Guest guest Posted June 21, 2012 Report Share Posted June 21, 2012 I don't think the size of the dog changes the way you approach the disease process however you may have to adjust the way you do exercises but the bigger concern with this dog is the degree of pain associated with what is presumed to be medial shoulder instability. While there may be some medial shoulder instability, I would be very concerned about the dog's pain level. Medial shoulder instability dogs are typically not that painful. I would be wary of other stuff in there like the supraspinatus tendon, biceps, capsular injury, teres injury, etc. I have seen dogs that have partially avulsed the supra tendon that could be that painful but not MSI as a solitary disease process. Are they able to do more advanced imaging? Is the dog painful in any movement in particular (flexion, extension, abduction)? Do you have radiographs or any other imaging available? , VMD, CCRP Veterinary Orthopedic Sports Medicine Group https://www.VOSM.com From: VetRehab [VetRehab ] On Behalf Of Tracey [tracey@...] Sent: Thursday, June 21, 2012 3:28 PM To: VetRehab Subject: MSI in a Borzoi I have a 5yo F Borzoi that had a traumatic accident and became non-wt bearing on the RFL. Owner didn't see exactly what happened but dog possibly got T-boned by her Border Collie and either flipped or hit a tree or something like that. The dog originally had nerve deficits to that leg but when I saw it 3 days post accident it was placing the leg well but barely wt bearing and screaming when doing so. After 1 week of treating with gentle massage, laser and a host of homeopathic meds the caregiver has been giving the dog (owner is away), we finally have controlled the pain enough to determine that there is medial instability. We have about 25deg more abduction in the R leg then the normal L leg. This had been difficult to assess previously as the dog screamed anytime we manipulated the shoulder. What are the groups thoughts on treating a dog this large with this problem?? Tracey DVM, CCRT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2012 Report Share Posted June 21, 2012 I agree. I think the original pain was from muscle damage. She has full ROM in all the joints and although she is uncomfortable at end ROM it does not seem to be overtly painful. I am worried about capsular injury particularly. The owner is back next week and we will discuss further workup at that point. We do have access to more diagnostics but it requires a drive and a ferry. Just worried about immobilizing a leg in such a big dog. Tracey DVM, CCRT > > I don't think the size of the dog changes the way you approach the disease process however you may have to adjust the way you do exercises but the bigger concern with this dog is the degree of pain associated with what is presumed to be medial shoulder instability. While there may be some medial shoulder instability, I would be very concerned about the dog's pain level. Medial shoulder instability dogs are typically not that painful. I would be wary of other stuff in there like the supraspinatus tendon, biceps, capsular injury, teres injury, etc. I have seen dogs that have partially avulsed the supra tendon that could be that painful but not MSI as a solitary disease process. Are they able to do more advanced imaging? Is the dog painful in any movement in particular (flexion, extension, abduction)? Do you have radiographs or any other imaging available? > > > , VMD, CCRP > Veterinary Orthopedic Sports Medicine Group > https://www.VOSM.com > ________________________________ > From: VetRehab [VetRehab ] On Behalf Of Tracey [tracey@...] > Sent: Thursday, June 21, 2012 3:28 PM > To: VetRehab > Subject: MSI in a Borzoi > > > > I have a 5yo F Borzoi that had a traumatic accident and became non-wt bearing on the RFL. Owner didn't see exactly what happened but dog possibly got T-boned by her Border Collie and either flipped or hit a tree or something like that. The dog originally had nerve deficits to that leg but when I saw it 3 days post accident it was placing the leg well but barely wt bearing and screaming when doing so. After 1 week of treating with gentle massage, laser and a host of homeopathic meds the caregiver has been giving the dog (owner is away), we finally have controlled the pain enough to determine that there is medial instability. We have about 25deg more abduction in the R leg then the normal L leg. This had been difficult to assess previously as the dog screamed anytime we manipulated the shoulder. > What are the groups thoughts on treating a dog this large with this problem?? > > Tracey DVM, CCRT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2012 Report Share Posted June 21, 2012 I agree. I think the original pain was from muscle damage. She has full ROM in all the joints and although she is uncomfortable at end ROM it does not seem to be overtly painful. I am worried about capsular injury particularly. The owner is back next week and we will discuss further workup at that point. We do have access to more diagnostics but it requires a drive and a ferry. Just worried about immobilizing a leg in such a big dog. Tracey DVM, CCRT > > I don't think the size of the dog changes the way you approach the disease process however you may have to adjust the way you do exercises but the bigger concern with this dog is the degree of pain associated with what is presumed to be medial shoulder instability. While there may be some medial shoulder instability, I would be very concerned about the dog's pain level. Medial shoulder instability dogs are typically not that painful. I would be wary of other stuff in there like the supraspinatus tendon, biceps, capsular injury, teres injury, etc. I have seen dogs that have partially avulsed the supra tendon that could be that painful but not MSI as a solitary disease process. Are they able to do more advanced imaging? Is the dog painful in any movement in particular (flexion, extension, abduction)? Do you have radiographs or any other imaging available? > > > , VMD, CCRP > Veterinary Orthopedic Sports Medicine Group > https://www.VOSM.com > ________________________________ > From: VetRehab [VetRehab ] On Behalf Of Tracey [tracey@...] > Sent: Thursday, June 21, 2012 3:28 PM > To: VetRehab > Subject: MSI in a Borzoi > > > > I have a 5yo F Borzoi that had a traumatic accident and became non-wt bearing on the RFL. Owner didn't see exactly what happened but dog possibly got T-boned by her Border Collie and either flipped or hit a tree or something like that. The dog originally had nerve deficits to that leg but when I saw it 3 days post accident it was placing the leg well but barely wt bearing and screaming when doing so. After 1 week of treating with gentle massage, laser and a host of homeopathic meds the caregiver has been giving the dog (owner is away), we finally have controlled the pain enough to determine that there is medial instability. We have about 25deg more abduction in the R leg then the normal L leg. This had been difficult to assess previously as the dog screamed anytime we manipulated the shoulder. > What are the groups thoughts on treating a dog this large with this problem?? > > Tracey DVM, CCRT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2012 Report Share Posted June 22, 2012 Hi Tracey Have you considered dogLeggs hobble system on this dog? I have been pretty happy witih them but would be interested in other's experiences. It limits end range of motion and they tolerate them quite well. MSI in a Borzoi> > > > I have a 5yo F Borzoi that had a traumatic accident and became non-wt bearing on the RFL. Owner didn't see exactly what happened but dog possibly got T-boned by her Border Collie and either flipped or hit a tree or something like that. The dog originally had nerve deficits to that leg but when I saw it 3 days post accident it was placing the leg well but barely wt bearing and screaming when doing so. After 1 week of treating with gentle massage, laser and a host of homeopathic meds the caregiver has been giving the dog (owner is away), we finally have controlled the pain enough to determine that there is medial instability. We have about 25deg more abduction in the R leg then the normal L leg. This had been difficult to assess previously as the dog screamed anytime we manipulated the shoulder.> What are the groups thoughts on treating a dog this large with this problem??> > Tracey DVM, CCRT> Quote Link to comment Share on other sites More sharing options...
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