How to Recognise Joint and Muscle Problems

March 1st, 2010

General Signs That May Indicated Joint Problems

Subtle abnormalities
Most normal pups tend to be clumsy. They conform themselves as they grow and develop. If your pup remain clumsy it may be related to joint abnormality. Many pups will not show any overt sign of lameness, pain or discomfort.

Overt abnormalities
Intermittent or persistent lameness
Slow to get up
Reluctant to exercise
Relactant to jump up or down, depending on the site of problem
“Morning stiffness”- exercised the day before (over did it).

Examinations That Dog Owners Can Perform In Order To Detect Joint Or Muscle Problems.

Manipulation of the joint results in stress on the joint limits, and will induce pain respond in the face of a problem.
Healthy joints will not be painful when stressed.
Extension and flexion of joints to reach their limits of range of motion could be performed, without over-stretching the joints.
Compare joint range of motion in extension and flexion. That is the limits of the joint movement.

Muscle pain can also be elicited by joint manipulation, but additional palpation may aid in the differentiation between muscle and joint pain. This may require more experience. Muscle sprain may be very painful but usually heals quicker. If not severe, rest for few days is all what is necessary for resolution of muscle sprain. Occasionally pain killers & anti-inflammatories may be needed. In some cases muscle pain will not go away and will need special attention.

Felimazole

February 9th, 2010

Felimazole comes in small, brightly coloured, sugarcoated tablets. There are 2.5mg tablets, which are pink, and 5mg tablets, which are orange. They are designed to be given directly into the mouth and swallowed whole. However this is very difficult with some cats and lots of cats take them in food. The tablets are very small and appear to be odourless and tasteless to cats, and so if added to tasty, moist food, they are easy enough to give in most cases. A little tip is to worm the food to body temperature and so it brings the food’s aroma to minimise the presence of the tablet.

 

Felimazole tablets are given to control hyperthyroidism. This is a common condition of older cats and is due to over-production of thyroid hormones from the cat’s thyroid glands. A pair of these glands is present in either side of the neck, but they are usually very small and difficult to feel. In hyperthyroidism, one or both glands become very much enlarged, often becoming easy to feel. Felimazole tablets contain the drug thiamazole, which suppresses the amount of thyroid hormones released. An enlarged gland will not shrink with treatment, but its activity will be controlled.

 

Is there any need for treatment?

Thyroid hormones tend to speed up the body’s metabolism, so when they are over-produced, the affected cat Read the rest of this entry »

Cranial Cruciate Ligament Rupture

January 25th, 2010

Dog and cat knees are similar to humans. For example, knees have five ligaments, two menisci, a knee cap, and joint cartilage. The ligament most commonly affected in dog and cat knees is the cranial cruciate ligament or sometimes referred to as  anterior cruciate ligament. It is the same ligament most commonly damaged in professional athletes.

Dogs and cats usually tear this ligament when out running around, or sometimes when landing wrong after a jump. Evidence show that the torn ligament in most cases is already diseased or weak, and an apparent traumatic incident is only the last straw. Occasionally No apparent trauma would be detected and the symptoms may appear gradually over a period. The reason for this weakness has not fully explained and demand much research and attention.

The cranial cruciate ligament is a large, strong ligament located within the knee joint. It is not actually a single structure, but is, in fact, made up of a bundle of individual fibres tightly bound together to form the ligament. Most of the time when the ligament is injured, it is completely torn in half. Sometimes, though, only a portion of the ligament will tear. Though only a portion of the ligament may be torn, the whole ligament is damaged.

When a cranial cruciate ligament is torn, it causes sudden pain and often results in the pet holding its leg up. It also causes instability in the knee joint. The pet may put the leg down and start using it within a day or so, but will continue to limp for several weeks. Normally, at the end of several weeks, the initial pain subsides and the pet is willing to use its leg more; however, the joint remains unstable. Every time the animal puts weight on the leg, the tibia (shin bone) slides forward in relationship to the femur (thigh bone). This abnormal motion causes wear and tear on the joint cartilage, causing pain and leading to arthritis. This motion can also put excessive stress on the menisci (C shaped pieces of cartilage within the knee joint), causing damage or tearing.

Conservative management usually fail to yield good recovery in most dogs but some small dogs may do just fine providing the right care is given, such as anti-inflammatory medication, hydrotherapy, Acupuncture, physiotherapy, weight control and diet modification. There are many other treatment modalities, such as joint supplements, Acupuncture and other natural remedies. Although some show some subjective improvement no hard evidence had been produce to show consistent results.

Surgery is the only corrective measure for cranial cruciate ligament injuries. Many surgical procedures have been tried on people and animals during the last 60 years; however, most orthopaedic surgeons agree that the procedures are not as successful as they would like. Knees that suffer this injury are never completely normal even after surgery is performed. Surgery does, though, stabilize the knee, allowing it to regain normal motion and thereby reducing the formation of arthritis. Surgery has been and remains the treatment of choice for this injury. If surgery is not performed, progressive arthritis will occur and the lameness will worsen with time. In the next session I will discuss the rational behind choosing the right treatment for the specific dog. This is a complex issue and require some understanding of cruciate disease and  therefore  separate attention.

Ipakitine

January 24th, 2010

Ipakitine contains Calcium carbonate – has phosphate-binding properties. Dogs and cats with kidney chronic disease tend to retain Phosphate, as the kidneys cannot filtrate it way from the body. The problem with this is that the phosphate attracts calcium to bind to it. When phosphate than accumulate in the body it results in mobilisation of calcium particularly from bone. This may lead to weakness of the bones.

Chitosan – derived from chitin, Chitin is a natural substance, the main building material of exoskeletons of arthropods. Due to chitosan’s specific molecular properties, it acts as an absorbent in the intestines and thus lowers the absorption of certain substances that can be harmful to the kidneys, including phosphates and some uraemic toxins. Numerous studies have shown the benefits of phosphate reduction in cats and dogs suffering from kidney failure and it is now widely accepted that there is a direct link between the length and quality of life of a cat or dog with kidney failure and the amount of phosphates they get through their food.

The ingredients in Ipakitine act as phosphate binding agents and lower the absorption of phosphates from the intestines. Thus, in respect of phosphate restriction they can mimic or enhance the effects of a phosphate restricted food. There is also a reduction in the absorption of some uraemic toxins that can affect, appetite, oral and stomach irritation and ulcers and normal kidney function. Renal disease should be managed carefully, using more than one approach, such as diet modification, prescription medications and nutritional supplements.

Administration

1g / 5kg body weight twice daily (one level scoop measures 1g of powder), mixed with food, for up to 6 months initially. It is recommended that a clinical check up be performed every 6 months by a vet and a blood test should be conducted to evaluate for kidneys parameters and phosphate and calcium levels. Administration can be life-long. Allow free access to fresh water at all times.

Diarrhoea

January 15th, 2010

Diarrhoea can be defined as loos or liquid stool and increased frequency of defecation. The animal passes liquid stool during bowel movement and is often associated with abnormal coloration of the stool. Diarrhoea can result in dehydration and loss of electrolyte.

Haemorrhagic diarrhoea is associated with bleeding from the intestine. This may be associated with melena (dark brown to black digested blood) or haematochesia (fresh blood).

Diarrhoea is a clinical manifestation of a problem and it must not be regarded as a disease condition. In many cases a non-specific supportive treatment will resolve the diarrhoea, as the cause was a transient cause. There are many causes of diarrhoea and occasionally a specific therapeutic approach is required along side the normal supportive care in order to resolve the clinical problem.

General supportive treatment

Food could be withheld for 24hrs from adult healthy animals. Puppies, Weak ill, and very old animals should not be starved. Bland diet like boiled chicken and rice could be introduced thereafter in small frequent meals. Royal canine sensitivity control or hills i/d diet would make the best choice for a bland diet. Water must be available at all times and dogs should be encouraged to drink plenty. In most cases of transient cases the diarrhoea will pass and no clinical deterioration would be seen. Pro Kolin or Canikur pastes could be used for 24hours.

If symptoms persist for more than 24 hours, if blood is present in the stool, if the animal is depressed or if vomiting is seen and persistent consult a veterinarian.

SOLOXIN

January 10th, 2010

Soloxine stimulate metabolism, growth, development and differentiation of tissues. It is absorbed rapidly from the gastrointestinal tract after oral administration. Following absorption, the compound becomes bound to the serum alpha globulin fraction.  Soloxine is available in uniquely shaped, color coded tablets in eight different strengths to allow easy and convenient dosage adjustment. Hypothyroidism is the generalized metabolic disease resulting from deficiency of the thyroid hormones levothyroxine (T4) and liothyronine (T3). Canine hypothyroidism is usually primary, i.e. due to atrophy of the thyroid gland. In the majority of cases the atrophy is associated with lymphocytic thyroiditis and in the remainder it is non-inflammatory and as of yet unknown etiology. Less than 10 percent of cases of hypothyroidism are secondary, i.e. due to deficiency of thyroid stimulating hormone (TSH). TSH deficiency may occur as a component of congenital hypopituitarism or as an acquired disorder in adult dogs, in which case it may be due to the growth of a pituitary tumor.

Soloxine provides thyroid replacement therapy in all conditions of inadequate production of thyroid hormones. Soloxine (Levothyroxine Sodium Tablets, USP) will provide levothyroxine (T4) as a substrate for the physiologic deiodination to liothyronine (T3). Administration of levothyroxine sodium alone will result in complete physiologic thyroid replacement. The initial recommended dose is 0.1 mg/10 lb. (4.5 kg) body weight twice daily. Dosage is then adjusted by monitoring the thyroid blood levels of the dog every four weeks until an adequate maintenance dose is established. The usual maintenance dose is 0.1 mg/10 lb. (4.5 kg) once daily. Read the rest of this entry »

Rimadyl

January 7th, 2010

Rimadyl (pronounced “Rim-a-dill”) for Osteoarthritis and Post-Surgical Pain

Generic name: carprofen (“car-pro-fen”)

This summary contains important information about Rimadyl. You should read this information before you start giving your dog Rimadyl and review it each time the prescription is refilled. This sheet is provided only as a summary and does not take the place of instructions from your veterinarian. Talk to your veterinarian if you do not understand any of this information or if you want to know more about Rimadyl.

What is Rimadyl?
Rimadyl is a non-steroidal anti-inflammatory drug (NSAID) that is used to reduce pain and inflammation (soreness) due to osteoarthritis and pain following surgery in dogs. Rimadyl is a prescription drug for dogs. It is available as a caplet and chewable tablet and is given to dogs by mouth, or in an injectable formula administered by veterinarians.
Osteoarthritis (OA) is a painful condition caused by “wear and tear” of cartilage and other parts of the joints that may result in the following changes or signs in your dog: Read the rest of this entry »

METACAM

January 4th, 2010

Metacam (Meloxicam) is a member of the class of drugs known as NSAIDs (non-steroidal anti-inflammatory drugs), the same class as such common over-the-counter pain remedies as Ibuprofen, Paracitamol and Aspirin. Most NSAIDs cannot be used in pets due to unacceptable side effects:
· Stomach ulceration – even perforation and rupture of the stomach can occur. This is not only painful, but also life threatening.
· Platelet deactivation – platelets are the cells controlling the ability to clot blood and, as a general rule, it is preferable not to promote bleeding. We would prefer platelets to remain active and able to function should we need them.
· Decreased blood supply to the kidney – this could tip a borderline patient into kidney failure.
The veterinary profession has been in need of an NSAID that could effectively relieve pain without the above risks. The key appears to lie with the enzyme responsible for many inflammatory mediators. A different but related enzyme is responsible for producing important biochemicals needed to maintain normal blood supply to the kidneys and Gastro Intestinal tract. It had been previously impossible to inhibit this enzyme, hence the side effects of previous NSAIDS.

This new ability to inhibit a specific proved to be revolutionary for pain management not only for pets but for humans as well. It has reduced stomach and intestinal side effects by 50% in humans and has made approval of NSAIDs possible for pets. Read the rest of this entry »

FOETEKOR

January 3rd, 2010

fortekor is indicated for the treatment of heart failure in dogs and chronic renal insufficiency in cats. The active ingredient is benazepril. After oral administration, benazepril is rapidly absorbed from the gastrointestinal tract and hydrolysed into benazeprilate, a highly specific and potent inhibitor of angiotensin converting enzyme (ACE). fortekor produces significant inhibition of plasma ACE activity for more than 24 hours after a single dose in cats and dogs. Inhibition of ACE leads to reduced conversion of inactive angiotensin I into angiotensin II and therefore reduction in the effects mediated by angiotensin II, including vasoconstriction of both arteries and veins, retention of sodium and water by the kidney and remodelling effects (including pathological cardiac hypertrophy and degenerative renal changes).

In dogs with heart failure, fortekor lowers the blood pressure and volume loading on the heart. fortekor leads to a significant extension of the life span of dogs with heart failure and also improves clinical signs, notably reduction in coughing and improvement of the quality of life.
In contrast with other ACE inhibitors, benazeprilat is excreted equally by both biliary and urinary routes in dogs and primarily via the biliary route in cats and therefore no adjustment of the dose of fortekor is necessary in the treatment of cats with renal insufficiency. Read the rest of this entry »

Lypex

January 2nd, 2010

Lypex is a supplement of digestive enzymes that assist food breakdown and thus improve absorption in the gut. It is used for dogs and cats suffering from Exocrine Pancreatic Insufficiency (EPI). EPI is a disease where the pancreas looses it’s ability to produce digestive enzymes. When the food cannot be digested, it will not absorbed into the body. This will lead to chronic diarrhoea and lose of condition. Lypex can also be used to help control chronic pancreatitis.
In the old days, dog owners used to harvest pig’s pancreas from the abattoir for enzyme supplementation. This had some effect and controlled some of the clinical symptoms of EPI but the respond was by no mean satisfactory. Lypax is easy to apply and give very consistent respond.
For dogs over 10kg one capsule should be given with each meal (twice a day) For cats and dogs under 10kg, half a capsule with each meal. The capsule can either be given whole or sprinkled and mixed with the food.

Where to get Lypex?
Lypex can be supplied by your local vet. This might be the most expensive way, but it is easy. The best way to get Lypex is to go to www.comparevetdrugs.com and seek for the best price. Many people use online suppliers these days to help with the costs of medication.