In this episode of Canine Arthritis Matters, Hannah Capon speaks with Dr. Deborah (Deb) Torraca of Wizard of Paws, a pioneer in veterinary rehabilitation. Together they dive into one of the most overlooked challenges in managing osteoarthritis: comorbidities such as kidney disease, heart disease, or cancer that often overshadow pain management.

Deb shares her wealth of experience treating complex cases, showing how rehab, lifestyle modifications, and manual therapies can still transform quality of life—even when drugs like NSAIDs are limited or contraindicated. She emphasizes the importance of “baby steps” in building sustainable care plans, the overlooked role of enrichment and fun, and how simple tools like rugs, nail trims, and mobility aids can have life-changing impact.

This is a practical and inspiring discussion that calls for a cultural shift: osteoarthritis care should not be sidelined, and rehabilitation should be seen as a first-line option, not a last resort.

Guest Bio:

Dr. Deborah Torraca is the founder of Wizard of Paws Rehabilitation in the United States and a leading international educator in veterinary rehab. Originally trained as a human physical therapist, she shifted her focus to animals and has since authored and co-authored numerous textbook chapters, published research, and spoken at veterinary conferences worldwide.

Deb combines clinical practice with teaching, research, and industry collaboration, making her uniquely placed to comment on the real-world challenges of managing canine osteoarthritis and chronic pain. Her philosophy is rooted in practicality: use what’s available, start with the basics, and empower owners with realistic, effective steps to improve their dog’s life.

Key Takeaways:

1. Comorbidities should not eclipse pain management. OA is often deprioritised in favour of conditions like kidney or heart disease, but untreated pain worsens overall health and quality of life.

2. Rehab is a first-line treatment, not a last resort. Many dogs improve significantly through lifestyle adjustments, exercise, and manual therapies—sometimes avoiding surgery altogether.

3. Baby steps matter. Introducing gradual, sustainable changes is more effective and affordable than overwhelming dogs and caregivers with every possible intervention at once.

4. Practical tools make a big difference. Rugs, mobility aids, nail care, and enrichment activities can improve comfort and reduce stress on painful joints.

5. Quality of life includes joy. Beyond pain relief, ensuring enrichment, fun, and family connection is central to managing chronic conditions in dogs.