Building on 17 years of clinical support to Military Working Dogs in the British Army, I now deliver bespoke approaches to arthritis management in dogs and cats using novel orthobiologic therapies, high precision gait analysis and objective Clinical Outcome Measures. The Nupsala Musculoskeletal Clinic provides a diagnostic, therapeutic, and advisory service to animals suffering from all stages of Osteoarthritis. The clinic also provides a unique baseline gait analysis and monitoring service to working and sporting dogs, enabling early detection of gait abnormalities that could lead to slowing of the progression of degenerative joint conditions. The management of companion animal arthritis has come a long way but our innovative approach to diagnosis, therapy, and monitoring, including lifestyle management advice, is the start of the next chapter. The use of intra-articular therapy in cats and dogs is still not widespread and we provide help, support, and guidance to veterinary surgeons who are willing to explore this exciting new territory.