Referral Services

The hospital is operational 24 hours a day, 365 days a year and is able to offer the most advanced treatment options available for orthopaedic, neurosurgical and neurological referral cases.

Facilities include on-site 1.5T MRI and CT scanner suites, a variety of joint replacement systems, electro diagnostics, and a full complement of the latest radiography and arthroscopy equipment. Furthermore, the hospital has a dedicated physiotherapy and rehabilitation department, which will include hydrotherapy treadmills and computerised gait analysis technology.

“We want our referring vets to think of us as an extension to their practice, always on hand for support or advice. We provide a warm and friendly service for them, their clients and the patients. We know how busy and challenging veterinary practice can be and we are here to help.”

  • Orthopaedics
  • Neurology
  • Rehabilitation
  • Diagnostic Imaging
  • Hamilton Specialist Referrals (HSR) offers a truly world class orthopaedic referral service. As well as being Diplomates of the European College of Veterinary Surgeons (ECVS) and recognised by the European Board of Veterinary Specialisation, our surgeons are RCVS Recognised Specialists in Orthopaedics, ensuring the highest possible standards of care for your clients and their pets.
    • HSR has the latest technologies to assist in the diagnosis and treatment of any form of orthopaedic disease or injury. There is a 1.5T high-field MRI and computerised tomography (CT) suite on site and the hospital has invested in the latest direct (DR) digital radiography systems. We routinely use computerised gait analysis to aid in the diagnosis of complex multilimb lameness and employ the same technology to monitor recovery from surgery. This individual approach to post-operative rehabilitation optimises outcomes and shortens recovery times.

    Forelimb lameness

    • Elbow dysplasia and elbow incongruity
    • Elbow Osteochondritis Dissecans (OCD)
    • Elbow Ununited Anconeal Process (UAP)
    • Intercondylar Fissure of the humeral condyle
    • Shoulder Instability
    • Biceps tendinopathy
    • Shoulder Osteochondritis Dissecans (OCD)
    • Carpal Hyperextension
    • Carpal ligament injury and instability
    • Angular Limb Deformity correction
    • Limb Sparing Surgery for bone cancer
    • Muscle and tendon injury in athletic dogs

    Hindlimb Lameness

    • Cranial cruciate ligament disease and injury
    • Patellar luxation
    • Angular Limb Deformity correction
    • Stifle Osteochondritis Dissecans (OCD)
    • Total knee replacement (TKR)
    • Hip dysplasia including genetic testing and Juvenile Pubic Symphysiodesis (JPS)
    • Total Hip Replacement
    • Tarsal ligament injury and instability
    • Tarsal osteochondritis Dissecans (OCD)
    • Limb Sparing Surgery for bone cancer
    • Achilles tendon injury and rupture
    • Muscle and tendon injury in athletic dogs


    • Complex fracture repair of long bones
    • Articular fractures
    • Pelvic fracture repair
    • Spinal fractures
    • Jaw and skull fractures
    • Digit fractures and luxations
    • Hip luxation correction
    • Elbow luxation correction
    • Hock luxation correction
    • Stifle luxation/derangement


    Investigation and treatment of abnormalities of the brainEpilepsy and inflammatory disease of the CNS is common, and the investigation and treatment of such cases is as a major part of the service we offer. Once we have diagnosed the problem we are keen to interact with our referring practices as closely as possible and be an integral, supportive part of the ongoing clinical management.Structural abnormalities of the skull such as Chiari malformation can lead to a variety of abnormalities with the brain and spinal cord. At HSR, we offer a range of medical and surgical treatments for intracranial malformations including ventriculoperitoneal shunting for hydrocephalusand treatment of specific brain tumours.
    • Seizures/epilepsy
    • Intracranial malformations & neoplasia
    • Meningitis/meningoencephalitis
    • Vestibular Syndrome
    • Syringomyelia
    • Encephalitis
    • Chiari malformation & hydrocephalus


    The most common neurosurgical procedures performed at Hamilton Specialist Referrals (HSR) are in the treatment of diseases and injuries of the spine that result in compression of the spinal cord and/or the associated nerve roots. Such cases present with varying degrees of pain, weakness and incoordination. MRI is seen at the gold standard in imaging of the spine as it provides unrivalled resolution of the neurological structures. HSR boasts an on-site 1.5T high-field MRI scanner, which allows rapid acquisition of the highest quality images to facilitate accurate and precise surgical planning.
    • Cervical spondylomyelopathy (Wobbler Syndrome)
    • Intervertebral disc disease (‘slipped discs’)
    • Lumbosacral Disease
    • Spinal fractures
    • Fibrocartilaginous Embolism (FCE)
    • Hemilaminectomy & Ventral Slot - Our spinal surgeons have vast expertise in performing decompressive hemilaminectomy and ventral slot in the treatment of disc extrusions of the thoracolumbar and cervical spine respectively. Such cases often require prompt surgical decompression and we provide an efficient but friendly service for you and your clients and we hope our expertise will reassure at what can be a difficult time.
    • Spinal fusion, foraminotomy & dorsal laminectomy - Large breed dogs more commonly suffer from more chronic disc protrusions, similar to the situation in people. These cases have their own challenges and we offer a full range of surgical options for dogs suffering from Wobbler syndrome, thoracolumbar disc protrusion and lumbosacral disease.
    • Spinal malformations and arachnoid diverticuli. We also perform complex spinal surgeries in small breeds including the treatment of spinal deformities and diverticuli in brachycephalic breeds, and the treatment of atlantoaxial subluxation in toy breeds. In selected cases we use high resolution CT imaging and computer assisted design (CAD) software to aid in placing surgical implants with the highest levels of surgical precision and accuracy.

    Neuromuscular diseases

    Electrodiagnostics & Electromyography (EMG)Myaesthenia gravis, polymyositis and polyradiculoneuritis are commonly seen diseases, however there is a vast array of neuromuscular disorders and our specialist team have extensive experience in the diagnosis of some of these more unusual presentations. We also offer Auditory Evoked Response (BAER) (hearing tests).
    • Myaesthenia gravis
    • Polyradiculoneuritis
    • Polymyositis
    • Auditory Evoked Response (BAER)
  • We believe passionately that well performed physiotherapy and rehabilitation supports the best outcomes for our patients

    Our excellent team of physiotherapists will support your pet through their recovery and rehabilitation, providing an extension of their specialist care right through to sign off.
    • On site purpose built physiotherapy and rehabilitation suite with a dedicated team
    • Hydrotherapy using water treadmills
    • Computerised gait analysis equipment to accurately identify and assess limb usage
  • Advanced Diagnostic Imaging

    To ensure your pet does not have to go through unnecessary invasive treatment we provide a range of advanced imaging diagnostics to identify the root cause of problems and create a bespoke solution of corrective treatments.
    • Magnetic resonance imaging (MRI) is a type of scan that uses strong magnetic fields and radio waves to produce detailed images of the inside of the body. We have an on-site 1.5 Tesla MRI machine specifically manufactured for use in animals.
    • A CT scan, also known as computed tomography scan, makes use of computer-processed combinations of many X-ray measurements taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of specific areas of a scanned object, allowing the user to see inside the object without cutting.