Pioneers in Canine Performance Medicine
From pioneering minimally invasive methods and leading translational human-veterinary care to leadership in the American College of Veterinary Sports Medicine and Rehabilitation, The Sams Clinic team has shaped the science, practice, and education of veterinary sports medicine.
Care Designed For Performance
For dogs trained for precision, power, and control — where every stride, turn, and hesitation matters — The Sams Clinic delivers patient-specific performance medicine tailored to your dog’s condition, capabilities, and performance demands.

Common Performance-Limiting Conditions
The Sams Clinic provides comprehensive musculoskeletal diagnosis and treatment for canine athletes, working dogs, and highly active companions, from acute injury and lameness to recurrent, unresolved, or complex performance-limiting conditions.
Common reasons for evaluation include:
- Shoulder instability, biceps disease, supraspinatus injury, iliopsoas injury, tendon, ligament, and muscle injury
- Cranial cruciate ligament disease, meniscal injury, intra-articular inflammation, cartilage injury, joint instability, and osteoarthritis
- Carpal, tarsal, digit, and load-bearing injuries associated with jumping, turning, braking, impact, and repetitive work
- Lumbosacral, pelvic, compensatory, and load-bearing pain patterns affecting movement, power, or performance
- Reduced speed, power, endurance, confidence, precision, stride and movement quality, or task performance
- Persistent lameness, recurrent injury, delayed recovery, or failure to return to previous performance
- Complex, unresolved, or previously treated cases requiring advanced orthopedic and sports medicine evaluation
Precision Evaluation & Diagnostic Localization
Evaluation is individualized to your dog’s condition, history, and performance demands to identify the anatomic, pathologic, and biomechanical factors responsible for pain, instability, dysfunction, or performance limitation.
- Objective quantitative gait analysis to detect subtle abnormalities
- Musculoskeletal ultrasound for dynamic evaluation of tendons, ligaments, muscles, joints, and other soft tissues
- Arthroscopic and needle-scope evaluation of intra-articular disease
- Review of prior imaging, treatment, rehabilitation, and performance history
- CT and other advanced imaging when indicated
- Interpretation in the context of sport, work, workload, conditioning, and performance demands
Performance-Focused Treatment
Treatment recommendations are specific to your dog’s diagnosis, clinical condition, and performance requirements, with the goal of restoring durable function through the least invasive medically appropriate path back to safe performance.
Treatment may include:
- Arthroscopic and other minimally invasive treatments
- Ultrasound-guided therapeutic procedures
- Platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), adipose-derived cellular therapy, and other orthobiologic treatments
- Performance-focused rehabilitation, conditioning, and therapeutic exercise
- Orthopedic repair, reconstruction, and stabilization when indicated
- Coordinated expertise in surgery, sports medicine, rehabilitation, and regenerative medicine
Return to Performance & Work
Return-to-performance planning is specific to your dog’s recovery, functional readiness, and the physical demands your dog must safely resume in sport, work, service, hunting, or active life.
Planning may include:
- Objective assessment of movement quality, biomechanics, and functional recovery
- Performance-readiness evaluation based on the demands of your dog’s specific sport, work, or activity
- Graduated return-to-sport, return-to-work, and return-to-duty progression
- Strength, conditioning, workload progression, and performance capacity development
- Sport-, work-, and task-specific performance planning
- Long-term performance preservation and reinjury risk reduction
Long-Term Performance Support
Performance care does not end after treatment, because the demands of sport, work, service, and duty continue as your dog returns to activity and performance evolves over time.
Long-term support with The Sams Clinic may include:
- Early evaluation of new, recurrent, or compensatory concerns
- Performance monitoring over time
- Performance preservation and injury-risk assessment
- Management of chronic orthopedic or mobility-limiting conditions
- Guidance as training, competition, duty, workload, age, or career demands change
Specialists Who Shaped the Field
The Sams Clinic’s specialists helped pioneer, validate, teach, and advance many of the methods and technologies that define modern veterinary sports medicine.
- Pioneering canine arthroscopy, needle-scope technology, and minimally invasive orthopedic techniques
- Advancing diagnostic musculoskeletal ultrasound and precision localization in veterinary sports medicine
- Developing and validating orthobiologic and regenerative treatment applications
- Translating human orthopedic, sports medicine, rehabilitation, and performance science into veterinary practice
- Advancing the profession through foundational research, publications, and education
- Training surgeons, sports medicine specialists, and rehabilitation veterinarians through specialty colleges, procedural laboratories, and international education
Performance Medicine Innovation & Leadership
For decades, our specialists have advanced the standards, techniques, and technologies shaping modern veterinary orthopedics and sports medicine.
- Clinical research programs spanning musculoskeletal disease, soft tissue injury, orthobiologic therapy, functional recovery, and objective outcomes assessment.
- Scholarly contributions including peer-reviewed publications, textbook chapters, and scientific presentations.
- Technology development & validation across orthobiologic systems, minimally invasive systems, musculoskeletal ultrasound applications, surgical instrumentation, specialty-care platforms, and related areas.
- Clinical method development spanning arthroscopy, minimally invasive diagnosis and treatment, sports medicine, and functional recovery.
- Veterinary education including national and international lecturing, training academies, advanced procedural laboratories, and residency, internship, and fellowship training.
- Field-building leadership including development of professional organizations, national specialty programs, specialty practices, and clinical service lines.


Owners, Trainers, & Handlers
You know your dog’s ‘normal’ better than anyone else. You recognize the subtle changes that matter most: the missed contact, the wider turn, the hesitation. We approach performance care the same way you care for your dog: as teammates and partners.

Teams, Programs & Events
The Sams Clinic works with organizations responsible for dogs trained for sport, work, service, and duty. We provide program-level advisory, educational, and clinical support, including veterinary coverage for competitions, field events, trainings, and working-dog activities.
Trusted by Performance Dog Owners, Handlers & Programs Worldwide
For performance and working dogs, medical decisions are often performance decisions. The Sams Clinic provides the orthopedic, performance, and recovery care required at the highest levels of training, competition, and duty.
Virtual Consultations *
For certain cases originating beyond the San Francisco Bay Area, our specialists are available for virtual case review and planning.
Performance-Focused Treatment Planning
Care is shaped around your dog’s unique capabilities and performance demands, with the goal of maximizing function while minimizing downtime.
Travel & Visit Support
Many of our patients travel long distances for care, and our team is accustomed to helping make those visits as smooth and productive as possible.
Travel & Stay
Traveling to Mill Valley
The Sams Clinic is located 10 miles north of San Francisco, accessible by:
- Highway 101 and the Golden Gate Bridge
- San Francisco International Airport (SFO), Oakland International Airport (OAK), or Sonoma County Airport (STS)
- Rideshare and regional transit
Planning Your Stay
Pet owners traveling to The Sams Clinic often stay in Mill Valley, San Francisco, Sausalito, San Rafael, or nearby Marin communities depending on visit length and recovery needs. Hotels, extended-stay accommodations, and pet-friendly short-term rentals are widely available throughout the area.
Many traveling families use their visit as an opportunity to explore the Bay Area while their pet receives care. Mill Valley and Marin County offer access to Northern California destinations including Muir Woods, Mount Tamalpais, coastal trails, wine country, and San Francisco.
Patient Stories
Sig
Agility
“From the moment we stepped into the VOSM clinic, we felt as if we were the most important patient in the office. Everyone was so professional and kind.”
Cole
Agility
“I can’t thank VOSM enough for all they did for Cole and giving him a chance to do the things he loves again.”
Vail
Lure Coursing
“Vail spend 6 weeks in a SPICA splint and then another 2 weeks in a soft splint. Afterwards, Vail went through several weeks of rehab which included gym work, underwater treadmill, and pool therapy.”



