
Conservative Management
Conservative management involves non-invasive treatments to address orthopaedic, soft tissue, and neurological injuries and conditions, either as an alternative to surgery, or as "prehabilitation" before surgical interventions. It focuses on pain relief, improving function, and promoting healing through a planned approach which optimises rest, controlled movement, nutrition, rehabilitation, manual therapy, exercise, and education, supporting recovery and quality of life.
Whether your dog, cat or horse is conservatively managing an orthopaedic or neurological condition, a well-planned approach to treatment is vital for the best possible outcome. To support your animal effectively, it’s important to have a clear management plan and closely monitor their progress and comfort throughout the process. Below are some common conditions often benefitting from conservative treatment.

Dogs
Dogs need a careful balance of rest and rehabilitation. Controlled exercise, pain management, physiotherapy, nutrition, hydrotherapy and environmental adjustments all help prevent setbacks and promote healing. - Cranial Cruciate Ligament (CCL) degeneration/rupture - Patella luxation - Hip dysplasia - Elbow dysplasia - Intervertebral Disc Disease (IVDD) - Trauma Recovery - Age related weakness - Neurological deficit - Osteoarthritis - Ligament sprains - Muscle or tendon strains

Cats
Cats are masters at hiding discomfort, which makes joint and mobility issues easy to miss. During rehab, they need a gentle balance of rest and movement to support recovery and long-term mobility. Controlled activity, pain management, physiotherapy, and thoughtful environmental changes, like soft bedding, easy-access litter trays, and ramps, can help reduce discomfort, prevent setbacks, and promote steady healing. - Cranial Cruciate Ligament (CCL) degeneration/rupture - Patella luxation - Hip dysplasia - Spondylosis - Trauma Recovery - Age related weakness - Neurological deficit - Osteoarthritis - Ligament sprains - Muscle or tendon strains

Horses
Conservative management for horses often includes managed rest, controlled hand-walking, targeted physiotherapy, and a gradual return to work. Adjustments to saddle fit, hoof balance, and turnout routines are frequently necessary to support healing and comfort. - Joint inflammation and osteoarthritis - Ligament sprains - Muscle or tendon strains -Overriding Dorsal Spinous Processes (ODSP) / Kissing Spine - Soft tissue injuries - Nerve pain management - Cystic lesions and mild joint issues
Conservative Management
References
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ACPAT. (2024). The Association of Chartered Physiotherapists in Animal Therapy. https://www.acpat.org
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B&W Equine Vets. (2024). Expert horse orthopaedic surgery. https://www.bwequinevets.co.uk/14/Expert-Horse-Orthopaedic-Surgery
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Canine Arthritis Management. (2024). Canine arthritis management. https://www.caninearthritis.co.uk
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Canine Hydrotherapy Association. (2024). Canine Hydrotherapy Association. https://www.cha-hydrotherapy.org
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Dalla Costa, E., Minero, M., Lebelt, D., Stucke, D., Canali, E., & Leach, M. C. (2014). Development of the Horse Grimace Scale (HGS) as a pain assessment tool in horses undergoing routine castration. PLoS ONE, 9(3), e92281. https://doi.org/10.1371/journal.pone.0092281
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Fitzpatrick Referrals. (2024). Specialist veterinary referral centre. https://www.fitzpatrickreferrals.co.uk
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Gaynor, J. S., & Muir, W. W. (2009). Handbook of veterinary pain management (2nd ed.). Mosby Elsevier. [Equine Pain Scale]
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International Association of Veterinary Rehabilitation and Physical Therapy. (2024). IAVRPT. https://www.iavrpt.org
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Institute of Registered Veterinary & Animal Physiotherapists. (2024). IRVAP. https://www.irvap.org.uk
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Moores Orthopaedic Veterinary Referrals. (2024). Orthopaedic procedures for dogs. https://mooresortho.com/procedures/
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National Association of Registered Canine Hydrotherapists. (2024). NARCH. https://www.narch.org.uk
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National Association of Veterinary Physiotherapists. (2024). NAVP. https://www.navp.co.uk
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Reid, J., Nolan, A. M., Hughes, J. M. L., Lascelles, D., Pawson, P., & Scott, E. M. (2007). Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention score. Animal Welfare, 16(2), 97–104. https://www.ufaw.org.uk/downloads/glassgow-pain-scale/glasgow-pain-scale-pdf
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Royal Veterinary College. (n.d.). Canine Acute Pain Scale. https://www.rvc.ac.uk/small-animal-vet/general-practice/practice-policies/pain-scoring
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Sussex Equine Hospital. (2024). Routine orthopaedic surgeries. https://www.sussexequinehospital.co.uk/en-gb/news-events/factsheets/routine-orthopaedic-surgeries
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The Rehab Vet. (2024). The Rehab Vet – Canine rehabilitation information. https://www.therehabvet.com
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Veterinary Sports Medicine and Rehabilitation. (2024). American College of Veterinary Sports Medicine and Rehabilitation (ACVSMR). https://www.vsmr.org













