Showing posts with label Knee troubles. Show all posts
Showing posts with label Knee troubles. Show all posts

Saturday, November 21, 2009

One year ago today...

...a knee was born! Yes it is the first anniversary of Moose's knee surgery to repair his cranial cruciate ligament (Same as ACL in humans).


Since then we have met lots of other DWBers who are in the same club! Parker, Ivy, Dozer, Sophie, and unfortunately many others. To those of you who are not in the club, you are hearby not invited to join! It stinks! No fun at all and we have more than enough members!
I wrote a post all about this kind of injury in case you are blissfully ignorant (as I was) of one of the most common orthopedic conditions in dogs.
After 1 year I am happy with Moose's knee function and think he is doing better than I expected. He still leans a little because he is not putting his full weight on the surgery leg (notice his right leg is out to the side and behind him in this photo). He can put all of his weight on it if I force him to so I think he has just gotten used to favoring his other leg. I need to work on this with him a little but have not given that a good effort yet.

During the three months he spent on crate rest I don't think I could picture life getting back to normal. Although he moves around pretty close to normal I can't really let go of the worry. I have two worries that keep him from doing all he did before and the first one is that he will re-injure his surgery knee of course, but I am actually more worried about the other knee going. It is very common for dogs that tear one CCL to tear the 2nd one too. As it is now I am managing this risk by not letting him do strenuous things. There is a tradeoff though because he is missing out on a lot of the fun of being a dog, specifically the dog park! If he tears the other ligament it means another painful surgery and months in a pen and no dog park or general romping for months and months. It is difficult to know which he would pick if he really had a say in it. I try to do things that are fun for him, and it is not like he never has fun I just think that the dog park was one of his favorite things. Anyone have any thoughts on this?


Danes Down Under Photo Challenge: Body Part

The Danes Down Under Photo Challenge this weekend is 'body part'... quite the coincidence since it is Moose's 1 year Knee-versary, huh?  So we are submitting his knee photo. Although it is not a nice picture it does have the title of Moose's most expensive body part so we might as well get some mileage out of it!


 Thanks for hosting the challenge Danes Down Under! If anyone else wants to join in just drop by and leave them a comment!

Wednesday, May 20, 2009

It's all good!

Thanks to everyone who sent get well wishes for my moose. He seems completely fine now. So I guess whatever the trouble was has passed! I think he knew I was worried so just to show me he was ok and 100% back to normal he decided to open the pantry and pull some people foods out while I was out today. I had suspected that he could open the door but it is now official... The pantry is not safe. The stuff he pulled out must not have seemed interesting (uncooked pasta and such) because he did not open the packages. The good stuff is way up high since I had a feeling he could get in there (it is a bi-fold type door so I think he can nudge it and it pops open!).
I am posting these pics to show how my boy is sitting these days.... His back right leg still sticks out to the side (after his knee surgery). His Buddy Parker just posted his sitting (& Birthday!) picture and he seems to be recovering a bit faster. He had the surgery a week or two after my moose but he is a young pup of 4 compared to my 7 1/2 year old Man! Aside from sitting sloppy, my Moose has to be bribed to stay in the seated position because I think he is more comfortable standing or lying down so that is why you see a treat in the first pic and a "Woofel!" face (i.e. gimme the treat already). He has the funniest snaggle toothed face in that one so I could not resist posting. Anywho... as you can see he appears to be back to his normal Mooses self!
P.S. Here is how Moose sat back in the good ol' days before knee troubles. And um, if it is not obvious, Moose is the one on the right! His girl friend Sarah (mini-Moose) is on the left.

Thursday, February 19, 2009

Look Who's Walking Now!

ALL CLEAR! (to gradually resume all normal activities)! Yea! Moose got his last (baring any unusual problems) checkup and x-rays from the Ortho doc and he said he looks great and the surgery site is fully healed! I guess I was sort of expecting that but as I was talking to him it sunk in and when he said 'walks' I had to keep myself from crying I was so happy. I think it is still sinking in that I can now take my dog for a walk! Granted it won't be a long one yet but he can start to be a normal guy again!

So we rushed home and went for our VERY FIRST WALK! This is not only the first walk in >3months, it is his first walk in his new neighborhood! Other than the last trip to the vet he has literally never stepped off our property since we moved here. He stopped and looked at me a few times like he was wondering "really? we are going this way?" at least that is what it looked like. He was also entirely engrossed in the new sights, smells and sounds. The sounds included lots of dogs going totally nuts when he walked by... lots of woofing and flinging themselves at windows. I am pretty sure they were just welcoming him to the neighborhood ;-). I have to include a pic of him peeing (he is mortified) because since he has been confined to the back yard he has not been marking things and lifting his leg so that is back to normal. Plus he is standing on his TPLO leg which he has been doing from the start but since he was not lifting his leg to pee I wondered if it was partly out of fatigue or discomfort. Apparently not! Just no need to mark his own yard.

As for the details for fellow ortho-dogs... We are 90 days post op and he has been using his leg fine for at least a month although he still does not put full weight on it when he is standing still. Doc says that will continue to improve. For the past few weeks I have let him out in the back yard unleashed when I am out there and that has been fine except he overdid it on Saturday and was limping but that was all better by Monday (phew!).
I am posting his x-rays for comparison to last time. I can definitely see a difference although there are still two gaps that I expect will continue to fill in. After his last round of x-rays I started giving him silica supplements and really wonder if that did not speed things along. I doubt it hurt and it was not that expensive so worth a try if you are trying to heal bone. He took 500mg 2x a day in addition to his Gluc/Chon Vitamin C & E + Fish oil. The doc did not give us specifics on what he is allowed but I am aiming for 10 min walks 3x a day for the next week to see how it goes. We walked for about 5 min outside the vet then when we got home we probably took a 10 min walk and he seemed a little sore but the man-handling at the vet might have added to that. It is also hard to call something a 10min walk when he stops and snifs so much so for comparison purposes I think his 10 min is more like 6 or 7 min of actual walking.

Vet-ward bound once again

We are headed to the OS for (cross your paws) what we hope will be his
last round of xrays. Moose is not amused about getting rustled out of
the house with no kibble or the long car ride!

Tuesday, January 20, 2009

Not so fast....

Well it is a bit late but I am finally getting to updating Moose's progress after his 6 week check up which happened at 7 1/2 weeks which was a week ago... Apparently tardiness is contagious because my Moose's healing is a bit behind schedule too and we are really bummed about it. Here are his before and after x-rays (compare to Freia's!). Generally bone is expected to be healed by 8 weeks and many dogs are allowed a lot more freedom after that. I am no expert at x-ray reading but I have looked at a few others and I think we have a long way to go. Doc wants us back at 10 weeks which would be the 30th but I am not going to go that soon because if it took 7 1/2 weeks for that little bit of bone growth I suspect 10 weeks will not be that much different.



















Why not just take him for x-rays to keep an eye on things you ask? Well, it was a most unpleasant event. Aside from the major let-down of un-healed bone there is the cost $280 AND the absolute worst part is the fact that they feel they need to give my Moose enough sedative to sedate... well... a Moose! They cleared him to go home pretty quickly because they knew I was waiting (due to the 70 mile drive to the doc) but that led to a totally whacked out Moose while I was talking to the doc- he was shivering and crying and could barely stand then he tried to poo in the office and we tried to make it outside but left quite a trail of moose droppings! Then he spent the next 12 hours crying and drooling (note the dazed look and drool in the pic). It was so awful! All night he was acting like in the video below (note the drool) and was not even distracted from the crying while I made his dinner. He would stand by the door and cry then we would go out and he would stand there and cry. He was not even that bad after surgery! Next time I am going to insist that they go lighter on the sedative and have a little patience with him. The x-rays are digital so it is not like films are wasted. Sheesh! Anywho I think I will take him in mid-feb just to give more time for healing and hopefully will have some better news to report!


Monday, January 12, 2009

7 Week Itch

We hit the 7 week post-op mark this past weekend! Keeping Moose contained before the move was a little challenging (or so I thought) but post-move it has been nearly impossible. The move completely messed up our routine and started this slippery slope to more and more freedom that is something akin to senior-itis or a' 7 year itch' (ok, week in our case) since the first phase of his recovery is hopefully drawing to a close (at 8 weeks)! This weekend I really sealed the deal by packing up his pen and crate! I decided this was ok because my new office has a door directly to the outside so I can close him in there when I leave and when I come home walk right into that room. It has a french door too so he actually likes it in there b/c he can lie on his bed AND look out the window! At night I bring him into my room and close the door so I don't find him on the couch when I get up in the morning and I have also left my mattress on the floor instead of putting my bed together and he loves having easy access to the bed and has been treating it like it is his own bed! So it is more freedom but his activity is still a little restricted...

We have our 6 week checkup tomorrow (1 weeks late) so he will be x-rayed and checked out and we will see how well I have (or have not) done with his recuperation. In theory the schedule goes that at 8 weeks the bone has healed so they are cleared for normal activity however they have a lot of gradual strengthening to do due to muscle atrophy (his new nick name is Jelly-leg) and general 'breaking in' of the new knee structure. Hopefully that is what will happen. I have a sort of dreadful feeling that there will be trouble and the form that it could take is 1. patellar tendonitis (common but relatively minor complication), 2. screw or hardware problems, 3. delayed or improper bone growth (which could signal more serious problems), 4. torn meniscus (this is generally pretty painful so I would probably know if it were torn) 5. scolding from the surgeon about Moose's early release!
Hopefully I will have some good news to post tomorrow!

Monday, January 5, 2009

IT could happen to you

This post is dedicated to Pee-Wee the labradude and his Relentlessly Huge brother- may you both remain free of CCL problems! Pee-wee's ma asked (awhile ago) if this might happen to him so I though I would post a little of what I have learned about Cranial Cruciate Ligament rupture... sadly, it could happen to you!
It is one of the most common orthopedic injuries seen by vets. Many in our orthodog community have remarked that they are shocked to find it is so common when they had never known about it before their own dog fell victim to it. It can happen to dogs young or old (more common in middle-age), large or small (more common in larger dogs) and any breed mixed or pure though studies exist that suggest a greater frequency in certain breeds such as Rotties and Labs. However it is difficult to separate the popularity of the breed with the frequency of injury. More CCL patients may be labs but it is the most common breed!
This condition is in some cases a true traumatic injury (getting a foot caught or twisted for example) but for the vast majority it is considered a disease where (as I understand it) changes in the joint lead to gradual degeneration of the fibers comprising the ligament. This degeneration is often un-noticed until one day the ligament ruptures and the owner will assume it was an injury when it was actually disease. A few other aspects of the joint may contribute to rupture including the shape and angles of the bones within the joint (gross over simplification but this is how I understand it!). Steeper angles where the bones meet result in more stress and the ligaments can handle this unless they start to degenerate. It is very common that a dog who has ruptured the CCL in one knee, will eventually rupture it in another knee... sadly. Keep your fingers and paws crossed for my Moose!
So how can you prevent this from happening to your pup? The number one thing that CCL deficient dogs have in common is they are overweight and inactive. Moose was neither of these but I am even more cautious about this now that I know his other knee is susceptible. Soooo many reasons to keep your dog's weight under control and activity up and this is yet another one!
Some believe this is a weekend-warrior type injury so that if your dog is sedentary for most of the week then goes on occasional bouts of strenuous activity you may be increasing their risk for CCL rupture. I think it is important to include regular low-impact activity in with their wild romps! Moose got short walks that I would compensate for with long trips to the dog park but in retrospect I think a balance might have been better for him. Low impact activity keeps the muscles strong so they can stabilize the joints when they go for their romps in the park. I may be wrong on this and some believe that if this is going to happen to your dog then it is going to happen no matter what you do, but even if that is true, it seems reasonable to say they may delay the injury or heal better if they are more fit to start with!
Lastly, if this happens, what to do? There are several surgical procedures that are commonly done and can be very successful and there is also 'conservative management' which involves activity restriction and I believe some PT.
My advice:
  1. Keep your dog active (include low-impact activity), fit and on the lower end of a healthy weight
  2. Don't let them play past the point of exhaustion (which they will if you let them)
  3. Give them good quality food (grain-free has been suggested to be beneficial to joint health among other things),
  4. Give them joint supplements (Glucosamine, Chondroitin, Vit C, E and Fish oil), these do nothing for ligaments but keep the joint working smoothly and help with the arthritis that is an inevitable result of CCL rupture.
  5. At the first sign of a limp in the rear leg, STRICT rest and see a good vet!
  6. Cherish every day that they are healthy and able to be active.
  7. Get pet insurance if you have 1 dog or start a savings account if you have multiple dogs or your dog is over 7 yrs . Many pet insurance companies have major limitations on what they cover and are not worth it, I have found PetPlan to offer the most comprehensive coverage but you have to have a policy before this happens of course!
Good luck and Keep all your paws crossed that my Moose will recover fast and not have problems with his other knee! We are 6 weeks into a looong recovery and starting to lose focus so I am posting a few pics of the good old days of walkies, road trips and romps at the park before he spent his days impersonating a black throw rug!




Monday, December 22, 2008

Week 5 of 'my unfortunate incarceration'

I can't believe it has been 4 weeks + since surgery! Moose seems to be healing well, his incision is visible but has healed very nicely and his fur is starting to grow back. He sometimes walks with no limp at all but definitely still a little slow when he sits down and stands up and he seems to have days that he is more sore than others. He is incredibly cooperative about being in his pen. He has re-learned to ring the bell when he needs a potty outing and can remind me that it is dinner time from inside the pen but every now and then he just looks at me as if to say "Can I come out now, I'll be good" and makes me feel so sad that he might be wondering why he isn't allowed to be out with me anymore. So sad for my boy. I spend time in the evening lying on the floor with him in his pen but aside from that he mostly seems bored. So I try to find new things to keep him busy and today we finished one bag of kibble so I left about 5 pieces in the bag and gave it to him to try to get them out. Pretty entertaining for both of us really!
We are still working on keeping him calm though so have to keep him from getting one of his 'wild hairs' and definitely don't go in the front yard since we might see exciting things so he is still stuck in the back yard and to insult to injury he is on a leash in his own back yard! We have at least another 4 weeks of this assuming all goes well and we are desperately committed to making it go well! Then after that he will be allowed to take actual walks starting at just 5 min though.

Sunday, December 7, 2008

Bodell the poooooor 203lb Rottweiler

Moose and I watched a show called 'Fat Pets' on Animal Planet and saw the saddest story about a woman in Britain who is loving her dog Bodell to death! She has a rottweiler named Bodell who she has fattened up to the horrifying weight of 203lbs! This poor dog looks like a pig and the owner thinks she is perfectly healthy because she gets "checkups at the vet". It is really easy to be angry at the owner but I think she has some emotional problems and could use a little help herself. Sad all around. She thinks Bodell is happy but I have known a few overweight dogs that lost weight and went from lethargic dogs to perky energetic dogs and to me that is when they are happy. There was also another Rottweiler on there who weighed in at 150lbs and not so surprisingly, was headed off to have his knee surgically repaired (probably a ruptured CCl!) due to his weight. At least those owners felt horrible and were committed to getting his weight down.
When I adopted Moose he was 110lbs and the vet said he was not overweight (he is looong and tall for a labbie) but was on the upper end of a healthy weight so we got him down to about 108lbs and that was in September when his CCL injury was diagnosed and the vet said he was not at all overweight but loosing a few would help his recovery and reduce the chances that the other CCL would rupture and not harm his health. Well I am proud to say that at the last checkup on Thursday he was 104lbs! I am being extra careful while he is on such restricted activity. I believe he gets about 1000 calories a day and his meals include veggies to help make him feel full. I am so glad that he loves carrots so much and will eat green beans with no trouble! Of course if you ask him he is being starved half to death, but that has always been the case!

Friday, December 5, 2008

Therapy Dog part II

I have started using ice and heat to try to help my Moose heal faster. After melting my last microwaveable heat pack I had to get a new one and found this 'Wrapz' thing at Walgreens. The little pouch makes it so much easier to keep it where it needs to be on a pretty reluctant Mooses! I am just getting started with this but the plan is to put heat on the joint for several minutes then do PROM (Passive Range of Motion) exercises which is basically taking his leg through a series of bicycling motions while he is lying down, Then we ice the joint. It is supposed to help circulation and prevent scar tissue from building up in a way that would limit his range of motion. Every step of this routine requires bribery and distraction in the form of a stuffed Kong. Lots of hard work, especially since (as his doc pointed out) he "is not a willing participant in his recovery". But given how much therapy he has given me, I figure it is the least I can do for him!


Thursday, December 4, 2008

Prison Furlough!

Moose went off to the vet for his 2 week check today. This is the first time in about 11 days that he has been out the front door of the house, so even the front yard on the way to the car was a sniff-fest! I imagine his brain was in sensory overload! He loves going anywhere, vet included but today I could really tell he was in doggie happy land! He had to stop and sniff everything and I let him because he has not been allowed to 'stop and sniff the roses' in awhile! It was nice (and a little sad) to see him be his normal full of life self for the first time since surgery. I just want him to be a doggie every day of his life but this is the only way to make that happen. I wish I could explain that to him but he does not seem to hold it against me too much.
Today's visit was a little ahead of schedule because he has started limping a bit more than he was in the first week after surgery. He does not want to put all his weight on the TPLO leg and when he does he sort of stumbles. I posted some video of his somewhat wobbly gait. He is definitely walking a lot better than before surgery but a little worse than last week. Doc says things are coming along well however it seems he has developed patellar tendonitis from over-doing it and needs to keep the activity to a real minimum and it should resolve on its own. Since the poor boy does NOTHING as it is I can only blame his happy dance and not sure how I can keep that to a minimum but will have to try.

Saturday, November 29, 2008

Day 7 of my captivity...

I brought Moose home from hospital a week ago and he has been in his pen except when he is taken on a leash to the back yard for less than 5 minutes 3 or 4 times a day. He has not really protested except for the past two nights when he barked a lot while I was making his dinner. I guess he is worried that I will mess up the recipe if he is not right there to supervise! I am glad he is not overly restless but worry that he is a little depressed. He used to love to be outside and would play with his toys on his own all the time. Now when I take him out in the back yard he does his business and pulls me back toward the door to go inside, especially odd given the lovely cool weather that usually makes him frisky. The first few times he did this he would pull me toward the front door, obviously wanting to go for a walk, but doesn't do that anymore. He also seems to have lost all interest in his toys. I can't get him to play with them for more than a minute and he definitely doesn't play on his own. Poor boy! I am going to get him a new toy like a tug-a-jug since he will still get excited about food. I have been training some things that he can learn while laying down and he likes that because treats are involved. Still he just does not seem to be himself and we have a long road ahead! We will have a 2 week checkup next Friday but pretty sure he will still not be allowed to increase his activity until week 8, and I think that, even more than confinement is to blame for his melancholy.
The 2nd pic was snapped mid-yawn but could not help posting it because he looks like a crazed caged beast which is what I imagine he feels like these days!

Wednesday, November 26, 2008

Day 5 Post-op

Tonight I ventured out to the grocery store (the first time he was left alone since the surgery) and I was pretty worried he would try to get out of his pen and possibly hurt himself but did not want to restrict him to his crate while he is wearing his cone. Things were fine until I came home and he was beside himself excited and pushed up against one side of his pen which caused it to move and tip over his water bowl on the other side of his pen! Aside from that it was hard to keep him from hopping around he was so excited! Normally I love this welcome home but for now it is a real problem. I am going to try putting him in his crate next time I leave since he can't jump in there and when I let him out I will be right there to keep him from hopping around.

Monday, November 24, 2008

Orthodogs Unite!

A few days before Moose's surgery I found a discussion group called Orthodogs and it has been soooo helpful and reassuring through this that I thought I would share. If you or anyone you know is going through an orthopedic injury with their dog it is definitely worth checking out!
Since I work from home it is easy to keep an eye on my boy and just for a change of scenery I let him hang out with me in the office instead of his pen/crate in the living room. My office is so crammed full of moving boxes that he has about the same amount of space as in his pen but he does not have to wear his dreaded e-collar since he is right next to me. It is Day 3 since his surgery and he is ok but he seems a little lethargic. He has been sleeping a lot today and when he wakes up he does not seem interested in much. Hopefully there is nothing wrong. I am pretty sure I am being overly anxious about it... I wonder when I will stop worrying about every little thing he does. It is exhausting!

Sunday, November 23, 2008

Day 2 Post-op

Moose seems to be doing pretty well on this 2nd day after surgery. His incision looks good and there does not seem to be much of the swelling or bruising that the doctor told me to expect.
He is not showing any signs of being uncomfortable and has stopped all crying and whimpering unless he wants out of is pen. He is walking pretty well for short periods but still limps some and will hold it completely off the ground occasionally every now and then. As youcan see in the video he will actually stand on his bad leg and lift the good one to pee which he could not do before the surgery. For the next two weeks he can only come out for a leashed walk in the back yard only long enough for him to potty then it is back in so I think he is pretty bored. I am giving him his kibble in smaller amounts throughout the day and it is stuffed into a Kong that takes him about 20min to get out so he has a few of those to look forward to too. It is hard to see him cooped up but he is doing so well that I need to fight the urge to let him do more!
He is using a 'Pro-Collar' instead of the typical cone shaped collar to prevent him from licking his incision. I do not want to put the cone on him since he is in such a confined space but unfortunately I may have to since the pro-collar only makes it a little more difficult to get to his leg. definitely not impossible!

Saturday, November 22, 2008

Homecoming

Well we made it home safely (the scary part was getting him out of the car but thanks to the ramp and rolled up sweatshirt (used as a sling of sorts) I single handedly wrangled my Moose into his new Ex-pen! I had to move some furniture to fit it into my place which is especially crowded owing to the stacks of moving boxes... Oh the chaos! I had to lie in there with him for awhile and he seemed really anxious but I finally figured out he needed a potty break. He was a little better after that and I gave him a stuffed Kong but he was still whimpering while he was chewing it. Still it was a little better and his clumsiness with the kong showed me that he is still a little out of it and he took breaks instead of just finishing it like normal. Right now he is sleeping and I want him to do as much of that as possible! The whimpering when he is awake is upsetting to hear. Other than the crying he does not show other signs of pain so the doc was pretty sure it was an anaesthesia hangover so I am not worried that he is in terrible pain though I am sure he is uncomfortable which is upsetting but inevitable I am afraid.

Moose is headed home

He is crying some but doc thinks he is more stoned than anything else.
My poor baby!

Friday, November 21, 2008

TPLO Done

I went by the hospital to drop off Moose's food (forgot to leave it in the AM) and he had just gotten out of surgery so I was lucky enough to talk to the doc again. All went well 'it was text book' and Moose was waking up and seemed fine, in some pain but they were managing it well. He seemed to tolerate the anesthesia fine. As for the joint, the ligament was in fact fully ruptured as expected, but the meniscus was in tact which will hopefully make things easier from here on (assuming it stays that way). He said arthritis was there but minimal. While I am relieved to hear good news I have my skepticism as always. Would they tell me if he was in a lot of pain or had a problem during the surgery. Still I am a little reassured that he has made it this far.
I will pick him up at 10am so tonight I need to get the house ready to receive a crippled hound!
I took some video of his bunny-hop gait so I will hopefully see the improvement after surgery.

Lame Moose

This morning I took a very nervous Moose (I was probably worse though) to Miami to see an orthopedic specialist. He is not usually crazy about car rides but today he was crying from the start. We had a consultation with Dr Wosar at Miami Veterinary Specialists this morning to check out Moose's knee and prospects for surgery. The doc says that it is most likely fully ruptured and surgery is his best bet at resuming normal activity. There are a few surgical approaches to stabilizing the knee including one less invasive approach called tightrope stabilization which is usually considered appropriate for non-Moose sized dogs. But after hanging out with the Orthodogs Yahoo group I learned of many larger Moose sized dogs that have had this procedure so I had a sliver of hope that the doc would consider it. But when I mentioned it he said it does not work on larger dogs and he will not do it. I have my doubts about this opinion and I could have taken Moose to other docs to look into it but in the end it would have delayed things and I might have been told the same things at the other 2 places and spent more $ on consultation fees and mostly the more invasive approach is considered to be successful so I decided to go with his plan and hope it was the right decision.
I mostly felt comfortable with the place but was a little frustrated when the doc was trying to get Moose to sit by pushing his butt down (doesn't seem like a good thing for an injured dog) and when I got him to sit and lay down on command he laid down on his bad leg so instead of trying again they called a 3rd tech in, muzzled him and wrestled him into the right position! My vet and I have always been able to do this with a tiny bit of patience so I was not overly excited about that. Other than that the staff seemed good and very playful with Moose while we were waiting.
So Moose was scheduled for Tibial Plateau Leveling Osteotomy (TPLO) surgery this afternoon and they are planning to keep him at least overnight so I won't see him again until tomorrow when it is over.

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