When is a brace the right choice? What can it realistically accomplish? And when might it actually hinder recovery? Caroline (Carrie) Adrian, BS, MSPT, PhD, helps us answer these questions and much more.
We begin our two-part series on veterinary orthoses and bracing by focusing on the thoracic limb (front leg), trunk & pelvis/hip. We discuss the principles behind orthotic devices, common indications, clinical decision-making, and the importance of selecting the appropriate device for each patient.
From shoulder instability to carpal hyperextension injuries, we explore how orthoses can improve function, protect healing tissues, reduce pain, and help dogs return to activity while avoiding common pitfalls.
In This Episode:
- What is the difference between a brace, orthotic, and orthosis?
- Goals of orthotic management versus immobilization
- Conservative management +/- orthosis versus surgery
- Patient selection: Which dogs are good candidates?
- The role of canine physical rehabilitation alongside bracing
- Why custom fitting and follow-up evaluations matter
Thoracic Limb Topics Covered
Shoulder
- Medial shoulder instability (MSI in dogs)
- The controversy surrounding hobbles and when they may—or may not—be appropriate
Elbow
- Limited indications for elbow orthoses
- Potential use in osteoarthritis to diminish the load
- A lot of unknowns and potential for the elbow
Carpus (Wrist)
- Carpal hyperextension injuries
- Working and sporting dogs
- Purpose of carpal wraps and performance support
Trunk Stability & Core Support
- Benefits of trunk stabilization devices
- Supports for hip dysplasia and Degenerative Myelopathy (DM) with video on our YouTube channel
Key Takeaways
- Braces are tools—not cures—and work best as part of a comprehensive rehabilitation plan.
- Correct diagnosis is essential before selecting an orthotic device.
- Proper fit and regular reassessment are critical to avoid complications such as skin irritation, pressure sores, or altered gait mechanics.
- Rehabilitation exercises remain an important component of recovery, even when a brace is being used.
Coming Next: Part 2
This conversation continues in our next episode, where we'll shift our focus to the pelvic limb (back leg), including:
- Trunk support and hip bracing review
- Stifle (knee) injuries and cranial cruciate ligament disease
- Medial patellar luxation
- Tarsal (hock, ankle) injuries and orthotic options
- Achilles tendon injuries and Graduated Flexion Orthoses (GFO)
- Functional bracing for recovery and long-term management
- Skin management with orthosis use
Whether you're a veterinary rehabilitation professional, veterinarian, technician, student, or devoted pet owner, Part 2 will continue exploring how orthotic devices can help improve mobility and quality of life for canine patients.
Find Dr. Adrian at CanineIQ.net.
Companies with products mentioned during this episode:
DogLeggs
Hero Braces
Thera-Paw
Wiggleless
HipLign
Thanks for listening to PetAbility Podcast! If you enjoyed this episode, please subscribe, leave a review, and share it with colleagues and fellow animal rehabilitation enthusiasts.
Disclaimer
VitalVet.org, a platform for all things related to pet rehab - product information, education, and resources abound!
MedcoVet (show sponsor) Luma - advanced red-light therapy therapy that puts healing in the hands of the pet owner in the comfort of home!
Use Promo Code PETPOD22 to receive discounts from our affiliates!
Jope - science-backed supplements
Ruff Ramp - a safe alternative to stairs
Optimum Pet Vitality - education/coursework
Dr. Buzby’s-Toe Grips to prevent slipping, Encore Mobility joint supplement, and Brain Boost cognitive supplement. Using this link donates 20% to PetAbility
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