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Canine Arthritis |
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| Common
Treatments Often a combination of: |
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| NSAIDS Acupuncture Nutraceuticals Physiotherapy Magnets |
Maintaining
a healthy weight to minimise the pressure placed upon affected joints Controlled Exercise:- Exercise needs to be given in regular short and steady sessions. Two or three brief walks each day will help keep the dog in good shape whilst minimising undue stress being placed on joints. Ensure your dog's bed is in a warm dry area and check it is thick enough to protect his joints as he lies down and gets up Raise thefood and water bowls with a stand so the dog can eat more comfortably |
Arthritis
in Dogs and Cats
Arthritis in Dogs... How to Recognise and Manage Arthritis
Canine Arthritis is a Problem for Older Dogs
I am Heartbroken at my Dogs suffering. How Can I stop His
Pain?
Canine Degenerative Joint Disease
Arthritis Treatment for Mans Best Friend
Degenerative joint disease (arthritis) is the number one cause of chronic pain in the dog and cat. Arthritis is common in people as nearly 50% of the people over 65 years of age are affected. Our pets, especially older dogs, are also commonly affected with arthritis as they are living longer than ever before. The condition itself is the result of long term stresses and instability of a joint either as a result of an old injury or of natural aging of the joint. Arthritis can occur in any joint but the most common places are the hips, knees, shoulders, elbows and back. While surgery may be able to help in some situations, most of the time the degeneration of the joint cannot be reversed and treatment focuses on preventing progression of damage.
Many people with older dogs believe they are getting stiff or slow just because of normal old age aches and pains. Many of these animals are actually suffering from arthritis and are not being treated. Symptoms of arthritis at first are slight stiffness in the morning, reluctance to walk, and difficulty rising. These symptoms should tell you that your dog or cat is having a problem and a veterinary visit is recommended.
The first part of the veterinary visit is a complete physical examination. This is to not only locate the areas of pain, but to check all other organ systems such as heart lungs and teeth. Then if areas of pain are located x-rays should be taken to find the cause of the pain. There are many causes of pain in older animals. Once the diagnosis of arthritis is made then a complete blood screening should be done to assess health of kidneys and liver. Some medications used for pain control should not be used if an animal has kidney or liver problems.
Once I have a diagnosis of arthritis and blood work to show me if there are any other problems I develop a treatment plan starting with the least invasive treatment and working up to pain killers or even surgery if nothing else works.
Arthritis
Treatment
The treatment options are laid out in order of recommendation.
Weight Loss
The first consideration is weight. At least 50% of the arthritic dogs
that I see in my practice might not need any arthritis pain medication
if they would just lose the extra weight. This should be done
with a veterinary prescription diet as the over the
counter foods are often not low enough in calories for weight loss to
occur and the diet will often not be effective. In the perfect world,
arthritic pets would be a little on the thin side. We have a
computerized
weight loss program called “Slim Fit” which creates a customized diet
program for your cat or dog.
Arthritis
Diets
There are special prescription diets that have been developed to manage
arthritis. They contain high levels of Vitamins C&E and essential
fatty acids along with nutraceuticals at therapeutic levels that have
been proven to be beneficial. This can be fed if your
dog is a fussy eater or if you do not want to have to give other
supplements. They are also calorie reduced. Pet store diets with
glucosamine usually have very small amounts and are not therapeutic.
Nutritional
Supplements
Glucosamine and MSM
Glucosamines are cartilage components and by taking these orally, the
patient is able to have plenty of the necessary building blocks needed
to repair damaged cartilage. It is also felt that these products may
have some anti-inflammatory properties separate from their structural
uses. MSM stands for methyl sulfonyl methane and represents another
nutraceuticals anti-inflammatory agent. These supplements have no side
effects but because they are classified as a food there is no quality
control of the different products. Be wary of low priced supplements,
they may have very little active ingredient in them. We have several
brands that we recommend.
Omega 3
Fatty Acids
Certain fats have been found to have anti-inflammatory properties.
While this finding has primarily been utilized in the treatment of
itchy skin, many arthritic dogs and cats have also benefited from
supplementation. While there are no toxic issues to be concerned with,
these products require at least one month to build up to adequate
amounts. EPA is the most important Omega 3 fatty acid and most often
comes from fish oil. Much higher doses are needed for arthritis than is
often indicated on the bottle. Because it is a fat the calories have to
be taken into consideration in the overall diet!
Cartrophen
Injections
Cartrophen VetR (pentosan polysulphate) can mimic the
cartilage-nurturing effect of glucosamine. This product provides pain
relief because it helps repair cartilage damage, it boosts the
synthesis of hyaluronic acid (the main component of joint fluid), and
it inhibits the enzymes which contribute to inflammation. There are
no significant side effects from Cartrophen. Injections are given once
weekly for 4 weeks then every 6-8 weeks for life if necessary.
For more information: www.arthritis.au.com/DMOAD.2006.FINAL.pdf
The arthritis diets, nutritional supplements and Cartrophen injections all take 6-8 weeks to see maximum benefits!
Physical
Rehabilitation
Exercise
Exercise helps to maintain range of motion of the joints, which
stimulates joint fluid production which maintains healthy cartilage and
joints. It helps to lose weight and strengthen the muscles. Short walks
that do not leave the pet unduly sore the next day should be
part of the daily exercise routine. Climbing hills and stairs and doing
sit to stand exercises help to strengthen the back and hips.
Exercise should avoid sudden spurts of speed and should be done at a steady pace.
1. If your pet is sore after exercise, do not exercise until the pain seems to be resolved. Re-start the exercise at 50% of the duration. Fifteen minutes of ice packing can be applied to an acutely painful joint.
2. If one wants to try increasing the exercise, try a 20% increase in exercise time.
What is
Passive Range of Motion Exercise?
One of the techniques that can be used to assist flexibility is passive
flexion/extension exercise, also called "passive range of motion." Here
the patient lies on his or her side with the side
to be exercised up. Starting with the foot, the joints are flexed
and extended through their natural range of motion moving up the leg
all the way to the shoulder/hip. If the exercise causes discomfort (for
example, dogs with bad hips are quite painful when the rear leg is
extended
backward), do not continue to a painful point. Ideally 15 to 20
flex/extensions are performed on each joint and this is done 2 to 4
times daily.
There are many other therapeutic exercises that can be tailored to your pet’s needs.
Hydrotherapy
Swimming and underwater treadmill walking is an excellent form of
exercise for arthritic dogs. It doesn’t work as well for cats! The
increased buoyancy of water helps to take stress off of the joints and
allow more comfortable walking. The resistance of water allows
strengthening of the muscles and gets the heart working harder which
helps with weight loss. Warm water is best for arthritis as it helps to
heat the muscles, which leads to more mobility and pain reduction.
Hydrotherapy will often allow overweight, painful dogs to exercise
where they could not on land alone. Once they get more mobile and lose
weight they can do more at home.
K Laser
Therapy
Laser therapy has been used in humans for many years. The K Laser is a
class 4 laser which s the most powerful therapy laser available.
Previous classes of lasers were effective for superficial problems but
class 4 lasers can penetrate deep in to tissue to allow treatment of
large joints like hips, backs and shoulders. Laser therapy works by
applying light energy at the cellular level to stimulate the cells and
promote healing, increased blood flow and reduced pain. It is non
painful and is applied 6 times over a 3 weeks period. Many patients
show almost immediate results. Monthly maintenance treatments can often
reduce the need for medication. This is especially useful in arthritic
cats that do not want to swim or do exercises and are sensitive to many
medications.
For more information: www.spot-check.com
Pulsed Signal Therapy
Pulsed Signal Therapy (PST) is the name of a proprietary medical
technology developed in the United States to treat patients with
arthritis and other musculoskeletal disorders. PST Pulsed
Signal Therapy¹s mode of action is described as emulating
the body¹s electrical energy signals (streaming potentials)
that stimulate cartilage regeneration, repair and maintenance. Clinical
studies have now been conducted over a ten year period to determine its
effectiveness. The treatment is administered on nine consecutive
days, for one complete half hour treatment per day without
interruptions.
Interruptions on weekends may be a maximum of 2-3 days, provided
that at least 2 to 3 treatment sessions have already taken place. PST
is a non-surgical, painless therapy without any known side effects.
Best results are seen 4-6 weeks after treatment and last from months
to years.
For more information: www.pstvet.com
Drugs
There are many drugs that can be very helpful in arthritis, but they
can also cause stomach, kidney and liver problems.
NSAIDs(Non
Steroidal Anti Inflammatory Drugs)
This class of drug includes aspirin and ibuprofen but they can be very
dangerous for pets and should never be given. It also includes safer
drugs that have been developed to be used long term in pets. Metacam
and Deramaxx are 2 of the drugs that have been developed for pets. Even
these drugs should be used very carefully and stopped if there is any
sign of stomach upset. (lack of eating, vomiting, diarrhea, black
stool) NSAIDs can be very effective and used long term in pets as long
as they are used with caution and you always try to achieve the minimum
once daily or even every other day dose. If your dog is more active on
the week ends you may be able to get away with less medication during
the week.
Summary
Arthritis can be a crippling disease but it does not
have to be. We have many tools available based on your pet’s health,
level of activity and your time commitment and budget.
Stage 1
1. Arthritis diet or else high quality reduced
calorie senior diet and glucosamine/MSM supplement like Recovery SA.
2. Cartrophen injections once weekly for 4 weeks then every 6-8 weeks thereafter.
3. Weight loss if necessary
4. Regular controlled exercise
Stage 2 (Stage 1 plus add)
5. More intensive rehabilitation exercises
6. Hydrotherapy 2-3 times per week
7. K laser +/- PST
8. Anti-inflammatories if necessary.
Arthritis
Treatment for Cats
Due to their unpredictable nature many of the exercises listed above
will be difficult to perform with cats. But there are some things that
you can do!
1. Weight control
2. Exercise: walks or some controlled play with toys
3. Nutritional supplements (if the cat will eat them)
4. Cartrophen Injections
5. K laser (one of my favourites as the cat does not have to sit still very long)
6. Anti-inflammatories if necessary
reprinted with kind permission from Jeff Bowra DVM,
CCRP
www.thespaw.ca
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WHAT IS ARTHRITIS|
X-RAY
IMAGES OF ARTHRITIS
Click
on an image to see a larger view
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| The hip on the right is
partially dislocated and early arthritis has begun to develop. Click here to see a large view of a different
patient with advanced hip arthritis. |
A side view of a dog spinal
column with spondylosis... fusion of vertebrae and overgrowth of
abnormal bony tissue. |
A loose flap of cartilage
in the shoulder will lead eventually to arthritis of this
joint. See
article about this condition, called OCD. |
Arthritis of any joint can
have diverse causes. Just above this inflamed ankle (hock) joint
is seen evidence of bone cancer. Look at an article about cancer here. |
Arthritis of a hip joint
due to a flattened femoral head, short femoral neck and shallow hip
socket. See more information about Hip Dysplasia in this article. |
| NOTE WELL!! With any medication, and
especially with non-steroidal anti-inflammatory medications such as
many
pain relieving "arthritis medications", there can be occasional adverse
reactions for individual patients. There are many
anti-inflammatory medications that are prescribed for dogs. You
and your veterinarian need to discuss the pros and cons of any
medication your dog or cat is
taking, especially those being taken on a continuing basis.
Immediately
discontinue use of any medication, and contact your veterinarian, as
soon
as a suspected adverse reaction occurs. Reactions can be
variable,
subtle, severe, or unusual; individual attention to each medication's
potential
adverse effects should be discussed with your veterinarian. |
administered in the
treatment of diseases. Periodic blood tests should be evaluated when
any NSAIDS are used in the treatment of osteoarthritic pain.” NSAIDS
(non-steroidal anti-inflammatory drug) is a class of anti-inflammatory
medication, such as aspirin, that do not contain cortisone-like
chemicals.|
All
have
side
effects
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COMMON PRESCRIPTION NSAIDs USED
IN DOGS (and in special situations with caution in cats ) |
All have side effects |
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| DERAMAXX |
METACAM |
ETODOLAC |
ETOGESIC |
PIROXICAM |
RIMADYL |
ZUBRIN |
BUTAZOLIDIN |
In the past few years a number
of products called nutraceuticals have had remarkable success in
assisting dogs with various disorders, including arthritis. A
nutraceutical is defined as a food or naturally occurring food
supplement thought to have a beneficial effect on health.
Nutraceuticals are not considered medications and can be obtained
without a prescription. Among the most popular are chondroprotectives…
substances that when eaten provide nutrients that are required for
repair and maintenance of joint tissue. According to veterinarian Stacy
Martin of Fort Dodge Animal Health, a leading manufacturer of
anti-arthritis products such as the NSAID EtoGesic® (etodolac)
Tablets for dogs, “Nutraceuticals with Glucosamine and
Chondroitin Sulfate have been proven to aid dogs with
osteoarthritis. With so many choices of these products available it is
very important to purchase a product that has been made by a
manufacturer who maintains high manufacturing standards. All
over-the-counter products may not have the same quantity or have the
same quality of products listed on their ingredients. Oral
nutraceuticals such as chondroprotectives repair and reduce cartilage
breakdown in a joint,'' Martin adds.
So many people treasure their
dogs and carefully look after them. Dogs are like little babies in that
they cannot tell the guardian if they feel pain. Canine arthritis
affects dogs with great pain. These dogs cannot tell the owners about
the pain, but those that care for the dogs see the pain through the
movements of their dogs. They see that the dogs move much more slowly.
The dogs have a difficult time going up the stairs and getting into the
car. The dogs with canine arthritis suffer in silence. Many older dogs
react to a touch if they suffer from canine arthritis.
Canine arthritis can be alleviated in some cases for the dog that
suffers. The problem is similar to the same condition in human in some
ways. Canine arthritis is an inflammation of the joints of the dog.
There are two main types of arthritis found in dogs. These are
degenerative and inflammatory. The degenerative arthritis is also
called osteoarthritis. This canine arthritis comes when the cartilage
that protects the joints breaks down. This condition happens because of
the stress on the bones through the years. Dogs do not live as long as
people, and the canine arthritis appears earlier in dogs than in human
beings.
Dogs that Suffer from Canine Arthritis
Can Get some Relief
Inflammatory joint disease in dogs is
a type of canine arthritis that can be caused by some type
of infection. Some type of relief is available to dogs that suffer
from arthritis. There are some drugs that can be given to a dog
that will relieve some of the pain. The dog will sometimes yelp when
touched if it is in pain. These drugs will be helpful for the
poor dog. Some of these drugs are only available from veterinarians,
but others are available from other sources such as a pet store.
Some veterinarians recommend special diets for dogs that suffer from
arthritis. This diet includes foods that will control the weight of the
dog. Sometimes the dogs gain weight as they age, and this weight puts a
strain on the bones of
the dog. Exercise may help the dog recover from the pain of arthritis.
Surgery may also provide relief for the dog suffering from arthritis.
This treatment can be very expensive for the owner. Dog owners should
look for signs of arthritis in their pets and should investigate the
remedies for the suffering pet.
Surprisingly
enough to many people, it is not only we humans that can get arthritis,
but rather our beloved furry friends can get it too. There is truly no
cure for arthritis after it sets in, but there are certain things that
we can do in order to attempt to prevent it as best we can, and this
applies to our pet friends as well.
Basically for the most part all animals can get arthritis in one form
or another however one of the most common is that of canine arthritis;
canine arthritis is quite
simply arthritis that occurs in dogs, and it can be an incredibly
sorrowful experience, as sometimes the canine arthritis can get really
bad and then you have to watch your beloved pet going through pain.
However if you take the proper steps, then they should be able to live
an incredibly long and healthy life, free of arthritis.
For example, if you change your dog's diet then this should help, for
example you should be sure that you are providing a high-quality dog
food to your dog and this means that the food should have no
preservatives, food colorings, wheat, corn, or soy products, for
instance, and as well, you want to find a dog food that is low fat and
one which has low carbohydrates as well, if possible.
Another good idea to prevent your dog from getting canine arthritis is
to provide supplements to your dog
that reduces arthritic swelling and pain; for instance you can
give your dog a glucosamine tablet, and this can be regularly if
need be. Glucosamine is a supplement which helps the body to be
able to manufacture glycosaminoglycans, which are designed to maintain
proper cartilage structure.
As well, you will also want to reduce any
unwanted weight in your dog if it is necessary, as extra weight
on a dog will automatically put extra pressure on the dog's
joints and thus will cause more pain and swelling eventually; in
order to do this, you want to start off by reducing the amount of
treats that the dog receives for instance, because this will
automatically decrease the fat that is in their diet overall.
As well, you want to make sure that the dog is getting an appropriate
amount of exercise on a daily basis, as this – same with humans – will
be a main cause to your dog being overweight.
A Few
Helpful Tips To Alleviate Arthritis In Dogs
A common and difficult disorder to manage
is arthritis in dogs and one in every five dogs over the age
of seven may have it. Arthritis in dogs are a painful condition
that can affect not only the dog's joints but may also occur in
its neck, shoulders, hips and back as well as elbows. But, one need
not worry too much as there are solutions that one may use at home
to relieve the aches as well as pains in the dog's joints. One may
begin
by changing the dog's diet and one should make sure that the dog gets
high quality dog food that does not contain extra preservatives, food
coloring, and corn, wheat or soy products. The dog may be given low
fat and low carbohydrate diet and avoid giving it grains which may
cause
aggravation to the inflammation as well as arthritis condition.
Preparing
home cooked meals with raw meat or vegetables would certainly help.
Give Supplements And Keep The Weight Down
To help alleviate arthritis in dogs, one should also give the dog
supplements that reduce arthritic swelling and pain and that might
involve giving the dog glucosamine tablets that help the dog to
manufacture glycosminoglycans that are
designed to maintain its cartilage structure. Also, such supplements
help to attract water into the cartilage that provides extra nutrition
as well as lubricates the cartilage and also inhibits enzymes that may
destroy the cartilage.
The dog should also not have excess weight since that would put added
pressure on the joints and result in extra pain as well as swelling.
One way of curing arthritis in dogs would be to drastically reduce the
treats it is given as also by cutting back on the amount of food it is
given and also changing
the diet to low fat. In addition, the dog should be made to exercise
and whenever possible give it ten to fifteen minute walks every day
and also take it for swims which would help it exercise without
stressing the joints. Also, to alleviate arthritis in dogs, one should
keep
it warm and cozy on cold and damp days and set up a soft bed or some
layers of fleece in areas where the dog normally sleeps. An insulated
dog house would also help as would soft bedding on the floors. And, one
may also apply a hot water bottle with warm water on the dog's aching
joints in an effort to alleviate the pain of arthritis in dogs.
Arthritis in Dogs Happens to Older Pets
Poor old dogs are like brand new babies. If these lovely creatures are
feeling pain, they cannot tell
anyone. The poor old dog gets slower and less active on a daily
basis. They do not tell anyone, but sometimes you can just see that
they are in pain. Often this pain is the result of arthritis. Arthritis
in dogs is quite common in older dogs, and it appears more
often in the larger dogs than in the smaller ones. The larger dogs have
a more difficult time moving around when affected by arthritis in dogs
than the smaller ones.
Like arthritis in people, arthritis in dogs can appear in different
forms with differing amounts of pain and trouble. Arthritis in dogs
like the disease in people is often the inflammation of the joints.
Poor dogs get the disease, and
then it gets worse in the course of time. The joints that were once
cushioned have lost this comfort, and the dog starts to have trouble
getting around. The nerve endings are affected, and this adds to the
pain of the poor dog. The dog will just not be the same frisky dog that
it used to be.
Arthritis in Dogs Can Cause a Sad Time
for Owners
Arthritis in dogs causes the pain in the joints because of the
deterioration, and this impedes the dogs from getting around. The owner
will notice that the dog sleeps more than ever before and does not want
to move around much. The dog
that went up the stairs before will not want to do this. The poor old
dog with arthritis will have trouble getting into the car. The owner
will probably find he or she does a lot more for the dog than ever
before. A good vet will be able to determine the problem, and then make
suggestions for the care of the dog.
There is help for arthritis in dogs from a vet and the pharmacy. There
are medications including some that will start to make the dog feel
better right away. These will help the way the dog feels, but they will
not necessarily eliminate the disease. Some of the drugs for a dog with
arthritis are expensive, and some may cause unwanted side effects. Each
dog lover should work carefully with the vet to make their dog as
comfortable as possible. The vet will be able to give plenty of advice
to help the dog. Each owner
should remember that dogs do not live as long as people so dogs are
much older than their years.