Re: Dog with chronic partial CCL tear

[Guest guest]

Mike,

I am somewhat surprised with your comments! The YouTube video was touching and

the care and services you provided your client were most certainly the best for

your patient. Their is no one who could determine the course of therapy better

than you and the owner! You did an excellent job managing the pain but your

rehab did nothing to address the damage to the CCL! You did not change the

continued forces that will only create more joint dysfunction over time, only

geometry altering procedures will address that. You did nothing to address the

biological component of CCL disease with acupuncture or rehab! The CCLD will

continue to progress in your patient and one day you will be addressing the

chronic pain associated with joint dysfunction and osteoarthritis. They are

fortunate that they have a DVM with the knowledge to do that!

and I are on the same side of the field on this one! Not every patient

with CCLD is a good canidate for corrective surgery but every good canidate

should have surgery! As always I am open to discussion but I would prefer an

accurate record of diagnostics, pre conservative rehab video and post therapy

video. I will even provide a link to send me video for gait analysis. I would

sincerely like to be wrong on this one.

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> >>>

> >>> Hi all,

> >>> I asked about rehab for partial tears a while back and cannot find the

> >>> information I received. I would like to know what protocol most of you use

> >>> for a dog with a partial tear and the owners do not want surgery.

> >>> I just saw a dog that has had a partial tear for 2 years and for the

> >>> past 2 months she has been 3/5 lame again. Rads show progression of DJD

and

> >>> she has crepitus and reduced extension now. At this point, I feel that she

> >>> should do the sx.

> >>> Thanks so much

> >>> Felicity Talbot, DVM, CCRP pending

> >>>

> >>>

> >>

> >>

> >> --

> >> Regards,

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> --

> Regards,

>

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>

[Guest guest]

My n = 2 in these cases.

First patient, 12yr old high energy border collie chronic partial tear doing

extremely well with medications, custom articulating orthodic, rehab, and client

exercise modification. Still going strong after over 14 months since we started.

Second patient, 2 year old Pit Mix, moderate energy, Left partial tear did

extremely well with articulating custom orthodic, medications, exercise

modification (not great O compliance), acupuncture and no rehab (O oculd not

afford). After 8 months the contralateral limb developed a complete tear and dog

ended up having bilateral TPLO.

Good luck!

-

Hagler, BS, RVT, CCRP, CBW, CVPP-pending

Animal Wellness Center of Marin - Physical Rehabilitation and Pain Management

Guide Dogs for the Blind, Inc.

www.goldengaitcanine.com

www.awcmarin.com

www.guidedogs.com

> >

> >> **

> >>

> >>

> >> Hi all,

> >> I asked about rehab for partial tears a while back and cannot find the

> >> information I received. I would like to know what protocol most of you use

> >> for a dog with a partial tear and the owners do not want surgery.

> >> I just saw a dog that has had a partial tear for 2 years and for the past

> >> 2 months she has been 3/5 lame again. Rads show progression of DJD and she

> >> has crepitus and reduced extension now. At this point, I feel that she

> >> should do the sx.

> >> Thanks so much

> >> Felicity Talbot, DVM, CCRP pending

> >>

> >>

> >

> >

> > --

> > Regards,

> >

> >

> >

> >

> >

>

[Guest guest]

Hi all,

Thanks for all of the info. These owners came for a consult with our surgeon 2 years ago and decided to go with medical management. They rested the dog (9yo mix about 65 lbs) for 3 months and he got better. They were scared of doing a TTA surgery or whatever reason. I talked about surgical options when I saw them and was told that their vet said 1. the dog was too old for sx 2. might not help at this point.... EEEK. In a specialty practice, you have to be mindful of what their regular vet says. I told them their dog was not too old for sx as he was in great health with no other problems or arthritis anywhere....so now they are just trying to decide if they are going to spend the $ for the surgery....

Thanks again,

Felicity Talbot, DVM, CVA

[Guest guest]

Hi Mike, on some older dogs, it is really difficult for them to have surgery. I

have seen a lot of dogs who did have the surgery have terrible arthritis a

couple of years later. I currently am seeing a 7 y.o. chocolate lab who had one

stifle done 4 yrs. ago, and the other 2 yrs. ago (extracapsular repairs), and

the arthritis in both stifles is so bad, the dog changed its gait pattern into a

tucked pelvis, hyperflexed stifles, and is now having low back trouble as well.

So...I personally feel that the best answer for canine CCL tears has yet to be

discovered. In humans, we do an excellent job (cases in point, Tom Brady, Wes

Welker). In dogs, we have a way to go.

Liz Powers, MPT, CCRT

> > >>

> > >>> **

> > >>>

> > >>>

> > >>> Hi all,

> > >>> I asked about rehab for partial tears a while back and cannot find the

> > >>> information I received. I would like to know what protocol most of you

use

> > >>> for a dog with a partial tear and the owners do not want surgery.

> > >>> I just saw a dog that has had a partial tear for 2 years and for the

> > >>> past 2 months she has been 3/5 lame again. Rads show progression of DJD

and

> > >>> she has crepitus and reduced extension now. At this point, I feel that

she

> > >>> should do the sx.

> > >>> Thanks so much

> > >>> Felicity Talbot, DVM, CCRP pending

> > >>>

> > >>>

> > >>

> > >>

> > >> --

> > >> Regards,

> > >>

> > >>

> > >>

> > >>

> > >

> > >

> >

> >

> >

> > --

> > Regards,

> >

> >

> >

>