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Old 12-21-2012, 04:31 AM   #1 (permalink)
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Default Sore left front leg

Need advice: I have got a 6 month male German sherperd who started limping about 6 weeks ago. Took him to our local vet who gave Petcam (meloxicam Oral Suspension) said to watch him for a few days. I landed up going to a second vet who was recommended by the breeder. He took x-rays and found nothing, sent me home with Previcox227mg. Said to watch him and hopefully it will get better on its own. Leg has not improved, this week took him back to the Vet, he retook x-rays once again,. still has not found anything. Compared the X-rays says everything looks normal. He does agree that there is something wrong, limp is very noticeable. As it is holidays we need to wait for second week of January to see a specialist at another practice.

I have tried to keep him as still as possible, limited exercise, very controlled diet. Was recommended to start giving him Glucosamine. As he is still very young it is very difficult to keep him calm at all times.

Has anyone experienced similar problems with there dogs?
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Old 12-21-2012, 04:42 AM   #2 (permalink)
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google PANOSTEITIS - aka pano aka long bone disease

self limiting - will go away all on its own

vet should have considered this , MALE, age , breed

in future it may shift to another limb , hind or fore , may disappear for a period , then come back , could last till the dog is 2 years. May disappear for long period , months, and then some trauma , over exertion, bump , will bring back inflammation.

want to discuss diet? pedigree?
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Old 12-21-2012, 07:29 AM   #3 (permalink)
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Doesn't Pano show up in x-rays? (Not being rude, it's an honest question, I always thought that was how vets diagnosed it?)
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Old 12-21-2012, 08:13 AM   #4 (permalink)
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Looks like it?
01 Panosteitis: Growing Pains in Dogs - VeterinaryPartner.com - a VIN company!
Diagnosis of panosteitis is relatively straight forward. The clinical picture of an adolescent large breed dog with long bone lameness is suggestive of numerous developmental bone diseases, such as hypertrophic osteodystrophy, osteochondrosis dissecans, panosteitis etc. In panosteitis, there is a slight predisposition of males over females. While larger breeds are more commonly affected, any dog could potentially develop this condition. The lameness can shift from one leg to another and can be accompanied by fever. Painful episodes last 1 to 3 weeks typically but recur, often changing legs, until the puppy outgrows the condition.

In panosteitis, characteristic cloudiness in the bone marrow cavities is visible on radiographs. If there is any doubt about whether these lesions are really there, radiographs can be repeated in a couple of weeks and the lesions will likely be more prominent.
01 Panosteitis: Growing Pains in Dogs - VeterinaryPartner.com - a VIN company!


Soft tissue injuries don't show up on x-ray though right?
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Old 12-21-2012, 08:30 AM   #5 (permalink)
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while it could be pano, I agree with Jean, and the above article. When my dogs had pano, it was quite visible on xray.

I would suggest to the OP, take those xrays to an orthopedic surgeon. I don't know how many times, friends of mine have had 'issues', vets look at them say nothing is there, same xrays taken to an ortho surgeon who picks up what it is on those same xrays.

I like previcox, however, giving him 'anything', might make him feel better and therefore he'll be full of it wanting to race around, and given that he's very young , same thing.

While it can be difficult , I would do as vet suggests, and try to keep him toned down, walking on leash, no jumping up or down (could further exasperate something if something is there)

When my dogs had pano, it would shift from leg to leg, as your not seeing a "shifting" while absolutely still possible it's pano, that non shifting would make me want to explore it more for something else.

Is he limping on a rear or front leg? If rear, I would maybe suspect ACL, which will not show up on an xray. Also if rear, did they xray his hips?
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Old 12-21-2012, 08:49 AM   #6 (permalink)
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Agree with Diane on everything. Especially an eyeball by a board certified radiologist or ortho specialist.

Also was thinking, sometimes dogs/pups with "bad" hips, or "bad" back, will overuse their front (which gets used more anyway) and it causes a front hitch/limp.
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Old 12-21-2012, 08:59 AM   #7 (permalink)
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and duh me, I see in your title it says "sore front leg",,what can I say, it's to early on a friday morning))) Still stand behind my ortho suggestion tho
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Old 12-21-2012, 09:17 AM   #8 (permalink)
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yes Pano does show as a furring or cloudiness , sometimes very subtle , and then it depends on the sophistication of the vet , some of which I wouldn't trust to give an accurate reading on hips - which is why breeders say - oh no not your little country vet - send the plates to OFA for the opinion for the guarantee to be honoured --
Vet may not even have considered Pano.
The OP is in South Africa and may not be experienced through volume of cases.

Yvette can you get a digital picture of the x ray to post?
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Old 12-21-2012, 10:51 AM   #9 (permalink)
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Did the vet x-ray the elbows and does he know how to read elbow x-rays. It may be just a subtle shading that looks like the dog moved during the x-ray. The dog may also have a soft tissue injury and that is why nothing is showing up on x-ray. Rest and hand walking is a good idea. I had a 10 month old very drivey female tear her left shoulder muscle. Crate rest and hand walking for two weeks. She was just about coming out of her skin, but she healed.

I have a small country general practitioner vet (does all animals). He is one of the best vets for taking and reading x-rays in the state and people come from all over to use him.
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Old 12-22-2012, 11:58 AM   #10 (permalink)
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Thank you for all the feedback. I did ask the Vet if it could be panosteitis, he believes that it is not. At Sparos's last visit they did take a sonar of the leg, nothing was picked up.
I have only noticed the one leg being affected.
I am feeding him Royal Canin, this is the only food he has been fed from birth. I have also made sure not to over feed. His weight at present is 28.8kg, he was six months on 7 December.
He is a pedigree,
We have locked him up today with minimal exercise, hope this helps. I don't want to send him for unnecessary tests when maybe there is something conservative we can rather do. Has anybody thought of a massage program to maybe stimulated blood flow to the area?
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