Shoulder injury: biceps, supraspinatus + OA

6 yr, Female, 50lb lb German Short-Haired Pointer

brooklyn

SHOULDER INJURY: BICEPS, SUPRASPINATUS + OA

Middle Aged Dog Arthritis and Tendinitis Care

History

• Limping x 1.5 yrs in the right front legs

• Sometimes can’t put weight on it

• Still tries to run but is restricted

• CBPI Pain severity score by owner: 7

• CBPI Pain interfering with mobility: 5

Exam

• Very painful flexion/extension R shoulder

• Sore biceps + SUP stretch bilaterally

• Atrophy of the shoulder muscles

• Painful lumbar spine extension

• Painful to sit square over rear end

Diagnostics/Treatment

• Elbow, shoulder and spine radiographs

• Diagnostic Ultrasound shoulders

• Shoulder Joint injections with SynamidTM

• PRP injection for shoulder tendon strain

• Shockwave shoulder for flexibility and to stimulate healing + spine muscle comfort

• Weekly rehabilitation therapy x 60 days

Outcome and Timeline to Recovery

Brooklyn exceeded all of our expectations. Despite severe and long-term “rotator cuff” injury, she was more comfortable with two weeks, had no lameness within a month, and has been rarely lame except with rough play with her sister since!

• CBPI Pain severity per owner: 1/10

• CBPI Interference score: 1/10

We did not let her run for 4 months and brought her slowly to activity with underwater treadmill. She comes to rehab to maintain her flexibility and for special exercise to maintain her shoulder strength to prevent more damage.

Maintenance Plan

Brooklyn will need ongoing care with regular exercises that her family has chosen to do with us for the most part. She will likely need shockwave and rehab every 6 months and joint injections every 1-2 years.

She takes Adequan and Caneva and Flexadin Adv supplements for her tendon health and joint health.