In this episode of The Nupsala Podcast, host Meg Brady, BSc (Hons), RVN, PGCert, is joined by Dr James Guthrie BVM&S MBA CertAVP(GSAS) PgCertVBM CCRT DipECVS DipACVSMR DipECVSMR MAcadMEd FRSB FRSA FRCVS, Senior Orthopaedic Surgeon at Fitzpatrick Referrals, for an in-depth discussion on treatment decision-making in canine joint disease.
Together, they explore one of the most common challenges facing veterinary professionals managing musculoskeletal conditions: when is surgery the most appropriate option, and where might orthobiologics fit within the treatment pathway? Drawing on his experience in orthopaedic surgery, sports medicine and rehabilitation, James shares practical insights into balancing risk, reward, disease stage, and patient-specific factors when developing treatment plans.
This episode covers:
- How treatment goals and decision-making change throughout the progression of joint disease
- When surgery may be indicated and when alternative approaches may be considered
- The role of PRP, stem cells, and other intra-articular therapies in clinical practice
- The importance of diagnosis, disease staging, and patient selection
- Combining surgery, rehabilitation, medication, and orthobiologics within a multimodal treatment plan
Whether you’re working in general practice, referral practice, rehabilitation, or sports medicine, this episode offers practical insights into navigating an expanding range of treatment options for dogs with joint disease.
