Guest guest Posted June 19, 2012 Report Share Posted June 19, 2012 , MTrPs in Sartorius - think hip and/or stifle, MTrPs in Pectineus - think hip. I rarely see MTrPs in Biceps femoris but when I do it is most often in a prolonged NWB with a stifle problem. With that said, it is always cranial cruciate ligament disease until proven otherwise. Can you post the radiographs? Rick Wall, DVM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2012 Report Share Posted June 20, 2012 I will try later tonight. I am having trouble posting the videos I have of her. Thanks Woodside, DVM > > , > > MTrPs in Sartorius - think hip and/or stifle, MTrPs in Pectineus - think hip. I rarely see MTrPs in Biceps femoris but when I do it is most often in a prolonged NWB with a stifle problem. With that said, it is always cranial cruciate ligament disease until proven otherwise. Can you post the radiographs? > > Rick Wall, DVM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2012 Report Share Posted June 20, 2012 LIsa, make your self a youtube account/ channel and post them as "unlisted" videos. You can then post the link to the group. "Unlisted" videos are very hard to search for and never really get many hits at all; so you have a pretty high degree of privacy. Only people with the link are going to watch it, like us.Hope this helps, Robby J Porter IIICertified Canine Rehabilitation PractitionerLouisiana Veterinary Referral CenterAnimal Rehabilitation CenterMandeville, LA70448Main Hospital: ext. 208lavrc.comtwitter.com/LAVRCfacebook.com/LAVRCyoutube.com/user/LAVRCfacebook.com/louisianaCOP*********************************************************************************************************This document, and any attached information is proprietary, privileged and confidential property of the Louisiana Veterinary Referral Center (LAVRC) under applicable law and is intended exclusively for business use by all LAVRC employees and intended recipients with a legitimate LAVRC business need. The reproduction, dissemination, distribution and/or disclosure by unintended recipients is unauthorized, strictly prohibited and may be unlawful (Privileged and confidential pursuant to La. R.S. 13:3715.3).If you have received this transmission in error, please immediately reply to the sender and delete this information from your system. To: VetRehab Sent: Tuesday, June 19, 2012 6:45 PM Subject: Re: agility vizsla I will try later tonight. I am having trouble posting the videos I have of her. Thanks Woodside, DVM > > , > > MTrPs in Sartorius - think hip and/or stifle, MTrPs in Pectineus - think hip. I rarely see MTrPs in Biceps femoris but when I do it is most often in a prolonged NWB with a stifle problem. With that said, it is always cranial cruciate ligament disease until proven otherwise. Can you post the radiographs? > > Rick Wall, DVM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2012 Report Share Posted June 20, 2012 ok, videos are at http://www.youtube.com/user/woodsiderehab I think :-) Thanks! > > > > , > > > > MTrPs in Sartorius - think hip and/or stifle, MTrPs in Pectineus - think hip. I rarely see MTrPs in Biceps femoris but when I do it is most often in a prolonged NWB with a stifle problem. With that said, it is always cranial cruciate ligament disease until proven otherwise. Can you post the radiographs? > > > > Rick Wall, DVM > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2012 Report Share Posted June 20, 2012 Here are radiographs of the dog from the first time I saw her. Hope this is the correct way to do this 3 of 3 Photo(s) 1.2.840.114387.594636525.48631.18895.34859.73862940301185.jpg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2012 Report Share Posted June 22, 2012 ,Great videos and radiographs. I wish I could tell you by looking at them that I had some definitive answers about your patient but I don't. The non-weight bearing posture at the walk and trot is maintained by hip flexion rather than stifle flexion, I find this to be rather common for any pelvic limb problem. I would expect development of MTrPs in the cranial muscles of the thigh, hip flexors and iliopsoas due to longevity of the problem. I think that it is interesting when on grass with head down, cranial weight shift (working posture) that the pelvic limb is consistently in use. Maybe your patient should spend more time on grass. I don't see any radiographic changes on the lateral femoral condyle to suggest popliteal avulsion and I don't appreciate joint effusion in either stifle. If you cannot find anything else I would suggest working on the MTrPs you have identified, they maybe the main cause of the problem at this time even though we do not know or appreciate the original injury/problem, etc.Rick Wall, DVMThe Woodlands, TX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2012 Report Share Posted June 24, 2012 We have 2 post TPLO cases right now with deep digital flexor tendon contractures. Both owners report wb on soft terrain but nwb on concrete & other hard surfaces. Both started after initially doing well in recovery, but typical of high drive dogs, pushed too hard during the 3-6 week post op timeline & started to nwb again. Check for the classic clenched digits and flat wear pattern on the nails. You will likely also still need to address flexor muscle concerns also. Hope this helps. Rhea ,Great videos and radiographs. I wish I could tell you by looking at them that I had some definitive answers about your patient but I don't. The non-weight bearing posture at the walk and trot is maintained by hip flexion rather than stifle flexion, I find this to be rather common for any pelvic limb problem. I would expect development of MTrPs in the cranial muscles of the thigh, hip flexors and iliopsoas due to longevity of the problem. I think that it is interesting when on grass with head down, cranial weight shift (working posture) that the pelvic limb is consistently in use. Maybe your patient should spend more time on grass. I don't see any radiographic changes on the lateral femoral condyle to suggest popliteal avulsion and I don't appreciate joint effusion in either stifle. If you cannot find anything else I would suggest working on the MTrPs you have identified, they maybe the main cause of the problem at this time even though we do not know or appreciate the original injury/problem, etc. Rick Wall, DVMThe Woodlands, TX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2012 Report Share Posted June 28, 2012 Thanks both of you for your input. The owners told me that they are going to discontinue rehab at this time. I gave them exercises to continue working on at home. I hope she improves :-( > > > ** > > > > > > , > > > > Great videos and radiographs. I wish I could tell you by looking at them > > that I had some definitive answers about your patient but I don't. The > > non-weight bearing posture at the walk and trot is maintained by hip > > flexion rather than stifle flexion, I find this to be rather common for any > > pelvic limb problem. I would expect development of MTrPs in the cranial > > muscles of the thigh, hip flexors and iliopsoas due to longevity of the > > problem. I think that it is interesting when on grass with head down, > > cranial weight shift (working posture) that the pelvic limb is consistently > > in use. Maybe your patient should spend more time on grass. > > > > I don't see any radiographic changes on the lateral femoral condyle to > > suggest popliteal avulsion and I don't appreciate joint effusion in either > > stifle. > > > > If you cannot find anything else I would suggest working on the MTrPs you > > have identified, they maybe the main cause of the problem at this time even > > though we do not know or appreciate the original injury/problem, etc. > > > > Rick Wall, DVM > > The Woodlands, TX > > > > > > > Quote Link to comment Share on other sites More sharing options...
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