Canine Arthritis Matters

Canine Arthritis Matters

By Dr. Hannah CaponKids & FamilyPets & Animals
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Canine Arthritis Matters episodes

  • Episode 17 - The importance of educating pet parent about pain - Dr Jennifer Johnson

    Dr. Jennifer Johnson talks with Evie about educating pet owners to recognize pain in their dogs. She highlights the importance of early intervention, explaining how many signs of pain are subtle and often missed. The episode encourages using a multimodal approach to pain management and emphasizes the need for objective tracking through “pain trials.” Early education for pet parents, starting in puppyhood, is crucial for preventing conditions like osteoarthritis. (Published May 2023 - https://youtube.com/live/bvL5TOMQWsg)

    Biography

    Dr. Jennifer Johnson is a small animal veterinarian with 30 years of experience. She specializes in pain management and has spent the last 15 years educating her peers on multimodal pain management. Dr. Johnson is certified through the International Veterinary Academy of Pain Management (IVAPM) and has authored several veterinary chapters and articles on pain management, including the chapter on pain management in Laser Therapy in Veterinary Medicine (Wiley, 2017).

    Key Takeaways

    1. Recognize pain early: Dogs are skilled at hiding pain, so owners must look for subtle behavioral changes rather than waiting for overt signs.
    2. Multimodal management: Use a combination of pharmaceutical and non-pharmaceutical approaches to address chronic pain effectively.
    3. Objective monitoring: Track behaviors before and after treatment to measure improvements and make informed decisions about ongoing care.
    4. Start education early: Begin educating owners during puppyhood to help prevent conditions like osteoarthritis and ensure long-term joint health.
    5. Ongoing owner education: Many owners still struggle to accept their pets’ pain, making ongoing education vital for improving pet care.

    6. Relevant Links

      The Chronic Pain Symposium 2025 by CAM offers a comprehensive exploration of chronic pain management in animals, featuring expert speakers, innovative treatments, and the latest research advancements. - https://www.camonlineshop.com/chronic-pain-symposium-2025/
      Mention of CAM’s Puppy Guidelines download for preventing future joint issues - https://caninearthritis.co.uk/wp-content/uploads/2023/01/CAM-Puppy-Guidance-Caregiver-Handout.pdf
      Is My Dog in Pain course, an educational resource for owners on managing pain in dogs - https://www.cameducation.co.uk
      IVAPM -The International Veterinary Academy of Pain Management (IVAPM) is dedicated to advancing pain management education, advocacy, and research to improve the quality of life for animals. - https://www.ivapm.org

      Want to try the Canine Brief Pain Inventory for your dog?

      This tool is a great way to track your dog’s pain and mobility, helping you and your vet make better decisions about their care. - https://www.vet.upenn.edu/docs/default-source/VCIC/canine-bpi.pdf?sfvrsn=6fd20eba_0


      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
      Learn more about CARE: https://caninearthritis.org
      Have questions send them to: [email protected]

      Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

      1 hr 26 min
    7. Episode 16 - Knowing when to say Goodbye - Hannah, Nicki and Amy

      This episode focuses on the difficult decision of knowing when it’s time to euthanize a beloved pet. Hannah, Amy, and Nicki discuss the emotional toll, how to assess quality of life, and the subjective nature of this decision. They share personal experiences as vets and pet owners, offer advice on preparing for the decision, and suggest resources and tools to help pet owners navigate this tough process. The episode emphasizes being prepared, talking with your vet, and creating a plan for end-of-life care. (Recorded July 2021 - https://youtu.be/kw8LtpyCYmg )

      Biographies:

      • Amy: Veterinary professional with significant experience in managing the euthanasia process and counseling pet owners on end-of-life care. She shares her own experiences with her pets to guide listeners through emotional aspects of pet loss.
      • Nicki: A veterinarian involved in CAM with expertise in pain management and quality-of-life assessments for animals. She brings both professional insights and personal stories of handling euthanasia decisions.

      Key Takeaways:

      1. Euthanasia is common: Around 90% of dogs are euthanized rather than dying naturally, and many times chronic pain plays into the decision to euthanize, making it important to be prepared for this possibility.
      2. Quality of life is subjective: Each dog’s quality of life is unique, and it’s vital to define what happiness means for your pet before they reach their final days.
      3. Prepare early: Discuss options and preferences with your vet early, including where the euthanasia will take place and post-euthanasia decisions like cremation.
      4. Support networks are crucial: Having a support system of vets, friends, and family, as well as bereavement services, can help make the process easier.
      5. Monitor behavior changes: Tools like the Canine Brief Pain Inventory or quality-of-life scales can help track when a dog may no longer be living happily.
      6. Relevant Links:

        Canine Brief Pain Inventory: https://www.vet.upenn.edu/research/clinical-trials-vcic/our-services/pennchart/cbpi-tool
        Quality of Life Scale: https://www.veterinarypracticenews.com/quality-of-life-scale/
        Blue Cross Pet Bereavement Helpline: https://www.bluecross.org.uk/pet-bereavement-and-pet-loss
        CAM End of Life Care Booklet: CAM Shop - https://www.camonlineshop.com/end-life-care-booklet/
        CAM’s Owner Support Group (Holly’s Army): A Facebook group for support in making difficult decisions - https://www.facebook.com/groups/2161091580843717/

        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

        Learn more about CARE: https://caninearthritis.org

        Have questions send them to: [email protected]

        Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

        1 hr 17 min
      7. Episode 15 - Obstacles to Care in Canine Arthritis Management

        In this episode, Dr. Hannah Capon and Dr. Kristin Kirkby Shaw discuss common barriers in providing optimal care for dogs with osteoarthritis. They explore topics such as public misconceptions, caregiver denial, and the emotional burden on veterinary professionals. They address the challenge of convincing owners that “slowing down” often indicates pain, the role of physical exams versus diagnostics, and the importance of self-care for vet staff. Practical strategies and communication tips are shared for navigating these challenges effectively.

        1. Key Takeaways:

          1. Challenge of “Just Getting Old” Mindset: Many caregivers misattribute changes in their dog’s mobility to aging, not realizing these may be signs of pain.
          2. Importance of Early Education: Screening for orthopedic issues (like hip dysplasia) early can prepare owners for age-related conditions.
          3. Role of Physical Exams and Diagnostics: Hands-on exams often reveal more than imaging and can avoid unnecessary expenses for owners.
          4. Empowering Vet Staff: Utilizing veterinary technicians and educational resources (like checklists) helps manage caregiver expectations and spreads educational outreach.
          5. Veterinary Burnout and Self-Care: Chronic disease management can be emotionally taxing, making self-care essential for veterinarians.
          6. Relevant Links:

            • CAM education platform: Learn more from our courses - https://cameducation.co.uk

            • Join our CAM Member Zone for resources on OA, emotional support and more informations - also watch more FB lives! (only 35£ per year) - https://caninearthritis.co.uk/oa-support

            • 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

              Learn more about CARE: 
              https://caninearthritis.org

              Have questions send them to: [email protected]

              Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

              49 min
            • Episode 14 - Surgical options for osteoarthritis - Karen Perry

              In this episode, Karen Perry and Hannah Capon discuss surgical options for osteoarthritis in dogs, particularly for hip and elbow disease. Karen explains when surgery is necessary versus when conservative management (e.g., medication and rehab) is sufficient. They explore the complexities of elbow surgeries and the success rates of different interventions. The episode provides insight into the timing and risks of various surgeries, emphasizing the importance of a tailored approach to each dog’s needs. (published in March 2020 - https://youtu.be/0fY0unlShYM )

              Biography:

              • Karen Perry: Associate Professor in small animal orthopedics at Michigan State University with a special focus on managing degenerative joint diseases. She is an expert in surgical options for hip and elbow dysplasia, having trained and worked extensively in the UK and the US, contributing research and expertise in veterinary orthopedics.

              Key Takeaways:

              1. Hip dysplasia requires careful assessment: Surgery isn’t always necessary in young dogs. Medical management may help delay surgery until it’s clear that it’s needed.
              2. Early surgical interventions: Procedures like juvenile pubic symphysiodesis (JPS) and triple pelvic osteotomy (TPO) must be performed very early (young puppies) with the goal of preventing hip arthritis in dogs with hip dysplasia; these procedures are infrequently performed, partly because dogs may not be showing clinical signs of pain despite having hip dysplasia.
              3. Femoral head and neck excision (FHO): This procedure can provide relief, but requires intensive rehabilitation for optimal outcome.
              4. Total hip replacement: Considered the gold standard for restoring normal joint function, but it’s expensive and comes with risks.
              5. Elbow surgeries are more complex: Surgical success is often limited in elbow dysplasia cases, making conservative management the foundation of management in most cases.
              6. Relevant Links: CAM education platform: Learn more from our courses - https://cameducation.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

                Learn more about CARE: https://caninearthritis.org
                READ MORE about HIP and ELBOW DYSPLASIA -
                https://caninearthritis.org/article/dod-hip-dyplasia/
                https://caninearthritis.org/article/dod-elbow-dysplasia/

                Have questions send them to: [email protected]

                Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                1 hr 34 min
              7. Episode 13 - Multimodal Osteoarthritis Management in Dogs: A Comprehensive Approach to Pain, Weight, and Lifestyle

                In this episode, Dr. Kristin Kirkby-Shaw and Dr. Hannah Capon discuss the importance of a multimodal approach in managing osteoarthritis (OA) in dogs. Kristin outlines her "care quad" framework, categorizing treatment into four areas: pain management, nutrition/weight management, lifestyle/environmental modification, and rehabilitation. Kristin and Hannah emphasize that a comprehensive treatment plan requires addressing multiple areas—beyond medication alone—to ensure the dog's well-being. They also discuss the emotional impact on owners and the importance of caregiver support.

                Key Takehomes:

                1. Multimodal Treatment: Osteoarthritis should not be treated with just one approach. Combining pain management, lifestyle adjustments, weight control, and exercise is key.
                2. Weight Management is Crucial: Maintaining a healthy weight is the most effective way to slow down OA progression.
                3. Caregiver Involvement: Owners' emotions and ability to manage care directly impact a dog's treatment plan and ultimately, the success of a given plan. The plan should be developed with the owner’s input to ensure the plan is appropriate for both the dog and pet parent.
                4. Communication Between Vets and Therapists: Consistent cross-talk between medical professionals is essential for a cohesive treatment plan.
                5. Monitoring Progress: Regular follow-ups and tracking improvements are necessary to adjust the multimodal plan as needed.
                6. Relevant Links:

                  • Join our CAM Member Zone for resources on OA, emotional support and more informations (only 35£ per year) - https://caninearthritis.co.uk/oa-support
                  • More on Multimodal Treatment - https://caninearthritis.co.uk/multimodal-management
                  • 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

                    Learn more about CARE: https://caninearthritis.org

                    Have questions send them to: [email protected]

                    Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                    55 min
                  • Episode 12 - Common behaviour issues linked with pain - Dr Katrin Jahn

                    Dr. Hannah Capon is joined by the esteemed Dr. Katrin Jahn to discuss the connection between behavioral issues and pain in pets. In this episode, Katrin shares her insights on how underlying pain can manifest as behavioral problems in animals, often going unnoticed by owners. She provides practical advice on how to recognize these signs and the importance of addressing both the physical and emotional well-being of pets. (May 2023 FULL VIDEO: You can find the full video in the Member Zone https://caninearthritis.co.uk/member-zone)

                    Guest info:

                    Dr. Katrin Jahn, a veterinary graduate from the University of Munich, is a leading expert in Veterinary Behaviour Medicine. She founded the German Veterinary Clinic in Abu Dhabi, the first ISFM Gold Standard Cat Friendly Clinic in the Middle East, and is currently completing a residency in Veterinary Behaviour Medicine. Katrin is passionate about both the physical and emotional well-being of animals and regularly shares her expertise on Dubai Eye radio.

                    Key Takehomes:

                    1. Pain often presents through behavior: Pet owners should look for subtle behavioral signs of pain, not just obvious physical signs.
                    2. Pain is frequently overlooked: Many veterinarians and pet owners don’t immediately recognize behavioral changes as signs of pain.
                    3. The suspicion of chronic pain document: This resource helps pet owners track subtle signs of chronic pain and bring them to their vet’s attention.
                    4. Early detection is crucial: Recognizing and managing pain early can lead to better outcomes for pets.
                    5. Dogs may continue to engage in play or exercise despite pain: Motivation to engage in activities often outweighs pain, which can mask the severity of a condition.
                    6. Holistic, multimodal approach: Pain management often requires a combination of medication, behavior therapy, and environmental adjustments including appropriate exercise.
                    7. Relevant links:

                      • Why Don’t You Listen? is a beautifully illustrated story book, teaching children how to recognise when dogs are in pain. It is a must read for all families that share their lives and homes with our four-legged friends. - https://www.camonlineshop.com/why-dont-you-listen-book/

                      • Find the SUSPICION OF CHRONIC PAIN OBSERVATIONS FORM, the CHRONIC PAIN INDICATOR CHART or the GOOD DAY / BAD DAY DIARY here by joining our Member Zone and find even more helpful tool, videos,… - 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

                        Learn more about CARE: https://caninearthritis.org

                        Have questions send them to: [email protected]

                        Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                        1 hr 22 min
                      • Episode 11 - Interdisciplinary Approaches in Veterinary Imaging: Exploring the Role of Ultrasound and MRI - Dr. Giliola Spettini

                        In this episode, Dr. Giliola Spettini, a veterinary diagnostic imaging specialist, discusses the integration of musculoskeletal ultrasound into veterinary practice. She emphasizes the importance of interdisciplinary collaboration, covering diagnostic tools such as radiography, CT, and MRI, and the role of ultrasound in diagnosing osteoarthritis and tendon issues. The episode underscores the value of continuous learning and the evolution of diagnostic technologies in veterinary medicine.


                        Guest Info:


                        Dr. Giliola Spettini is a veterinary diagnostic imaging specialist from Italy with a PhD in Diagnostic Imaging. She is involved in teaching musculoskeletal ultrasound worldwide and has authored several textbooks. She currently works as a consultant at Antech and teaches diagnostic imaging courses globally.


                        Key Takeaways:


                        1. Ultrasound in Musculoskeletal Diagnosis: It detects early signs of joint or tendon issues, especially in cases of osteoarthritis.


                        2. Interdisciplinary Approach: Collaboration between radiologists, orthopedic surgeons, and rehabilitation experts is crucial for better diagnostic outcomes.


                        3. CT and MRI Limitations: Although valuable, these modalities have limitations in specific joint or soft tissue diagnoses, making ultrasound essential in certain cases.


                        4. Diagnostic Pathways: Physical examination remains the first critical step before selecting the appropriate imaging method.


                        5. Continuous Learning: Advancements in diagnostic imaging require veterinarians to stay updated on the latest tools and approaches.


                        Relevant Links:


                        - Dr. Giliola Spettini Profile and Courses - https://www.esavs-asia.org/en/faculty-all/9-faculty/45-spattini-giliola-dr



                        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


                        Learn more about CARE:

                        https://caninearthritis.org


                        Have questions send them to: [email protected]


                        Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                        1 hr
                      • Episode 10 - Why do they do it if it hurts - Kathy Murphy

                        Many owners can’t believe that their dog is in pain when it leaps in excitement before a walk or is desperate to chase a ball. Kathy Murphy joins Hannah Capon to explain what is happening in a dog’s brain before and during exercise. Chemicals are released, even in anticipation of exercise, that act to suppress pain signals and provide mood-enhancement and motivation. This means that the dog doesn’t listen to its own body and carries on doing activities that are jeopardising joint structures and soft tissue. Kathy provides a fascinating explanation of how dogs can get addicted to activities such as ball-chasing and suggests ways to modify this without causing distress. She recommends that dogs are encouraged and helped to maintain their sensory integration through scentwork and enrichment. (October 2020 FULL VIDEO: You can find the full video in the Member Zone https://caninearthritis.co.uk/member-zone)


                        Guest info:


                        Kathy Murphy qualified as a veterinary surgeon from the Royal Veterinary College in 1999. After spending several years in mixed practice she moved to the University of Oxford where she completed two specialised clinical qualifications and was awarded a Wellcome Trust Fellowship for her PhD in behavioural neuroscience. She is the director of the Comparative Biology Centre and recently started Barking Brains (https://www.facebook.com/neuroscienceisawesome/) a project which aims to share information about neuroscience with trainers, behaviourists and interested dog owners.


                        Key takehomes:


                        1. Exercise releases natural painkillers: Chemicals like endorphins and endocannabinoids can mask pain during exercise, making dogs less likely to listen to internal signals that tell them to stop the activity.

                        2. Pain perception is complex: Pain is processed at multiple levels and is influenced by emotional state, past experiences, and external context.

                        3. Exercise must be carefully managed: Over-exercise can worsen chronic pain conditions like arthritis, even if dogs don’t show immediate signs of discomfort.

                        4. Motivation can overshadow pain: Dogs may continue activities despite being in pain because of the positive feelings exercise generates.

                        5. Alternative approaches: Mental stimulation and controlled exercise can provide the benefits of exercise without worsening physical pain.

                        6. Dogs don’t catastrophize pain: Unlike humans, dogs live in the moment and don’t anticipate future pain, which can delay behavioral signs of discomfort.


                        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


                        Learn more about CARE:

                        https://caninearthritis.org


                        Have questions send them to: [email protected]


                        Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                        1 hr 37 min
                      • Episode 9 - Breakthrough pain and osteoarthritis Part 2 - Gwen Covey-Crump

                        We were honored to have Dr. Gwen Covey-Crump join us for two evenings to discuss the complexity of breakthrough pain and strategies to prevent it. The discussion covered the importance of owner education, identification and monitoring of chronic pain, and respecting medication dosing. Strategies for action against breakthrough pain include collaboration with vets, lifestyle changes, maintaining optimal weight, and having a toolkit for managing pain flares. (September 2021 FULL VIDEO: You can find the full video in the Member Zone https://caninearthritis.co.uk/member-zone)

                        Guest info:

                        Gwen Covey-Crump qualified from the Royal Veterinary College in 2001 and worked in small animal practice before completing a residency in Veterinary Anaesthesia at the University of Bristol in 2004. She later joined the Queen's Veterinary Hospital at the University of Cambridge and returned to Bristol Vet School in 2009 as the lead Clinical Anaesthetist for Langford Veterinary Services. Gwen earned her European Diploma in Veterinary Anaesthesia and Analgesia in 2012 and now specializes in chronic pain management at Langford Vets, focusing on pharmacological therapies, environmental impacts on pain, and the connection between pain and behavior.

                        Key Takehomes:

                        1. Continuous Care is Key: Breakthrough pain in dogs with osteoarthritis can happen despite ongoing management, so ensuring continuous care with proper medication timing and dosage is essential.

                        2. Exercise and Lifestyle Adjustments: Exercise can be both beneficial and harmful depending on the type of pain (inflammatory vs. myofascial). Tailoring exercise based on the pain source is crucial for managing acute flares.

                        3. Educating Caregivers: Owners need to be prepared for the dynamic nature of osteoarthritis, including the potential for acute pain episodes, and should know how to adjust care and activities accordingly.

                        4. Clinical Tools for Monitoring: Utilizing tools like Clinical Metrology Instruments (CMIs) and Good Day Bad Day diaries helps in tracking the dog’s pain levels and adjusting treatment plans effectively.

                        5. Understanding OA’s Variability: Osteoarthritis is not a static condition; its waxing and waning nature means that management strategies should be adaptable and informed by continuous observation and data collection.

                        6. Have a look at our FREE DOWNLOADS and find documents like the BAD DAY/GOOD DAY DIARY - https://caninearthritis.co.uk/how-cam-can-help/downloads/
                          and also check out our ACUTE FLARE KITS that are for free in our Member Zone (available at only £35 per year - increased September 2024) and other helpful tools - https://caninearthritis.co.uk/how-cam-can-help/tools/

                          CAM is a self funded and self motivated initiative to improve the lives of dogs and their owners. If you feel that you would like to donate and support CAM to continue providing free education please do so here: https://www.justgiving.com/crowdfunding/camhelp

                          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

                          Learn more about CARE: https://caninearthritis.org

                          Have questions send them to: [email protected]

                          Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                          1 hr 13 min
                        7. Episode 8 - Breakthrough pain and osteoarthritis Part 1 - Gwen Covey-Crump

                          Breakthrough pain – what is it and should we be worried about it? The simple answer is yes.

                          There is little in the literature regarding how prevalent it is in dogs, but in humans 16-95% of persistent pain conditions experience breakthrough pain which is severe or even excruciating, rapid in onset and can disable the patient. In this two-part live, Hannah and Gwen chat about breakthrough pain, starting with the three recognised subtypes in human literature: Incident, idiopathic and end of dose failure.


                          (September 2021 FULL VIDEO: You can find the full video in the Member Zone https://caninearthritis.co.uk/member-zone)


                          Guest info:


                          Gwen Covey-Crump qualified from the Royal Veterinary College in 2001 and worked in small animal practice before completing a residency in Veterinary Anaesthesia at the University of Bristol in 2004. She later joined the Queen's Veterinary Hospital at the University of Cambridge and returned to Bristol Vet School in 2009 as the lead Clinical Anaesthetist for Langford Veterinary Services. Gwen earned her European Diploma in Veterinary Anaesthesia and Analgesia in 2012 and now specializes in chronic pain management at Langford Vets, focusing on pharmacological therapies, environmental impacts on pain, and the connection between pain and behavior.


                          Key Takeaways:


                          1. Breakthrough Pain is Serious: It's a significant concern, often severe and rapid in onset, making it potentially disabling for patients, including dogs. Breakthrough pain, also known as acute flares, is a common but often overlooked aspect of osteoarthritis (OA) management in dogs, requiring better owner education.

                          2. Incident Pain: This subtype occurs due to trauma from activities like inappropriate exercise, highlighting the need for modified lifestyles and environments.

                          3. Idiopathic Pain: Diagnosed when no clear cause is found after excluding other conditions, stressing the importance of thorough reassessment when breakthrough pain is suspected.

                          4. End of Dose Failure: Occurs when pain relief isn't sustained due to incorrect dosing, underscoring the need for proper education on pain management and dosing. Proper dosing and timing of medications like gabapentin are crucial in managing chronic pain and preventing breakthrough pain in dogs.

                          5. Proactive Management: Understanding and identifying triggers for acute pain episodes, such as certain activities or dosing issues, can help prevent these painful flares. Adjusting the dog’s environment, like adding more rugs, can be as important as medication in managing pain and preventing flares.

                          6. Owner Vigilance: Pet owners need to be proactive and reflective, linking recent activities to pain episodes, as dogs won’t necessarily connect the two themselves.


                          Have a look at our FREE DOWNLOADS and find documents like the BAD DAY/GOOD DAY DIARY - https://caninearthritis.co.uk/how-cam-can-help/downloads/

                          and also check out our ACUTE FLARE KITS that are for free in our Member Zone (available at only £35 per year - increased September 2024) and other helpful tools - https://caninearthritis.co.uk/how-cam-can-help/tools/


                          CAM is a self funded and self motivated initiative to improve the lives of dogs and their owners. If you feel that you would like to donate and support CAM to continue providing free education please do so here: https://www.justgiving.com/crowdfunding/camhelp


                          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


                          Learn more about CARE:

                          https://caninearthritis.org


                          Have questions send them to: [email protected]


                          Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

                          1 hr 8 min

                        About Canine Arthritis Matters

                        From the publisher's feed

                        Welcome to Canine Arthritis Matters, your go-to resource for canine health and wellbeing. Hosted by Dr. Hannah Capon, our podcast provides valuable insights and practical advice on managing canine arthritis, mobility issues, and chronic pain. Our goal is to educate and support dog owners in early identification, proactive management, and comprehensive care practices, ensuring dogs lead long, comfortable, and happy lives. Join us on this journey to improve the quality of life for your furry friend.

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