Showing posts with label Prevention. Show all posts
Showing posts with label Prevention. Show all posts

Wednesday, September 25, 2013

Dog Wellness - Prevention of Canine Hip Dysplsia


Canine hip dysplasia is a medical condition  commonly found in dogs, particularly large body mass breeds. Doctor Karen Becker states “It is is a polygenetic multi-factorial disease, which means there is a genetic component, more than one gene is involved, and it is caused by a number of factors, some of which have yet to be identified.” Dog wellness brings to your attention the very important factors on  how to prevent this disease from developing in your dog. 


CHD is when the ball and socket hip joint is malformed, causing separation of the two bones of the joint. The socket is not formed properly to fit the ball completely in place.  This less-than-perfect fit causes the bones to separate, resulting in abnormal joint structure along with weak muscles, ligaments and connective tissue that support the joints.  The result is chafing and grinding joints.


The dog’s body will try to compensate for the poor joint fit by producing a hard bony material around the in and around – attempting to stabilize the problem.  Unfortunately this alteration has the opposite effect by creating an even worse fit of the joint. 


Eventually the wear on the joint from the chafing and grinding results in degenerative joint disease (DJD), which is a painful, debilitating disease that will take your dog down fast.


CHD develops between five and twelve months of age for the severe form of the disease; later for the chronic form.


CHD Testing


Without the gene a dog will not acquire CHD, however if he does have the gene he is likely to develop it but he is also likely not to develop it – so dog wellness preventative measures is highly necessary in order to give your dog a fighting chance of not developing the disease.


With certain breeds of dogs, like the German Shepard, puppies are often tested at a young age in order to rule out any hip problems.  The family history of the puppy is also taken into consideration. However, even if prior generations show no signs of CHD, their puppies are still at risk. Even if a dog shows high OFA and PennHIP scores, they can still carry the genes of the disease.  Currently, there is no test that can identify if the dog is a gene carrier.


The hip is the biggest joint in your dog’s body and bares the majority of his weight during any kind of movement. That’s why hip dysplasia can be such a painful, debilitating disease, especially as it is predominantly seen in large breed dogs with heavy body mass.


Symptoms and Diagnosis of Canine Hip Dysplasia


A dog with CHD may have one or a combination of the following symptoms:


- Abnormal gait
– Bunny-hopping when running
– Thigh muscle atrophy (loss of muscle mass)
– Pain
– Low exercise tolerance
– Reluctance to climb stairs
– Audible “click” when walking
– Increased width between points of the hips


Diagnosis is typically made either because a dog is showing symptoms, or as the result of a standard hip exam prior to breeding a purebred dog.


The vet will perform a complete physical exam and take x-rays. Joint problems are easily seen on x-rays of dogs exhibiting symptoms. The vet may also be able to feel looseness in your dog’s hip joint, and note pain when a rear leg is extended or flexed.


Traditional Treatment of Hip Dysplasia


If hip laxity (looseness) is caught very early prior to any joint damage occurring, there are surgical procedures that can correct the joint malformation.


If your dog has already suffered degenerative joint disease from chronic hip dysplasia, surgical options are either a total hip replacement or a procedure in which the head of the femur is removed and a ‘fake’ hip joint replaces it. This option is less costly than a full hip replacement, but is most successful in dogs weighing less than 40 pounds.


The cost of a surgery such as this is extremely costly and usually not affordable to most dog owners, so the best bet is to ensure dog owners put dog wellness strategies into place and look at preventative measures for CHD. Particularly if you have a large breed dog.


Pain Management for CHD


Pain management involves the use of non-steroidal anti-inflammatory drugs (NSAIDs), buffered aspirin and corticosteroids to alleviate inflammation and pain. The side effects of these drugs can include organ problems and gastric ulcers.


Complementary Therapies


In the event a dog is on pain medication for CHD it is highly recommended that the dog owner works with a holistic vet in order to find alternative treatements and pain mangement. This helps protect the dog’s owner from Big Pharma pro vets that will use your dogs unfortunate situation to make more money  by recommending medications the dog doesn’t really need, and basically from ripping off pet owners.  Utilizing alternative measures will also help protect your dog from the side effects caused by NSAIDs\ and other pain medications, that we know are toxic. 


Doctor Karen Becker says in her opinion, the most important aspect of managing this debilitating disease is building and maintaining excellent muscle, tendon and ligament health through physical therapy, an anti-inflammatory diet and oral chondroprotective/supportive supplements.


Complementary therapies include:


-Chiropractic treatments. Chiropractic therapy can help your pet avoid the compensating injuries that often result from CHD.


-Massage. Regular massages can alleviate inflammation and prevent further damage through compensation.


-Stretching and other forms of physical therapy will increase the condition and mobility of her joints, tendons and ligaments, helping to preserve her range of motion.


-Low-level laser therapy can facilitate long lasting pain relief by stimulating the release of your dog’s own pain killing endorphins.


-Acupuncture can be tremendously beneficial in relieving the pain and inflammation of degenerative joint disease.


-Aquatic therapy, also known as hydrotherapy, uses an underwater treadmill or heated pool to take pressure off your dog’s injured or painful joints. Water therapy can also improve your dog’s cardiovascular health, muscle strength and range of motion critical for supporting dysplastic dogs.


-Adding certain supplements to your pet’s naturally anti-inflammatory diet can provide the raw materials for cartilage repair and maintenance, among them:


1.  Glucosamine sulfate with MSM, Eggshell Membrane, Perna Mussel
2.  Homeopathic remedies, including Rhus Tox
3.  Ubiquinol and other antioxidants
4.  Super green foods (Spirulina and Asthaxanin)
5.  Natural anti-inflammatory formulas (herbs, proteolytic enzymes and nutraceuticals)
6.  Adequan injections, which can stimulate joint fluid very rapidly in pets with arthritis


Dog Wellness Strategies for Prevention of Canine Hip Dysplasia


1.  Selective breeding. More hip testing and more careful breeding can go a long way toward limiting the inheritance of CHD.


2.  If you’re planning to get a purebred large-breed puppy, find breeders who PennHIP certify their dogs. OFA certification is still the established standard, but PennHIP is a much better indication of hip health. If greater numbers of potential dog owners demand PennHIP certification, more breeders will understand the importance of this test for their animals.


Unfortunately, PennHIP testing is more expensive and not as widely done as OFA, but it is highly preferable to the OFA method. The procedure can be done on dogs as young as 16 weeks. PennHIP uses a network of trained veterinarians and anesthesia is required rather than an option.


3.  Slow weight gain in large-breed puppies. When a puppy gains size and weight too quickly, the cartilage in his body often can’t keep up with the growth of his frame, and cartilage deficits result. When imbalances of this type develop in a growing dog, they can contribute to hip dysplasia and osteoarthritis.


4.High calorie diets, which are typically also high in carbohydrates, can cause too-rapid growth, especially in larger breed dogs. In fact, research indicates the amount of calories a dog consumes, especially from the age of three to ten months, can have a significant impact on whether a pup genetically prone to hip dysplasia will develop the condition.


Despite what you might hear from other owners of large breed dogs or even from your vet, it is not protein in the diet that is linked to hip dysplasia, but calcium-phosphorus ratios and high caloric content. A portion-controlled, balanced, species-appropriate diet will provide your dog, no matter his age, with the right nutrition in the right amounts.


5.  Obesity can increase the severity of dysplasia. Extra weight can accelerate the degeneration of joints. Dogs born with genes that make them prone to hip dysplasia, if allowed to grow overweight, will be at much higher risk of developing the disease, and subsequently, arthritis as well.


6.  Appropriate exercise. There is evidence over-exercising large breed dogs at a young age may be a risk factor for dysplasia. Activities that require your dog to jump and land can apply a great deal of force to his joints.


However, moderate exercise such as running and especially swimming, will help your dog maintain good muscle mass, which has been shown to decrease the incidence and severity of the CHD. Your dog should get at least 20 minutes of sustained, heart-thumping exercise three times a week. However, the more moderate exercise he gets the better.  Large breed dogs should be exercised daily for a full impact. 


A reminder of how important strong dog wellness practices can be for dog owners and their dog is to remember that prevention can save money, pain, and a dog’s life.  The introduction of a raw natural diet and utilizing natural pet health care whenever possible is a recommendation that should not go ignored.  Pay close attention to the breed, size and needs of the dog you have and put dog wellness practices into place as a part of being a smart and caring dog owner. 


Sunday, September 15, 2013

Hip Dysplasia Prevention And Treatment Options

The primary cause of hip dysplasia is genetic but other factors, such as husbandry and environmental factors, play their role as well.


Prevention starts with selective breeding.


Responsible breeders screen their dogs’ hips with either PennHIP or OFA x-rays before including them in their breeding population. Genetic testing is not available at this time.


Dogs without obviously dysplastic hips are the only individuals that should ever be selected for breeding. The PennHIP and OFA screening tests are not perfect, but they have gone a long way towards decreasing the incidence of hip dysplasia in some breeds.


Nutrition is a contributing factor to the development of hip dysplasia.


Rapid growth and excessive weight gain in puppies can increase the incidence of hip dysplasia.


A diet too high in protein, calcium or calories (i.e., simply too much food) leads to unnaturally rapid growth, obesity, and/or bones and muscles growing at different rates, all of which can cause a number of joint issues, including hip dysplasia.


Be thoughtful of what and how much you feed your puppy.  Large breed dogs under the age of 18 months should stay on the slim side of normal.  Dogs fed to grow slowly will eventually reach their full size, it just takes them a little extra time to get there.


Does exercise play a role in development of hip dysplasia?


This issue doesn’t seem to be entirely clear. It appears that exercise does not cause hip dysplasia to develop. However, if a dog already has  bad hips (even if the problems are not yet visible on traditional x-rays), high impact or strenuous exercise can make things worse.


On the other hand, exercise to promote the strength of muscles, tendons and ligaments and a healthy weight is still very important so this is one of those cases where balance is important.





Early detection means early treatment and better prognosis.


The sooner you find out whether your dog has hip dysplasia the better off your dog will be.


Ever since Jasmine was little, because of her breed, a thorough hip evaluation has been a part of every vet visit. Fortunately, Jasmine’s hips are healthy; they’re just about the only part of her body that is without an issue.


Some treatments are only available for puppies up to certain age, and arthritis, if not addressed, only gets worse with time.


Treatment options include the management of the arthritis and inflammation that is caused by hip dysplasia and/or surgical intervention. Which treatments  are best for your dog depends on an evaluation of the joints, your dog’s age and general health.


Arthritis management includes weight control, physical therapy, acupuncture, joint supplements, omega-3 fatty acids, stem cell therapy and, while not at all my personal favorite, NSAIDs and other pain relievers.


Surgical options for treatment of hip dysplasia in dogs


Juvenile Pubic Symphysiodesis (JPS) is a preventive surgery that can be performed on at-risk puppies before the age of 5 months. Altering the growth of the pubic bone results in rotation of the hip sockets to better hold on to the femoral heads.


Triple pelvic osteotomy (TPO) can be performed on puppies between 8 and 18 months of age, without significant degenerative arthritis changes or a hip socket that is too flat. It is a similar idea to the JPS but involves surgically repositioning a part of the pelvis. The pelvis is cut in three places and rotated to better hold on to the femoral head.


Femoral Head/Neck Ostectomy (FHO) is the removal of the femoral head in order to prevent bone rubbing on bone. Fibrous tissue will form a false joint connecting the two bones. This surgery is usually recommended only for smaller dogs.


Total Hip Replacement (THR) is quite self-explanatory. It is often the recommended surgical option for older dogs, individuals over 50 pounds or so, and dogs with advanced arthritis.


Dorsal acetabular rim arthroplasty (Darthroplasty) is rather new and actually sounds quite cool. Bone grafts from other sites are used to manufacture a deeper socket so the femoral head sits within the socket better. Long term prognosis with this surgery is not known at this time, however.


There are some other procedures out there, you can check them out here.


Keep in mind that many dogs that undergo surgical treatment for hip dysplasia still do require some level of medical management for arthritis, just far less than they would have otherwise needed.


Whether you choose surgery, conventional medical options, alternative treatments, or some combination thereof, it is important that therapy is tailored to the individual condition and needs of your dog.


Does your dog have hip dysplasia? How did you treat it? Share your story.


It’s your dog’s health!
Jana


Further Reading:
Hip Dysplasia in Dogs: Diagnosis, Treatment, and Prevention
Canine Hip Dysplasia
Surgical Management of Canine Hip Dysplasia
Symptoms and treatment of hip dysplasia in dogs
Hip Dysplasia: Surgical Interventions


Related articles:
Picking the Right Dog to Breed
Hip And Elbow Dysplasia: Are They The Same Thing?
Shiloh Is Headed For A Second Hip Surgery And Hopes To Find A Forever Home
Talk To Me About Arthritis