In this episode, Hannah welcomes back Dr Dan O’Neil to expand on the latest findings from VetCompass, the companion animal surveillance programme based at the Royal Veterinary College. Building on his previous CAM appearance, Dr O’Neil explains how large-scale clinical data is helping us understand which disorders affect our dogs most frequently, why they occur, and how this knowledge can improve welfare across all breeds.

As January at CAM focuses on prevention, this conversation highlights the essential role of early identification, awareness of developmental joint disease, and responsible decision-making throughout a dog’s early life. By understanding risk patterns across the wider population, caregivers and professionals can take meaningful steps to protect joint health long before clinical arthritis develops.

Originally published as a LIVE broadcast in January 2024

Guest Bio

Dr Dan O’Neil is Associate Professor in Companion Animal Epidemiology at the Royal Veterinary College and co-lead of the VetCompass Programme. After 22 years in both small and large animal practice, he completed an MSc in epidemiology in 2009 and a PhD in 2014 focused on developing VetCompass, now a global leader in companion animal health surveillance.

He has authored over 100 scientific papers on breed health and therapeutics, co-authored the books Breed Predispositions to Disease in Dogs and Cats and Health and Welfare of Brachycephalic Companion Animals, and chairs the UK Brachycephalic Working Group. His work has been recognised with multiple honours including Fellowship of the Royal College of Veterinary Surgeons, the BSAVA Blaine Award and the International Canine Health Award. His ethos is simple and powerful: we must understand the world better in order to make it better.

Key Takeaways

1. Developmental joint disease is a major driver of lifelong mobility problems, making prevention in young dogs essential.

2. Surveillance data challenges assumptions and provides evidence-based insight into true disease prevalence and risk.

3. Breed-related risk varies significantly and must be considered when making breeding, acquisition and lifestyle decisions.

4. Prevention is multi-layered and includes genetics, growth, body condition, environment and early monitoring.

5. Data-driven understanding empowers caregivers and professionals to intervene earlier and reduce long-term suffering.

Watch the Original LIVE - https://youtube.com/live/fJ0cE1vfztc

Relevant Links

Previous CAM episode with Dr Dan O’Neil:

https://youtu.be/NiZ47eews6c

VetCompass Programme information:

https://www.rvc.ac.uk/vetcompass

January Prevention Theme – Young Dog Joint Care

Prevention starts early. Our Young Dog Joint Care Course is designed to help caregivers understand risk factors, support healthy development, and reduce the likelihood of joint disease later in life.

https://www.caninearthritis.co.uk/young-dog-joint-care/

CAM Member Zone

Join the CAM Member Zone for deeper education, practical tools, downloadable resources including the Good Day / Bad Day Diary, and ongoing support for preventing and managing chronic pain.

https://www.caninearthritis.co.uk/member-zone/

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

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.

In this episode of Canine Arthritis Matters, Hannah Capon is joined by Dr. Michelle Kutzler, a leading expert in veterinary reproduction, to tackle one of the most emotionally charged and confusing topics for caregivers and professionals alike: whether, when, and how to neuter dogs.

Drawing on decades of research and clinical experience, Michelle explains why there is no single correct answer to neutering decisions. The conversation explores the hormonal consequences of gonad removal, particularly the long-term elevation of luteinizing hormone (LH), and how this may influence musculoskeletal health, joint disease, ligament integrity, cancer risk, and behaviour.

Together, Hannah and Michelle discuss early neutering and skeletal development, osteoarthritis risk, ligament laxity, body composition changes, and the emerging evidence linking neutering to anxiety-related behaviours. They also explore alternative sterilisation options, including vasectomy, hysterectomy without ovary removal, intratesticular injections, and hormone-modulating implants such as deslorelin.

This episode emphasises contextual, individualised decision-making and highlights the importance of balancing health risks, benefits, and caregiver trade-offs. It is the first part of a wider conversation, with a follow-up episode planned.

Guest Bio

Dr. Michelle Kutzler graduated from Washington State University College of Veterinary Medicine in 1993 and completed a residency in theriogenology at Cornell University, followed by a PhD in physiology. She has held academic positions at Oregon State University and, as of July 2025, joined the University of Minnesota College of Veterinary Medicine faculty.

Dr. Kutzler has authored over 100 peer-reviewed publications, more than 30 book chapters, and two textbooks in the field of animal reproduction. She serves as Chair of the World Small Animal Veterinary Association Reproduction Control Committee, co-chairs the International Symposium for Canine and Feline Reproduction Scientific Committee, is a scientific advisor for the Alliance for Contraception in Cats and Dogs, and is President-Elect of the American Association of Small Ruminant Practitioners.

Her research focuses on the systemic effects of gonadectomy, endocrine balance, musculoskeletal health, cancer risk, and behaviour.

Key Takeaways

1. There is no universal answer to whether or when dogs should be neutered; decisions must be individualised.

2. Early neutering permanently alters skeletal development, joint angles, muscle mass, and ligament stability, increasing OA risk.

3. Removal of gonads leads to lifelong elevation of luteinizing hormone, which has receptors throughout the body, including joints, ligaments, and the brain.

4. Some anxiety and behaviour changes in neutered dogs may be hormonally driven and, in certain cases, improve with LH suppression.

5. Alternative sterilisation options exist and should be discussed openly alongside traditional spay and neuter surgery.

Relevant Links

World Small Animal Veterinary Association Reproduction Control Committee

https://wsava.org/committees/reproduction-control-committee/

Alliance for Contraception in Cats and Dogs

https://acc-d.org/

International Symposium for Canine and Feline Reproduction

https://iscfr.org/

Deslorelin (Suprelorin) background information

https://www.virbac.com/home/our-products/pet-health/suprelorin.html

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

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.

In this episode of Canine Arthritis Matters, Hannah Capon is joined by dog behaviour consultant and trainer Jessie Kasper from Mindful Methods Training. Together they explore the intersection between dog training and pain, and how physical discomfort can influence behaviour, learning, and training outcomes.

Jessie shares examples from her own casework, highlighting common behavioural clues that may indicate pain, and discusses how trainers and caregivers can work more collaboratively with veterinary professionals. The conversation also covers osteoarthritis in training cases, challenges in moving from suspicion to management, and the importance of education and empathy when supporting dogs living with chronic pain.

Guest Bio

Jessie Kasper is a Certified Dog Behaviour Consultant through the International Association of Animal Behaviour Consultants and a certified Family Dog Mediator. She is Fear Free Certified, an Emotional CPR Certified Practitioner, and a CAMadvocate Level 1. Jessie runs Mindful Methods Training, where she focuses on compassionate, science-informed training approaches that consider the whole dog, including physical health, emotional wellbeing, and cognitive needs.

More about Jessie and her work:

https://www.mindfulmethodstraining.com

Key Takeaways

1. Pain can significantly interfere with dog training by affecting focus, motivation, and emotional regulation.

2. Many behaviour cases have an underlying pain component, even when physical signs are subtle or easily missed.

3. Collaboration between trainers, caregivers, and veterinary professionals leads to better welfare and training outcomes.

4. Behavioural changes such as avoidance, inconsistency, or reduced engagement can be important clues to physical discomfort.

5. Educating caregivers about the link between pain and behaviour supports earlier intervention and more realistic expectations.

Relevant Links

Mindful Methods Training: https://www.mindfulmethodstraining.com/

CAM Member Zone: https://www.caninearthritis.co.uk/member-zone/

Suspicion of Chronic Pain Form: https://caninearthritis.co.uk/suspicion-of-chronic-pain/

CAM Vet Nurse Arthritis Flip Chart: https://www.caninearthritis.co.uk/product/oa-flipchart/

Young Dog Joint Care Course

https://www.mindfulmethodstraining.com/

Learn more about Jessie’s work and access resources supporting young dog joint care and pain-aware training at:

https://www.mindfulmethodstraining.com/

Join the CAM Member Zone to access practical tools such as the Good Day / Bad Day Diary, monitoring resources, and education to support dogs living with chronic pain:

https://www.caninearthritis.co.uk/member-zone/

In this episode, Hannah is joined by Dr Jason Lowe, Chief Veterinary Officer at Contura Vet, to explore the use of intra articular hydrogels as a tool in osteoarthritis management, with a specific focus on Arthramid and how this technology may influence synovitis, joint function, pain, and longer term outcomes. Starting with a clear refresher on osteoarthritis pathology, the conversation then moves into how a 2.5% polyacrylamide hydrogel can integrate with synovial tissues and why that might matter clinically. They discuss where the evidence currently sits, what licensing and real world data can and cannot tell us, and why careful case selection remains essential. Practical caveats are emphasised, including the need for appropriate imaging, the realities of sedation or GA for administration, and the importance of rehabilitation to address established physical consequences of OA. The episode closes with broader, big picture OA management takeaways for both vets and caregivers, with actionable tips focused on monitoring, decision making, and building a sustainable plan for the individual dog.

Guest Bio

Dr. Jason Lowe is a respected equine veterinarian and until recently based in Cambridge, New Zealand. With a profound passion for horses and a commitment to their well-being, Dr. Lowe has over 30 years of clinical experience in specialist equine clinics throughout the world. After obtaining his veterinary degree from Massey University, New Zealand, Dr. Lowe embarked on a journey to specialize in equine medicine. He completed a Certificate in Equine Practice from the Royal College, London and a Masters in Business Administration from Waikato University, New Zealand.

Key Takehomes

1. OA is more than cartilage wear and tear. Synovitis and the wider joint environment matter, which is why targeted intra articular approaches are of interest.

2. Hydrogels are not a magic reset. They may support the synovial environment and joint function, but they do not rebuild established biomechanical change on their own. Rehab and time still do the heavy lifting.

3. Evidence is promising but must be interpreted with discipline. Real world and observational data can be useful, but study design, outcome measures, and time horizons influence what you can conclude.

4. Case selection and process are part of the treatment. Imaging, sedation or GA suitability, expectations setting, and a whole dog plan determine whether the option makes sense for that specific patient.

5. OA management remains multi modal. Even if hydrogels help, they sit within a broader strategy including monitoring, weight optimisation, movement plans, pain control where needed, and caregiver education.

Relevant Links

Arthramid (overview): https://arthramid.com/

Arthramid product page (2.5% iPAAG): https://arthramid.com/product/

Contura animal health (veterinary orthopaedics): https://contura.com/animal-health/

Arthrosamid (human equivalent): https://arthrosamid.com/

Contura announcement including Dr Jason Lowe appointment: https://arthramid.com/2024/07/contura-animal-health-holdings-acquires-innovative-medical-solutions/

If you are a caregiver and you are unsure whether pain is part of your dog’s picture, take CAM’s free course Is My Dog in Pain? to learn the common and the subtle signs, and how to gather useful videos and notes for your next vet consult: https://www.cameducation.co.uk/course/is-my-dog-in-pain

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

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.

In this episode of Canine Arthritis Matters, Hannah speaks with Dr Matt Gurney about Pawra (https://pawra.com), a new canine wellness centre in Chiswick, London, designed to complement a dog’s primary veterinary care rather than replace it. They explore the growing “wellness gap” between annual vet visits and problem driven consultations, and how Pawra aims to fill this space with evidence informed services focused on prevention, rehabilitation and early detection.

Matt explains Pawra’s 90 minute Wellness Assessment (https://pawra.com/wellness-assessment/), the four pillars of care (Stay Well, Stay Fit, Stay Sharp, Recover), and why clear referral pathways and collaboration with a dog’s own vet are essential for safe and effective care. The conversation then moves into osteoarthritis, covering diagnosis, muscle assessment, physiotherapy, environmental changes and why proactive care is critical for long term quality of life.

Guest bio

Dr Matt Gurney is a UK based veterinary anaesthetist and analgesia specialist. He trained at the University of Liverpool, works at Eastcott Referrals (https://www.eastcottreferrals.co.uk), and is Veterinary Lead at Pawra (https://pawra.com). Matt lectures internationally on pain management, has authored numerous publications in veterinary anaesthesia and analgesia, is Past President of the European College of Veterinary Anaesthesia and Analgesia, and was awarded Fellowship of the Royal College of Veterinary Surgeons for meritorious contribution to clinical practice.

5 key takehomes

1. Pawra is designed to complement, not compete with, your vet by focusing on personalised prevention, rehabilitation and early issue detection (https://pawra.com/services/).

2. The Pawra Wellness Assessment provides structured, practical actions for caregivers, the home environment and the primary vet.

3. Pain, physiotherapy and behaviour services should follow referral pathways to ensure the full medical history is considered and patient safety is prioritised.

4. Proactive care matters, common issues like dental disease and obesity are widespread and often improveable when identified early.

5. Effective osteoarthritis management relies on evidence based frameworks such as the COAST staging tool, accurate diagnosis, muscle assessment, physiotherapy guided exercise, weight optimisation and environmental changes like flooring.

Relevant links

Pawra website: https://pawra.com

Pawra services overview: https://pawra.com/services/

Pawra centre and facilities: https://pawra.com/our-centre/

Pawra contact and location: https://pawra.com/contact-us/

COAST resources

COAST staging tool PDF:

https://assets.elanco.com/0cec44ed-3eaa-0009-2029-666567e7e4de/b2d5f58c-2645-46ad-b5e5-65906b491bf3/COAST%20Printable%20PDF.pdf

COAST publication PDF:

https://assets.elanco.com/0cec44ed-3eaa-0009-2029-666567e7e4de/fde5d152-6471-4916-af01-550ae49873c6/COAST_Publication.pdf

The Pain Vet: https://thepainvet.co.uk

CAM Essentials

If you are a caregiver or professional wanting a clear, practical and evidence based framework for recognising osteoarthritis pain and building a management plan with your vet team, explore the Canine Arthritis Essentials course here:

https://www.cameducation.co.uk/course/camessentials

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

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.

In this episode, Hannah and Dr Chelsea Dawson talk about a question many owners quietly struggle with: “When is what I’m doing enough?” They explore multimodal management for canine arthritis, why it can feel overwhelming to see so many possible treatments and therapies, and how this can trigger guilt, shame or a sense of failure when you cannot do everything. Chelsea and Hannah focus on aligning your multimodal plan with your dog’s needs, your resources and your life, so that you can feel confident and kinder to yourself while still giving your dog good, evidence-based care.

Guest Bio

Dr Chelsea Dawson has a long history in animal welfare. Before becoming a vet, she worked in several roles with the OSPCA, including as an animal control officer, then trained as a veterinary nurse. She later moved to the UK to study at the University of Glasgow Veterinary School and, after graduation, practised in Lancashire, where she obtained an ESVPS certificate in Chronic Pain Management and Western Veterinary Acupuncture. She went on to run a dedicated pain clinic and developed a strong interest in holistic, integrated care. Today she works as an integrative veterinarian and veterinary herbalist, providing referral services for pain management and herbal medicine, and teaching on acupuncture and herbal medicine courses.

Key Takehomes

1. Multimodal management is ideal, but you do not have to do “everything” for it to be effective.

2. Feelings of guilt and “not doing enough” are common and valid, but they are not a good measure of how well your dog is cared for.

3. A realistic plan that you can sustain emotionally, financially and time-wise will help your dog more than an unsustainable “perfect” plan.

4. It is fine to prioritise: choose the mix of interventions that makes the biggest difference to your dog’s comfort and quality of life.

5. Looking after your own wellbeing and mindset is part of good pain management, because a supported, informed owner can advocate better for their dog.

Relevant Links

CAM downloads – pain charts, guides and printable tools (including chronic pain indicator chart, good day / bad day diary, video guidance):

https://caninearthritis.co.uk/how-cam-can-help/downloads/

CAM Education – online learning platform:

https://www.cameducation.co.uk/

True North Veterinary Wellness – Chelsea’s clinic (integrated pain management, acupuncture, herbal medicine):

https://truenorthveterinary.ca/about-2/

Veterinary Herbal Training / Longview CPD profile – integrated medicine, acupuncture and herbal teaching:

https://longviewcpd.co.uk/meet-the-team/

Become a CAM member: 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

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.

In this episode, Hannah and registered vet nurse (RVN) Evie Tummon walk through key CAM resources that make living with a dog in chronic pain more manageable in real life. Using examples from practice (including a memorable arthritic sheep and a terrifying dog flap), they show how tools like the Home Assessment Checklist, the interactive Lifestyle Tool, osteoarthritis booklets, Good Day Bad Day diaries, acute flare kits and puppy handouts help owners and clinics turn theory into everyday changes. They also introduce the CAM Member Zone and The Pain Vet online guidance service as ways to get structured, ongoing support rather than feeling you have to “figure it all out” alone.

Guest Bio

Evie Tummon is a registered veterinary nurse who has worked in practice since 2013. She runs chronic pain clinics in first opinion practice, with a strong focus on multimodal management, owner coaching and practical home adaptations. Evie is part of the Canine Arthritis Management (CAM) team and is currently studying physiotherapy to further support dogs with chronic pain. Her interest in arthritis and lifestyle adaptations began with her pet sheep, Fudge, who had osteoarthritis and benefited from CAM’s home tools being applied cross-species.

Key Takehomes:

1. Simple home changes, guided by tools like the Home Assessment Checklist, can transform comfort and safety for arthritic dogs.

2. Interactive resources such as the Lifestyle Tool and osteoarthritis booklets let owners learn and plan at their own pace between vet visits.

3. Monitoring tools like the Good Day Bad Day diary and Chronic Pain Indicator Chart turn vague worry into clear patterns you can act on.

4. Acute flare kits and “recently diagnosed” packs give step by step guidance for the most overwhelming moments.

5. The CAM Member Zone and The Pain Vet service provide structured, ongoing support so owners and vets are not managing complex chronic pain cases in isolation.

Relevant Links:

Member Zone – information & join page

• Overview of what the Member Zone includes (courses, tools, booklets, Tea & Chats, community):

https://caninearthritis.co.uk/member-zone/

• Direct “Become a CAM member” page (price, benefits, join button):

https://caninearthritis.co.uk/get-involved/become-a-cam-member/

The Pain Vet: https://thepainvet.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

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.

In this episode, Hannah and Dr Matt Gurney talk about what the “perfect” pain medication for dogs would look like in real life. They break this idea down into three key areas used in drug design and clinical choice: efficacy (how well it works), safety (short- and long-term), and accessibility (practical dosing, routes of administration and affordability). For each area, they explore what vets and owners hope for, where current drugs already meet many of these needs, and where there are still gaps. The conversation helps owners understand why vets combine different drugs and strategies to manage both acute and chronic pain, rather than relying on a single “magic” medication.

Guest bio

Dr Matt Gurney graduated from the University of Liverpool in 2003 and worked in mixed practice before returning to Liverpool to complete a residency in anaesthesia and analgesia. From 2009 to 2018 he developed and led the anaesthesia service at Northwest Veterinary Specialists in Cheshire. In 2018 he joined Anderson Moores Veterinary Specialists in the south of England. Matt is a European Veterinary Specialist and an RCVS Recognised Specialist in anaesthesia and analgesia, and is currently President of the European College of Veterinary Anaesthesia & Analgesia. His core interests are acute and chronic pain management. He is also co-founder of Zero Pain Philosophy, an online support service for vets and vet nurses focused on improving pain management in practice.

Key take-home messages (short)

1. The “perfect” pain medication needs to balance three things: strong effect, high safety and good practicality for real owners and dogs.

2. Many of the qualities we want from an ideal drug already exist across the range of pain medications we have today.

3. No single drug does everything, which is why vets often use multimodal pain management (several medications and approaches together).

4. Safety is not just about side effects today, but also about long-term use, interactions and the individual dog’s health status.

5. Accessibility matters: if a drug is too expensive, hard to give or awkward to dose, it will not work in the real world – even if it is excellent on paper.

Relevant links

Episode recording

YouTube live recording (published May 2022):

https://youtube.com/live/3jGXj358mBM

Dr Matt Gurney and clinical work

Anderson Moores Veterinary Specialists – Matt’s current hospital:

https://www.andersonmoores.com

Zero Pain Philosophy – online support and education for vets and vet nurses:

https://www.zeropainphilosophy.com

CAM downloads – pain charts, guides and printable tools:

https://caninearthritis.co.uk/how-cam-can-help/downloads/

Suspicion of Chronic Pain – Observations Form (PDF) – to record behaviour, posture, capability and gait changes before a vet visit:

https://caninearthritis.co.uk/wp-content/uploads/2022/04/Suspicion-of-Chronic-Pain-Observations-Form.pdf

You can join the CAM Member Zone for:

• extra videos and webinars on pain management and arthritis

• printable tools, checklists and planning guides

• a supportive community focused on keeping dogs comfortable for longer

Become a CAM member / Member Zone:

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

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.