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

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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:

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 with Drew Tootle discussing dedicated OA clinics!