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A couple of thoughts: I find it hard to recommend specific mobs or exercises on a patient I haven’t seen, because my answer varies depending on the patient’s unique presentation. So, in the absence of focused advice, I would suggest carpet bombing with every mob in your armory and see what happens. ...

I am aware of no research about concurrent PRP or ESWT with IA steroids… for precisely the reasons LEH suggested above. Patients can choose 1 path or the other, but from what we do know, you are working against yourself to do both. Do you know what was injected? Triamcinolone? Depo-medrol? Hopefully...

In your office, do ST ligament stretches, plus appropriate mobilizations. At home, have the owner do tail pulls. Hopefully the tail pulls will reduce the number of appointments required. The severity and chronicity of the underlying issue will be a big factor in determining how long it takes to reso...

To me, this sounds like a probably surgical case. If it has been casted for 6 weeks and still has demonstrable hyperextension laxity (suggestive of an intercarpal ligament tear), then I would be prepping the owner for some degree of carpal arthrodesis (partial or full depending on the level of hyper...

PRP has palliative benefit for CrCL deficient knees, the same way it can reduce pain in any OA joint. However, there is no reason to think it will heal the tendon in any meaningful way. There is however, one paper that demonstrates that combining PRP with stem cells in cases of partial cruciate tear...

I have not heard of it either, and have a bit of a question mark about the diagnosis. In general, chronic muscle pathology secondary to sports injury or overuse does not involve ongoing myositis. Cases of true myositis are generally secondary to some other larger disease process like parasitism or n...

The radiograph of the right shoulder shows subchondral sclerosis of the bicepital groove (see fancy graphics arrows that I added) indicative of, but not pathognomonic for, biceps tendon pathology. It does suggest IA inflammation. I don't wish to embarrass whoever took the rads, but I also don't want...

Just as am academic point of order, the origin of the gastrocnemius muscle is the medial and lateral supracondylar tuberosities of femur via the fabellae... it is a muscle that contributes to tibial thrust rather than prevent it. The hamstrings are the primary muscles that put caudal traction on the...

A CT is not a great imaging test for the shoulder. U/S (or high field MRI) is better. I have seen MSI cases go missed with low field MRI on smaller dogs, and common ultrasound probes can't properly image the medial compartment. If you truly want to rule out MSI, then dropping some sort of scope in t...

At the risk of taking this post onto a different tangent... I disagree that you don't (uncommonly to rarely) see biting at the leg with iliopsoas cases. The femoral nerve, which provides sensory information to the medial thigh, runs through the belly of psoas major. For cases where the muscle belly ...