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My remi girl just turned 3 last month has been lame in her left foot. We got xrays done yesterday and found out she has a bad right hip. After a radiologist review he is also concerned about her left knee arthritic build up/ligaments which explains the left leg. He wants to do an FHO on her right hip, stated they don’t do THR around here. I’m just looking for info on anyone who has had either of these done? Also she may need a ligament repair as well but I won’t know anything for awhile. They prescribed her carprofen 1 1/2 a day, and dasquin advanced for now and will need blood work in a month for that. Being that she is so young and hyperactive I’m just not sure what to do travel 400 miles THR/FHO, preventative maintenance, and after moving I just don’t have a vet I trust right now. Just hoping to hear some positives. thank you
 

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It was a regular vet, I moved this last year losing my favorite vet in the process, and he referred me to an orthopedic vet June 5th but they do not do THR, the other option is WSU or I can travel to Seattle.
 

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I replied but lost it before hitting send. It was long winded anyway. Here is my recent thread.

https://www.germanshepherds.com/forum/health-issues/755167-hospital-visit-question.html#post9163979

A big concern for me with choosing THR vs FHO is the difference in rehab time and intensity. FHO requires a lot more. He is 8 and a good candidate for THR. I'm a senior also. Due to my age and my own THR, I have some limits that make me face what I can and can't do for him. I believe that THR rehab everyday is essential (it was for me) but there was a little wiggle room without fouling up the rehab process/outcome. I don't think that there is any wiggle room with an FHO. I could be wrong but that is what I gathered.
 

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Thank you for your responses! Yes I am thinking of heading to WSU instead of the orthopedic surgeon here since they don’t do THR, it will be much more though. It seems odd to me where I live now feels like the vets are not up to date! @Heartandsoul thank you for your thread, it was very helpful to read as you have gone through this as well, I hope to get some clear answers in a couple weeks I’ve read so much different information online. Wish you both the best of luck!
 

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I'm still in the referral process and waiting for a call back from my vet. Also, I believe that Moonshayde is at the same junction. Try to push the sadness out of it and just focus on thoughts that she will be fine with a great outcome. So very hard to do.

Our three dogs represent the 3 major stages in life. 7 mo, 3 yrs, & 8 yrs. I found this interesting. Bad luck for all three but thank goodness there are options.

I wish all of our sweet amazing companions the best.
 

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Hold on. You said lame in the FOOT. Are we sure the hip/knee is causing the lameness now? Or could there be some foot issue, and your vet just happened to pick up on the hip/knee issues due to xrays?



Here's why it matters: we treat the dog, not the xray, when dealing with bad hips. Some dogs with awful hips barely experience any problem at all from them until old age. Some dogs with just "moderate" HD experience a lot of pain and lameness early. It's hard to predict from the xrays -- so we have to focus on the clinical signs in deciding when and how aggressively to treat.


Is the dog already on Adequan injections to give some relief and preserve cartilage? I've always been told by really good vets that we usually want treat medically before we treat surgically to see if we can avoid surgery.



Definitely get that second opinion from a specialist, even if it means driving. During the summer, my dog's oncologist and ophthalmologist are a 4.5 hour drive away -- but they're excellent and worth it! FWIW, many generalist vets are not very good with ortho issues (sometimes it seems like 1 in 10 even knows how to take the time to do a careful ortho exam...). I'd go to the university vet school -- they tend to take all day at vet school clinics always seem to because of all the students involved, but you'll get a lot of expert eyes on the dog.


Try to keep this in perspective: ortho issues are usually fixable/manageable. This kind of situation sucks, but it's not tragedy. Many, many, many GSDs live long, happy, vibrant lives despite bad hips because there are very good veterinary options available to them!
 

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Thank you for your responses! I really appreciate you bringing me back to the main reason I took her in, lame in her right foot. @Magwart " we treat the dog, not the xray, when dealing with bad hips."I have been coming back to this statement all week now. It has been interesting this last week, observing more closely when and how lame she seems. In the mornings she is her usual exceptionally hyper self, runs full sprint in the front yard, like a normal happy girl. She still acts and seems very springy in the morning, so I have now adjusted to give the meds at night where she seems extra sore. I do believe her left knee or foot is what bothers her more than the hip itself. I am anxiously anticipating what WSU will say. My concerns right now until I know more are the long term affects of her being on these pain meds, her constantly trying to get to the cat on our hardwood floors, the stairs in our house, and the level of downtime if she does have surgery. Her spay surgery did not go well.

I spoke with WSU on the phone and asked about Adequan injections as I could not find a vet around here that did them, and she said they generally use it only for shoulders, not hips, which I find interesting in comparison to all of the online reading I have been doing. I am wondering about other alternatives, hydrotherapy, physical therapy, tumeric, cbd oil, etc but yet again there is not much offered here. All in all, she seems like a happy girl, i'm sure she hides some of the pain. We had a golden growing up that passed at 7 due to degenerative joint disease, he hid his pain so well. I wonder what the right timing is for these things.
@Heartandsoul I will keep checking, hope to hear how the referral went! that is interesting, each stage of life, so thankful for the options we have today for our babies.
 

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@Gsd.remi there are a couple of natural foods/products that my boy and I take for our hip and my aches and pain iissues that we have had good results with. Homemade bone broth and Natural eggshell membrane. We have been taking the NEM now for about 1-2 yrs with no side effects. The positive results were noticed within 7days.

The bone broth is a superior food for all round support. Especially for joints and I think it played a major roll in keeping my boy as active for as long as he has been. I can post the links from this forum from way back that taught me how to make it if you are interested.

I will update on my thread as soon as I have more info.

Keeping all three of us in my thoughts.
 

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For running on hardwood floors, get her some Toe Grips: https://toegrips.com/ They are AWESOME for senior dogs. She will likely love having them on!
I have looked at those before but have been baffled on how to measure for the correct size? I also read many chew them off but I think I will look into them again!

Thought I’d give an update: From hip to knee. We went to WSU on Wednesday. Gave them her full history, stressing the fact she is lame in left leg. They did xrays on her knee and put her under and they suspected a partially torn CCL with drawer test, confirmed with arthroscope. Long story short the surgical resident and 2yr stated that yes her right hip may be bad but she is not exhibiting signs of pain there, but more so on left knee. They stated that the main goal is to stabilize the knee problem and that it’s common to not have a problem with the hips once knees are stabilized. So likely no FHO or THR. They also believe she may not ever have a problem with left hip. As for the right knee they did say 50% that tear one CCL May tear other.

So we went with the TPLO Thursday just as suspected partially torn CCL, she is home now resting. I have to say I did not think she would go into surgery the following day. It has been a rough few days. Medications, crated, cone of shame, major anxiety, potty breaks, heat/ice packs, massaging leg, attempting physical therapy, whining all night long, and having to work. The next 8 weeks will be rough, she will miss all of summer but thinking of less pain in the long run and less medications. Unfortunately there are no pet physical therapists around here. I am not happy with that prior vet either but will likely need to go to them for staple removals. And back to WSU for final xrays in 8 weeks.I am thankful I got a second opinion, shocked at price but willing to do anything for her.

I will be looking into the toegrips and also am wondering if anyone has used cbd or has a brand they prefer?
 

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My girl tore her one acl and NEVER tore her other. My ortho told me that breeds with genetically crappy acl's, like Labs, typically tear the other but our breed usually have tears caused by trauma. Sooo...the other may not tear. :)

There really isn't a lot you do for rehab. Follow the directions and eventually you will leash walk her and do some exercises that are pretty simple.
 

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Contact the company that makes the Toe Grips for help measuring. They're really helpful with customer service. A friend has bought directly from them for years because she loves dealing with them.

Glad you finally got a good diagnosis and the right surgery! She'll get through this.

Your dog really illustrates the importance of getting an ortho specialist opinion! It's advice we give a lot on the forum that often gets ignored due to cost--and people just trusting their generalist vet. Most generalist vets aren't very good at complex ortho issues, but maybe that's to be expected from a non-specialist who is responsible for knowing the whole body of multiple species. Make sure your vet gets the ortho report from WSU and reads it -- it's a teachable moment for them to refer out these cases out.
 

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Wow, I think you were quite fortunate with such a quick diagnosis and the ability to have the procedure done the next day. I'm sure you were scrambling to get things set up properly at home. It sounds like you've been in whirlwind and glad that at least now she's on the road to recovery rather than being stalled with waiting for the surgery date.

I don't know anything about CCL or the surgery but reading that there arent pet therapists in your area, I was thinking that perhaps you could find one that would be willing to help coach or keep tabs on her therapy progress via skype/real time internet connection or videos. I have sent vids to my boys vet/Chiro to view showing her how I massage him and manipulate his legs for range of motion when he wasn't relaxed enough in the office. It just a thought for now or at anytime it might be needed.

I'm glad that she came away with a decent hip diagnosis and good thoughts for her recovery.
 
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