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	<title>Comments on: Conservative Management in Cranial Cruciate Injuries</title>
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	<description>Canine Cruciate Liagment - CCL Knee Injuries in Dogs</description>
	<lastBuildDate>Fri, 30 Jul 2010 04:57:46 +0000</lastBuildDate>
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		<title>By: MikeM</title>
		<link>http://dogkneeinjury.com/conservative-management-in-cranial-cruciate-injuries/comment-page-1/#comment-6583</link>
		<dc:creator>MikeM</dc:creator>
		<pubDate>Tue, 30 Mar 2010 13:12:36 +0000</pubDate>
		<guid isPermaLink="false">http://dogkneeinjury.com/2008/conservative-management-in-cranial-cruciate-injuries/#comment-6583</guid>
		<description>Our Maggie, an 11yr old Cocker Spaniel (Buff), tore her crucius and ruptured her meniscus (I likely misspelled both of those) in her right rear knee Saturday (3d ago).  She also has advanced arthritis in both front shoulders, so now she &#039;see-saws&#039; when she walks - hopping on one rear leg and hunching her front down because her shoulders hurt, even with the pain meds.

We have been to two vets, and both say that surgery is not an option for her, and we reluctantly agreed - she is on long term steroids to maintain her liver function after liver failure 3.5 yrs ago.  She had surgery then to remove her gall bladder (full of mucus) and spleen (growth on it, turned out to be non-malignant).  The steroids are keeping her alive, but she is also on a life-term course of antibiotics now because her immune system is gone, from the steroids, as well as the bone and joint damage from them.

So Maggie is in a bad situation. 

We are going to have her fitted with a brace for her knee - but if the other one ruptures we will have no other options but to let her go, and that just wrecks me.

I worry about her dealing with the brace - I can only hope that putting it on and taking it off is not a long and arduous process.  I don&#039;t know that she would chew it off, but I wouldn&#039;t put it past her either.  

Some of the posts I have seen about the braces do scare me though.  If it rubs and causes a sore, it will become infected and painful - even dangerous as she has a compromised immune system.  She heals very slowly as well.

No good options.  :(</description>
		<content:encoded><![CDATA[<p>Our Maggie, an 11yr old Cocker Spaniel (Buff), tore her crucius and ruptured her meniscus (I likely misspelled both of those) in her right rear knee Saturday (3d ago).  She also has advanced arthritis in both front shoulders, so now she &#8217;see-saws&#8217; when she walks &#8211; hopping on one rear leg and hunching her front down because her shoulders hurt, even with the pain meds.</p>
<p>We have been to two vets, and both say that surgery is not an option for her, and we reluctantly agreed &#8211; she is on long term steroids to maintain her liver function after liver failure 3.5 yrs ago.  She had surgery then to remove her gall bladder (full of mucus) and spleen (growth on it, turned out to be non-malignant).  The steroids are keeping her alive, but she is also on a life-term course of antibiotics now because her immune system is gone, from the steroids, as well as the bone and joint damage from them.</p>
<p>So Maggie is in a bad situation. </p>
<p>We are going to have her fitted with a brace for her knee &#8211; but if the other one ruptures we will have no other options but to let her go, and that just wrecks me.</p>
<p>I worry about her dealing with the brace &#8211; I can only hope that putting it on and taking it off is not a long and arduous process.  I don&#8217;t know that she would chew it off, but I wouldn&#8217;t put it past her either.  </p>
<p>Some of the posts I have seen about the braces do scare me though.  If it rubs and causes a sore, it will become infected and painful &#8211; even dangerous as she has a compromised immune system.  She heals very slowly as well.</p>
<p>No good options.  <img src='http://dogkneeinjury.com/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' /> </p>
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		<title>By: Ken</title>
		<link>http://dogkneeinjury.com/conservative-management-in-cranial-cruciate-injuries/comment-page-1/#comment-5621</link>
		<dc:creator>Ken</dc:creator>
		<pubDate>Wed, 03 Feb 2010 18:48:01 +0000</pubDate>
		<guid isPermaLink="false">http://dogkneeinjury.com/2008/conservative-management-in-cranial-cruciate-injuries/#comment-5621</guid>
		<description>We have been using the A-Trac leg brace for our 11 year old Yellow Lab  
mixed breed dog.  He had been getting progressively more lame over the  
past several years, and by the time we finally got the diagnosis of  
cruciate ligament disease in both hind legs, he could barely limp  
across the parking lot at the clinic.  For some reason, he seemed to  
be somewhat better by the time our A-Trac brace arrived almost three  
months ago.  Since he had been suffering for years, all I can think of  
is that he figured out to be much more careful not to exert himself.   
Nevertheless, he had lost most of the muscle mass in his haunches from  
disuse.

It took me about an hour to figure out and adjust the brace the first  
time.  We started out slowly-- just putting on the brace maybe two or  
three times a week accompanied by much praise and treats.  We went on  
short walks (a treat in themselves), and I can&#039;t tell you how excited  
I was when he first walked four blocks.  Unlike prior to the brace, he  
would not limp after his walks-- sometimes for days afterward.   
Clearly he was limited by his strength, and we had to slowly build him  
up.  Last week we walked 2 miles, and though he was clearly tired, he  
did not limp and did not seem to be in any pain.  This past weekend we  
walked 4 miles!  I am ecstatic.  We just got back from a 45 minute  
walk that didn&#039;t faze him at all (see photo below).  He is off one of  
his pain meds, and we are thinking of ending the other one he is still  
taking.

This all seems nothing less than miraculous after three years of a dog  
obviously in terrible pain who could no longer run or go for walks  
over one or two blocks, and indeed had trouble standing up from a  
sitting position.  I am totally impressed.  We only use the brace when  
he goes on the extended walks, but that seems to be fine.

There are things about the brace that could be improved for ease of  
use.  I can&#039;t see the ends of the velcro straps when they are in  
place, and can&#039;t feel them to take them off either.  If the ends were  
a different color, or better yet, tipped with some non-velcro material  
to make them easier to feel when taking the brace off that would be of  
great help-- obviously I can figure that out myself, but thought it  
might be of use in making the product more attractive.

Another thing that is a little bit of a nuisance is that the velcro  
straps stick to the elastic parts of the brace, making it a little  
frustrating untangling the whole thing.  I don&#039;t know whether there is  
a fix to that-- I thought of a coat of latex on the elastic webbing,  
my wife suggested an outer nylon sheath to keep the velcro away from  
the elastic.

Finally, the back strap leading from the chest halter can&#039;t seem to  
find a d-ring located directly over the center of the dog-- the last  
available d-ring is still a little off to one side.  This probably  
doesn&#039;t matter at all, except aesthetically.  The back strap supplied  
was very long and much of it hung down uselessly.  I finally cut it  
off, but it began fraying and the strings got caught up in the  
velcro.  Cutting off the frayed end and heating the end of the nylon  
strap over our gas cooktop put an end to that issue.

Again, this has worked unexpectedly well.  I want to take the dog back  
to the very skeptical vet that measured him for the brace to have his  
haunches re-measured.  To me, regaining the muscle mass will be the  
clearest sign of success.  My own goal was to be able to once again  
walk him up to our local park-- he can walk up to and around the park  
twice now.  Our dog was the one member of the household you could  
always count on to be happy and glad to see you.  We was never sad,  
never got mad at anybody, and full of joy.  To see him lying around in  
pain all day, unable to run or even walk outdoors was terrible for  
everyone.  Thank you so much for bringing back this joy to our lives.

Thank you so much!

Ken Dragoon</description>
		<content:encoded><![CDATA[<p>We have been using the A-Trac leg brace for our 11 year old Yellow Lab<br />
mixed breed dog.  He had been getting progressively more lame over the<br />
past several years, and by the time we finally got the diagnosis of<br />
cruciate ligament disease in both hind legs, he could barely limp<br />
across the parking lot at the clinic.  For some reason, he seemed to<br />
be somewhat better by the time our A-Trac brace arrived almost three<br />
months ago.  Since he had been suffering for years, all I can think of<br />
is that he figured out to be much more careful not to exert himself.<br />
Nevertheless, he had lost most of the muscle mass in his haunches from<br />
disuse.</p>
<p>It took me about an hour to figure out and adjust the brace the first<br />
time.  We started out slowly&#8211; just putting on the brace maybe two or<br />
three times a week accompanied by much praise and treats.  We went on<br />
short walks (a treat in themselves), and I can&#8217;t tell you how excited<br />
I was when he first walked four blocks.  Unlike prior to the brace, he<br />
would not limp after his walks&#8211; sometimes for days afterward.<br />
Clearly he was limited by his strength, and we had to slowly build him<br />
up.  Last week we walked 2 miles, and though he was clearly tired, he<br />
did not limp and did not seem to be in any pain.  This past weekend we<br />
walked 4 miles!  I am ecstatic.  We just got back from a 45 minute<br />
walk that didn&#8217;t faze him at all (see photo below).  He is off one of<br />
his pain meds, and we are thinking of ending the other one he is still<br />
taking.</p>
<p>This all seems nothing less than miraculous after three years of a dog<br />
obviously in terrible pain who could no longer run or go for walks<br />
over one or two blocks, and indeed had trouble standing up from a<br />
sitting position.  I am totally impressed.  We only use the brace when<br />
he goes on the extended walks, but that seems to be fine.</p>
<p>There are things about the brace that could be improved for ease of<br />
use.  I can&#8217;t see the ends of the velcro straps when they are in<br />
place, and can&#8217;t feel them to take them off either.  If the ends were<br />
a different color, or better yet, tipped with some non-velcro material<br />
to make them easier to feel when taking the brace off that would be of<br />
great help&#8211; obviously I can figure that out myself, but thought it<br />
might be of use in making the product more attractive.</p>
<p>Another thing that is a little bit of a nuisance is that the velcro<br />
straps stick to the elastic parts of the brace, making it a little<br />
frustrating untangling the whole thing.  I don&#8217;t know whether there is<br />
a fix to that&#8211; I thought of a coat of latex on the elastic webbing,<br />
my wife suggested an outer nylon sheath to keep the velcro away from<br />
the elastic.</p>
<p>Finally, the back strap leading from the chest halter can&#8217;t seem to<br />
find a d-ring located directly over the center of the dog&#8211; the last<br />
available d-ring is still a little off to one side.  This probably<br />
doesn&#8217;t matter at all, except aesthetically.  The back strap supplied<br />
was very long and much of it hung down uselessly.  I finally cut it<br />
off, but it began fraying and the strings got caught up in the<br />
velcro.  Cutting off the frayed end and heating the end of the nylon<br />
strap over our gas cooktop put an end to that issue.</p>
<p>Again, this has worked unexpectedly well.  I want to take the dog back<br />
to the very skeptical vet that measured him for the brace to have his<br />
haunches re-measured.  To me, regaining the muscle mass will be the<br />
clearest sign of success.  My own goal was to be able to once again<br />
walk him up to our local park&#8211; he can walk up to and around the park<br />
twice now.  Our dog was the one member of the household you could<br />
always count on to be happy and glad to see you.  We was never sad,<br />
never got mad at anybody, and full of joy.  To see him lying around in<br />
pain all day, unable to run or even walk outdoors was terrible for<br />
everyone.  Thank you so much for bringing back this joy to our lives.</p>
<p>Thank you so much!</p>
<p>Ken Dragoon</p>
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		<title>By: Jackie Keizer</title>
		<link>http://dogkneeinjury.com/conservative-management-in-cranial-cruciate-injuries/comment-page-1/#comment-4364</link>
		<dc:creator>Jackie Keizer</dc:creator>
		<pubDate>Sat, 31 Oct 2009 06:04:08 +0000</pubDate>
		<guid isPermaLink="false">http://dogkneeinjury.com/2008/conservative-management-in-cranial-cruciate-injuries/#comment-4364</guid>
		<description>I am very curious to know how this turned out for you and Bodhi.  I see that the original post was over a year ago so you should have some good information by now on how helpful the brace was.  My dog has just been diagnosed with a possible CCL tear and i am looking for non surgical alternatives.  I haven&#039;t found a followup to this post on the site.  Would you mind reporting on your brace?

Thanks.</description>
		<content:encoded><![CDATA[<p>I am very curious to know how this turned out for you and Bodhi.  I see that the original post was over a year ago so you should have some good information by now on how helpful the brace was.  My dog has just been diagnosed with a possible CCL tear and i am looking for non surgical alternatives.  I haven&#8217;t found a followup to this post on the site.  Would you mind reporting on your brace?</p>
<p>Thanks.</p>
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		<title>By: Bodhi</title>
		<link>http://dogkneeinjury.com/conservative-management-in-cranial-cruciate-injuries/comment-page-1/#comment-55</link>
		<dc:creator>Bodhi</dc:creator>
		<pubDate>Mon, 04 Aug 2008 21:01:34 +0000</pubDate>
		<guid isPermaLink="false">http://dogkneeinjury.com/2008/conservative-management-in-cranial-cruciate-injuries/#comment-55</guid>
		<description>Bodhi is a 3 year old Olde English Bulldogge.  Last spring, he sustained a leg injury while wrestling and jumping with a dog in the dog park.  He was stiff for a couple of days and then was completely asymptomatic until a month ago, where he injured his left leg swimming at the beach.  This time it was different - he was sometimes toeing the ground after getting up, not putting any weight on it while standing, and then would usually be asymptomatic for the rest of the day without any limping.  
We took Bodhi into the vet who promptly said it was most likely a cruciate tear and would need surgery.  He ordered a full set of xrays on both knees and hips.  
When we got the xrays back, the vet (another one at the same clinic) noticed nothing unusual and sent us home. 
We were very relieved, and chalked it up to a pulled muscle - as at this point Bodhi was asymptomatic with no limping.
After a few days, we got a call from the same vet who had forwarded off the xrays to another clinic who had an orthopedic specialist.  The diagnosis from her was possible cruciate tears in both knees, some arthritis and buttressing in the left knee, and fluid in both knees.  Recommendations were to do arthroscopic surgery to both knees to see how severe the tears were, and then TPLO surgery to repair them.

At this point, we didn&#039;t know who or what to believe.  Digging around in our bulldog&#039;s knees for a possible partial tear (I forgot to mention negative drawer tests at all examinations) seemed too extreme and too invasive at this point.  
Bodhi was still off and on limping even though we were giving him CM with controlled walks only so we did need to do something. 
For us, surgery (ANY type of surgery, be it for human or canine) should be the last resort.  In Bodhi&#039;s case, an inconclusive diagnosis was even more confusing for what we should do.  
After much research, we opted for the rehab route.  Massage therapy, accupuncture, aquatherapy...and we are in the process of getting a stifle brace for Bodhi&#039;s knee.  
I searched the online resources, and as reading many stories of ill-fitting braces with bad customer service and no support - I finally found a certified prosthetist who custom makes prostetics and orthotics for canines in our city! She answered all our many questions and was very supportive.

http://www.pawsability.ca/home.asp?PageID=677&amp;sMenuID=683

The process takes 3 appointments, first is the casting of the leg, then fitting with the preliminary brace, then finally dispensing of the finished product.  
We are hoping that this will help with Bodhi&#039;s knee to support it while he is healing.  I cannot stress how much better it is to find someone in your hometown who can custom fit an orthotic device for your dog. 
(Just think, you wouldn&#039;t buy a pair of jeans or a bra from Ebay and expect it to fit your body perfectly.)
I have also read that an improperly fitted brace may injure the knee or surrounding muscles and tendons further.
We have just had our first appointment with the leg casting, so I will give an update when we actually get the device next week and see how Bodhi does...</description>
		<content:encoded><![CDATA[<p>Bodhi is a 3 year old Olde English Bulldogge.  Last spring, he sustained a leg injury while wrestling and jumping with a dog in the dog park.  He was stiff for a couple of days and then was completely asymptomatic until a month ago, where he injured his left leg swimming at the beach.  This time it was different &#8211; he was sometimes toeing the ground after getting up, not putting any weight on it while standing, and then would usually be asymptomatic for the rest of the day without any limping.<br />
We took Bodhi into the vet who promptly said it was most likely a cruciate tear and would need surgery.  He ordered a full set of xrays on both knees and hips.<br />
When we got the xrays back, the vet (another one at the same clinic) noticed nothing unusual and sent us home.<br />
We were very relieved, and chalked it up to a pulled muscle &#8211; as at this point Bodhi was asymptomatic with no limping.<br />
After a few days, we got a call from the same vet who had forwarded off the xrays to another clinic who had an orthopedic specialist.  The diagnosis from her was possible cruciate tears in both knees, some arthritis and buttressing in the left knee, and fluid in both knees.  Recommendations were to do arthroscopic surgery to both knees to see how severe the tears were, and then TPLO surgery to repair them.</p>
<p>At this point, we didn&#8217;t know who or what to believe.  Digging around in our bulldog&#8217;s knees for a possible partial tear (I forgot to mention negative drawer tests at all examinations) seemed too extreme and too invasive at this point.<br />
Bodhi was still off and on limping even though we were giving him CM with controlled walks only so we did need to do something.<br />
For us, surgery (ANY type of surgery, be it for human or canine) should be the last resort.  In Bodhi&#8217;s case, an inconclusive diagnosis was even more confusing for what we should do.<br />
After much research, we opted for the rehab route.  Massage therapy, accupuncture, aquatherapy&#8230;and we are in the process of getting a stifle brace for Bodhi&#8217;s knee.<br />
I searched the online resources, and as reading many stories of ill-fitting braces with bad customer service and no support &#8211; I finally found a certified prosthetist who custom makes prostetics and orthotics for canines in our city! She answered all our many questions and was very supportive.</p>
<p><a target="_blank" href="http://www.pawsability.ca/home.asp?PageID=677&amp;sMenuID=683" rel="nofollow">http://www.pawsability.ca/home.asp?PageID=677&amp;sMenuID=683</a></p>
<p>The process takes 3 appointments, first is the casting of the leg, then fitting with the preliminary brace, then finally dispensing of the finished product.<br />
We are hoping that this will help with Bodhi&#8217;s knee to support it while he is healing.  I cannot stress how much better it is to find someone in your hometown who can custom fit an orthotic device for your dog.<br />
(Just think, you wouldn&#8217;t buy a pair of jeans or a bra from Ebay and expect it to fit your body perfectly.)<br />
I have also read that an improperly fitted brace may injure the knee or surrounding muscles and tendons further.<br />
We have just had our first appointment with the leg casting, so I will give an update when we actually get the device next week and see how Bodhi does&#8230;</p>
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