Lucy: Post TPLo stifle arthritis + Tendinitis
2 yr, Female, 60lb lb Rottweiler
lucy had Cranial Cruciate ligament disease and early arthritis + patellar tendinitis as a result of the instability in her knee
#Young dog arthritis, # TPLO, #Cranial Cruciate, #Patellar Tendinitis,# Shockwave, #PRP, #Vetstem
She was too active in her post op recovery.
History
Right knee surgery (TPLO) 8 weeks ago
Still some limping
Unable to put foot down completely
CBPI Pain severity score by owner: 3
CBPI Pain interfering with mobility:
Exam
Look at that posture! See her protect this right rear knee?
Painful stifle flexion and patellar tendon stretch
Atrophy of the quadriceps
Moderate joint effusion
Hard to stand with weight over the surgery leg
Painful to sit square over rear end
Diagnostics/Treatment
Stifle + spine radiographs
Shockwave spine, hip, and stifle for patellar tendinitis
Weekly rehabilitation therapy x 120 days
Diagnoses:
Inflammation of the stifle - early arthritis
Patellar tendinitis
Myofascial pain in the quadriceps and lumbar spine muscles
Outcome and Timeline to Recovery
Lucy is a young happy girl, she was experiencing pain due to patellar tendinitis and inflammatory arthritis in her knee - her pain was not fully controlled 2 months after her surgery - like it should be.
We reinstated her pain management and injected her knee with platelet rich plasma for the growth factors and inflammatory modulators she needed to heal.
We treated her tendon with shockwave to improve healing and flexibility.
She was more comfortable within a week and within 30 days had regained almost all of her muscle in her surgery leg with no pain in movement and without need for ongoing medications.
Her overall rehab plan took an extra month, it was well worth it for her to heal correctly!
CBPI Pain severity per owner: 0/10
CBPI Interference score: 0/10
Maintenance Plan
She is examined 2x per year by her vet for signs of arthritis. I recommend Dasquin Adv + ECM for her daily inflammation and joint protection.
