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Posted: Wed Aug 10, 2011 10:06 pm
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We finally went to see the orthopedic specialist in town today, the same one who did Riddle's knee, about what we thought was a shoulder issue. She's been limping after exercise for a few months now, and resting with no exercise for multiple weeks different times hasn't made it better. So our regular vet thought seeing the specialist was in order.
After an exam, he thought it was actually her elbow, but he took x-rays to be sure. Sure enough, the x-rays showed roughening and thickening around the joint indicating damage. From that and her reaction (yelping and flinching) when the joint was manipulated a certain way, he thought it was from the ulna and radius growing unevenly. So too much movement is put on the ulna instead of the radius, wearing away the cartilage and causing pain. Jumping down off of things particularly exacerbates the problem, so she has what's often called "jump down syndrome". The technical term for her particular problem causer is "radioulnar step defects".
Thankfully he is very optimistic that we'll be able to resolve this without surgery. We're giving it 8 weeks to heal up or at least start healing. In that time, she's not to be jumping at all. So we'll be breaking out the ramps from her knee surgery. Of course that means she's going to have to be on leash for exercise... thankfully its warm enough we can still swim! She's also going to be getting laser therapy twice a week for three weeks, then once a week for the rest of the time. We will be doing range-of-motion exercises twice daily, and muscle building doggy pushups as well. The physical therapist also wants her to get neck massages twice daily, since she's tense around that area from the pain.
She's also being started on glucosamine, probably for life- right now I got her InClover's Connectin tablets, but we're seeing her regular vet on Tuesday and we'll see then if he wants something different. We may also do Adequan injections weekly, and possibly acupuncture. We'll have to wait and see what her normal vet thinks on Tuesday.
All in all I'm really overwhelmed and depressed. It seems like we just got used to the whole mast cell idea, and now we're hit with this. Keeping her constantly leashed is going to be tough for her, she's a wild child who likes to run and play hard. I don't mind doing all this for her, I'll do whatever it takes to keep her pain free, but its going to be hard on us all. I'm trying not to think of the money involved either... with all the therapy and things we'll be paying for, I think we're going to start having to find places to cut corners. Of course, she's always worth it.
I'll keep everyone updated on her progress, as usual. razz
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Posted: Wed Aug 10, 2011 11:51 pm
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Posted: Fri Aug 12, 2011 6:36 am
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Posted: Fri Aug 12, 2011 7:54 am
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Gabrielle_AnimalLuver Crew
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Posted: Sun Aug 14, 2011 3:35 pm
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Posted: Sun Aug 14, 2011 3:54 pm
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Posted: Sun Aug 14, 2011 6:04 pm
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Posted: Tue Aug 16, 2011 10:47 am
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So we saw our vet today, and started her on her new regime. We'll be doing the laser treatment twice a week for three weeks, then once a week for five. He did think that the Adequan would help a lot, so we're doing that twice a week for four weeks, then once a week for four. I'm trying not to stress out about the cost!
But he is very optimistic that we'll be able to avoid surgery with her glucosamine, PT routines, limited exercise, laser and Adequan. He also said that while this will be a lifelong problem, and we'll have to try to keep her quieter, she won't have to be leashed for exercise forever. I was really worried about that, since she loves running and playing so much.
Thanks for the good vibes, everyone. smile
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Gabrielle_AnimalLuver Crew
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Posted: Tue Aug 16, 2011 4:13 pm
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Posted: Tue Aug 16, 2011 6:47 pm
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Gaby, really EVERY sport is out for her now. She does not enjoy rally or obedience, and now since she can't be allowed to pull, weight pull and even scent work is out the window. Between the knee and elbow, there's nothing that won't be a stress on a problem joint that she would actually have fun doing. sad It just sucks, because she would temperamentally enjoy so many things- dock diving, lure coursing, agility, weight pull, and really anything else. She's so confident and motivated, and it just SUCKS having to restrict her so much.
I agree that the PT will make a big difference. Building up the muscle around the joint with her pushups I think will make the biggest improvement. I'm glad to hear the PT eased so much of your pain!
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Posted: Tue Aug 16, 2011 7:31 pm
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Posted: Wed Aug 17, 2011 4:27 am
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