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Jane Lefler
Jane Lefler, Breeder,Behaviorist, formerVet Asst
Category: Dog
Satisfied Customers: 16928
Experience:  Former vol Vet Assistant.Breeder 16+ years Dog trainer / behaviorist
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Good Morning! I have a 6yr (approx.) old Lhasa Apso. Last Friday,

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Good Morning! I have a 6yr (approx.) old Lhasa Apso. Last Friday, he was playing with my husband & running. He turned quickly and screamed! We took him to an animal hospital and he diagnosed- luxating patella,soft tissue trauma, possible CCl. He is on Tramadol, Rimadyl and Pepsid.
We had him checked at his doctor and CCL is ok. But Brady still cries and shakes and he does not bark at all anymore. He seems to want to go down the basement on the cold floor. Is this normal?
Submitted: 11 months ago.
Category: Dog
Expert:  Jane Lefler replied 11 months ago.

Hi Sir or Madam,

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My name isXXXXX have been working professionally with animals especially dogs in both health and behavioral issues for over 18 years. I have over 14,000 satisfied customers. It will be my pleasure to work with you today.

.

In order to supply you with the best information, I do need to ask for some additional information. Once I receive your answer, it will likely take me about 30-45 minutes to type up your response. I hope you can be patient.

.

Can you tell me what testing was done at both the ER and your vet's office?

Did they just x-ray the leg or did they do the spine as well?

Was a CT scan done?

Are you keeping him inactive such as crating him?

Is he not using a leg or limping on one leg?

Is he eating and drinking normally?

Any vomiting or diarrhea?

So he is able to go down the stairs?

How about going up stairs and jumping?

Customer: replied 11 months ago.


Hi, By the time we got to the animal hospital, the knee went back in place and he was walking ok. So they just examined him. She rotated his leg in every direction and he did not jump, moan or even turn back to look at her. No xrays were done as ligaments would not show.


We have never crated him but do have one which we leave open at all times in the basement. If we try to close it, he goes nuts. We live on a one story home so mainly he is on the one floor but he does go down there to lay on the floor. He is eating ( we made him hamburger & rice) and drinking ( not drinking as much as usual). The vet also examined him and said the ligament was tight and does not believe there is an injury to it. But he said there was inflammation in the leg.

Expert:  Jane Lefler replied 11 months ago.
Donna,.Luxating patella is when the knee pops out of joint. The more it pops out of joint, the easier it will be for it to happen again. In many cases, the dog extending their leg totally out will pop the knee back into place. Just in case you haven't already read all about this condition, here is a nice site that explains it.

http://www.peteducation.com/article.cfm?cls=2&cat=1569&articleid=457

http://petsurgery.com/medialpatellarluxation.html

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If it has never happened before then it can cause some discomfort. It may just be a soft tissue injury but they really should have had you keep him as inactive as possible. This would included no jumping and stairs to allow the leg time to heal. If this just happened a couple of days ago, then it really hasn't had enough time to heal. But I would keep him as inactive as possible. If you can not keep him crated, perhaps attaching a leash and keeping him right next to you or tethered in a safe place might work but be sure it is to a harness and not a neck collar for his safety. You do not want him getting tangled up. A better solution would be a pen with a little room so he doesn't feel so contained but one that will still keep him inactive. .If it was the previous Friday, then you should have seen some improvement by now with a soft tissue injury and I wouldn't expect him to still be having pain causing trembling and crying. I'd plan on having him reseen by your vet if this is the case and having imaging done to check for a knee injury. Let me give you some information on ccl and meniscus tears of the knee. http://bluepearlvet.com/meniscal-tears/http://www.cahnh.com/stories/cranial-cruciate-ligament-injuries-dogs.I've had a dog with a CCL injury who was able to recover without surgery. He was a smaller dog and we were able to keep him inactive for long periods of time since he is an older dog. It took several months before he was able to move around relatively normal and a year before he was able to run again. .I've also had a rottweiler who had surgery to correct a CCL injury and his recovery was quicker but he also needed inactivity following the surgery. Him seeking the basement for the cold floor is not unusual. Many dogs will seek a cold surface when they are not feeling well. For now block off access to the basement so he does not try and use the stairs on his own. .Now rimadyl can cause some side effects of its own in some dogs. It can cause a loss of appetite, vomiting, diarrhea, seizures, etc in some dogs. However, many dogs do not have a problem with it at all. Labradors seem to be affected more often than other breeds. You can read about this here:http://www.rimadylsideeffects.net/what-are-the-rimadyl-side-effects-in-dogs/.I would go ahead and keep him as inactive as possible for at least a few more days if this just occurred a couple of days ago or until you can have him reseen if this happened a week ago. .I hope this information is helpful to you and you are satisfied with my response. If you would like any additional information or have more questions related to this please don’t hesitate to press the reply to expert or continue conversation button so I can address any issues you still have before you rate. ..
Jane Lefler, Breeder,Behaviorist, formerVet Asst
Category: Dog
Satisfied Customers: 16928
Experience: Former vol Vet Assistant.Breeder 16+ years Dog trainer / behaviorist
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