Findy graduated from the University of Sydney with first class honours then went on to complete a masters in clinical animal behaviour at the Uni of Edinburgh. She leads Let's Talk Paws Veterinary Behaviour Services and believes in supporting human-animal relationships by providing owners with an understanding of behaviour from an animals' perspective. She also works in shelter rehabilitation work with a special interest in post-adoption support. Findy is pursuing a PhD with the School of Psychology at the University of Sydney, where she is researching on how best to support caregivers in their emotional and relational journey of caring for a behaviourally challenged dog.

Elena has a first-class degree in human physiotherapy and a Master's with distinction in veterinary physiotherapy from the University of Liverpool. Elena is the founder of ELEVATE Veterinary Physiotherapy. She is a chartered physiotherapist and ACPAT-registered veterinary physiotherapist, with a particular interest in the relationship between chronic pain, movement and behaviour in dogs. Drawing on around ten years of experience in human physiotherapy, Elena takes a biopsychosocial approach to canine rehabilitation—considering not only how a dog moves, but how pain may affect their emotions, behaviour, relationships and everyday life.

ELEVATE Veterinary Physiotherapy supports dogs and their carers in the UK and internationally through:

• Online Gait Analysis: Structured video analysis to identify and document subtle movement asymmetries and compensatory patterns to bridge the gap between pain and behaviour. The service includes a detailed written report, an online consultation with the carer and, with consent, communication of the findings and recommendations to the dog’s veterinary team.

• Online Physiotherapy Memberships: Individualised, longer-term support

• Pain–behaviour support: Physiotherapy input for dogs whose pain, movement and behavioural presentations may be interconnected

• Professional education: Training and educational content for veterinary and animal-care professionals

• Instagram: @‌elevatevetphysio
  Website: https://elevatevetphysio.co.uk/online-gait-analysis/
  ELEVATE Free Canine Wellness Checker

  
  

Let’s Talk Paws offer a comprehensive service in supporting dogs and cats suffering from behaviour challenges. Consultations are conducted in the comfort of your home via Telehealth or in-person sessions.
Our service areas include Sydney, Central Coast, Newcastle and Hunter Surrounds.

Instagram: Let’s Talk Paws

In this episode, Hannah chats with Dr Tom Walsh about taking a more holistic, practical approach to canine health and osteoarthritis management. They explore his Corenza approach, built around five key pillars: exercise, environment, enrichment, nutrition and responsibility. Together, they discuss how these areas can help reduce overwhelm for caregivers while supporting dogs at every life stage, including those living with OA. From adapting exercise and improving flooring, to providing meaningful enrichment and navigating the often-confusing world of nutrition, the conversation focuses on seeing the whole dog rather than simply treating individual problems. Above all, they explore how we can help dogs live happier, healthier lives.

• Buy Dr Tom’s book on amazon “Good Dogs, Broken System: A Veterinarian’s Guide to Rebuilding Trust Through the Coerenza Approach”

• Visit Dr Tom’s clinic Prime Pet Rehab Therapy

• Learn more about the Coerenza Approach

5 Key Take Home Points

• Consultations: Think about the whole dog, not just the diagnosis.

• Coerenza & the five pillars: exercise, environment, enrichment, nutrition and responsibility.

• Exercise: should be individualised to the dog, their condition and their environment.

• Enrichment is essential: it’s not an adjunct, or a “cherry on top” — it helps create a life worth living.

• Break complex decisions into manageable areas rather than becoming overwhelmed by choice.

Guest bio

Dr. Tom Walsh had a successful career in telecommunications but always knew his true calling was helping animals. Deciding to pursue that passion, he became a veterinarian and has never looked back.After working close to a decade as a general practitioner veterinarian, he devoted all of his focus into small animal rehabilitation. Dr. Walsh established PrimePet Rehabilitation Therapy, a mobile small animal rehabilitation service. In just 3 years, he transitioned the original PrimePet Rehab mobile concept to a permanent location in downtown Myrtle Beach, building one of the premier and innovative small animal rehabilitation centers on the East Coast. Additionally, Dr. Walsh is a featured national speaker at veterinary and technology conferences, webinars and podcasts. He has just released his first book - Good Dogs, Broken System - The Coerenza Approach

Learn more about CAM

CAM website - CAM Education Centre - The Pain Vet

Chronic Pain Symposium - CAM Shop - CAM Podcast

Socials for Professionals:

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Socials for Caregivers:

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Have questions send them to: podcast@caninearthritis.co.uk

Stay tuned to learn more about nutrition with Dr Conny Mosely next week!

This episode explores the emotional wellbeing of dogs, caregivers and veterinary teams, with Tamsin Durston sharing practical ways to create safer, more supportive veterinary experiences. Hannah and Tam discuss the impact of osteoarthritis and chronic disease on both dogs and their caregivers, including anxiety, guilt, grief and caregiver burden. They explore how simple environmental changes, empathetic communication and thoughtful appointment planning can reduce stress and improve psychological safety. The conversation also highlights trigger stacking in veterinary teams and the importance of taking small pauses to reset between patients. Above all, the episode encourages veterinary professionals to recognise caregivers as part of the patient journey, build their confidence and help transform guilt into pride.

5 Key Take-Home Points

• Psychological safety matters — for dogs, caregivers and veterinary teams.

• Small changes can make a big difference — many improvements are practical and low-cost.

• Recognise trigger stacking — stress builds throughout the day, so pause and reset when you can.

• Support the caregiver too — chronic disease affects the whole family, not just the dog.

• Turn guilt into empowerment — help caregivers recognise what they are doing well and build confidence in their ability to care for their dog.

Links

Dogs Trust Behaviour Support Line

Dog Friendly Vet Clinics

Emotional Well-being for Animal Welfare Professionals by Tamsin Durston

Guest Bio

Tamsin is a Registered Veterinary Nurse, Clinical Animal Behaviourist, and accredited Dog Training Instructor, with 25yrs experience working predominately for the charities Blue Cross and, currently, Dogs Trust. In her current role of Veterinary Engagement Manager, Tam leads a team creating welfare driven interventions aimed at embedding canine behavioural principles into veterinary practice and improving the experience of veterinary care for dog, owners, and veterinary teams alike. As well as the animals we all care so deeply for, Tam is keen to optimise mental and emotional health for humans and has researched and authored a book on ‘Emotional Well-being for the Animal Welfare Professional’. 

Learn more about CAM

CAM website - CAM Education Centre - The Pain Vet

Chronic Pain Symposium - CAM Shop - CAM Podcast

Socials for Professionals:

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Socials for Caregivers:

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Have questions send them to: podcast@caninearthritis.co.uk

Join us next week with Tom Walsh and Hannah discussing the Coerenza Approach to owner-vet relationships

In this episode, Hannah and Drew explore the changing face of canine osteoarthritis (OA), highlighting why early detection and proactive management are so important. They discuss how OA can develop at a surprisingly young age, often before obvious clinical or radiographic signs appear. Drew explains how objective gait and stance analysis can help identify subtle changes, establish baselines and monitor responses to treatment. The conversation covers multimodal and layered approaches to OA management, including weight management, exercise, lifestyle changes, physiotherapy and intra-articular therapies. Above all, they emphasise that OA management is a journey, requiring regular monitoring, individualised plans and a focus on improving comfort and quality of life.

1. OA can start young — don’t assume it’s just a disease of old age.

2. Early detection matters — subtle changes can appear before X-ray findings.

3. Objective monitoring helps — gait and stance analysis can track changes over time.

4. Think multimodal — weight, exercise, lifestyle, medication and therapies all have a role.

5. There’s no quick fix — OA management is an ongoing, individualised journey.

Speaker bio:

Drew graduated from the University of Liverpool School of Veterinary Science in 2004 and joined the Royal Army Veterinary Corps just a few months later. During a 17-year military career he was fortunate to be able to work extensively with Military Working Dogs, from procuring them for training, deploying with them to Iraq in 2007 and, as Officer Commanding of the Veterinary Training Squadron at the Defence Animal Training Regiment, assisting in their retirement. In 2022 Drew left the RAVC to help start MSK Vets, part of the Nupsala Group, and he focuses exclusively on dog mobility, objective gait analysis, and the use of innovative therapies for the management of osteoarthritis and other musculoskeletal conditions. He is still involved with the working dog community and helping them keep their dogs fit and healthy, and he also provides mobility support services to retired Service Dogs.

Learn more about CAM

CAM website - CAM Education Centre - The Pain Vet

Chronic Pain Symposium - CAM Shop - CAM Podcast

Socials for Professionals:

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Socials for Caregivers:

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Have questions send them to: podcast@caninearthritis.co.uk

Join us next week for the first episode in the new series; “Rebuild”

5 Key Take-Home Points

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:

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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:

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Socials for Caregivers:

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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

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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

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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:

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Socials for Caregivers:

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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:

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Socials for Caregivers:

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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:

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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:

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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.

1. Rethink the 5-minute rule
   Exercise needs to be tailored to the individual dog, not a fixed formula.

2. Focus on conditioning
   Strength and core stability are more important than just increasing activity.

3. Clarify lead exercise
   On-lead work should be controlled and purposeful, not just slow walking.

4. Spot fatigue early
   Small changes in movement or behaviour often signal the need to stop.

5. 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.

In this April episode, Hannah Capon explains why home adaptations are a core part of managing chronic pain in dogs. She shows how simple changes like improving floor traction, adjusting access points and supporting rest areas can reduce pain, prevent flare-ups and improve confidence.

Using concepts like frailty and acute-on-chronic pain, she highlights that senior and arthritic dogs have less reserve, making slips, stress and poor environments far more impactful. The home can either support recovery or actively worsen the condition.

The key message: the environment should be safer, easier and more enjoyable. It is one of the most powerful, accessible and often overlooked tools in improving quality of life.

Key take homes

1. Home adaptations are a fundamental part of chronic pain management and can significantly influence both disease progression and quality of life.

2. Simple, low-cost changes such as improving floor traction can have a major clinical impact.

3. Osteoarthritis should be viewed as a complex syndrome where environment affects pain amplification, behaviour and flare-ups.

4. Frailty in senior dogs increases vulnerability to slips and environmental stressors, making home safety critical.

5. Chronic pain affects not only movement but also sleep, cognition, behaviour and emotional state.

Relevant links

CAM Member Zone

https://caninearthritis.co.uk/memberzone

It’s My Home Too - https://caninearthritis.co.uk/how-cam-can-help/tools/home-assessment-tool/

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.

In this CAM LIVE, Hannah Capon is joined by Mel Bruder and Glenn Mac to explore one of the most overlooked yet influential aspects of managing chronic pain in dogs: flooring. Despite caregivers often investing heavily in hydrotherapy, physiotherapy, medication and supplements, the daily surface a dog walks on can have a huge impact on pain, confidence, function and safety.

The discussion examines why slippery flooring can be so problematic for debilitated or arthritic dogs, how repeated micro-slips affect movement and muscle use, and why flooring should be seen as a core part of case management rather than an afterthought. Hannah brings the veterinary perspective, Mel bridges human occupational therapy and veterinary physiotherapy, and Glenn adds practical expertise from the commercial flooring sector.

The session also introduces how flooring safety is assessed in the human world and how some of those principles can be thoughtfully translated for dogs, even though there is currently no recognised dog-specific flooring safety test. Importantly, the conversation stays grounded in real life, looking at how flooring can be made safer across a range of budgets and home situations.

This episode fits strongly within CAM’s April theme of home adaptations. It reinforces that a dog’s environment is part of treatment, and that changing the surface beneath their feet can meaningfully improve comfort, confidence and quality of life.

Guest Bio

Mel Bruder is a human occupational therapist and veterinary physiotherapist with a particular interest in how environment and function interact. Her dual background allows her to bridge human accessibility thinking with practical canine rehabilitation, making her perspective especially valuable when discussing flooring, mobility and home setup.

Glenn Mac is a flooring specialist with expertise in resolving commercial flooring needs to improve safety for clients and customers. His experience in evaluating slip risk, surface performance and practical installation brings an important real-world perspective to the discussion of safer flooring for dogs.

Key take homes

1. ​ Flooring is a major but often overlooked factor in chronic pain management and can significantly influence mobility, confidence and safety in arthritic dogs.
2. ​ Slippery surfaces do not just increase fall risk; repeated micro-slips can worsen pain, alter gait and contribute to compensatory movement patterns.
3. ​ Home adaptations do not have to be expensive to be effective. Safer pathways, strategic rug placement and thoughtful surface choices can make a big difference.
4. ​ Although there is no recognised dog-specific flooring safety test, human flooring safety principles can help guide more informed choices.
5. ​ Environmental change is treatment. Improving a dog’s flooring can be just as important as adding another therapy session or supplement.

Relevant links

Floors for Paws flooring range

https://www.floorsforpaws.com/commercial/

CAM Member Zone

https://caninearthritis.co.uk/memberzone

Good Day Bad Day Diary

https://caninearthritis.co.uk/gooddaybadday

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.

In this April-focused episode from Canine Arthritis Management, Hannah Capon is joined by Evie and Rebecca to introduce the upcoming Chronic Pain Symposium, with a strong emphasis on practical, real-world application, including home adaptations as a core pillar of managing chronic pain.

The episode outlines how this year’s symposium has evolved to better support professionals and caregivers in translating knowledge into action. A key shift is moving beyond theory into practical implementation where environmental changes, daily routines and interdisciplinary collaboration become central to improving outcomes for dogs living with chronic pain.

The team introduces a structured three-day format designed to balance breadth and depth. Bite Size Friday offers accessible, high-impact insights across disciplines, while Saturday introduces dual learning streams tailored to veterinary and allied professionals. Sunday then deepens selected topics, allowing attendees to truly integrate learning into practice.

A recurring theme is that chronic pain management does not sit within one profession or one intervention. Instead, it requires a collaborative, multi-layered approach where home adaptations, behaviour, enrichment and lifestyle changes are as important as clinical treatments.

Ultimately, this episode positions the symposium as more than education – it is a platform for changing how chronic pain is understood, discussed and managed in everyday environments.

Guest Bios

Evie Thurmond is part of the CAM core team, contributing across education, clinical work and content development. She is actively involved in chronic pain clinics, external lecturing and the development of Pain Vet.

Rebecca plays a key role in managing Holly’s Army, CAM’s large caregiver community. She is a hydrotherapist, physiotherapy student and runs a dog daycare, bringing hands-on experience in canine behaviour and welfare.

Key take homes

1. Chronic pain education must translate into real life

Learning is only valuable if it can be applied. Home adaptations, routines and environment are critical bridges between theory and practice.

2. Home adaptations are central, not secondary

From flooring and rest areas to feeding strategies and daily structure, environmental changes are essential for managing pain effectively.

3. Interdisciplinary collaboration is non-negotiable

Veterinary teams, therapists and caregivers must work together. Different perspectives create better outcomes.

4. Depth matters as much as breadth

Broad awareness is important, but true impact comes from deeper understanding and repeated exposure to key topics.

5. Caregiver empowerment drives success

Equipping owners with practical tools and confidence is key to long-term management and improved quality of life.

Event Details

Event: Chronic Pain Symposium by Canine Arthritis Management

Dates: 24–26 April 2026 and it‘s online so you can participate from all over the world.

Structure

Friday

Bite-sized interdisciplinary sessions from multiple professionals

Saturday

Dual streams

• Veterinary stream

• Allied professional stream

Sunday

Deep dives into key topics including

• Pain and behaviour

• Lumbosacral pain

• Frailty and ageing

Plus additional panel discussions on

• Interdisciplinary teamwork

• Rehab modalities and evidence

• Quality of life and end-of-life decisions

Masterclasses (post-event)

• Psychopharmacology with Katrin Jan

• Intra-articular therapies with Joao Alves

• Feline chronic pain with Sarah Caney

Relevant links

Tickets & info

https://caninearthritis.co.uk

CAM Member Zone

https://caninearthritis.co.uk/memberzone

CAM Online Shop

https://www.camonlineshop.com

Holly’s Army (community)

https://www.facebook.com/groups/hollysarmy

In this April episode of Canine Arthritis Management, Hannah Capon is joined by Matt Shackleton to explore a physiotherapist’s perspective on managing canine osteoarthritis, with a strong focus on home adaptations and environmental impact.

The conversation highlights that effective arthritis management goes far beyond medication or exercise plans. Instead, the dog’s daily environment plays a critical role in shaping pain, mobility and behaviour. From flooring and bedding to lighting, routine and emotional safety, small environmental changes can significantly influence outcomes.

Matt brings a unique lens from zoo and exotic animal practice, demonstrating how environment, enrichment and species-specific needs directly affect pain expression and recovery. These principles translate clearly to dogs, where overlooked factors such as slippery floors, feeding routines, over-arousal or lack of rest can worsen pain cycles.

A key theme is that pain is not purely physical. The environment influences emotional state, behaviour and even motivation to move. Dogs living in suboptimal environments may disengage, move less or develop maladaptive behaviours, all of which can accelerate disease progression.

Ultimately, this episode reinforces that home adaptations are not “nice to have” but essential. When done well, they can reduce pain, improve function and enhance quality of life - often with simple, accessible changes.

Guest Bio

Matt Shackleton holds a Master’s degree in Veterinary Physiotherapy and is a lecturer at Harper Adams University. His background spans zoo keeping, animal behaviour science and physiotherapy, giving him a multidisciplinary perspective on animal welfare, movement and pain.

He consults internationally with zoos and delivers workshops on enrichment, movement and rehabilitation, focusing on how environment and behaviour influence health outcomes across species.

Key take homes

1. The home environment is a core part of treatment

Flooring, bedding, lighting, layout and routine directly influence pain, mobility and recovery. Small adaptations can create measurable improvements.

2. Pain is shaped by environment, not just pathology

Stress, predictability, emotional safety and enrichment all affect how pain is experienced and expressed.

3. Observation in context is critical

Seeing the dog in its real environment often reveals issues that are missed in clinic settings, from movement patterns to behavioural triggers.

4. One-size-fits-all advice does not work

Effective home adaptations must be tailored to the individual dog, household and caregiver capabilities.

5. Behaviour, routine and interaction patterns matter

Feeding habits, multi-dog dynamics, over-arousal and daily structure can either support or sabotage arthritis management.

Relevant links

CAM Member Zone (home adaptations, downloads and tools)

https://caninearthritis.co.uk/memberzone

Physiotherapy pyramid (Jamie McClellan et al.)

https://www.physio-pedia.com/Physiotherapy_in_Veterinary_Medicine

DogMa app (LOAD questionnaire)

https://www.liverpool.ac.uk/dogma

CAM online shop (home adaptation and enrichment tools)

https://www.camonlineshop.com

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.

In this CAM episode, Evie and Jo introduce a practical, caregiver-focused tool developed by the Canine Arthritis Management team to support one of the biggest challenges discussed throughout March: weight management.

The episode walks through a newly created weight loss tracking pack available in the CAM Member Zone. The aim of the tool is to simplify and structure the weight loss journey for both caregivers and professionals by removing guesswork and creating clear, visible accountability.

The pack includes guidance on body condition scoring, measurement tracking, food diaries, weekly checklists and milestone celebrations. A strong emphasis is placed on making weight management a shared household effort, highlighting how inconsistent feeding habits across family members can quickly derail progress.

The discussion also explores practical, realistic strategies such as enrichment feeding, breaking meals into smaller portions, replacing food with attention, and tracking everything that enters the dog’s mouth. Importantly, the episode reinforces that weight loss is not a short-term fix but a long-term lifestyle shift that must be sustainable.

This episode sits firmly within CAM’s March theme of weight management and provides a highly actionable framework to support caregivers in achieving and maintaining a healthy body condition for their dogs.

Guest Bio

Evie is Head Nurse at Canine Arthritis Management, working closely with both caregivers and veterinary teams to support practical implementation of arthritis management strategies in clinical and home environments.

Jo leads brand and marketing at CAM, translating clinical knowledge into accessible tools, resources and campaigns that support caregiver engagement and behavioural change.

Key take homes

1. Weight management requires structure and visibility. Tools like tracking sheets and food diaries help remove guesswork and keep all caregivers aligned.

2. Consistency across the household is critical. Without a shared plan, untracked treats and duplicate feeding can quickly undermine progress.

3. Enrichment feeding is a powerful alternative to traditional feeding, increasing engagement, slowing intake and improving wellbeing without adding calories.

4. Weight loss should be approached as a long-term lifestyle change, not a short-term diet, requiring sustainable habits and realistic routines.

5. Small behavioural shifts, such as tracking all food intake, preparing meals in advance and replacing treats with attention, can have a significant cumulative impact.

Relevant links

CAM Member Zone (includes the weight loss tracking pack)

https://caninearthritis.co.uk/memberzone

Canine Arthritis Management resources

https://caninearthritis.co.uk

CAM online shop (enrichment tools)

https://www.camonlineshop.com

Good Day Bad Day Diary

https://caninearthritis.co.uk/gooddaybadday

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.

In this CAM LIVE episode, Esme Howells is joined by Helen Coleman and Victoria Bowes to explore practical, everyday approaches to managing obesity in dogs.

The conversation focuses on realistic strategies caregivers can implement at home, from portion control and feeding habits to enrichment-based approaches that support both physical and mental wellbeing. A key concept discussed is the Delboeuf illusion, demonstrating how bowl size and presentation can influence how much we perceive as an appropriate portion, often leading to unintentional overfeeding.

Helen and Victoria share a range of practical feeding tips and enrichment ideas that can help reduce calorie intake while maintaining satisfaction and engagement for the dog. The episode highlights how small environmental and behavioural adjustments can make a meaningful difference in long-term weight management.

This episode aligns closely with CAM’s focus on weight management, emphasising that sustainable change comes from consistent daily habits rather than short-term interventions.

Original publishing date: September 2020

Video recording: https://youtu.be/ng2j5VwuOSA

Guest Bio

Victoria Bowes is a Veterinary Nursing Course Manager at Moreton Morrell College. She is a qualified veterinary nurse with over 20 years of experience across small animal and emergency practice. Victoria has also contributed to the development of veterinary nursing programmes across multiple awarding institutions.

Helen Coleman is a lecturer and subject leader for animal-related degree courses at Moreton Morrell College. She holds a BSc (Hons) in Animal Welfare and Management and previously worked in pet retail before moving into education. With over 13 years of teaching experience, her focus is on promoting responsible pet ownership and shaping future professionals in the animal sector.

Key take homes

1. Obesity management often starts with human perception, and tools like the Delboeuf illusion highlight how easily portion sizes can be misjudged.

2. Small environmental changes, such as bowl size and feeding presentation, can significantly influence feeding behaviour and calorie intake.

3. Enrichment feeding is a powerful tool, helping to slow intake, increase mental stimulation and improve satiety without increasing calories.

4. Sustainable weight management depends on consistent daily habits rather than restrictive short-term diets.

5. Educating caregivers on practical, realistic strategies is key to achieving and maintaining a healthy body condition in dogs.

Relevant links

The Management of Pet Obesity book

https://www.5mbooks.com/the-management-of-pet-obesity.html

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.

In this CAM LIVE episode, Hannah Capon speaks with veterinary physiotherapy researcher Heli Hyytiäinen about the growing recognition of obesity in dogs as a major welfare issue. Alongside dental disease and osteoarthritis, excess weight is now understood to be one of the most significant health challenges affecting companion animals.

The discussion explores why obesity is far more than a cosmetic concern or a simple co-morbidity risk for conditions such as heart disease or diabetes. Excess adipose tissue acts as a metabolically active organ, producing pro-inflammatory mediators that contribute directly to the development and progression of osteoarthritis.

Heli highlights emerging research showing that obese dogs may accumulate lipid droplets within muscles, tendons and ligaments, affecting tissue performance and recovery capacity. These physiological changes can alter biomechanics, reduce efficiency of movement and exacerbate joint disease. Studies comparing lean and obese dogs demonstrate that stride length is often shorter in overweight animals, while joint range of motion can appear increased due to compensatory movement patterns.

Whether a dog currently has arthritis or not, maintaining a lean body condition is one of the most powerful preventative strategies for long-term musculoskeletal health.

Publishing date: May 2020 https://youtu.be/7buqnkeqovE

Guest Bio

Heli Hyytiäinen graduated as a physiotherapist in 2000 and completed her Finnish specialization in Animal Physiotherapy in 2003. Since then she has worked exclusively with animal patients. She earned a Master of Science in Veterinary Physiotherapy from the Royal Veterinary College in 2012 and completed her PhD at the University of Helsinki in 2015. She founded and developed the physiotherapy department at the Veterinary Teaching Hospital of the University of Helsinki, where she continues to combine clinical work with research. She lectures internationally on animal physiotherapy, teaches within Finnish animal physiotherapy specialization programmes and is an honorary lecturer for the MSc Veterinary Physiotherapy programme at the University of Liverpool.

Key take homes

1. Obesity in dogs is now recognised as a major welfare concern alongside dental disease and osteoarthritis.

2. Adipose tissue is metabolically active and releases inflammatory mediators that contribute directly to the progression of arthritis.

3. Obesity affects musculoskeletal tissues beyond joints, with lipid deposits identified in muscles, tendons and ligaments that impair function and recovery.

4. Biomechanical differences exist between lean and obese dogs, including shorter stride lengths and altered joint movement patterns.

5. Even modest weight loss of around 6–9 percent body weight can lead to measurable improvements in lameness and mobility in dogs with osteoarthritis.

Relevant links

Evaluation of gait-related variables in lean and obese dogs at a trot

https://www.researchgate.net/publication/236579229_Evaluation_of_gait-related_variables_in_lean_and_obese_dogs_at_a_trot

The effect of weight loss on lameness in obese dogs with osteoarthritis

https://pubmed.ncbi.nlm.nih.gov/20237844/

How obesity modifies tendons

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241419/

Canine Arthritis Management resources

https://caninearthritis.co.uk

Good Day Bad Day Diary

https://caninearthritis.co.uk/gooddaybadday

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.

In this CAM LIVE, Hannah Capon speaks with leading veterinary obesity researcher Alex German about one of the most significant health challenges affecting companion animals today: excess body weight. With more than 50 percent of pet dogs now classified as overweight or obese, the discussion highlights why this issue has become a welfare concern of epidemic proportions.

Alex provides an overview of the scale of the obesity problem in dogs, the key factors contributing to weight gain, and the strong association between obesity and musculoskeletal disease, particularly osteoarthritis. The conversation explores how excess weight increases mechanical strain on joints while also driving systemic inflammation that worsens pain and mobility problems.

The discussion then moves to practical strategies for safe and sustainable weight management. Alex explains why gradual, controlled weight loss is essential and how long term success depends on building consistent feeding routines, managing treats, and supporting caregivers in maintaining healthy habits for their dogs.

The episode also considers whether particular food groups can influence weight loss and long term weight control, and discusses preventative approaches that can help stop obesity developing in the first place.

Original publishing date: January 2021

Facebook Live recording: https://youtu.be/-h7Bf44QGtw

Guest Bio

Alex German is Royal Canin Professor of Small Animal Medicine at the University of Liverpool. He is a Diplomate of the European College of Veterinary Internal Medicine, a recognised specialist in internal medicine with the Royal College of Veterinary Surgeons, and a Senior Fellow of the Higher Education Academy.

His main clinical and research interest is the prevention and management of obesity in companion animals. For more than fifteen years he has run the Royal Canin Weight Management Clinic at the University of Liverpool, a specialist clinic dedicated to improving the quality of life of overweight pets through clinical excellence, research and education.

Key takehomes

1. More than half of pet dogs are now overweight or obese, making excess weight one of the most common and serious health concerns in companion animals.

2. Obesity is strongly linked with musculoskeletal disease, including osteoarthritis, increasing both joint loading and systemic inflammation that contributes to chronic pain.

3. Safe weight loss must be gradual and carefully managed to protect health and improve the chances of maintaining weight loss long term.

4. Successful weight management relies on behaviour change for both dogs and caregivers, including portion control, consistent feeding routines and careful management of treats.

5. Prevention is critical. Monitoring growth in young dogs and recognising weight gain early can significantly reduce the likelihood of obesity developing later in life.

Relevant links

Study on food consumption and osteoarthritis in dogs

https://avmajournals.avma.org/view/journals/javma/217/11/javma.2000.217.1678.xml

Waltham Puppy Growth Charts

https://www.waltham.com/resources/puppy-growth-charts

CAM Member Zone

https://caninearthritis.co.uk/memberzone

Good Day Bad Day Diary

https://caninearthritis.co.uk/gooddaybadday

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.

In this episode of Canine Arthritis Matters, Hannah Capon speaks with Arielle Griffiths about one of the biggest yet most under-recognised drivers of chronic pain in dogs: excess weight.

The discussion explores why weight conversations are so emotionally and professionally difficult, why obesity remains under-acknowledged by caregivers, and how early identification of unhealthy weight trajectories could dramatically change the future of osteoarthritis in dogs.

Together they unpack the landmark Purina lifetime feeding study, behavioural and social barriers to weight management, and the ways nutritional choices influence inflammation, mobility and long-term pain. Arielle also shares her unconventional career journey into plant-based nutrition, the realities of trying to run a weight-loss clinic with no uptake, and what she now teaches caregivers about simple, achievable nutritional changes.

This episode sits squarely within CAM’s March theme: weight management. Recognising unhealthy weight early and supporting caregivers with realistic, sustainable strategies is one of the most powerful ways we can reduce osteoarthritis risk and improve long-term comfort.

Bio

Arielle Griffiths is a UK veterinarian, environmentalist and founder of a plant-based pet nutrition company. After 25 years in first-opinion practice, a confronting day at the PDSA led her to re-evaluate the scale of the obesity epidemic and its connection to chronic disease.

She retrained extensively in nutrition, developed a strong interest in plant-based formulations, and now works exclusively online supporting caregivers in managing weight, digestive disease and inflammatory conditions through practical, achievable nutritional changes.

Key takehomes

1. Weight is one of the strongest risk modifiers for osteoarthritis, yet it remains under-identified and under-discussed in clinical practice.

2. Caregivers often cannot recognise overweight animals; the perception gap between what owners believe and clinical reality is substantial.

3. Lifelong lean management dramatically delays OA onset, reduces severity and extends life expectancy; identification must happen early, ideally in puppyhood.

4. Behavioural, emotional and social factors make weight-related conversations difficult; empathy, permission and simple actionable steps are essential.

5. Even small nutritional changes and replacing inflammatory treats with whole-food alternatives can produce measurable improvements in comfort and mobility.

Relevant links

Arielle’s online nutritional consultations

https://justbekind.co.uk

Purina lifetime feeding study (overview)

https://pubmed.ncbi.nlm.nih.gov/16549482/

Association for Pet Obesity Prevention (APOP)

https://petobesityprevention.org

General CAM resources

https://caninearthritis.co.uk

Good Day / Bad Day Diary (CAM Member Zone)

https://caninearthritis.co.uk/memberzone

Suspicion of Chronic Pain Document

https://caninearthritis.co.uk/suspecting-arthritis

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.

Dr Masataka Enomoto joins CAM to explore the frontier of early identification in canine osteoarthritis. From automated pain evaluation and force-plate research to activity-monitor insights, microbiome patterns and his landmark data on how young dogs really are when radiographic OA appears, this episode dives deep into what the next decade of OA detection could look like.

Listeners will gain clarity on why early OA is still routinely missed, what technologies show genuine promise, and how objective tools could reshape the caregiver–vet partnership in spotting pain far earlier.

Bio

Dr Masataka Enomoto is a Research Assistant Professor of Orthopedic Surgery at North Carolina State University. He earned his veterinary degree from Azabu University in Japan and now focuses on cartilage regeneration, pain management, early OA detection and comparative orthopaedic research.

His publications cover NGF-blocking monoclonal antibodies, force-plate gait analysis, activity monitors, microbiome associations, and the prevalence of radiographic OA in young dogs.

Key takehomes

1. Automated pain evaluation is progressing but not yet ready for widespread clinical use; it holds strong promise for future early OA detection.

2. Activity monitors can reveal early reductions in movement long before lameness appears, but they remain underused in practice.

3. Microbiome research is emerging and may help explain multi-joint OA patterns; however, clinical application is still distant.

4. Comparative force-plate work has provided objective insight into the performance of grapiprant versus bedinvetmab in early OA pain management.

5. Dr Enomoto’s prevalence research confirms radiographic OA is common even in young dogs, underscoring how urgently early identification must become routine.

Relevant links

Force-plate trial comparing grapiprant and bedinvetmab (Librela)

https://doi.org/10.2460/javma.23.08.0493

Physical activity monitors in chronic pain (review)

https://www.frontiersin.org/articles/10.3389/fvets.2022.928584/full

Gut microbiome and multi-joint OA

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0280682

Factors influencing physical activity in dogs with OA

https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.16617

Radiographic OA prevalence in young dogs

https://www.frontiersin.org/articles/10.3389/fvets.2021.654500/full

VSMRI (Veterinary Sports Medicine and Rehabilitation Institute)

https://www.vsmri.com/

February at Canine Arthritis Matters focuses on identification — and in this episode we explore what early identification of osteoarthritis could look like in the future.

Hannah Capon is joined by Dr Eva Hanks, CEO and founder of MI:RNA, to discuss the emerging role of microRNA (miRNA) biomarkers in detecting canine osteoarthritis at a molecular level.

We know that most dogs are diagnosed with OA once structural damage is already present. Subtle behavioural, postural and gait changes are often missed or dismissed. So what if we could detect disease before radiographic change, before overt lameness, before chronic pain becomes entrenched?

Dr Hanks explains what miRNAs are, how they function biologically, and why they may act as measurable indicators of early pathological change. This conversation explores the human evidence base, the current state of canine research, the challenges of variability between breeds and individuals, and whether the veterinary profession is ready to adopt biomarker technology as part of routine identification strategies.

This is a forward-looking discussion about moving from subjective suspicion to objective identification — and what that could mean for the future of canine osteoarthritis management.

Guest Bio

Dr Eva Hanks is CEO and founder of MI:RNA, a veterinary diagnostics company focused on early disease identification through biomarker technology combined with artificial intelligence. MI:RNA is a spin-out from Scotland’s Rural College (SRUC).

Dr Hanks began her career in busy mixed practice before returning to academia to complete an advanced certificate, followed by a PhD in immunology. She later worked as a clinical pathologist before launching MI:RNA in 2019, bringing together research, clinical insight and diagnostic innovation to improve early disease detection in companion animals.

5 Key Takeaways

1. We currently identify osteoarthritis too late, often after structural joint damage and chronic pain patterns are established.

2. MicroRNAs are regulatory molecules that reflect active biological processes and may allow identification of osteoarthritis at a molecular stage before visible joint changes occur.

3. Human meta-analyses show strong diagnostic accuracy for miRNAs in OA, but robust canine validation is essential before widespread clinical adoption.

4. Objective biomarkers could complement clinical assessment, helping bridge the gap between caregiver-reported subtle changes and definitive diagnosis.

5. Early identification opens the door to earlier lifestyle modification, weight management, activity optimisation and targeted intervention — shifting OA management towards prevention of progression rather than reaction to damage.

Relevant Links

MI:RNA

https://www.mirna.co.uk

Scottish Rural College (SRUC)

https://www.sruc.ac.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.

In this episode, Dr. Hannah Capon speaks with Dr. Rachel Dean about the complexities of identifying arthritis early, the need for better contextualised care, and the shared responsibilities between caregivers and professionals. They explore what evidence shows about how OA is actually recognised in practice, why early signs are routinely missed, and how communication, telemedicine and structured preparation can dramatically improve outcomes. Dr. Dean also discusses neutering evidence, the role of telemedicine for chronic disease, and why evidence-based veterinary medicine (EBVM) underpins every decision we make. This conversation reinforces a core truth: early recognition of arthritis is achievable, but only if we broaden our observational habits, strengthen collaboration, and align interventions with real-world context.

GUEST BIO

Dr. Rachel Dean qualified in 1996 and has held influential roles across clinical practice, research, shelter medicine and academia. She is the founding director of the Centre for Evidence-based Veterinary Medicine at the University of Nottingham, former Associate Professor of Feline Medicine, Founding President of the Association of Charity Vets, and Editor-in-Chief of the BSAVA Manual of Shelter Medicine. She holds a Masters in evidence-based medicine, a PhD in epidemiology, a Diploma in feline medicine, and is a Senior Fellow of the Higher Education Academy. She is now Director of Clinical Research and Excellence in Practice at VetPartners, leading their Clinical Board and Learning & Development teams.

KEY TAKEAWAYS

1. Early arthritis is most often detected through subtle behavioural and lifestyle changes rather than clear lameness, making caregiver observations essential.

2. The Dean–Belshaw–Asher study shows a significant mismatch between what caregivers report and what clinicians focus on during consults, which can delay diagnosis.

3. Effective contextualised care requires collaboration: caregivers documenting changes and clinicians asking more precise, targeted questions.

4. Telemedicine can support earlier recognition by capturing movement, behaviour and environmental clues that are missed in-clinic.

5. Prevention and early management hinge on lifestyle adjustments, structured monitoring and proactive intervention, not necessarily costly treatments.

RELEVANT LINKS

Suspicion of Chronic Pain Tool

https://caninearthritis.co.uk/memberzone

Could it be osteoarthritis? (Dean, Belshaw, Asher)

https://bvajournals.onlinelibrary.wiley.com/doi/abs/10.1002/vetr.5488

Original paper PDF

https://www.cabidigitallibrary.org/doi/pdf/10.5555/20230279084

Good Day Bad Day Diary – in the Member Zone

https://caninearthritis.co.uk/memberzone

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.

In this episode, Dr. Hannah Capon speaks with veterinary behaviour specialist Dr. Katrin Jahn about why arthritis is so often missed, how subtle behaviour and lifestyle changes can signal discomfort long before lameness appears, and how structured observation helps bridge the gap between caregivers, trainers and veterinary professionals. Together they explore the early indicators of chronic pain, the value of simple tools that guide objective reporting, and how better communication leads to earlier intervention and improved long-term welfare. This episode reinforces that arthritis is not just a mobility issue, but a whole-dog condition that requires careful observation, teamwork and timely action.

GUEST BIO

Dr. Katrin Jahn is a veterinary behaviour specialist and founder of Trinity Veterinary Behaviour, with extensive experience supporting complex behaviour and medical cases across multiple countries. Her work focuses on the intersection between emotional wellbeing and physical health, helping caregivers and professionals recognise when pain is influencing behaviour. Katrin is committed to promoting accessible tools, collaborative case management and improved welfare through better early identification of chronic pain.

KEY TAKEAWAYS

• Arthritis rarely starts with an obvious limp; behavioural and lifestyle changes are often the first clues

• Pain influences emotion, capability, mobility, and appearance – observing patterns over time is essential

• Trainers and caregivers play a crucial role in spotting early signs, and structured reporting improves accuracy

• Communication gaps between caregivers, trainers and vets often delay diagnosis

• Simple tools, used consistently, can guide earlier identification and therefore earlier intervention

• Chronic pain management requires shared responsibility across all professionals involved

• Prevention starts with knowing what to look for – observation is the foundation of early arthritis detection

RELEVANT LINKS

Suspicion of Chronic Pain Tool - [https://caninearthritis.co.uk/wp-content/uploads/2022/04/Suspicion-of-Chronic-Pain-Observations-Form.pdf](https://caninearthritis.co.uk/wp-content/uploads/2022/04/Suspicion-of-Chronic-Pain-Observations-Form.pdf "‌")

link to the tool in the memberzone - [https://caninearthritis.co.uk/member-zone/](https://caninearthritis.co.uk/member-zone/ "smartCard-inline")

Trinity Veterinary Behaviour – Professional Guides

https://www.trinityvetbehaviour.com

CAM Member Zone

https://caninearthritis.co.uk/memberzone

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.

In this episode, Hannah speaks with orthopaedic surgeon and rehabilitation expert Dr David Dycus to examine the real challenges of early arthritis detection. Together, they explore why early identification is often missed, what responsibilities both caregivers and professionals share, and which interventions truly shift the trajectory of osteoarthritis.

Aligned with CAM’s January prevention theme, this conversation highlights how critical early lifestyle decisions are for long-term joint health. Many of the most effective interventions are neither invasive nor expensive: bodyweight control, activity optimisation, home adaptation, and proactive monitoring form the foundation. Hannah also taps into Dr Dycus’s extensive orthopaedic and rehabilitation experience, asking how he approaches cases where pain is the only visible sign and what he recommends for both early and moderate disease.

The LIVE concludes with CAM’s signature segment: Ten Top Tips for managing your arthritic dog (from 1:02:00 in the original video).

Guest Bio

Dr David Dycus obtained his veterinary degree at Mississippi State University’s College of Veterinary Medicine, completed a small-animal rotating internship at Auburn University, and returned to Mississippi State for a combined surgical residency and Master’s degree. He sits on the research committee of the American College of Veterinary Surgeons and has a strong clinical and research interest in arthritis, joint disease, regenerative medicine, and minimally invasive orthopaedic surgery.

Dr Dycus is trained in arthroscopy, minimally invasive fracture repair, and advanced procedures for cruciate ligament injury. He gained stem-cell certification in 2010 and became a certified canine rehabilitation practitioner through the University of Tennessee in 2015. He is co-founder and co-director of the Veterinary Sports Medicine and Rehabilitation Institute (VSMRI), an online rehabilitation education platform, and is the founder and CEO of Dycus Veterinary Consulting.

https://www.vsmri.com/

Key Takeaways

1. Early identification of arthritis is a shared responsibility between caregivers and veterinary professionals.

2. Many impactful interventions are lifestyle-based, low-cost, and can be implemented long before medication is needed.

3. Pain as the sole clinical sign is easy to miss; subtle changes matter and should prompt assessment.

4. Early and moderate OA require different strategies, but both benefit from proactive monitoring and joint-friendly routines.

5. No intervention works alone; multimodal management started early has the greatest protective effect on long-term mobility.

Relevant Links

Veterinary Sports Medicine and Rehabilitation Institute (VSMRI):

https://www.vsmri.com/

CAM Member Zone:

https://www.caninearthritis.co.uk/member-zone/

Young Dog Joint Care Course (January Prevention Theme):

https://www.caninearthritis.co.uk/young-dog-joint-care/

January Prevention Theme – Young Dog Joint Care

Healthy joints start young. Learn how to reduce risk, support growth and spot early trouble signs with our Young Dog Joint Care Course.

https://www.caninearthritis.co.uk/young-dog-joint-care/

CAM Member Zone

Get deeper guidance, tools and downloads including the Good Day/Bad Day Diary, early-detection resources, and full LIVE recordings inside the Member Zone.

https://www.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.

In this episode, Hannah welcomes back Dr Dan O’Neil to expand on the latest findings from VetCompass, the companion animal surveillance programme based at the Royal Veterinary College. Building on his previous CAM appearance, Dr O’Neil explains how large-scale clinical data is helping us understand which disorders affect our dogs most frequently, why they occur, and how this knowledge can improve welfare across all breeds.

As January at CAM focuses on prevention, this conversation highlights the essential role of early identification, awareness of developmental joint disease, and responsible decision-making throughout a dog’s early life. By understanding risk patterns across the wider population, caregivers and professionals can take meaningful steps to protect joint health long before clinical arthritis develops.

Originally published as a LIVE broadcast in January 2024

Guest Bio

Dr Dan O’Neil is Associate Professor in Companion Animal Epidemiology at the Royal Veterinary College and co-lead of the VetCompass Programme. After 22 years in both small and large animal practice, he completed an MSc in epidemiology in 2009 and a PhD in 2014 focused on developing VetCompass, now a global leader in companion animal health surveillance.

He has authored over 100 scientific papers on breed health and therapeutics, co-authored the books Breed Predispositions to Disease in Dogs and Cats and Health and Welfare of Brachycephalic Companion Animals, and chairs the UK Brachycephalic Working Group. His work has been recognised with multiple honours including Fellowship of the Royal College of Veterinary Surgeons, the BSAVA Blaine Award and the International Canine Health Award. His ethos is simple and powerful: we must understand the world better in order to make it better.

Key Takeaways

1. Developmental joint disease is a major driver of lifelong mobility problems, making prevention in young dogs essential.

2. Surveillance data challenges assumptions and provides evidence-based insight into true disease prevalence and risk.

3. Breed-related risk varies significantly and must be considered when making breeding, acquisition and lifestyle decisions.

4. Prevention is multi-layered and includes genetics, growth, body condition, environment and early monitoring.

5. Data-driven understanding empowers caregivers and professionals to intervene earlier and reduce long-term suffering.

Watch the Original LIVE - https://youtube.com/live/fJ0cE1vfztc

Relevant Links

Previous CAM episode with Dr Dan O’Neil:

https://youtu.be/NiZ47eews6c

VetCompass Programme information:

https://www.rvc.ac.uk/vetcompass

January Prevention Theme – Young Dog Joint Care

Prevention starts early. Our Young Dog Joint Care Course is designed to help caregivers understand risk factors, support healthy development, and reduce the likelihood of joint disease later in life.

https://www.caninearthritis.co.uk/young-dog-joint-care/

CAM Member Zone

Join the CAM Member Zone for deeper education, practical tools, downloadable resources including the Good Day / Bad Day Diary, and ongoing support for preventing and managing chronic pain.

https://www.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.

In this episode of Canine Arthritis Matters, Hannah Capon is joined by Dr. Michelle Kutzler, a leading expert in veterinary reproduction, to tackle one of the most emotionally charged and confusing topics for caregivers and professionals alike: whether, when, and how to neuter dogs.

Drawing on decades of research and clinical experience, Michelle explains why there is no single correct answer to neutering decisions. The conversation explores the hormonal consequences of gonad removal, particularly the long-term elevation of luteinizing hormone (LH), and how this may influence musculoskeletal health, joint disease, ligament integrity, cancer risk, and behaviour.

Together, Hannah and Michelle discuss early neutering and skeletal development, osteoarthritis risk, ligament laxity, body composition changes, and the emerging evidence linking neutering to anxiety-related behaviours. They also explore alternative sterilisation options, including vasectomy, hysterectomy without ovary removal, intratesticular injections, and hormone-modulating implants such as deslorelin.

This episode emphasises contextual, individualised decision-making and highlights the importance of balancing health risks, benefits, and caregiver trade-offs. It is the first part of a wider conversation, with a follow-up episode planned.

Guest Bio

Dr. Michelle Kutzler graduated from Washington State University College of Veterinary Medicine in 1993 and completed a residency in theriogenology at Cornell University, followed by a PhD in physiology. She has held academic positions at Oregon State University and, as of July 2025, joined the University of Minnesota College of Veterinary Medicine faculty.

Dr. Kutzler has authored over 100 peer-reviewed publications, more than 30 book chapters, and two textbooks in the field of animal reproduction. She serves as Chair of the World Small Animal Veterinary Association Reproduction Control Committee, co-chairs the International Symposium for Canine and Feline Reproduction Scientific Committee, is a scientific advisor for the Alliance for Contraception in Cats and Dogs, and is President-Elect of the American Association of Small Ruminant Practitioners.

Her research focuses on the systemic effects of gonadectomy, endocrine balance, musculoskeletal health, cancer risk, and behaviour.

Key Takeaways

1. There is no universal answer to whether or when dogs should be neutered; decisions must be individualised.

2. Early neutering permanently alters skeletal development, joint angles, muscle mass, and ligament stability, increasing OA risk.

3. Removal of gonads leads to lifelong elevation of luteinizing hormone, which has receptors throughout the body, including joints, ligaments, and the brain.

4. Some anxiety and behaviour changes in neutered dogs may be hormonally driven and, in certain cases, improve with LH suppression.

5. Alternative sterilisation options exist and should be discussed openly alongside traditional spay and neuter surgery.

Relevant Links

World Small Animal Veterinary Association Reproduction Control Committee

https://wsava.org/committees/reproduction-control-committee/

Alliance for Contraception in Cats and Dogs

https://acc-d.org/

International Symposium for Canine and Feline Reproduction

https://iscfr.org/

Deslorelin (Suprelorin) background information

https://www.virbac.com/home/our-products/pet-health/suprelorin.html

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.

In this episode of Canine Arthritis Matters, Hannah Capon is joined by dog behaviour consultant and trainer Jessie Kasper from Mindful Methods Training. Together they explore the intersection between dog training and pain, and how physical discomfort can influence behaviour, learning, and training outcomes.

Jessie shares examples from her own casework, highlighting common behavioural clues that may indicate pain, and discusses how trainers and caregivers can work more collaboratively with veterinary professionals. The conversation also covers osteoarthritis in training cases, challenges in moving from suspicion to management, and the importance of education and empathy when supporting dogs living with chronic pain.

Guest Bio

Jessie Kasper is a Certified Dog Behaviour Consultant through the International Association of Animal Behaviour Consultants and a certified Family Dog Mediator. She is Fear Free Certified, an Emotional CPR Certified Practitioner, and a CAMadvocate Level 1. Jessie runs Mindful Methods Training, where she focuses on compassionate, science-informed training approaches that consider the whole dog, including physical health, emotional wellbeing, and cognitive needs.

More about Jessie and her work:

https://www.mindfulmethodstraining.com

Key Takeaways

1. Pain can significantly interfere with dog training by affecting focus, motivation, and emotional regulation.

2. Many behaviour cases have an underlying pain component, even when physical signs are subtle or easily missed.

3. Collaboration between trainers, caregivers, and veterinary professionals leads to better welfare and training outcomes.

4. Behavioural changes such as avoidance, inconsistency, or reduced engagement can be important clues to physical discomfort.

5. Educating caregivers about the link between pain and behaviour supports earlier intervention and more realistic expectations.

Relevant Links

Mindful Methods Training: https://www.mindfulmethodstraining.com/

CAM Member Zone: https://www.caninearthritis.co.uk/member-zone/

Suspicion of Chronic Pain Form: https://caninearthritis.co.uk/suspicion-of-chronic-pain/

CAM Vet Nurse Arthritis Flip Chart: https://www.caninearthritis.co.uk/product/oa-flipchart/

Young Dog Joint Care Course

https://www.mindfulmethodstraining.com/

Learn more about Jessie’s work and access resources supporting young dog joint care and pain-aware training at:

https://www.mindfulmethodstraining.com/

Join the CAM Member Zone to access practical tools such as the Good Day / Bad Day Diary, monitoring resources, and education to support dogs living with chronic pain:

https://www.caninearthritis.co.uk/member-zone/

In this episode, Hannah is joined by Dr Jason Lowe, Chief Veterinary Officer at Contura Vet, to explore the use of intra articular hydrogels as a tool in osteoarthritis management, with a specific focus on Arthramid and how this technology may influence synovitis, joint function, pain, and longer term outcomes. Starting with a clear refresher on osteoarthritis pathology, the conversation then moves into how a 2.5% polyacrylamide hydrogel can integrate with synovial tissues and why that might matter clinically. They discuss where the evidence currently sits, what licensing and real world data can and cannot tell us, and why careful case selection remains essential. Practical caveats are emphasised, including the need for appropriate imaging, the realities of sedation or GA for administration, and the importance of rehabilitation to address established physical consequences of OA. The episode closes with broader, big picture OA management takeaways for both vets and caregivers, with actionable tips focused on monitoring, decision making, and building a sustainable plan for the individual dog.

Guest Bio

Dr. Jason Lowe is a respected equine veterinarian and until recently based in Cambridge, New Zealand. With a profound passion for horses and a commitment to their well-being, Dr. Lowe has over 30 years of clinical experience in specialist equine clinics throughout the world. After obtaining his veterinary degree from Massey University, New Zealand, Dr. Lowe embarked on a journey to specialize in equine medicine. He completed a Certificate in Equine Practice from the Royal College, London and a Masters in Business Administration from Waikato University, New Zealand.

Key Takehomes

1. OA is more than cartilage wear and tear. Synovitis and the wider joint environment matter, which is why targeted intra articular approaches are of interest.

2. Hydrogels are not a magic reset. They may support the synovial environment and joint function, but they do not rebuild established biomechanical change on their own. Rehab and time still do the heavy lifting.

3. Evidence is promising but must be interpreted with discipline. Real world and observational data can be useful, but study design, outcome measures, and time horizons influence what you can conclude.

4. Case selection and process are part of the treatment. Imaging, sedation or GA suitability, expectations setting, and a whole dog plan determine whether the option makes sense for that specific patient.

5. OA management remains multi modal. Even if hydrogels help, they sit within a broader strategy including monitoring, weight optimisation, movement plans, pain control where needed, and caregiver education.

Relevant Links

Arthramid (overview): https://arthramid.com/

Arthramid product page (2.5% iPAAG): https://arthramid.com/product/

Contura animal health (veterinary orthopaedics): https://contura.com/animal-health/

Arthrosamid (human equivalent): https://arthrosamid.com/

Contura announcement including Dr Jason Lowe appointment: https://arthramid.com/2024/07/contura-animal-health-holdings-acquires-innovative-medical-solutions/

If you are a caregiver and you are unsure whether pain is part of your dog’s picture, take CAM’s free course Is My Dog in Pain? to learn the common and the subtle signs, and how to gather useful videos and notes for your next vet consult: https://www.cameducation.co.uk/course/is-my-dog-in-pain

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.

In this episode of Canine Arthritis Matters, Hannah speaks with Dr Matt Gurney about Pawra (https://pawra.com), a new canine wellness centre in Chiswick, London, designed to complement a dog’s primary veterinary care rather than replace it. They explore the growing “wellness gap” between annual vet visits and problem driven consultations, and how Pawra aims to fill this space with evidence informed services focused on prevention, rehabilitation and early detection.

Matt explains Pawra’s 90 minute Wellness Assessment (https://pawra.com/wellness-assessment/), the four pillars of care (Stay Well, Stay Fit, Stay Sharp, Recover), and why clear referral pathways and collaboration with a dog’s own vet are essential for safe and effective care. The conversation then moves into osteoarthritis, covering diagnosis, muscle assessment, physiotherapy, environmental changes and why proactive care is critical for long term quality of life.

Guest bio

Dr Matt Gurney is a UK based veterinary anaesthetist and analgesia specialist. He trained at the University of Liverpool, works at Eastcott Referrals (https://www.eastcottreferrals.co.uk), and is Veterinary Lead at Pawra (https://pawra.com). Matt lectures internationally on pain management, has authored numerous publications in veterinary anaesthesia and analgesia, is Past President of the European College of Veterinary Anaesthesia and Analgesia, and was awarded Fellowship of the Royal College of Veterinary Surgeons for meritorious contribution to clinical practice.

5 key takehomes

1. Pawra is designed to complement, not compete with, your vet by focusing on personalised prevention, rehabilitation and early issue detection (https://pawra.com/services/).

2. The Pawra Wellness Assessment provides structured, practical actions for caregivers, the home environment and the primary vet.

3. Pain, physiotherapy and behaviour services should follow referral pathways to ensure the full medical history is considered and patient safety is prioritised.

4. Proactive care matters, common issues like dental disease and obesity are widespread and often improveable when identified early.

5. Effective osteoarthritis management relies on evidence based frameworks such as the COAST staging tool, accurate diagnosis, muscle assessment, physiotherapy guided exercise, weight optimisation and environmental changes like flooring.

Relevant links

Pawra website: https://pawra.com

Pawra services overview: https://pawra.com/services/

Pawra centre and facilities: https://pawra.com/our-centre/

Pawra contact and location: https://pawra.com/contact-us/

COAST resources

COAST staging tool PDF:

https://assets.elanco.com/0cec44ed-3eaa-0009-2029-666567e7e4de/b2d5f58c-2645-46ad-b5e5-65906b491bf3/COAST%20Printable%20PDF.pdf

COAST publication PDF:

https://assets.elanco.com/0cec44ed-3eaa-0009-2029-666567e7e4de/fde5d152-6471-4916-af01-550ae49873c6/COAST_Publication.pdf

The Pain Vet: https://thepainvet.co.uk

CAM Essentials

If you are a caregiver or professional wanting a clear, practical and evidence based framework for recognising osteoarthritis pain and building a management plan with your vet team, explore the Canine Arthritis Essentials course here:

https://www.cameducation.co.uk/course/camessentials

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.

In this episode, Hannah and Dr Chelsea Dawson talk about a question many owners quietly struggle with: “When is what I’m doing enough?” They explore multimodal management for canine arthritis, why it can feel overwhelming to see so many possible treatments and therapies, and how this can trigger guilt, shame or a sense of failure when you cannot do everything. Chelsea and Hannah focus on aligning your multimodal plan with your dog’s needs, your resources and your life, so that you can feel confident and kinder to yourself while still giving your dog good, evidence-based care.

Guest Bio

Dr Chelsea Dawson has a long history in animal welfare. Before becoming a vet, she worked in several roles with the OSPCA, including as an animal control officer, then trained as a veterinary nurse. She later moved to the UK to study at the University of Glasgow Veterinary School and, after graduation, practised in Lancashire, where she obtained an ESVPS certificate in Chronic Pain Management and Western Veterinary Acupuncture. She went on to run a dedicated pain clinic and developed a strong interest in holistic, integrated care. Today she works as an integrative veterinarian and veterinary herbalist, providing referral services for pain management and herbal medicine, and teaching on acupuncture and herbal medicine courses.

Key Takehomes

1. Multimodal management is ideal, but you do not have to do “everything” for it to be effective.

2. Feelings of guilt and “not doing enough” are common and valid, but they are not a good measure of how well your dog is cared for.

3. A realistic plan that you can sustain emotionally, financially and time-wise will help your dog more than an unsustainable “perfect” plan.

4. It is fine to prioritise: choose the mix of interventions that makes the biggest difference to your dog’s comfort and quality of life.

5. Looking after your own wellbeing and mindset is part of good pain management, because a supported, informed owner can advocate better for their dog.

Relevant Links

CAM downloads – pain charts, guides and printable tools (including chronic pain indicator chart, good day / bad day diary, video guidance):

https://caninearthritis.co.uk/how-cam-can-help/downloads/

CAM Education – online learning platform:

https://www.cameducation.co.uk/

True North Veterinary Wellness – Chelsea’s clinic (integrated pain management, acupuncture, herbal medicine):

https://truenorthveterinary.ca/about-2/

Veterinary Herbal Training / Longview CPD profile – integrated medicine, acupuncture and herbal teaching:

https://longviewcpd.co.uk/meet-the-team/

Become a CAM member: https://caninearthritis.co.uk/get-involved/become-a-cam-member/

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.

In this episode, Hannah and registered vet nurse (RVN) Evie Tummon walk through key CAM resources that make living with a dog in chronic pain more manageable in real life. Using examples from practice (including a memorable arthritic sheep and a terrifying dog flap), they show how tools like the Home Assessment Checklist, the interactive Lifestyle Tool, osteoarthritis booklets, Good Day Bad Day diaries, acute flare kits and puppy handouts help owners and clinics turn theory into everyday changes. They also introduce the CAM Member Zone and The Pain Vet online guidance service as ways to get structured, ongoing support rather than feeling you have to “figure it all out” alone.

Guest Bio

Evie Tummon is a registered veterinary nurse who has worked in practice since 2013. She runs chronic pain clinics in first opinion practice, with a strong focus on multimodal management, owner coaching and practical home adaptations. Evie is part of the Canine Arthritis Management (CAM) team and is currently studying physiotherapy to further support dogs with chronic pain. Her interest in arthritis and lifestyle adaptations began with her pet sheep, Fudge, who had osteoarthritis and benefited from CAM’s home tools being applied cross-species.

Key Takehomes:

1. Simple home changes, guided by tools like the Home Assessment Checklist, can transform comfort and safety for arthritic dogs.

2. Interactive resources such as the Lifestyle Tool and osteoarthritis booklets let owners learn and plan at their own pace between vet visits.

3. Monitoring tools like the Good Day Bad Day diary and Chronic Pain Indicator Chart turn vague worry into clear patterns you can act on.

4. Acute flare kits and “recently diagnosed” packs give step by step guidance for the most overwhelming moments.

5. The CAM Member Zone and The Pain Vet service provide structured, ongoing support so owners and vets are not managing complex chronic pain cases in isolation.

Relevant Links:

Member Zone – information & join page

• Overview of what the Member Zone includes (courses, tools, booklets, Tea & Chats, community):

https://caninearthritis.co.uk/member-zone/

• Direct “Become a CAM member” page (price, benefits, join button):

https://caninearthritis.co.uk/get-involved/become-a-cam-member/

The Pain Vet: https://thepainvet.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.

In this episode, Hannah and Dr Matt Gurney talk about what the “perfect” pain medication for dogs would look like in real life. They break this idea down into three key areas used in drug design and clinical choice: efficacy (how well it works), safety (short- and long-term), and accessibility (practical dosing, routes of administration and affordability). For each area, they explore what vets and owners hope for, where current drugs already meet many of these needs, and where there are still gaps. The conversation helps owners understand why vets combine different drugs and strategies to manage both acute and chronic pain, rather than relying on a single “magic” medication.

Guest bio

Dr Matt Gurney graduated from the University of Liverpool in 2003 and worked in mixed practice before returning to Liverpool to complete a residency in anaesthesia and analgesia. From 2009 to 2018 he developed and led the anaesthesia service at Northwest Veterinary Specialists in Cheshire. In 2018 he joined Anderson Moores Veterinary Specialists in the south of England. Matt is a European Veterinary Specialist and an RCVS Recognised Specialist in anaesthesia and analgesia, and is currently President of the European College of Veterinary Anaesthesia & Analgesia. His core interests are acute and chronic pain management. He is also co-founder of Zero Pain Philosophy, an online support service for vets and vet nurses focused on improving pain management in practice.

Key take-home messages (short)

1. The “perfect” pain medication needs to balance three things: strong effect, high safety and good practicality for real owners and dogs.

2. Many of the qualities we want from an ideal drug already exist across the range of pain medications we have today.

3. No single drug does everything, which is why vets often use multimodal pain management (several medications and approaches together).

4. Safety is not just about side effects today, but also about long-term use, interactions and the individual dog’s health status.

5. Accessibility matters: if a drug is too expensive, hard to give or awkward to dose, it will not work in the real world – even if it is excellent on paper.

Relevant links

Episode recording

YouTube live recording (published May 2022):

https://youtube.com/live/3jGXj358mBM

Dr Matt Gurney and clinical work

Anderson Moores Veterinary Specialists – Matt’s current hospital:

https://www.andersonmoores.com

Zero Pain Philosophy – online support and education for vets and vet nurses:

https://www.zeropainphilosophy.com

CAM downloads – pain charts, guides and printable tools:

https://caninearthritis.co.uk/how-cam-can-help/downloads/

Suspicion of Chronic Pain – Observations Form (PDF) – to record behaviour, posture, capability and gait changes before a vet visit:

https://caninearthritis.co.uk/wp-content/uploads/2022/04/Suspicion-of-Chronic-Pain-Observations-Form.pdf

You can join the CAM Member Zone for:

• extra videos and webinars on pain management and arthritis

• printable tools, checklists and planning guides

• a supportive community focused on keeping dogs comfortable for longer

Become a CAM member / Member Zone:

https://caninearthritis.co.uk/get-involved/become-a-cam-member/

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.

In this episode, Hannah and Dr Kathy Murphy talk about Canine Cognitive Dysfunction (CCD), how often it is missed or mislabelled as “just ageing” or pain-related changes, what the DISHAA signs look like, how CCD is actually diagnosed, and which management options exist. They also emphasise the role of simple questionnaires and observation forms to spot changes early and have clearer, more productive vet visits. Published March 2021 (https://youtube.com/live/pPdL8gcePrM)

Guest bio

Dr Kathy Murphy qualified as a veterinary surgeon from the Royal Veterinary College in 1999. After several years in mixed practice, she moved to the University of Oxford, where she completed two specialist clinical qualifications and a Wellcome Trust–funded PhD in behavioural neuroscience. She is now director of the Comparative Biology Centre and the founder of Barking Brains, where she turns complex neuroscience into practical guidance for trainers, behaviourists and dog guardians.

Key take-home messages (short)

1. ​ CCD is common in older dogs and often mistaken for “normal ageing”.
2. ​ Many medical problems and pain can cause temporary cognitive changes that look like dementia.
3. ​ DISHAA is a helpful checklist of typical signs, but these signs are not specific to CCD.
4. ​ Simple tools like the CCDR scale plus home videos and notes make vet assessments much more accurate.
5. ​ Good management of older dogs should always include looking for and treating chronic pain alongside any suspected CCD.

Relevant links

Canine cognitive dysfunction

Canine Cognitive Dysfunction Rating Scale (CCDR) – owner questionnaire:

http://rng.org.au/wp-content/uploads/2014/09/CCDR-scale-revised.pdf

Chronic pain and arthritis (CAM tools)

Suspicion of Chronic Pain – Observations Form (PDF):

https://caninearthritis.co.uk/wp-content/uploads/2022/04/Suspicion-of-Chronic-Pain-Observations-Form.pdf

CAM downloads – charts, guides, printable tools:

https://caninearthritis.co.uk/how-cam-can-help/downloads/

CAM Education – online learning platform:

https://www.cameducation.co.uk/

Barking Brains (Dr Kathy Murphy) – Facebook page:

https://www.facebook.com/neuroscienceisawesome/

CAM Member Zone

If you want deeper support around arthritis, chronic pain and brain health in dogs, you can join the CAM Member Zone for extra videos, webinars, downloads and community support:

Become a CAM member / Member Zone:

https://caninearthritis.co.uk/get-involved/become-a-cam-member/

Overview:

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.

Episode summary

Host sits down with Daniela Malcolm-Stewart (Woody’s Holistic Grooming) to unpack how grooming and osteoarthritis (OA) intersect — and why groomers belong in the interdisciplinary care team. Daniela explains her consent-based setup (floor work, padded mats, walk-in shower) and how many “difficult” dogs are actually showing pain. She shares the story of Maximus, whose later-diagnosed OA, hip dysplasia and spondylosis shaped her mission to empower guardians to groom at home with welfare first.  

Guest bio

Daniela Malcolm-Stewart is a certified holistic grooming behaviourist and founder of Woody’s Holistic Grooming. After her first dog, Maximus, panicked in a conventional salon, she retrained and built a consent-based approach that prioritises emotional wellbeing over aesthetics. Today she teaches guardians to groom at home and adapts salon environments for dogs with pain, drawing on learnings from CAM and other training. Maximus’s legacy continues to drive her work.  

5 key take-homes

1. Grooming & OA are tightly linked — done well, grooming supports comfort; done poorly, it can exacerbate pain. 

2. Choice-rich environments reduce stress: floor work, padded mats and walk-in showers build trust and better bonds. 

3. “Behaviour problem” or pain? Many grooming struggles are pain-driven; grooming time can reveal early signs. 

4. Adapt the groom to the diagnosis: techniques and pacing should consider OA and other conditions to keep dogs comfortable. 

5. Empower guardians: consent-based home grooming reduces reliance on traditional salons and can mean happier, healthier dogs. 

Relevant links:

- Woody’s Holistic Grooming — official site (about Daniela, services & approach)

https://woodysholisticgrooming.co.uk/

- Woody’s Holistic Grooming — Instagram (behind-the-scenes & updates)

https://www.instagram.com/woodysholisticgrooming/

- Woody’s Holistic Grooming — Facebook (contact & local info)

https://www.facebook.com/WoodysPlaceSN2/

- Canine Arthritis Management (CAM) — owner guides & science-backed advice

https://caninearthritis.co.uk/

- CAM Education — courses for professionals

https://www.cameducation.co.uk/

- CAM Downloads/Resources — free tools & checklists

https://caninearthritis.co.uk/how-cam-can-help/downloads/

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.

In this episode of Canine Arthritis Matters, host Hannah Capon and Dr. Sarah Heath delve into the complexities of canine arthritis and the importance of behavioral medicine. They discuss the intricate relationship between pain and behavior, emphasizing the need for a multidisciplinary approach in veterinary care. The conversation highlights the significance of caregiver insights, the role of rehabilitation coaches, and the rising interest in pain management within the veterinary community. Dr. Heath shares practical advice on conducting pain relief trials and the importance of monitoring behavioral changes to improve canine health outcomes.

Guest Bio:

Dr. Sarah Heath is an RCVS and European veterinary specialist in behavioural medicine and the founder of Behavioural Referrals Veterinary Practice (est. 1992). After four years in mixed practice, she dedicated her career to integrating emotional, cognitive, and physical health within clinical care. Sarah is a Fellow (2018) for contributions to the profession, an external lecturer in small-animal behavioural medicine at the University of Liverpool, and teaches on the veterinary undergraduate course at the University of Central Lancashire. Her practice in North West England provides behavioural medicine and chronic pain management in a multidisciplinary team.

1. Pain and behavior are closely linked; emotional health impacts pain perception. So veterinary professionals must consider physical, emotional, and cognitive health together.

2. Rehabilitation coaches play a vital role in managing canine behavior and pain.

3. Contextualized care is essential for effective treatment plans.

4. Caregivers' observations are crucial in diagnosing and managing pain in pets. Thats why pain relief trials can help identify pain as a contributing factor to behavioral issues.

5. Monitoring changes in mood and behavior is key to assessing the effectiveness of pain management.

Relevant links:

Daniel Mills’ 2020 Pain & Behaviour Paper

Link: https://doi.org/10.1016/j.tvjl.2020.105517

(Pain and behaviour in veterinary behavioural medicine, The Veterinary Journal)

Zero Pain Philosophy (Dr. Matt Gurney)

Link: https://zeropainphilosophy.com/

University of Liverpool – Behavioural Medicine (Sarah lectures here)

Link: https://www.liverpool.ac.uk/veterinary-science/

RCVS Fellowship

Link: https://www.rcvs.org.uk/who-we-are/fellows/

Join the CAM Member Zone

Access practical tools to support dogs living with osteoarthritis, including the Good Day / Bad Day Diary — a downloadable resource to help you track how your dog is coping and spot changes early.

Join here: https://www.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.