JASPER: Post TPLO STIFLE OA + shoulder tendonitis + OA + chronic pain

ArthritisArthramidSpryngTendinitisShockwaveHip arthritisElbow arthritisShoulder arthritisStifle arthritis
Written By Marie Bartling

12 yr, Male, 68lb lb Shepherd Mix

WATCH THE VIDEO OF HIS RECOVERY!

jasper

#Senior dog arthritis care

#Tendinitis

WATCH HIS STORY ON YOU TUBE!

History

  • Limping x 2 yrs in the right front legs and back legs despite PRP injections elsewhere

  • Bilateral knee surgery (TPLO) years ago

  • He has become fearful and is not himself

  • He is uncomfortable with play and walks

  • It is painful to get up and down

  • CBPI Pain severity score by owner: 7

  • CBPI Pain interfering with mobility: 7

Exam

  • Significant difficulty sitting with lumbar kyphosis in seated posture - see examples in the posture gallery

  • Maladaptive pain - fearful of touch

  • Atrophy of the hip and thigh muscles

  • Super stiff lumbar spine muscles

  • Limping in both front legs

  • Painful to sit square over rear end

Diagnostics/Treatment

  • Elbow, shoulder, hip, stifle + spine xrays

  • Diagnostic Ultrasound shoulders

  • Shoulder Joint injections with SynamidTM - some improvement

  • Hip, stifle, elbow injections with SpryngTM - marked additional improvement

  • Shockwave shoulder for flexibility and to stimulate healing + spine, hip, and stifles - marked additional improvement

  • Acupuncture and chiropractic care

  • 1-2x weekly rehabilitation therapy x 4 mos

  • Home laser therapy with My Pet Laser

Diagnoses:

  • Marked stifle arthritis with secondary myofasical pain of the quadriceps and lumbar spine muscles

  • Mild hip arthritis

  • Moderate elbow arthritis

  • Moderate shoulder arthritis

  • Moderate supraspinatous and biceps tendinopathy - bilateral

  • MALADAPTIVE PAIN

Outcome and Timeline to Recovery

Jasper desperately needed control of his chronic pain to get any physical healing done. Finally, he is no longer limping and we have reduced his medications to a minimum. He needed a series of treatments to get his physical body back in working order! Without all of this, he could not be where he is.

  • CBPI Pain severity per owner: 1/10

  • CBPI Interference score: 2/10

He comes to rehab to maintain his flexibility and for special exercise to maintain strength and for regular acupuncture for his back pain.

Maintenance Plan

Jasper will need regular exercises that his family does for the most part, plus shockwave every 6 months and joint injections every 1-2 years to maintain this level of comfort.

He takes Adequan and Caneva and Flexadin Adv supplements for her tendon health and joint health and Galliprant for his back pain.

Marie Bartling
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Lucy: Post TPLo stifle arthritis + Tendinitis