{"id":2591,"date":"2025-12-04T13:29:01","date_gmt":"2025-12-04T17:29:01","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=2591"},"modified":"2026-03-09T06:19:36","modified_gmt":"2026-03-09T10:19:36","slug":"notes-from-a-physical-therapy-conference-in-south-africa","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/notes-from-a-physical-therapy-conference-in-south-africa\/","title":{"rendered":"Notes from a physical therapy conference in South Africa"},"content":{"rendered":"\n<p>I was very fortunate to attend the 12<sup>th<\/sup> Symposium for the International Association of Veterinary Rehabilitation and Physical Therapy (IAVRPT) in Cape Town, in South Africa.<\/p>\n\n\n\n<p>Below are some notes that can be of interest to pet lovers.<\/p>\n\n\n\n<p>I will also intersperse a few nice pictures, with a caption.&nbsp;<\/p>\n\n\n\n<p>It was an amazing conference, with over 200 people, from all over the world, who dedicate their lives to physical therapy and rehab in pets.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"534\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2025\/12\/good-hope-new.jpg\" alt=\"\" class=\"wp-image-2599\"\/><figcaption class=\"wp-element-caption\"><strong>The Cape of Good Hope is the Southernmost point of the African continent.<\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong>What is a force plate?<\/strong><\/p>\n\n\n\n<p>I attended a day of \u201clab\u201d work centered around the use of a force plate.<\/p>\n\n\n\n<p>A force plate is a sensitive platform embedded in a walkway, that objectively measures the weight a patient places on each leg, in order to diagnose subtle lameness and track their progress during rehab.<\/p>\n\n\n\n<p>Vets (mostly surgeons) have said for years that the weight distribution is not 50-50 between the front and back legs. We\u2019ve said it\u2019s 60% in the front, because the front legs \u201ccarry\u201d the head, the neck and the chest. And the back legs mostly \u201ccarry\u201d the belly, so that\u2019s only 40% of the weight.<\/p>\n\n\n\n<p>Force plate analysis shows that this is a generalization. We just can\u2019t compare the body shape of a mini Doxie, a Bassett hound and a mastiff.<\/p>\n\n\n\n<p>This is important when we talk about the impact of weight loss and leg amputation.<\/p>\n\n\n\n<p>Weight loss benefits the entire body, and now you understand why it helps the front legs even more, since they \u201ccarry\u201d more weight.<\/p>\n\n\n\n<p>The speaker, a physical therapist, also explained that seemingly minor things can change the results of force plate analysis: the position of the pet\u2019s head, a wagging tail, turning the head to get a treat, pulling on the leash, wearing a neck collar rather than a harness, etc.<\/p>\n\n\n\n<p>Bottom line: a force plate is very helpful to diagnose a difficult lameness, and we have a lot more to learn!<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"598\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2025\/12\/Force-plate.jpg\" alt=\"\" class=\"wp-image-2593\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2025\/12\/Force-plate.jpg 600w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2025\/12\/Force-plate-150x150.jpg 150w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption class=\"wp-element-caption\"><strong>Catching a treat might change the results of force plate analysis.<\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong>How to best treat arthritis pain?<\/strong><\/p>\n\n\n\n<p>I loved a lecture presented by a surgeon, who reminded us that the source of pain in a patient with arthritis is the LINING of the joint.<\/p>\n\n\n\n<p>Therefore, treatments should target the lining of the joint.<\/p>\n\n\n\n<p>We\u2019ve started to inject various products and medications in our patients\u2019 joints, with excellent results.<\/p>\n\n\n\n<p>We started years ago with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>stem cells&nbsp;<\/li>\n\n\n\n<li>PRP (Platelet Rich Plasma), both of which you may have heard of in people.<\/li>\n<\/ul>\n\n\n\n<p>Now, we also inject:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>collagen (Spryng\u00ae)<\/li>\n\n\n\n<li>steroids (cortisone)<\/li>\n\n\n\n<li>hyaluronic acid etc.<\/li>\n<\/ul>\n\n\n\n<p>The results have been very impressive, including in \u201cdesperate\u201d cases where nothing else had helped the patient.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"450\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2025\/12\/Bo-Kaap.jpg\" alt=\"\" class=\"wp-image-2594\" style=\"width:599px;height:auto\"\/><figcaption class=\"wp-element-caption\"><strong>Bo-Kaap is a picturesque neighborhood in Cape Town.<\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong>When should we use modern<\/strong> <strong>arthritis drugs?<\/strong><\/p>\n\n\n\n<p>Another physical therapist reminded the audience of something surgeons know all-too-well. The newer anti-arthritis medications like Librela\u00ae and Solencia\u00ae should not be used when a joint is instable. To avoid potentially devastating side-effects, surgery should be recommended first in these patients, specifically to stabilize the joint.<\/p>\n\n\n\n<p>In addition, these drugs should NOT be combined with Non-Steroidal Anti-Inflammatory drugs (NSAIDs), again for fear of potentially disastrous side-effects.<\/p>\n\n\n\n<p>So remember, our current understanding is that there are at least 2 situations when Librela\u00ae and Solencia\u00ae should not be used:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>with an unstable joint<\/li>\n\n\n\n<li>with an NSAID<\/li>\n<\/ul>\n\n\n\n<p>If you would like to learn how we can help your pet with safe surgery and anesthesia, please contact us through <a href=\"http:\/\/www.drphilzeltzman.com\" target=\"_blank\" rel=\"noreferrer noopener\">www.DrPhilZeltzman.com<\/a><em>&nbsp;<\/em><\/p>\n\n\n\n<p>Never miss a blog by subscribing here: <a href=\"http:\/\/www.drphilzeltzman.com\/blog\" target=\"_blank\" rel=\"noreferrer noopener\">www.DrPhilZeltzman.com\/blog<\/a>&nbsp;<\/p>\n\n\n\n<p>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I was very fortunate to attend the 12th Symposium for the International Association of Veterinary Rehabilitation and Physical Therapy (IAVRPT) in Cape Town, in South Africa. Below are some notes that can be of interest to pet lovers. I will also intersperse a few nice pictures, with a caption.&nbsp; It was an amazing conference, with [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2591","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Notes from a physical therapy conference in South Africa | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drphilzeltzman.com\/blog\/notes-from-a-physical-therapy-conference-in-south-africa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Notes from a physical therapy conference in South Africa | Dr Phil Zeltzman\u2019s Blog\" \/>\n<meta property=\"og:description\" content=\"I was very fortunate to attend the 12th Symposium for the International Association of Veterinary Rehabilitation and Physical Therapy (IAVRPT) in Cape Town, in South Africa. 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