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Fibrotic Myopathy

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I'm very interested in the answer to this as well.  I just received my third case of fibrotic myopathy earlier in the week.  The first case had undergone multiple surgeries on the gracilis before I became involved, resulting in subsequent involvement of the semitendinosus muscle later as the surgery site became fibrotic, limiting range of motion once more.  The outcome was poor in that case, as the owner was unwilling to make any lifestyle changes to help prevent further damage (the house was perched on the side of a mountain and the dogs ran down three flights of stairs to get out into the yard at will--which resulted in an avalanche of dogs pelting down the stairs a hundred times a day in order to chase the deer they spotted from the third floor...)

The second case was also very advanced before I was consulted, but as the dog was functional and money was an issue, the owner declined any therapy options.My current case has bilateral involvement of the gracilis and involvement of the semi-mems/tends on the right side.  This dog is a chronic ball chaser (which we will now modify her primary method of play).  The owners are informed and caring--and while the range of extension is severely limited, their goal is to stabilize/improve her rear end function so that she can go on walks with them again.

Sally Suttenfield, DVM, CCRPhttp://www.fourpawsvetrehab.com/

 

Hello Rehab Group,

Anyone have any suggestions, new or otherwise for improving a chronic duration semitendinosus (sp?) fibrotic myopathy in a German Shepherd?

Mark B. Parchman, DVM, DACVS, CVA, CCRT

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The most important thing is having the owner stretching 1-2 times daily and

having you stretch w/wo therapy weekly to monthly depending on owner's ability.

Stretch is keeping the back straight flex the hip with extension of the stifle

to aim toward the elbow. Both sides are affected one more then the other so it

is important to stretch both sides. Manual therapy, laser or ultrasound can

help.

Laurie McCauley, DVM

>

> > **

> >

> >

> > Hello Rehab Group,

> > Anyone have any suggestions, new or otherwise for improving a chronic

> > duration semitendinosus (sp?) fibrotic myopathy in a German Shepherd?

> > Mark B. Parchman, DVM, DACVS, CVA, CCRT

> >

> >

>

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Some people have seen good success with extracorporeal shockwave therapy however

we have not used it for that purpose in many dogs at all.

Myself and Dr. Lotsikas, DACVS over here at VOSM are working in

conjunction with Dr. Coates at the University of Missouri and are planning on

looking at heredity as well as a potential genetic marker for this particular

disease. It has typically been thought of as a chronic strain however it tends

to be almost exclusively the German Shepherd dog that is affected by fibrosis of

these particular muscle groups (gracilis, semimembranosus, semitendinosus). We

are looking to start collecting samples (blood samples) along with pedigrees for

GSDs. Any help would be greatly appreciated. If anybody has any of these guys

and the owners would be willing to provide a sample, please contact me. I can

get you the sample submission forms. Any help would be greatly appreciated.

Sincerely,

schristopher@...

, VMD, CCRP

Veterinary Orthopedic Sports Medicine Group

https://www.VOSM.com

________________________________

From: VetRehab [VetRehab ] On Behalf Of

mbparchman@... [mbparchman@...]

Sent: Tuesday, September 27, 2011 4:03 PM

To: VetRehab

Subject: Fibrotic Myopathy

Hello Rehab Group,

Anyone have any suggestions, new or otherwise for improving a chronic duration

semitendinosus (sp?) fibrotic myopathy in a German Shepherd?

Mark B. Parchman, DVM, DACVS, CVA, CCRT

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Thanks for the information--I'll let my client know and see if they are interested.Sally Suttenfield, DVM, CCRPhttp://www.fourpawsvetrehab.com/

Some people have seen good success with extracorporeal shockwave therapy however we have not used it for that purpose in many dogs at all.

Myself and Dr. Lotsikas, DACVS over here at VOSM are working in conjunction with Dr. Coates at the University of Missouri and are planning on looking at heredity as well as a potential genetic marker for this particular disease.  It has typically been thought of as a chronic strain however it tends to be almost exclusively the German Shepherd dog that is affected by fibrosis of these particular muscle groups (gracilis, semimembranosus, semitendinosus).  We are looking to start collecting samples (blood samples) along with pedigrees for GSDs.  Any help would be greatly appreciated.  If anybody has any of these guys and the owners would be willing to provide a sample, please contact me.  I can get you the sample submission forms.  Any help would be greatly appreciated.

 Sincerely,

   

   schristopher@...

, VMD, CCRP

Veterinary Orthopedic Sports Medicine Group

https://www.VOSM.com

________________________________

From: VetRehab [VetRehab ] On Behalf Of mbparchman@... [mbparchman@...]

Sent: Tuesday, September 27, 2011 4:03 PM

To: VetRehab

Subject: Fibrotic Myopathy

Hello Rehab Group,

Anyone have any suggestions, new or otherwise for improving a chronic duration semitendinosus (sp?) fibrotic myopathy in a German Shepherd?

Mark B. Parchman, DVM, DACVS, CVA, CCRT

------------------------------------

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  • 3 weeks later...

,

I am currently working on a GSD w/ fibrotic myopathy, confirmed in gracilis with

MRI. What kind of sample do you need?

Rick Wall, DVM

Certified Canine Rehabilitation Practitioner

Diplomate, American Academy of Pain Management

Certified Myofascial Trigger Point Therapist

Center for Veterinary Pain Management and Rehabilitation

The Woodlands, TX

www.vetrehabcenter.com

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  • 3 weeks later...

Hey group,

I have a 10-year old FS Weimaraner that I saw yesterday and diagnosed with

Fibrotic Myopathy of both Gracilis muscles. Does anyone out there have any

effective treatment/strategies for this owner besides stretching? Thanks.

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Ah, never mind...I see this was discussed recently. If anyone else has any other

ideas than those listed please let me know. Thanks.

>

> Hey group,

>

> I have a 10-year old FS Weimaraner that I saw yesterday and diagnosed with

Fibrotic Myopathy of both Gracilis muscles. Does anyone out there have any

effective treatment/strategies for this owner besides stretching? Thanks.

>

>

>

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