18 January 2022 at 4:08 pm

OA/HD – getting my dog diagnosed

Hi, l have a 14 year old mongrel, not overweight, 22 k.

He has always been extremely active, we live by the beach and are on everyday for about 1.5 hours, and he is reluctant to come off then!

He loves digging and is well known on the beach for his digging and barking.

For about 6 months we noticed that on walking on hard surface his right hind leg turned in, but on the beach wasn’t noticeable, nor when he was running which he was happy to do mad on ball chasing especially if in competition with another dog.

I took him to the vet to discuss anti inflammatories as we weren’t sure whether he was in pain. Because he can be over protective of me on the lead l suggested the vet take him out the back to examine him, she came back to say it was his hip, said his hips very still. Started him on Galiprant as better for him than Metacam.

Within 48 hours his left hind leg which was fine turned in and he started collapsing after lying down, obviously stiffened up, after a few seconds he would be ok although both legs turning in. After a week l took him back and said he was worse, saw same young vet who said hip dysplasia, l said l wanted Metacam, she was reluctant but let me have it. He is a bit better but is far from how he was3 weeks ago, he still runs on the beach but drags his legs on hard surfaces.

I was told to go back after a week for blood tests due to Metacam, saw another vet who tried to take a blood test but couldn’t as wouldn’t let her, she said that at his age just keep him on Metacam.

However my query is could the first vet who examined him without my seeing what she did have somehow damaged his left leg whilst pulling him around to diagnose this hip dysplasia? I have him on You Move and the vets l use are a very well known large practice with their own hospital and have referrals from other vets .

I cannot understand how he deteriorated over 24 hours.

  • CAM Responded

    18 January 2022 at 4:11 pm

    Good morning – sorry that you are having a tough time…

    I think it will be easier to list things in bullet points to help you out hopefully.

    1. In my experience dogs are incredible at coping with issues, especially musculoskeletal complaints. If they are long standing complaint they are even more adept at coping likely because they have to deal with the niggle, discomfort etc and having weight shifting/postural coping strategies to offload the problem area. Thus, your dog may have had a moderate to significant issue that they were managing quite well. This is in fact very very common. Then there is a sudden deterioration and a belief it was an acute episode when actually it was an acute episode on a chronic condition. This definitely fits with conditions like hip dysplasia as they generally have discomfort when younger, they them seem to stabilise for a period of time/years for it to show itself again later.
    2. Speed can be dog’s friend – it it often easier to locomote at speed so that the weaker limb is “carried” ie the dog is not so dependent on its weight bearing function. They can certainly conceal inadequacies when asked to work at speed.
    3. Balls are incredible “drivers”. The buzz that they get from chasing balls is very very very addictive which will override discomfort (for the most part). My sisters dog was still wanting the ball t be thrown till the day she collapsed due to cervical disc disease. So, again these activities can really mislead an owner- it certainly misled my sister.
    4. The turning inwards sounds like it will be coming from higher in the limb, but without visual assessment and palpation it is hard to say. The inward rotation is an adapted posture to unload a certain aspect when using that limb.
    5. Dragging can be associated with weakness, but that weakness could be progressed musculoskeletal disease but also could be neurological – always worth bearing that in mind. A neurologists ears will prick up with the word drag xx
    6. Yes clinical examinations can temporarily make a situation worse. This is a sad classic occurrence when getting radiographs. It should pass within a few days though a bit like delayed onset muscle soreness.
    7. a good impression of the problem can be obtained on clinical exam – but confirmation would be with imaging such as radiographs – were you offered that.
    8. Hip dysplasia is the developmental condition – at 14 years old your dog would now likely have significant arthritis.
    9. Associated with any joint related disease there will be associated conditions of the soft tissue due to disuse from weight shifting away etc. The examination may have exacerbated compromised tissue around the joint.
    10. A dog can have more that one condition – your dog may have bad hips which he has been coping with but it may also be lumbosacral disease, or intervertebral disc disease so having a full check up with sedation and imaging may be in your best interest – especially as arthritis should respond well to an anti inflamm like galliprant.
    11. I would be going back and asking for a full review and say you understand only so much is possible with eyes and hands and that you accept a sedation to collect blood sample and imaging may be in your best interest.

    I hope that helps xx
    Hannah

  • CAM Forum User

    18 January 2022 at 4:11 pm

    Thank you Hannah, l am going to explore those options.

    Lynne

  • CAM Responded

    18 January 2022 at 4:12 pm

    It is always very difficult when the dog is older – I would always suggest physiotherapy can have great impact on an arthritic dog – so yes!

    And if you are getting mixed messages from the vets then I would suggest as discussion with the specialist – great opportunities to get a well-rounded view on your dog’s case!!!

    xxx

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