Episodes

  • Episode 20 - Is it arthritis or could it be something more sinister? - Gerry Polton

    Episode 20 - Is it arthritis or could it be something more sinister? - Gerry Polton
    Jan 14 2025

    In this episode, Dr. Gerry Polton and Hannah Capon discuss the critical importance of correctly diagnosing the cause of lameness in dogs, emphasizing that while arthritis is common, other serious conditions—like cancer—can also be responsible. They focus on cancers such as osteosarcoma, nerve sheath tumours, and histiocytic sarcomas, highlighting their symptoms, urgency in diagnosis, and treatment options. The conversation stresses the need for early detection, accurate staging, and collaborative care to provide the best outcomes for affected dogs. The episode concludes with practical tips for managing arthritis.

    Guest info

    Dr. Gerry Polton is a renowned veterinary oncologist with over two decades of experience. After graduating from Cambridge Veterinary School in 1997, he specialized in clinical oncology, earning his Master of Science in 2003. Recognized as a Diplomate of the European College of Veterinary Internal Medicine and a specialist in oncology by the RCVS, Gerry is the Director of the Oncology Service at North Downs Specialist Referrals in Surrey, UK. He is a global authority on canine anal sac tumours and a respected educator in veterinary oncology.

    Key Takeaways

    1. Lameness isn’t always arthritis: Persistent or recurring lameness unresponsive to NSAIDs may indicate cancer.
    2. Osteosarcoma is urgent: Early treatment can extend life from weeks to a year.
    3. Breed-specific risks: Golden retrievers, Bernese mountain dogs, and rottweilers are prone to histiocytic sarcomas.
    4. Early diagnosis matters: Quick action opens up effective treatment options.
    5. Collaborative care: Work closely with your vet to ensure thorough staging and the best outcomes.

    Relevant links:

    Findout more about how to exercise your dog - https://www.camonlineshop.com/booklets/books-booklets

    Learn how to protect your young dog's joint health so they can have a long and active life! - https://www.cameducation.co.uk/course/young-dog-joint-care

    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: info@caninearthritis.co.uk

    Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.
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    1 hr and 32 mins
  • Episode 19 - Is the treatment plan working for your dog? - John Innes

    Episode 19 - Is the treatment plan working for your dog? - John Innes
    Jan 14 2025

    In this episode, Hannah Capon speaks with Professor John Innes about managing arthritis in dogs and the importance of choosing and monitoring treatments effectively. John provides an overview of arthritis pathophysiology, helping pet owners understand how medications work and why treatment plans must evolve over time. They discuss objective monitoring tools, which help assess whether interventions are effective and when modifications to the treatment plan are necessary. The episode also answers listener questions about the latest treatments like Librela and emphasizes the need for full clinical assessments to rule out other conditions mimicking arthritis.

    Guest info:

    Professor John Innes is a renowned veterinary surgeon and orthopaedic specialist with over 30 years of experience. He earned his PhD in musculoskeletal sciences from the University of Bristol and became an RCVS-recognized Specialist in Small Animal Surgery. Formerly a Professor at the University of Liverpool, John has been a leader in research, teaching, and clinical practice in orthopaedics. Currently serving as Chief Veterinary Officer at CVS Group plc, he oversees quality improvement and specialist services across the group.

    Key Takehomes

    1. Understand arthritis pathophysiology: Knowing how arthritis progresses is essential for understanding how treatments work.
    2. Use objective monitoring tools: Tools like scoring systems help assess if treatments are effective and when adjustments are needed.
    3. Treatment plans must evolve: Arthritis is a progressive condition requiring ongoing modifications to management strategies.
    4. Librela offers new hope: This monoclonal antibody therapy targets nerve growth factor, providing pain relief for some dogs.
    5. Full clinical assessments are vital: Always ensure the signs are due to arthritis and not another condition.

    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: info@caninearthritis.co.uk

    Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.
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    1 hr and 33 mins
  • Episode 18 - How do you know when you’re doing enough for your arthritic dog - Chelsea Dawson

    Episode 18 - How do you know when you’re doing enough for your arthritic dog - Chelsea Dawson
    Nov 26 2024

    Dr. Hannah Capon and Dr. Chelsea Dawson discuss how to manage arthritis in dogs using a multimodal approach. They stress the importance of individualized care that combines medications, lifestyle changes, and physical therapies. The emotional challenge of feeling guilty for not doing enough is addressed, with a focus on recognizing what’s realistically achievable. They also highlight the need to observe behavioral changes and focus on the dog’s happiness. Owners are advised to avoid comparing themselves to others and maintain open communication with their vets. (Published September 2021 - https://youtube.com/live/ER5rnYDDi_o)

    P.s. - And it looks like we have a surprise guest! Luna, Hannahs dog, has joined the conversation—clearly, she has some paws-itively important thoughts to share.

    Biography

    Dr. Chelsea Dawson is a veterinarian specializing in chronic pain management and holistic veterinary medicine. After moving from Canada to the UK to attend the University of Glasgow Veterinary School, she began focusing on chronic pain and integrated therapies like acupuncture and herbal medicine. She currently runs her own referral service for pain assessments in Yorkshire and East Lancashire.

    Key Takeaways

    1. Multimodal approach: Effective arthritis management requires multiple interventions (e.g., medication, lifestyle changes, supplements), which should be tailored to the dog and owner’s circumstances.
    2. Biopsychosocial care: Consider the physical, emotional, and social well-being of the dog when developing a pain management plan.
    3. Behavioral markers: Watch for behavior changes that signal pain or discomfort, as these are often better indicators than physical symptoms.
    4. Manage guilt: Owners often feel they aren’t doing enough, but it’s essential to focus on what’s realistically possible and be confident in the care being provided.
    5. Avoid comparisons: Social media can create pressure to do more than what’s feasible. Focus on your dog’s specific needs rather than comparing with others.

    Relevant Links

    CAM Courses - https://www.cameducation.co.uk

    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/

    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: info@caninearthritis.co.uk
    Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.
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    1 hr and 13 mins
  • Episode 17 - The importance of educating pet parent about pain - Dr Jennifer Johnson

    Episode 17 - The importance of educating pet parent about pain - Dr Jennifer Johnson
    Nov 19 2024
    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 Recognize pain early: Dogs are skilled at hiding pain, so owners must look for subtle behavioral changes rather than waiting for overt signs.Multimodal management: Use a combination of pharmaceutical and non-pharmaceutical approaches to address chronic pain effectively.Objective monitoring: Track behaviors before and after treatment to measure improvements and make informed decisions about ongoing care.Start education early: Begin educating owners during puppyhood to help prevent conditions like osteoarthritis and ensure long-term joint health.Ongoing owner education: Many owners still struggle to accept their pets’ pain, making ongoing education vital for improving pet care. 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.pdfIs My Dog in Pain course, an educational resource for owners on managing pain in dogs - https://www.cameducation.co.ukIVAPM -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/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltdLearn more about CARE: https://caninearthritis.orgHave 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.
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    1 hr and 25 mins
  • Episode 16 - Knowing when to say Goodbye - Hannah, Nicki and Amy

    Episode 16 - Knowing when to say Goodbye - Hannah, Nicki and Amy
    Nov 12 2024
    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: 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.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.Prepare early: Discuss options and preferences with your vet early, including where the euthanasia will take place and post-euthanasia decisions like cremation.Support networks are crucial: Having a support system of vets, friends, and family, as well as bereavement services, can help make the process easier.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. Relevant Links: Canine Brief Pain Inventory: https://www.vet.upenn.edu/research/clinical-trials-vcic/our-services/pennchart/cbpi-toolQuality 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-lossCAM 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/CAMarthritisInstagram: https://www.instagram.com/canine_arthritisYoutube: https://www.youtube.com/c/CanineArthritisManagementLinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd Learn more about CARE: https://caninearthritis.org 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.
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    1 hr and 17 mins
  • Episode 15 - Obstacles to Care in Canine Arthritis Management

    Episode 15 - Obstacles to Care in Canine Arthritis Management
    Nov 5 2024

    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.

    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: info@caninearthritis.co.uk

    Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.
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    48 mins
  • Episode 14 - Surgical options for osteoarthritis - Karen Perry

    Episode 14 - Surgical options for osteoarthritis - Karen Perry
    Oct 29 2024

    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.

    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: info@caninearthritis.co.uk

    Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.
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    1 hr and 34 mins
  • Episode 13 - Multimodal Osteoarthritis Management in Dogs: A Comprehensive Approach to Pain, Weight, and Lifestyle

    Episode 13 - Multimodal Osteoarthritis Management in Dogs: A Comprehensive Approach to Pain, Weight, and Lifestyle
    Oct 22 2024

    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.

    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: info@caninearthritis.co.uk

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