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Are you thinking about a wheel chair for your three legged pal?

If so, you’ll want to read this brief interview with our favorite canine rehab veterinarian Dr. Jessica Waldman, VMD, CVA, CCRT, co-founder of California Animal Rehabilitation Center in Los Angeles.

We asked  Dr. Waldman when and how a wheel chair or cart can benefit a Tripawd and how it should be used. Here’s what she had to say:

Under what circumstances are carts appropriate for a Tripawd?

Carts are appropriate if the pet has severe compensatory issues or severe pain and therefore dysfunction with mobility. This should be considered after appropriate pain management, rehabilitation, and acupuncture.

Rehabilitation veterinarians or physical therapists* can aid in this decision and in measurements and fittings for the cart.

If the pet is unable to walk comfortably or without rest for more than 30 feet after these other approaches have been tried, a cart may be acceptable.

(*Qualified rehabilitation therapists have the initials CCRT: Certified Canine Rehabilitation Therapist or CCRP: Certified Canine Rehabilitaiton Practitioner after their name. To find one, visit the Canine Rehabilitation Institute or the University of Tennessee Animal Rehabilitation program website.

What are benefits and drawbacks of using a cart with a Tripawd?

Carts can be helpful to increase mobility, but a pet that uses a cart must use it in moderation (starting with just a minute or two at a time a few times daily.)

It is also important for owners to know that pets may do short walks (I would always limit to 15-20 minutes maximum) in carts, but that they cannot lie down in a cart and shouldn’t because it stresses their back.

Carts are really just a walking aid. Carts do not replace the need for strengthening, range of motion, or flexibility issues.

Are there steps can a human take to avoid needing a cart for their Tripawd?

LOTS!! Rehab, exercise restriction is key, acupuncture, pain management, strengthening!!!

What kinds of qualifications/experience should a human look for in a company that makes carts?

Good question. Reputation, experience. Check the Better Business Bureau. Ask: Do they make rear wheel carts only or both front and rear limb carts (meaning, the more variety they have the more understanding they have)? Do they provide carts with counterbalance?

How do you know if a cart is properly fitted?

Hard to say, we have physical therapists do this because it isn’t easy to explain. The dog needs to be in “as normal an anatomic position” as possible.

Many thanks to Dr. Waldman and California Animal Rehabilitation Center for helping us bring this valuable information to you. If you are lucky enough to live nearby, be sure to visit Dr. Waldman’s incredible facility and see how her staff can help your Tripawd dog stay strong and live hoppy!

Check out Tripawd Daisy and her Eddie’s Wheels Cart:

Click here to view the embedded video.

For more information about rehabilitation therapy, wheel chairs and wheel carts for three legged dogs, please see our previous news stories:

• Canine Rehabilitation Tips from CARE
• Doggon Wheelchairs for Tripawds
• Eddie’s Wheels Makes Wheelchairs for Front and Rear Amputee Dogs

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The following guest blog post was generously contributed by Meg Sligar, dog mom to Three Legged Max. If you would like to help out by contributing a post, please contact us today.

When most people find out I have a three legged dog, their first question is “Have you made a leg for him yet?” That’s because I’m a prosthetist—I make artificial arms and legs for people. It’s a rewarding profession with new challenges each day. So, when I was looking for my new best friend, it was only natural that I had my eye out for a three legged dog.

Searching PetFinder.com I found a terribly distorted picture of a small brown and black tripawd named Max listed as “special needs.” Oh, he has special needs alright, but it’s not because he’s missing a leg—he just LOVES attention! He even blogs! For the past two years, Max has been my main man and the reason I can’t wait to come home after work.

Have I made a prosthetic leg for him? No, and I doubt I ever will. Max lost his leg when he was hit by a car, and while he does have a short residual limb, or stump, there really isn’t enough left to control a prosthesis. The majority of dogs who lose a leg have it amputated at the shoulder or hip level. Prosthetically, there isn’t much that can be done for them. Besides the fact that it would be very difficult to design a socket that would suspend well on such a short stump (if any stump remains at all), a prosthesis would have to include 2-3 joints—ankle/wrist, knee/elbow, and possible hip/shoulder.

That’s a whole heck of a lot of artificial joints and a dog would have a hard time trying to control them. Even for humans using a prosthesis, that’s a very difficult level of amputation to fit effectively. For dogs, it’s just not practical. In fact, a prosthesis would most likely slow them down and possibly cause injury.

Dogs typically adjust very well to life on three legs, and that’s why I haven’t pursued trying to design something for Max. From my experience, the smaller the dog, the better he’ll do on three legs. Fortunately for Max, his half German Shepard Dog self is also half Shiba Inu, so he’s on the small side.

I do think about a prosthesis sometimes, though, because I wonder in the long term how he’ll be. He’s 9 years old now and gets around just fine, but the stress on his front leg is high. I’ve read that dogs carry 60% of their weight on their front legs, so that’s 60% on one leg and 20% on each of the others. He’s got the typical front-leg tripawd stance where he puts his one front paw on the ground directly below the center of his chest, instead of to the side (human amputees do the same thing, bringing their good leg in to midline for balance).

Now, there are some tripawds out there who are only missing a paw. If the dog has his amputation below the “elbow” or “knee”, then a prosthesis may be a good idea. Either a plastic or carbon socket would be easily suspended on such a long stump. Also, a prosthesis at this level can be functional and easy to use. From my interactions with these low level amputee dogs who don’t have prostheses, I’ve noticed that they tend to stumble more, not knowing exactly what to do with the short leg.

If you’re considering a prosthesis for your tripawd, I suggest getting him fitted as soon as possible (after healing) after surgery. Just like with people, the longer he waits for a prosthesis, the less likely he is to use it. And unlike people, you can’t just tell him how to use it and expect him to follow directions. You can’t say “go ahead, put weight on it, you can trust it.” Well, you can, but chances are he’s not going to listen. It’ll take some practice, but he can adapt to a prosthesis the same way he can adapt to life on three legs. . . at his own pace.

The most important thing when fitting a dog with a prosthesis is to pay close attention to his skin. Skin breakdown can be a problem for human and canine amputees. You have to pay close attention because your tripawd can’t just say “it hurts” like a person can. Vigilance is absolutely necessary.

And you have to consider whether you will be able to leave the prosthesis on your dog when he’s out of your sight. Will he eat it? We have several people each year come in to get new leg braces because their dog ate them—plastic must smell mighty good! Do you want your dog to have a “sometimes foot?” Remember his safety is the priority.

If you’re willing to take the prosthetic journey with your best friend, a good place to start is to contact a local prosthetist. Many prosthetists would be willing to take on a canine patient, and several already have. Just call and see if they’re interested.

If you can’t find anything locally, there are a few companies out there that specialize in pet prostheses, and you may be able to get it done by mail. OrthoPets is a Denver based company that does just that. They also make orthoses (braces) for dogs with various limb injuries. You can check out one of their patients, Andre, in the September 21 issue of People Magazine. Poor Andre got caught in an illegal trap and chewed two of his paws off to save his life. He now has two prosthetic feet! I haven’t worked with them, but from what I’ve heard, they do good work.

I’ve been asked about carts, as well. In my opinion, if your dog’s only health issue is the one missing leg, there’s no need for a cart. It would only make him dependent on the cart, when he could have adjusted fine without it. But if the tripawd has injury or pain in any of his other legs, especially the one opposite the amputated leg, then a cart would be something to consider. If Max starts to have problems from overuse syndrome as he gets older, I just may have to rig something up for him.

Just think about what would make your dog happiest—maybe hopping around on three legs is the way to go, maybe a cart, maybe a prosthesis. If I ever come up with a shoulder/elbow/wrist prosthesis for Max, I’ll be sure to let you know.