resolve the discomfort and lameness. Our study results confirm these observations with 75.9% of dogs failing to respond to rest and NSAID therapy and rehabilitation therapy ineffective in 50.2% of dogs. On physical examination, discomfort is noted when stretching the supraspinatus (shoulder flexion) and on direct palpation of the tendon. Atrophy may also be noted. Pain or spasm is also often noted on direct palpation of the biceps tendon and when performing a biceps stretch (shoulder flexion with elbow extension). This may be due to a supraspinatus bulge causing compression of the biceps tendon or may indicate concurrent biceps tendon pathology. Discomfort on shoulder abduction (moving the limb away from the body in a lateral motion) and extension may also be noted. For dogs with concurrent elbow pathology, discomfort may be detected on range of motion of the elbow or on direction palpation of the medial compartment. Unfortunately, a lack of pain response does not rule out the presence of elbow pathology. At VOSM, objective gait analysis is performed as part of a comprehensive sports medicine evaluation. This objective analysis can identify and quantitate lameness, stride length issues, etc. Gait analysis is repeated at every recheck to allow for an objective measure of response to treatment. Results of a Gait-4-Dog analysis: Dogs should carry 60% of their weight in their forelimbs (30% on each forelimb) and 40% in the hind limbs (20% in each hind limb). Dogs with a supraspinatus tendinopathy often off load the affected limb, resulting in abnormal weight distribution as shown by the Total Pressure Index (TPI) percent. Radiographs of the shoulder(s) are performed to rule out other bony disease processes and to identify mineralization with the supraspinatus tendon or bony remodeling at its insertion. In our study, mineralization was noted in 20.9% of dogs. Radiographic image of mineralization within the supraspinatus tendon February 14 | Clean Run 25http://www.jjdog.com http://www.jjdog.com http://www.facebook.com/jandjdog