Guest guest Posted May 30, 2008 Report Share Posted May 30, 2008 Tania -- you may not need either LLT or US based on your description of this dog. Check out the ROM again -- determine if he has any loss of stifle extension when you place the hip in full flexion and also determine if his hip abduction is within normal range. If there is full ROM, and you don't palpate an area of dense fibrosis (do you know if the tear was proximal or distal?), then it may be time to move to a program of progressive exercise -- warm up, leash walks, stretching, and access to running free for a couple minutes 2x per day in a small enclosed yard to start with. You can try walking on leash uphill to work on hip extension. Seems that whippets and greyhounds heal differently than german shepherds when they get an adductor muscle tear -- they don't seem to heal with the severe loss of stifle ROM that the GSD's have. JanJanet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: FAX (departmental): alternate email: steisje@... To: VetRehab From: tania@...Date: Fri, 30 May 2008 02:11:03 +0000Subject: Gracialis Muscle Tear I have a question.. i have a whippet who is a competition dog, he tore his Gracialis m 5 weeks ago, and has been given approval to proceed with rehab. the dog has no lameness, only slight restriction of the hip in extension. The m was not completely torn and did not require sx, only rest. i have done considerable reading on this type of tear which is common in greyhounds and whippets, all the literature talks about doing US to break down scar tissue as well as massage. I am curious has anyone had better results with LLL? I have US and LLL and wondering what the best approach would be. Since this dogs is a compention dog i want to gradually return him back to his "job" with low impact exercise building to more "explosive" type of exercise to simulate his type of competition... I am trying to figure out the best way to reduce the scar tissue as the owner wants to start competition again in August! Any comments or suggestions would be greatly appreciated...Thanks Tania Canine Wellness CentreCCRP (pending) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2008 Report Share Posted May 31, 2008 Thanks Janet for your great input. I checked ROM today, there seems to be no loss of motion of stifle in extension (with him in full flexion) nor any loss of abduction. Also did not feel any fibrosis anywhere proximal to the stifle area. (the injury was proximal to the stifle) some of the exercises you mention i had started last week, so i will begin as you mention trying to develop exercises that mimic 'explosive' type motions... and gradually build up to prolonged explosive exercise. the owner has been doing hill walks and the dog has no difficulty. Today i gave her some work on the wobble board, short 'low leaps forward' towards a toy, and doing intervals of picking up speed from a walk, to pace to trot. I stressed warming up and cooling down, as well as continuing massage and ice/heat as needed. Does that sound like a good start..? thanks so much for your help tania > Tania -- you may not need either LLT or US based on your description of this dog. Check out the ROM again -- determine if he has any loss of stifle extension when you place the hip in full flexion and also determine if his hip abduction is within normal range. If there is full ROM, and you don't palpate an area of dense fibrosis (do you know if the tear was proximal or distal?), then it may be time to move to a program of progressive exercise -- warm up, leash walks, stretching, and access to running free for a couple minutes 2x per day in a small enclosed yard to start with. You can try walking on leash uphill to work on hip extension. > > Seems that whippets and greyhounds heal differently than german shepherds when they get an adductor muscle tear -- they don't seem to heal with the severe loss of stifle ROM that the GSD's have. > > JanJanet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: 334-844- 8505home ph: FAX (departmental): alternate email: steisje@... > > > To: VetRehab@...: tania@...: Fri, 30 May 2008 02:11:03 +0000Subject: Gracialis Muscle Tear > > > > > I have a question.. i have a whippet who is a competition dog, he tore his Gracialis m 5 weeks ago, and has been given approval to proceed with rehab. the dog has no lameness, only slight restriction of the hip in extension. The m was not completely torn and did not require sx, only rest. i have done considerable reading on this type of tear which is common in greyhounds and whippets, all the literature talks about doing US to break down scar tissue as well as massage. I am curious has anyone had better results with LLL? I have US and LLL and wondering what the best approach would be. Since this dogs is a compention dog i want to gradually return him back to his " job " with low impact exercise building to more " explosive " type of exercise to simulate his type of competition... I am trying to figure out the best way to reduce the scar tissue as the owner wants to start competition again in August! Any comments or suggestions would be greatly appreciated...Thanks Tania Canine Wellness CentreCCRP (pending) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2008 Report Share Posted June 2, 2008 Hello, Tania. I have not treated enough of these gracilis ruptures in whippets to say anything categorically about what the rehab program should be in these dogs. But I tend to be fairly conservative, and you have another 2 months before the dog goes back to training, which is a pretty realistic goal. I would delay any "explosive" activity for a few more weeks (other than the free running in a small enclosed yard for a few minutes each day). Wobble board, etc, sounds good. For the next couple of weeks, I'd work on transitions on leash (slow-fast-slow walk, walk-trot-walk), in a straight line, and later followed by circles of decreasing diameter. This would let you gradually build up the load on the muscles, and then start the sprinting etc. Any particular reason you are applying ice or heat? Unless there is swelling or pain (after exercise?), you may not need to do ice or heat any more. hope this helps.Janet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: FAX (departmental): alternate email: steisje@... To: VetRehab From: tania@...Date: Sat, 31 May 2008 19:37:53 +0000Subject: Re: Gracialis Muscle Tear Thanks Janet for your great input. I checked ROM today, there seems to be no loss of motion of stifle in extension (with him in full flexion) nor any loss of abduction. Also did not feel any fibrosis anywhere proximal to the stifle area. (the injury was proximal to the stifle)some of the exercises you mention i had started last week, so i will begin as you mention trying to develop exercises that mimic 'explosive' type motions... and gradually build up to prolonged explosive exercise. the owner has been doing hill walks and the dog has no difficulty. Today i gave her some work on the wobble board, short 'low leaps forward' towards a toy, and doing intervals of picking up speed from a walk, to pace to trot. I stressed warming up and cooling down, as well as continuing massage and ice/heat as needed. Does that sound like a good start..?thanks so much for your helptania> Tania -- you may not need either LLT or US based on your description of this dog. Check out the ROM again -- determine if he has any loss of stifle extension when you place the hip in full flexion and also determine if his hip abduction is within normal range. If there is full ROM, and you don't palpate an area of dense fibrosis (do you know if the tear was proximal or distal?), then it may be time to move to a program of progressive exercise -- warm up, leash walks, stretching, and access to running free for a couple minutes 2x per day in a small enclosed yard to start with. You can try walking on leash uphill to work on hip extension. > > Seems that whippets and greyhounds heal differently than german shepherds when they get an adductor muscle tear -- they don't seem to heal with the severe loss of stifle ROM that the GSD's have.> > JanJanet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: FAX (departmental): alternate email: steisje@...> > > To: VetRehab@...: tania@...: Fri, 30 May 2008 02:11:03 +0000Subject: Gracialis Muscle Tear> > > > > I have a question.. i have a whippet who is a competition dog, he tore his Gracialis m 5 weeks ago, and has been given approval to proceed with rehab. the dog has no lameness, only slight restriction of the hip in extension. The m was not completely torn and did not require sx, only rest. i have done considerable reading on this type of tear which is common in greyhounds and whippets, all the literature talks about doing US to break down scar tissue as well as massage. I am curious has anyone had better results with LLL? I have US and LLL and wondering what the best approach would be. Since this dogs is a compention dog i want to gradually return him back to his "job" with low impact exercise building to more "explosive" type of exercise to simulate his type of competition... I am trying to figure out the best way to reduce the scar tissue as the owner wants to start competition again in August! Any comments or suggestions would be greatly appreciated...Thanks Tania Canine Wellness CentreCCRP (pending)> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2008 Report Share Posted June 3, 2008 I have been using information from a human physio group (which is open to anyone) to develop a program, they have a 4 stage approach on healing, much like you have indicated. The ice is only if swelling occurs post exercise. I also feel the same way about straight lines for the next few weeks.. The 'jump' to the ball is only in the back yard and from what the owner has told me, she has great difficulty keeping the dog from tearing around the garden at warp speed (go figure!) so i thought this might be a controlled way of getting the yah yahs out. I find it so hard working with competition dogs (actually owners) as they want to go from 0-60 without anything in between! thanks again tania > > Hello, Tania. I have not treated enough of these gracilis ruptures in whippets to say anything categorically about what the rehab program should be in these dogs. But I tend to be fairly conservative, and you have another 2 months before the dog goes back to training, which is a pretty realistic goal. > > I would delay any " explosive " activity for a few more weeks (other than the free running in a small enclosed yard for a few minutes each day). Wobble board, etc, sounds good. For the next couple of weeks, I'd work on transitions on leash (slow-fast-slow walk, walk-trot- walk), in a straight line, and later followed by circles of decreasing diameter. This would let you gradually build up the load on the muscles, and then start the sprinting etc. > > Any particular reason you are applying ice or heat? Unless there is swelling or pain (after exercise?), you may not need to do ice or heat any more. > > hope this helps.Janet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: FAX (departmental): 334-844- 4542alternate email: steisje@... > > > To: VetRehab@...: tania@...: Sat, 31 May 2008 19:37:53 +0000Subject: Re: Gracialis Muscle Tear > > > > > Thanks Janet for your great input. I checked ROM today, there seems to be no loss of motion of stifle in extension (with him in full flexion) nor any loss of abduction. Also did not feel any fibrosis anywhere proximal to the stifle area. (the injury was proximal to the stifle)some of the exercises you mention i had started last week, so i will begin as you mention trying to develop exercises that mimic 'explosive' type motions... and gradually build up to prolonged explosive exercise. the owner has been doing hill walks and the dog has no difficulty. Today i gave her some work on the wobble board, short 'low leaps forward' towards a toy, and doing intervals of picking up speed from a walk, to pace to trot. I stressed warming up and cooling down, as well as continuing massage and ice/heat as needed. Does that sound like a good start..?thanks so much for your helptania> Tania -- you may not need either LLT or US based on your description of this dog. Check out the ROM again -- determine if he has any loss of stifle extension when you place the hip in full flexion and also determine if his hip abduction is within normal range. If there is full ROM, and you don't palpate an area of dense fibrosis (do you know if the tear was proximal or distal?), then it may be time to move to a program of progressive exercise -- warm up, leash walks, stretching, and access to running free for a couple minutes 2x per day in a small enclosed yard to start with. You can try walking on leash uphill to work on hip extension. > > Seems that whippets and greyhounds heal differently than german shepherds when they get an adductor muscle tear -- they don't seem to heal with the severe loss of stifle ROM that the GSD's have.> > JanJanet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: 334- 887-6420FAX (departmental): alternate email: steisje@> > > To: VetRehab@: tania@: Fri, 30 May 2008 02:11:03 +0000Subject: Gracialis Muscle Tear> > > > > I have a question.. i have a whippet who is a competition dog, he tore his Gracialis m 5 weeks ago, and has been given approval to proceed with rehab. the dog has no lameness, only slight restriction of the hip in extension. The m was not completely torn and did not require sx, only rest. i have done considerable reading on this type of tear which is common in greyhounds and whippets, all the literature talks about doing US to break down scar tissue as well as massage. I am curious has anyone had better results with LLL? I have US and LLL and wondering what the best approach would be. Since this dogs is a compention dog i want to gradually return him back to his " job " with low impact exercise building to more " explosive " type of exercise to simulate his type of competition... I am trying to figure out the best way to reduce the scar tissue as the owner wants to start competition again in August! Any comments or suggestions would be greatly appreciated...Thanks Tania Canine Wellness CentreCCRP (pending)> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2008 Report Share Posted June 3, 2008 >>>I have been using information from a human physio group (which is open to anyone)<<< Tania- What group would this be? Thanks, Carol Helfer, DVM Portland, OR To: VetRehab From: tania@...Date: Tue, 3 Jun 2008 13:21:28 +0000Subject: Re: Gracialis Muscle Tear I have been using information from a human physio group (which is open to anyone) to develop a program, they have a 4 stage approach on healing, much like you have indicated. The ice is only if swelling occurs post exercise. I also feel the same way about straight lines for the next few weeks.. The 'jump' to the ball is only in the back yard and from what the owner has told me, she has great difficulty keeping the dog from tearing around the garden at warp speed (go figure!) so i thought this might be a controlled way of getting the yah yahs out. I find it so hard working with competition dogs (actually owners) as they want to go from 0-60 without anything in between!thanks againtania> > Hello, Tania. I have not treated enough of these gracilis ruptures in whippets to say anything categorically about what the rehab program should be in these dogs. But I tend to be fairly conservative, and you have another 2 months before the dog goes back to training, which is a pretty realistic goal. > > I would delay any "explosive" activity for a few more weeks (other than the free running in a small enclosed yard for a few minutes each day). Wobble board, etc, sounds good. For the next couple of weeks, I'd work on transitions on leash (slow-fast-slow walk, walk-trot-walk), in a straight line, and later followed by circles of decreasing diameter. This would let you gradually build up the load on the muscles, and then start the sprinting etc. > > Any particular reason you are applying ice or heat? Unless there is swelling or pain (after exercise?), you may not need to do ice or heat any more.> > hope this helps.Janet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: FAX (departmental): alternate email: steisje@...> > > To: VetRehab@...: tania@...: Sat, 31 May 2008 19:37:53 +0000Subject: Re: Gracialis Muscle Tear> > > > > Thanks Janet for your great input. I checked ROM today, there seems to be no loss of motion of stifle in extension (with him in full flexion) nor any loss of abduction. Also did not feel any fibrosis anywhere proximal to the stifle area. (the injury was proximal to the stifle)some of the exercises you mention i had started last week, so i will begin as you mention trying to develop exercises that mimic 'explosive' type motions... and gradually build up to prolonged explosive exercise. the owner has been doing hill walks and the dog has no difficulty. Today i gave her some work on the wobble board, short 'low leaps forward' towards a toy, and doing intervals of picking up speed from a walk, to pace to trot. I stressed warming up and cooling down, as well as continuing massage and ice/heat as needed. Does that sound like a good start..?thanks so much for your helptania> Tania -- you may not need either LLT or US based on your description of this dog. Check out the ROM again -- determine if he has any loss of stifle extension when you place the hip in full flexion and also determine if his hip abduction is within normal range. If there is full ROM, and you don't palpate an area of dense fibrosis (do you know if the tear was proximal or distal?), then it may be time to move to a program of progressive exercise -- warm up, leash walks, stretching, and access to running free for a couple minutes 2x per day in a small enclosed yard to start with. You can try walking on leash uphill to work on hip extension. > > Seems that whippets and greyhounds heal differently than german shepherds when they get an adductor muscle tear -- they don't seem to heal with the severe loss of stifle ROM that the GSD's have.> > JanJanet Steiss, DVM, PhD, PT Associate Professor Dept of Anatomy, Physiology & Pharmacology College of Veterinary MedicineAuburn University AL 36849______________________________work ph: home ph: FAX (departmental): alternate email: steisje@> > > To: VetRehab@: tania@: Fri, 30 May 2008 02:11:03 +0000Subject: Gracialis Muscle Tear> > > > > I have a question.. i have a whippet who is a competition dog, he tore his Gracialis m 5 weeks ago, and has been given approval to proceed with rehab. the dog has no lameness, only slight restriction of the hip in extension. The m was not completely torn and did not require sx, only rest. i have done considerable reading on this type of tear which is common in greyhounds and whippets, all the literature talks about doing US to break down scar tissue as well as massage. I am curious has anyone had better results with LLL? I have US and LLL and wondering what the best approach would be. Since this dogs is a compention dog i want to gradually return him back to his "job" with low impact exercise building to more "explosive" type of exercise to simulate his type of competition... I am trying to figure out the best way to reduce the scar tissue as the owner wants to start competition again in August! Any comments or suggestions would be greatly appreciated...Thanks Tania Canine Wellness CentreCCRP (pending)>> Quote Link to comment Share on other sites More sharing options...
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