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IG frozen knee

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I've been working with a 5yr old F IG that was dx'd with R CCLX last year, the

owner elected non-surgical treatment, had taken the pet for some laser

treatments, etc, was able to get the dog to the point of consistent TTWB (as

described by owner), then owner was out of country in December and since then

the dog is NWB. We started treating this patient in March, the dog has full

flexion of the stifle, but very limited extension, measured at 110° today while

under general anesthesia; 3 months ago measured the pt at 124° while awake. The

patient is completely NWB, will only engage the RHL if the limb is in a crouched

position or when swimming.

Surgeon reports: On radiographs the left stifle had DJD and seems fixed in a

caudal drawer placement. There is limited stifle extension either due to no

quads and/or previously untreated stifle disease.

The owner does not want to amputate the limb, I feel that rehab has not done a

lot for this dog. I talked with the owner about just continuing with swimming

sessions (vs full sessions of UWTM, manual, ther ex, U/S, etc) and put the money

she saves into something else, ie accupuncture, Adequan, etc but I'm not sure

either of those would even help!

Just trying to get some other ideas of what this owner can do for her very

nervous pup!

Thank you,

Shinas, LVT, CCRP

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