Re: lameness

2003-07-14 Thread HenochNJ
Hi Angela-Just my experience...My Maddie needed a CT scan to ultimately diagnose her 
elbow dysplasia--nothing showed up on X-rays, which were read by both her regular vet 
and an outside radiology specialist. 
She started limping at only 4 months, was x-rayed then, and again at 6 months when she 
was spayed. Nothing. We consulted an orthopedist who did CT scans and said she had 
diffuse dysplasia in both elbows. He said there was no corrective surgery for this 
growth incongruity and that she would develop arthritis within 6 to 12 months. 
Unfortunately, he was very accurate. At just 14 months she is often quite stiff, has a 
very awkward gait, has difficulty arising, etc. She gets Cosamin DS 
(glucosamine/chondroitin) and Ascriptin 2X a day. It's very sad having a young dog 
with such discomfort. I hope that your boy does well. He sounds very athletic! Perhaps 
an orthopedic specialist could help you either diagnose a dysplasia problem or rule it 
out.
Good luck!
Anne
Cranford, NJ
with Maddie and Titan (and the two feline friends)



Re: lameness

2003-07-14 Thread Ruth Reynolds
Angela,

I'm sorry you're having such a time with unsoundness in your young Berner.
I've responded to your questions within the text of your message below:
- Original Message -
From: Angela Ewtushik [EMAIL PROTECTED]
Subject: lameness


 My question is whether my situation is normal for a large dog, or should I
 be concerned...

***Limping is not normal.  Period. There's something wrong when  a dog
limps.  What's wrong might not need attention to resolve itself.  Or it may.
What has your dog's breeder recommended as far as diagnostics and treatment?

 I have a 20 month old male/neutered berner that has been plagued with on
and off lameness for over a year now... He is large for the breed (120lbs,
281/2 inches) and came from large parents (100 and 140lbs).  He is in VERY
good condition and if anything a bit thin.  I have him on large breed food
(Eukanuba) and has been on Cortaflex (msm,glucosamine and chondroitin) since
last october.  We restrict him from unnecessary stairs in the house (to our
bedroom!) and also trim the hair around his pads so he doesn't slip as much
on the hardwood floors.  And I have been told by conformation  experts
that his shoulder angulation is poor (too straight).

***In my observation rarely will an overly tall Berner have a well laid back
shoulder.  Often part of a super-tall dog's height is attained by
straightening/opening the shoulder angle.  Some dogs with too-straight
shoulders are sound.  However poor conformation may well contribute to
untimely wear and tear, especially in the active dog.

 Here is a background:
 Lameness (always front end) began last may and appeared worse after any
exercise over a normal walk.  We tried our best to keep him under control,
but we live in the country, so once in a while he would go for a romp and
run a bit faster than I would have liked to see.

***Your dog would have been approximately 7-8 months old then. That's a
prime age to see panosteitis and/or the beginnings of OCD in the shoulder OR
one or more of the three malformations which are labeled Elbow Dysplasia.
It's also a time when puppies, in their exhuberance for life, WAY over-exert
themselves in play and sometimes suffer soft tissue injuries.  It's a VERY
vulnerable time in a Berner puppy's development, especially in a jumbo size
Berner puppy.

It would come and go (growing pains?) to the point where I would
second-guess myself, because I  was looking for a limp!

***Been there.  I've even been challenged to identify WHICH limb is unsound
at times in a pup going through irregular/uneven growth stages.  Don't feel
alone!

Come september he was bad again and we had him xrayed and neutered in
october (hips/shoulders/elbows) and showed nothing  wrong... we kept him on
restricted exercise for over 2 months (quite difficult, but possible!) and
by december he was fine (because of cortaflex or just time??)  In March he
injured himself in the deep snow (leg stopped,  body kept going!) and
injured the muscle, which got better after about 6 weeks.  During this time
I had also taken him to a chiropractor once in
 awhile.

 Now this weekend, he started limping again (not the leg he injured in
march)!  So now I am back to trying to restrict his exercise...  he didn't
do anything out of the ordinary and I'm assuming it would not be
panosteitis (growing pains) at this age...?  Or maybe it's just another
minor muscle injury that has not fully healed...?

***Are you feeding this dog ANYTHING besides the Eukanuba large breed food?
Had you resumed training with liver treats or some other kind of food that
does not jive with a low protein diet?  When I suspect pano in a Berner, I
lower protein intake or protein quality and find it resolves.  In my
experience, other lameness problems don't resolve with diet change.

 Is this normal for a large breed??  Or have I got a problem dog?  I plan
to  have full x-rays done again, but figured I might as well wait until he
was  2 years old.

***The problem with diagnosing some ED at a young age is with conventional
radiographs we must typically wait for degenerative changes to have occured
to see them. They typcially have not advanced enough in the very young dog.
A CT scan (expensive) can detect more at a young age.  It's not something I
do with my dogs but it is an option for earlier diagnosis.

***I had a dog with ED once.  We could see degenerative changes on the rads
we took in my vet's office. But a definitive dx for which elbow problem he
had, we could not make.  So I took him to a teaching hospital to get a
definitive diagnosis for his breeder. The radiologist recommended a CT scan
for $700 in order to diagnose the dog's specific ED problem.  I declined and
was ready to head home.  He then suggested that instead of the CT scan I put
the $700 toward an exploratory surgery where, if there was a correction that
could be made, they'd go ahead and complete the elbow surgery while the dog
was under anesthesia.  I declined that too since my general 

RE: lameness -- new surgical developments at ISU

2003-07-14 Thread Nancy Melone
Iowa State University has announced some interesting recent developments in
surgical treatments for canine elbow dysplasia.  The website is:
http://www.vetmed.iastate.edu/departments/vcs/orthopaedic/home%20page/total%
20elbow/totalelbow.htm

Nancy Melone
Mars, PA

-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Monday, July 14, 2003 8:06 AM
To: [EMAIL PROTECTED]; '[EMAIL PROTECTED]'
Subject: Re: lameness


Hi Angela-Just my experience...My Maddie needed a CT scan to ultimately
diagnose her elbow dysplasia--nothing showed up on X-rays, which were read
by both her regular vet and an outside radiology specialist.
She started limping at only 4 months, was x-rayed then, and again at 6
months when she was spayed. Nothing. We consulted an orthopedist who did CT
scans and said she had diffuse dysplasia in both elbows. He said there was
no corrective surgery for this growth incongruity and that she would develop
arthritis within 6 to 12 months. Unfortunately, he was very accurate. At
just 14 months she is often quite stiff, has a very awkward gait, has
difficulty arising, etc. She gets Cosamin DS (glucosamine/chondroitin) and
Ascriptin 2X a day. It's very sad having a young dog with such discomfort. I
hope that your boy does well. He sounds very athletic! Perhaps an orthopedic
specialist could help you either diagnose a dysplasia problem or rule it
out.
Good luck!
Anne
Cranford, NJ
with Maddie and Titan (and the two feline friends)



RE: lameness

2003-07-14 Thread Rose Tierney
Hi Angela,
First off it sounds as though your boy has a very active lifestyle and he
is still young and his bones are not fully hardened off yet. As he is such
a large boy I would be inclined to take the jumping and agility stuff out
of his exercise regime. You can try tracking and scent discrimination which
will work his mind but not be so taxing on his body. With the carting just
have him used to wearing his harness and pulling a laundry detergent bottle
that is moderately weighted, keep his manouveres in all exercises in
straight line and very wide circles. Do not ask him to make sharp turns in
any of his controlled work exercises whatever the discipline. Keep his
exercise periods short and let him have free time in the yard to move in
his own way rather that too much pavement walking or running. Were his
earlier xrays evaluated by an orthopedic specialist and was he actually
examined by such?

Bone pain and/or panosteitis usually commences during the rapid growth
phase when the long bones are growing in length but can still affect the
dog well into the second year. Usually there is a family tendency towards
this but the good news is it is usually self limiting but it is important
to use some form of anti-inflammatory to reduce pain and stop the dog using
himself in an unbalanced way and thus developing incorrect musculature and
strain on other joints. While these drugs help the owner must appreciate
the problem is still in existance and not tax the dog unduly while this
phase works itself through. It also has to be considered that while xrays
do not always reveal early damage in elbows there may well be a problem in
existance on a surface not easily seen on the xray, usually in time
osteophytes will be seen and the joint will thicken with arthritic changes.

While you may want to wait until you can officially OFA your dog it is
important to make him comfortable so my advice is to seek the opinion of a
board certified orthopedic specialist.

All the best

Rose T.