Episode 101 - Straight to the Joint: Injectable Solutions for Canine Osteoarthritis with Joao Alves

In this first episode of the intra-articular series, Hannah is joined by Dr João Alves to explore intra-articular approaches to canine osteoarthritis and how first-opinion practitioners can confidently bring more targeted treatment into everyday practice. They discuss why early identification and treatment of painful joints may be preferable to waiting until disease is advanced, while emphasising the importance of accurate diagnosis and imaging. João explains how local blocks and mesotherapy can help identify pain-generating joints before committing to more invasive or expensive interventions. The conversation covers corticosteroids, hyaluronic acid, PRP, regenerative medicine and gels, alongside the practical considerations of cost, availability, sedation and treatment protocols. A major theme is managing uncertainty: not every treatment will work for every dog, and plans may need to change. Crucially, the episode highlights communication, realistic expectations, objective monitoring and long-term collaboration with caregivers. The overall message is encouraging: practitioners do not need every available option to start doing more.

Links

Connect with Dr Joao Alves on LinkedIn

5 Key Take Home Points

• Treat the painful joint, not just the X-ray.

• Early, targeted intervention may offer better opportunities.

• Use diagnosis and imaging to guide treatment decisions.

• Set realistic expectations—no treatment works for every dog.

• Good communication and monitoring are essential.

Guest bio

João Alves graduated from the University of Lisbon, Portugal, in 2012 and has since worked at the Guarda Nacional Republicana (Portuguese Gendarmerie) with their police working dogs, focusing on sports medicine and rehabilitation, helping these animals to achieve their full potential.
He completed his PhD in 2021 from the University of Évora, Portugal, in intra-articular management modalities for osteoarthritis. In 2022, he became a European Specialist in Canine Sports Medicine and Rehabilitation (Diplomate of the European College of Sports Medicine and Rehabilitation - Small Animals; DECVSMR).
In addition to osteoarthritis, he conducts research and is interested in working dog sports medicine, photobiomodulation therapy, and canine exercise. João has published dozens of papers and chapters and frequently lectures on these topics.

Learn more about CAM

CAM website - CAM Education Centre - The Pain Vet

Chronic Pain Symposium - CAM Shop - CAM Podcast

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Join us next week to hear a surgeons perspective on OA with JAmes Guthrie!