Re: Re: Carpal injury

[Guest guest]

Thanks so much for your quick response! Duncan had a borderline positive Lyme Disease titer and I started him on Doxycycline last week. We do see Lyme in this area... usually with a fever and multiple joints but they don't always read the book. Before starting Doxy the owner thought he was a little better back on Rimadyl and applying ice to the area that she felt was warm. I recommended ice only after my last evaluation may have brought on the heat... back to some acute inflammation. I'll see how he does with the Doxy for now. Thanks again for your response. Re: Carpal injury

I do not know what area of the country you are in, but I have seen

many animals with these type of symptoms that will test positive for

Lyme disease and respond quickly to Doxycycline. Just a thought.

alan holter DVM

Dodgeville, WI

>

> Thanks in advance for any help with this rather open ended

question!

> I just came back from my first intro course and am excited to

approach

> old problems with new ideas. Immediately on Mon. morning I am faced

> with a lame, 6 year old MN Sheltie with a RF lameness. This was

> actually a recheck and after my initial exam prior to my course

> thought that the dog had shoulder soreness. I had radiographed

> shoulders and elbows and had no skeletal abnormalities. On recheck

> yesterday I did a more thorough eval. and found soreness on flexion

of

> the carpus! More radiographs of carpi... again no bone changes. So

> what I would have previously called soft tissue injury has been

> treated now with rest and Rimadyl for 6 weeks. So now I have to

> think, is this dog sore due to tendon, ligament or joint capsule

> inflammation? After more study I am wondering if she has

> hyperextension injury but could not localize swelling and am

wondering

> what I should do to narrow the diagnosis and treat. I should add

that

> post thorough evaluation she was more lame (oops... but also had

been

> taken off Rimadyl the day before) and yesterday the owner thought

she

> felt heat on the more medial aspect of leg above the carpus). I did

> have her ice the area yesterday and started back on Rimadyl. Any

> ideas and help would be greatly appreciated!

>