by ZweiGSD on 21 January 2020 - 16:01
After a couple more weeks of no improvement he suggested a rehab vet examination. At beginning of December the rehab vet found nothing outstanding that would be causing the limp, recommended restricted excercise and new X-rays to compare to the ones from September. January X-rays showed a couple of vertebrae that were closer than they should be so she was put on an anti-inflammatory (Galliprant) and a pain killer (Gabapentin) for ten days to see if there was any improvement. Limp was not as bad but still present. Last Friday regular vet and rehab vet were comparing old and new X-rays and suspected a partial ligament tear. Today regular vet diagnosed the tear.
After almost six months of limping he did not feel the scar tissue that normally will build up. He is recommending surgery. I am going to consult with the rehab vet tomorrow to get her input.
Looking for others' experiences whether it be surgery, rehab, brace, supplements or doing nothing at all.
by jettasmom on 21 January 2020 - 22:01
by Hundmutter on 22 January 2020 - 03:01
by GK1 on 22 January 2020 - 06:01
@jettasmom - interestingly enough I had the same experience with a female pit bull I owned years ago. Ruptured both CLs before the age of 3. My theory..spaying the dog as a pup somehow contributed to the weakened/failed ligaments. PTS from cancer at about 9. I believe the dog had joint pain throughout her life despite the CL surgery. Surgery on a nine year old dog can be harsh. Keeping the dog comfortable, thin and on a limited impact exercise program (walk, swim) may be a less invasive option.
by DuganVomEichenluft on 22 January 2020 - 09:01
Before subjecting your dog to a possibly unnecessary surgery, look into Prolotherapy for Dogs. This was extremely successful with my dog after he tore his post ACL.
by Argohof on 22 January 2020 - 11:01
by ZweiGSD on 24 January 2020 - 13:01
We are going to try 4 weeks of physical therapy and then reasses. Dugan, the prolotherapy is something that I will look into. I really do not want to do surgery.
by jillmissal on 27 January 2020 - 10:01
I'd be inclined to not do this surgery again on a dog unless under very special circumstances.
by Pioneer Wife on 29 January 2020 - 18:01
We used braces successfully on our female, who did end up injuring both hind stifles within a year of each other. She wore the braces daily after healing for about 6 years, until she passed, so she could run safely with the young dogs without fear of re injury. Cold laser and PEMF (originally studied by NASA) helped healing and strains.
Animal Ortho Care did her custom braces. Same gentleman that did the elephant's braces on Dodo Heroes on Animal Planet. Good folks to work with. They now have an adjustable ready made brace, that is very similar to one of the custom ones we had made for her.
There is a very good FB group for conservative management of CCL.
Fenzi Academy has an occasional course on rehabbing stifles by Dr. Torraca which was very helpful, looks like it is not repeating until August. Her other canine fitness courses are very good as well. This is another online course that others have shared.
Just as an FYI, the AVMA had issued an abstract indicating the increased risk of osteosarcoma in dogs that undergo surgery. The risk increases with the higher weight of the dog.
Association of tibial plateau leveling osteotomy with proximal tibial osteosarcoma in dogs
by TIG on 30 January 2020 - 14:01
Pretty good result but was always careful w her. Also always some residual weakness in that leg - used to cut her nails like a blacksmith but can't do cause 3 legs no longer enuf support. Also if she gets even 3-5 lbs over her ideal weight or on cold rainy days you can see a slight limp. A few years ago I started to give her SAM-e and have found that to help a lot. If I run out - likely to limp. You can get it at Costco - goes on sale every 3 months. On sale it's about $15 a month. Very safe supplement. Good for bone and joint issues.