Cat L. Rear plantigrade-severe hip OA

[Guest guest]

Hello All

I am seeing an 11yr old Fsp DSH cat tomorrow who is 3 wks post-op of Bilateral

FHO

This cat had a chronic hx of Hip OA and became acutely plantigrade in the L rear

limb. She was evaluated by a Neurologist who determined there were no

neurologic abnormalities. X-rays revealed severe bilateral hip OA with marked

restricted ROM of both hips with significant muscle wasting.

Subsequently FHO procedures were performed on the the R and L femur.

She was walking independantly at 1 wk however was still plantigrade on the L

rear limb.

She has had a siginificant decline in use of the R rear limb (the one that was

not plantigrade. She is not passing stool or urine regularly.

She was re-evaluated by the Neurologist and Surgeon- no back pain was noted, cat

tolerated ROM of both hips. She was prescribed prednisone and and was told to

seek Rehab.

The surgeon did evaluate the hock and Gastroc and found no abnormalities.

What might the cause of her plantigrade stance be?

Is there anything else I should be looking for?

Can severe hip OA cause plantigrade stance?

Not sure what's going on with the R rear leg-I am thinking pain,

further muscle weakness and atrophy leading to instability.

Below are some video's of the cat at 1 and 2 wks

I would cut and paste them into the tool bar, I didnt't know

how to make them a hyperlink

Thanks

Ann-Margret DVM CCRT

http://www.youtube.com/watch?v=W8-9RdIOPq0 Today's walk

http://www.youtube.com/watch?v=1-mChsMr38A Jan 12 walk - one week ago

http://www.youtube.com/watch?v=A4v8wbl6xWs Jan 12 walk - part 2

[Guest guest]

I was going through old emails and say this request, but no replies. I am

interested to hear if anyone had any ideas, and how the kitty is doing?

Joyce

>

> Hello All

> I am seeing an 11yr old Fsp DSH cat tomorrow who is 3 wks post-op of Bilateral

FHO

> This cat had a chronic hx of Hip OA and became acutely plantigrade in the L

rear limb. She was evaluated by a Neurologist who determined there were no

neurologic abnormalities. X-rays revealed severe bilateral hip OA with marked

restricted ROM of both hips with significant muscle wasting.

> Subsequently FHO procedures were performed on the the R and L femur.

> She was walking independantly at 1 wk however was still plantigrade on the L

rear limb.

> She has had a siginificant decline in use of the R rear limb (the one that was

not plantigrade. She is not passing stool or urine regularly.

> She was re-evaluated by the Neurologist and Surgeon- no back pain was noted,

cat tolerated ROM of both hips. She was prescribed prednisone and and was told

to seek Rehab.

> The surgeon did evaluate the hock and Gastroc and found no abnormalities.

> What might the cause of her plantigrade stance be?

> Is there anything else I should be looking for?

> Can severe hip OA cause plantigrade stance?

> Not sure what's going on with the R rear leg-I am thinking pain,

> further muscle weakness and atrophy leading to instability.

> Below are some video's of the cat at 1 and 2 wks

> I would cut and paste them into the tool bar, I didnt't know

> how to make them a hyperlink

> Thanks

> Ann-Margret DVM CCRT

> http://www.youtube.com/watch?v=W8-9RdIOPq0 Today's walk

>

> http://www.youtube.com/watch?v=1-mChsMr38A Jan 12 walk - one week ago

>

> http://www.youtube.com/watch?v=A4v8wbl6xWs Jan 12 walk - part 2

>

[Guest guest]

I don't know anything about this case ( and I did not clip the post purposely) but if I were managing this cat I would have to think there must be some pain involved here as well as some neurological component .I would wonder if an MRI of the lower lumbar area had been done?? Also how is the kitty's blood work--I think something else is going on with this cat that rehab may or may not help...just a gut feeling and my twoonies worth ( the Canadian penny is really not worth anything anymore)

Jan Huntingford DVM,CCRT,CVA, DLR

Essex Ontario

---- Original Message ----

To: VetRehab <VetRehab >

Sent: Thu, Feb 9, 2012 1:41 pm

Subject: Re: Cat L. Rear plantigrade-severe hip OA

I was going through old emails and say this request, but no replies. I am interested to hear if anyone had any ideas, and how the kitty is doing?

Joyce

>

> Hello All

> I am seeing an 11yr old Fsp DSH cat tomorrow who is 3 wks post-op of Bilateral FHO

> This cat had a chronic hx of Hip OA and became acutely plantigrade in the L rear limb. She was evaluated by a Neurologist who determined there were no neurologic abnormalities. X-rays revealed severe bilateral hip OA with marked restricted ROM of both hips with significant muscle wasting.

> Subsequently FHO procedures were performed on the the R and L femur.

> She was walking independantly at 1 wk however was still plantigrade on the L rear limb.

> She has had a siginificant decline in use of the R rear limb (the one that was not plantigrade. She is not passing stool or urine regularly.

> She was re-evaluated by the Neurologist and Surgeon- no back pain was noted, cat tolerated ROM of both hips. She was prescribed prednisone and and was told to seek Rehab.

> The surgeon did evaluate the hock and Gastroc and found no abnormalities.

> What might the cause of her plantigrade stance be?

> Is there anything else I should be looking for?

> Can severe hip OA cause plantigrade stance?

> Not sure what's going on with the R rear leg-I am thinking pain,

> further muscle weakness and atrophy leading to instability.

> Below are some video's of the cat at 1 and 2 wks

> I would cut and paste them into the tool bar, I didnt't know

> how to make them a hyperlink

> Thanks

> Ann-Margret DVM CCRT

> http://www.youtube.com/watch?v=W8-9RdIOPq0 Today's walk

>

> http://www.youtube.com/watch?v=1-mChsMr38A Jan 12 walk - one week ago

>

> http://www.youtube.com/watch?v=A4v8wbl6xWs Jan 12 walk - part 2

>

[Guest guest]

Hello

Yes thank you for asking

I evaluated the cat-cat had R hip pain, was not very tolerant to any type of handling

Marked restricted ROM of both hips, cat would not bear weight on RR

I lasered the R hip area 2x,

On the 2nd visit I re-evaluated neuro reflexes-they were depressed and referred

the cat back for re-evaluation by Neurologist/Surgeon

They did an MRI

Cat was euthanized and post-mortem revealed tumor-I think nerve sheath-they submitted biopsies

I can't remember specifics but get can info if anyone interested

Ann-Margret DVM CCRT

--

Subject: Re: Cat L. Rear plantigrade-severe hip OATo: VetRehab Date: Thursday, February 9, 2012, 6:41 PM

I was going through old emails and say this request, but no replies. I am interested to hear if anyone had any ideas, and how the kitty is doing?Joyce>> Hello All> I am seeing an 11yr old Fsp DSH cat tomorrow who is 3 wks post-op of Bilateral FHO> This cat had a chronic hx of Hip OA and became acutely plantigrade in the L rear limb. She was evaluated by a Neurologist who determined there were no neurologic abnormalities. X-rays revealed severe bilateral hip OA with marked restricted ROM of both hips with significant muscle wasting.> Subsequently FHO procedures were performed on the the R and L femur.> She was walking independantly at 1 wk however was still plantigrade on

the L rear limb.> She has had a siginificant decline in use of the R rear limb (the one that was not plantigrade. She is not passing stool or urine regularly.> She was re-evaluated by the Neurologist and Surgeon- no back pain was noted, cat tolerated ROM of both hips. She was prescribed prednisone and and was told to seek Rehab.> The surgeon did evaluate the hock and Gastroc and found no abnormalities. > What might the cause of her plantigrade stance be?> Is there anything else I should be looking for?> Can severe hip OA cause plantigrade stance?> Not sure what's going on with the R rear leg-I am thinking pain, > further muscle weakness and atrophy leading to instability.> Below are some video's of the cat at 1 and 2 wks> I would cut and paste them into the tool bar, I didnt't know> how to make them a hyperlink> Thanks> Ann-Margret DVM CCRT> http://www.youtube.com/watch?v=W8-9RdIOPq0 Today's walk> > http://www.youtube.com/watch?v=1-mChsMr38A Jan 12 walk - one week ago> > http://www.youtube.com/watch?v=A4v8wbl6xWs Jan 12 walk - part 2>