Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 I don't understand from your first post when the dog became very painful and started biting. If it was PO 3 days, have you repeated rads to ensure fixation hasn't failed? What is the end-feel that restricts extension? Is it muscle guarding (hams are facilitated with pain in the region) or fibrous tissue or other? To: VetRehab From: rfreedman@...Date: Fri, 18 Apr 2008 10:49:37 -0400Subject: why no answers I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 , I can understand your frustration. My experiences with greenstick fractures in young dogs has been mainly in the front limbs but there have been a few in the hind legs. None have experienced any of the problems that you mentioned. I would think that because the dog was splinted for that long period of time without having had an x-ray to determine where the actual fracture was, is probably the issue and why you are seeing what you are seeing. Have you done any deep cross friction massage to the affected muscles? Have you tried standing and walking the dog in water (if you have access to a pool or UWTM)? I would encourage anyone who has any insight to please participate in this discussion. Patti Triola, PT, CCRT Dogs In Motion co-moderator vetrehab rfreedman wrote: I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 yes, the implants are stable the restriction feels fibrous in the quads around the fracture site-remember, this fracture went unrepaired for 3 months, and was unstable-the dog was painful as the use of NSAIDs was discontinued 4 days postop. why no answers I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 Hey , I didn’t get your first post, so forgive my ignorance if I don’t understand the case well! Was he splinted in extension or normal anatomic position? Is it quads tie down or just loss of ROM? Cross friction massage might help, and I have always done repeated episodes of sedation with heating followed by stretching. These guys are uncomfortable when trying to gain ROM so using lots of moist heat, ultrasound on the quads, then stretch and work the mm. Good luck, Pam Nichols DVM, CCRP From: VetRehab [mailto:VetRehab ] On Behalf Of rfreedman Sent: Friday, April 18, 2008 9:23 AM To: VetRehab Subject: Re: why no answers yes, the implants are stable the restriction feels fibrous in the quads around the fracture site-remember, this fracture went unrepaired for 3 months, and was unstable-the dog was painful as the use of NSAIDs was discontinued 4 days postop. why no answers I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman I am using the free version of SPAMfighter for private users.It has removed 5340 spam emails to date.Paying users do not have this message in their emails.Try SPAMfighter for free now! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 Patty the use of "greenstick " fracture by prev DVM was incorrect-you are correct, the term is used to describe fractures in the radius/ulna this was a distal femoral physis fracture- at the time of repair, there was plenty of fibrous tissue around the fracture site, but the fracture was unstable no access to water we'll just keep plugging along Re: why no answers , I can understand your frustration. My experiences with greenstick fractures in young dogs has been mainly in the front limbs but there have been a few in the hind legs. None have experienced any of the problems that you mentioned. I would think that because the dog was splinted for that long period of time without having had an x-ray to determine where the actual fracture was, is probably the issue and why you are seeing what you are seeing. Have you done any deep cross friction massage to the affected muscles? Have you tried standing and walking the dog in water (if you have access to a pool or UWTM)? I would encourage anyone who has any insight to please participate in this discussion. Patti Triola, PT, CCRT Dogs In Motion c o-moderator vetrehab rfreedman <rfreedmaniqworks (DOT) net> wrote: I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 In human medicine, greenstick fractures are defined as: A greenstick fracture is a broken bone that is most common with children. It is usually a result of one small fall or blow to one side of the body. The term greenstick is derived from an analogy between the pliable bones of children and the flexible nature of a young twig. It does not usually heal after one week. Greenstick fractures are usually the result of direct trauma to the bone, and are only "partial" fractures, in which the bone does not completely break through. Often, since these fractures are so stable, a simple application of force using one's thumbs is all that is needed for reduction. Because of children's great capacity to mend their bones, these fractures often have an excellent prognosis. Greenstick fractures are especially common in children suffering from rickets. I don't believe that it is limited to the radius and ulna but I think it is more commonly seen there due to falls on outstretched limbs in children. I could be wrong but all the sources I checked now do not limit greenstick fx to just those bones. Patti Triola, PT, CCRT Dogs In Motion co-moderator rfreedman wrote: Patty the use of "greenstick " fracture by prev DVM was incorrect-you are correct, the term is used to describe fractures in the radius/ulna this was a distal femoral physis fracture- at the time of repair, there was plenty of fibrous tissue around the fracture site, but the fracture was unstable no access to water we'll just keep plugging along Re: why no answers , I can understand your frustration. My experiences with greenstick fractures in young dogs has been mainly in the front limbs but there have been a few in the hind legs. None have experienced any of the problems that you mentioned. I would think that because the dog was splinted for that long period of time without having had an x-ray to determine where the actual fracture was, is probably the issue and why you are seeing what you are seeing. Have you done any deep cross friction massage to the affected muscles? Have you tried standing and walking the dog in water (if you have access to a pool or UWTM)? I would encourage anyone who has any insight to please participate in this discussion. Patti Triola, PT, CCRT Dogs In Motion c o-moderator vetrehab rfreedman <rfreedmaniqworks (DOT) net> wrote: I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2008 Report Share Posted April 18, 2008 If the implants are definitely intact, I would recommend adding some form of analgesia so you can break the pain/guarding cycle and improve the efficacy of / tolerance to your current plan. As soon as inflammation has resolved, consider a Dynasplint. I have had moderate success with this intervention in similar patients. To: VetRehab From: rfreedman@...Date: Fri, 18 Apr 2008 11:22:45 -0400Subject: Re: why no answers yes, the implants are stable the restriction feels fibrous in the quads around the fracture site-remember, this fracture went unrepaired for 3 months, and was unstable-the dog was painful as the use of NSAIDs was discontinued 4 days postop. why no answers I am disappointed that my colleagues will take the time to discuss chiropractic systems, yet for 2 days I've had a post (actually reposted) seeking input on a difficult case. I am again asking for some input, please! Freedman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2008 Report Share Posted April 23, 2008 Hi Everyone; I have been getting questions from various practitioners about the DVD Building the Canine Athlete that Laurie McCauley and I produced a few months ago so I thought I would give you all some more information. A number of practitioners were not aware that they can order the video at a discount and sell them to clients. The video demonstrates a total of 30 strength, stretching, proprioception and endurance exercises for dogs and outlines the muscles that are affected. It has a list of the exercises inside, so is designed for you to sell to your clients with instructions as to which exercises they should do on what schedule. Your client can just click on the specific exercise you prescribe and learn how to do that one. The video isn't just for athletes, but all dogs that are active in any way (even if it is just running around in the yard with kids!). The DVD is available at significant discount from Canine Sports Productions (40% discount for orders of 12 to 39, and 50% discount for case quantities (40 per case) by emailing mczink@... or FAXing an order to . Zink Quote Link to comment Share on other sites More sharing options...
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