Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 I reviewed the records from the regular vet and, no, it has not been worked up for polyarthropathy. I suppose a joint tap is needed. Has had Dex injections in the past with not much favorable response. Xrays were apparently reviewed by ortho at "a vet school" and orthotics were suggested. Hooks, DVM Re: help with a case Has this dog been worked up for polyarthropathy? Janet Van Dyke, DVM Dipl. American College Veterinary Sports Medicine and Rehabilitation CEO and Founder Canine Rehabilitation Institute, Inc. www.CanineRehabInstitute.com Affiliate Faculty Colorado State University College of Veterinary Medicine and Biomedical Sciences Janet.van_dyke@... Director, International Veterinary Academy of Pain Management (IVAPM) www.ivapm.org Treasurer, American Association of Rehabilitation Veterinarians (AARV) www.rehabvets.org Committee Chair, Residency and Credentials Committee American College of Veterinary Sports Medicine and Rehabilitation (ACVSMR) www.vsmr.org Please see attached photos. 14 year old neutered male Shep X Owner first noticed joint laxity in hind feet about 6 months ago. Dog's feet are painful when walking. On NSAIDS. Has mild LS disease. Only hind feet are affected and front feet are carrying most of the weight. X rays read by IDEXX radiologist "mod. chronic secondary joint disease both stifles. Mild chronic secondary joint disease of the metatarsalphalangeal joints of the left hind fourth and fifth digits. Soft tissue swelling of the left hind second digit without evidence of underlying bony change" Have not seen anything like this. Appreciate suggestions and comments. Reminds me of suspensory ligament disease in horses. Hooks, DVM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 A diagnosis should always precede any treatment plan. This kid should really be worked up to discern the source of these changes first. Jan Janet Van Dyke, DVMDipl. American College Veterinary Sports Medicine and RehabilitationCEO and FounderCanine Rehabilitation Institute, Inc.www.CanineRehabInstitute.comAffiliate FacultyColorado State UniversityCollege of Veterinary Medicine and Biomedical SciencesJanet.van_dyke@...Director, International Veterinary Academy of Pain Management (IVAPM)www.ivapm.orgTreasurer, American Association of Rehabilitation Veterinarians (AARV)www.rehabvets.orgCommittee Chair, Residency and Credentials CommitteeAmerican College of Veterinary Sports Medicine and Rehabilitation (ACVSMR)www.vsmr.org I reviewed the records from the regular vet and, no, it has not been worked up for polyarthropathy. I suppose a joint tap is needed. Has had Dex injections in the past with not much favorable response. Xrays were apparently reviewed by ortho at "a vet school" and orthotics were suggested. Hooks, DVM Re: help with a case Has this dog been worked up for polyarthropathy? Janet Van Dyke, DVM Dipl. American College Veterinary Sports Medicine and Rehabilitation CEO and Founder Canine Rehabilitation Institute, Inc. www.CanineRehabInstitute.com Affiliate Faculty Colorado State University College of Veterinary Medicine and Biomedical Sciences Janet.van_dyke@... Director, International Veterinary Academy of Pain Management (IVAPM) www.ivapm.org Treasurer, American Association of Rehabilitation Veterinarians (AARV) www.rehabvets.org Committee Chair, Residency and Credentials Committee American College of Veterinary Sports Medicine and Rehabilitation (ACVSMR) www.vsmr.org <PastedGraphic-2.tiff> Please see attached photos. 14 year old neutered male Shep X Owner first noticed joint laxity in hind feet about 6 months ago. Dog's feet are painful when walking. On NSAIDS. Has mild LS disease. Only hind feet are affected and front feet are carrying most of the weight. X rays read by IDEXX radiologist "mod. chronic secondary joint disease both stifles. Mild chronic secondary joint disease of the metatarsalphalangeal joints of the left hind fourth and fifth digits. Soft tissue swelling of the left hind second digit without evidence of underlying bony change" Have not seen anything like this. Appreciate suggestions and comments. Reminds me of suspensory ligament disease in horses. Hooks, DVM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 I agree a diagnosis should be obtained. No argument from me. Just saw the dog for the first time yesterday. Hooks, DVM Re: help with a case Has this dog been worked up for polyarthropathy? Janet Van Dyke, DVM Dipl. American College Veterinary Sports Medicine and Rehabilitation CEO and Founder Canine Rehabilitation Institute, Inc. www.CanineRehabInstitute.com Affiliate Faculty Colorado State University College of Veterinary Medicine and Biomedical Sciences Janet.van_dyke@... Director, International Veterinary Academy of Pain Management (IVAPM) www.ivapm.org Treasurer, American Association of Rehabilitation Veterinarians (AARV) www.rehabvets.org Committee Chair, Residency and Credentials Committee American College of Veterinary Sports Medicine and Rehabilitation (ACVSMR) www.vsmr.org <PastedGraphic-2.tiff> Please see attached photos. 14 year old neutered male Shep X Owner first noticed joint laxity in hind feet about 6 months ago. Dog's feet are painful when walking. On NSAIDS. Has mild LS disease. Only hind feet are affected and front feet are carrying most of the weight. X rays read by IDEXX radiologist "mod. chronic secondary joint disease both stifles. Mild chronic secondary joint disease of the metatarsalphalangeal joints of the left hind fourth and fifth digits. Soft tissue swelling of the left hind second digit without evidence of underlying bony change" Have not seen anything like this. Appreciate suggestions and comments. Reminds me of suspensory ligament disease in horses. Hooks, DVM Quote Link to comment Share on other sites More sharing options...
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