Episode 57 - Managing Neuropathic and Orthopaedic Pain in Practice - Prof Clare Rusbridge

In this episode of Canine Arthritis Matters, Hannah Capon welcomes Professor Clare Rusbridge, a world-renowned veterinary neurologist, to discuss the complex overlap between neurological and orthopaedic disease in dogs. Together, they explore how conditions such as Chiari malformation, syringomyelia, neuropathies, and osteoarthritis often coexist, and how misinterpretation can lead to over-medication or even unnecessary surgeries.

Clare highlights practical diagnostic tips for vets in general practice, shares stories from her extensive clinical experience, and tackles the risks of polypharmacy when pain is assumed to be the sole culprit. The conversation also explores the role of validated tools like Chiari Check, the importance of reassessment, and the need for a more multidisciplinary approach to chronic pain.

Guest Bio:

Professor Clare Rusbridge is a diplomate of the European College of Veterinary Neurology and Professor in Veterinary Neurology at the University of Surrey. She also serves as a senior neurologist at Wear Referrals. With over 160 scientific publications and numerous book chapters, including contributions to both veterinary and human neurology, Clare is an internationally recognised leader in neuropathic pain.

Her work focuses on Chiari malformation and syringomyelia, and she has been instrumental in raising awareness about neurological causes of chronic pain in dogs. In addition to her clinical and academic work, Clare runs the educational YouTube channel Claire-NeuroVet and serves as a trustee and patron for several welfare organisations, including the Dog Breeding Reform Group and Cavaliers Matter.

Key Takeaways:

1. Neurological disease and orthopaedic pain often overlap, making careful assessment essential to avoid misdiagnosis.

2. Polypharmacy can worsen clinical signs; drug side effects such as sedation may mimic progression of disease.

3. Simple observation tools—like gait videos and pain scoring—can reveal hidden neurological or orthopaedic causes of mobility problems.

4. Chiari malformation and syringomyelia remain under-recognised, particularly in toy and brachycephalic breeds, but screening tools like Chiari Check can help.

5. Chronic pain management requires layered planning: acute care, long-term management, and flare protocols for caregivers and vets.

Relevant Links:

Join the CAM Member Zone

Access exclusive resources, webinars, and practical tools for managing canine osteoarthritis and chronic pain.

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

Explore the Chiari Treatment Algorithm

Looking for structured guidance on managing Chiari malformation and syringomyelia in dogs? Use the free treatment algorithm here: https://caninechiari.com/treatmentAlgorithm

Chiari Check Questionnaire: https://www.chiaricheck.co.uk/

Clare Rusbridge’s YouTube Channel (Claire-NeuroVet): https://www.youtube.com/@claire-neurovet

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: [e-mail]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.