08/10/2026
I've been prodded and manipulated by more than one physiotherapist over the last couple of weeks because I've been experiencing significant pain in my knee.
On examination, quite a lot looks fine.
I have a good range of motion. My knee can be moved and manipulated without an obvious pain response. And if I absolutely HAD to run or make a sudden movement in an emergency, I probably could (though I'd rather not find out, and just the thought of having to do it makes me queasy!).
But I'm still in pain. Enough that I've had to cancel and rearrange work.
And it hasn't just affected my ability to move normally and work.
I've been more on edge. A little more irritable. Things that wouldn't normally bother me have bothered me more.
The other day, a sudden noise startled me. My whole body tensed and immediately my knee hurt.
And it made me think about the dogs I work with.
How often do we hear that a dog has been "cleared" because they didn't react when their legs or joints were examined in a consult room?
Or assume they can't be in pain because they're still running, jumping or chasing a ball?
Yet if you applied those same criteria to me right now, you might conclude that I'm fine too.
But I'm not.
The difference is that I can communicate this and tell my physiotherapist exactly how I feel.
Our dogs can't.
For them, pain might look like becoming more irritable. More sensitive to noise. Worried about being approached or touched. Less tolerant of things they previously coped with.
Don't get me wrong, a physical examination is important. But it's one part of the puzzle, not the whole picture.
That's why it's often important to look at other factors (movement, gait, muscle and coat changes, behaviour and what you're seeing at home) and work alongside your vet and trainer or behaviourist to investigate further.
Just because your dog doesn't look like they're in pain doesn't necessarily mean they aren't.
Sometimes, a change in behaviour is one of the first clues.