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Radica, I think that is important to attempt to make a diagnosis as to the possible cause of feline hyperesthesia syndrome. Numerous feline disorders affecting the skin, muscles and/or nervous system have been implicated. My most recent case was related to fleas and flea allergic dermatitis. I would...

Chronic pain, central sensitization, wind up are all actually describing the same situation. This is a condition where there are physiochemical changes within the central nervous system brought about by continued and/or severe peripheral nociceptive input. The changes are especially in the dorsal ho...

I have to agree with David in that your patient likely needs revision surgery followed by rehab. I also recommend a geometry altering procedure for this athletic patient. The caudal thigh muscles are the only ones that are agonistic to the CCL and you will not be able to strengthen them enough to co...

Juli, Interesting case in which I think it is quite evident we can probably not explain your very detailed findings with one simple cause. Regarding the atrophy of the muscle of mastication and pain my considerations would be; - TMJ - oblique radiographs of the skull can be use to better visualize t...

Laurie, Thank you for responding. Interesting discussion! Thanks for the forum! I think of the stifle joint as hinge type joint (trochlea) allowing flexion and extension. Both the femoral condyles and tibial condyles are convex with trochlear stability being the result the menisci limited rotation i...

Laurie, Thank you for your comments; -----"The gait of the CCL injured leg tends to be a bit more externally rotated as compared to abducted - external rotation allows for the hip to swing forward without making the stifle go through a full range. Neither would increase weight bearing on the medial ...

I would love to see the radiographs of your patient. The pictures and description in the lower left pelvic limb are suggestive of "dropped toe". This is injury to both the superficial and deep digital flexors. I suspect with the chronicity there is likely damage to the static stabilizers of the meta...

Laurie, Thank you for your lengthy reply. Within the myofascial pain and dysfunction community and literature "motor control and timing" is termed somewhat differently. Terms such as "muscle activation patterns", "muscle recruitment patterns" and "loss or decrease in reciprocal muscle inhibition". S...

SW, -----------"Does 'core stability exist in the dog' and if so is it relevant?"------------ I am so intrigued by your question!! I read it earlier today and cannot get it off my mind! Let me begin by saying that there is a rehab discussion group most all of us frequent that once produced this type...

Please excuse my ignorance but what does +ve P, -ve, etc. mean. I am not familiar with those abbreviations/acronyms.

Rick