{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/69355ac838a11f5f3e9d0bbe/6ae1155733b363c95d0ccfd6?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"156 Conservative management of acute thoracolumbar disk extrusion","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/69355ac838a11f5f3e9d0bbe/1793136088279-5dc260c6-f99f-4551-abd3-6817fce355bf.jpeg?height=200","description":"<p>Joining us in our virtual study we are delighted to be joined by not one but two neurologists. Professor Paul Freeman from the University of Cambridge and our own Associate Professor Joe Fenn. Paul, a Cambridge graduate, after 21 years in practice starting in mixed practice and then orthopaedic and neurology referrals, undertook an alternative track neurology and neurosurgery residency. Joe likewise is an RVC graduate, and after a few years in practice returned to the RVC to complete his post graduate training in neurology and neurosurgery and is no stranger to the podcast, discussing acute vestibular disease (pod 39) Levetiracetam (pod 50) Hypophysectomy (pod 70) and MUO (pod104). We discuss decision making in management of acute thoracolumbar intervertebral disc disease and in addition the use of intradiscal chondroitinase, which seems to be keeping Prof Freeman busy recently. We hope that you enjoy. </p><p><br></p><p>Prof Paul Freeman’s bio:</p><p><u><a href=\"https://www.vet.cam.ac.uk/people/professor-paul-freeman\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.vet.cam.ac.uk/people/professor-paul-freeman</a></u></p><p><br></p><p>Assoc Prof Joe Fenn’s bio:</p><p><u><a href=\"https://www.rvc.ac.uk/about/our-people/joe-fenn\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.rvc.ac.uk/about/our-people/joe-fenn</a></u></p><p><br></p><p>Links to some relevant papers:</p><p><u><a href=\"https://pubmed.ncbi.nlm.nih.gov/39051966/\" rel=\"noopener noreferrer\" target=\"_blank\">https://pubmed.ncbi.nlm.nih.gov/39051966/</a></u></p><p><u><a href=\"https://pubmed.ncbi.nlm.nih.gov/28190499/\" rel=\"noopener noreferrer\" target=\"_blank\">https://pubmed.ncbi.nlm.nih.gov/28190499/</a></u></p><p><u><a href=\"https://pubmed.ncbi.nlm.nih.gov/40043683/\" rel=\"noopener noreferrer\" target=\"_blank\">https://pubmed.ncbi.nlm.nih.gov/40043683/</a></u></p><p><br></p><p>Current ACVIM consensus statement on the diagnosis and management of acute canine thoracolumbar intervertebral disc disease:</p><p><u><a href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC9511077/\" rel=\"noopener noreferrer\" target=\"_blank\">https://pmc.ncbi.nlm.nih.gov/articles/PMC9511077/</a></u></p><p><br></p><p>To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 156 Conservative management of acute thoracolumbar disk extrusion with Paul Freeman and Joe Fenn. Published on Oct 30 2026</p><p><br></p><p>If you have any comments about this podcast, please get in touch: email <u><a href=\"mailto:dbarfield@rvc.ac.uk\" rel=\"noopener noreferrer\" target=\"_blank\">dbarfield@rvc.ac.uk</a></u>; or <u><a href=\"mailto:podcast@rvc.ac.uk\" rel=\"noopener noreferrer\" target=\"_blank\">podcast@rvc.ac.uk</a></u> or Instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, Spotify or whatever platform you listen from and kindly write us a review.</p>","author_name":"The Royal Veterinary College"}