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Pain management for a new tripod with mild hip dysplasia
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Member Since:
14 May 2023
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1
17 June 2023 - 5:14 am
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Hi all!

I wanted to see if anyone had any suggestions on pain management for our newly tripod, 11-year-old border collie mix, Loki, who's had some mild hip dysplasia since he was young. We're got a lot of vet support (his oncologist, our regular vet, and a canine rehabilitation specialist), and are gradually working on physical therapy and building his strength, but are struggling a bit with days when he seems sore -- especially when it rains. He's always been achier when it rains, but with his new tripod status, we're even more concerned and it seems like it impacts him more right now. He also tends to have a high pain tolerance (he had a broken back tooth a few years ago, and we never would have known except for such subtle signs!), so we both worry about him and want to get him on an appropriate regimen.

We've had him on Dasuquin for years, as well as Novox 100 mg per our vet for the past several years. It's been 3 months since his amputation surgery (rear right leg, due to a high grade mast cell tumor), and overall he's been doing amazing considering everything. We're up to about 7-10 minute walks, twice a day, mainly with him freely exploring at his own pace on a longer leash in our local parks. We also have an awesome wagon to help get him to parks, and to scoop him into when he's tired after a walk. He's still himself: bright, energetic, curious, and it is amazing to see how much stronger his remaining limbs are getting.

We're fortunate and he already sees a canine rehabilitation therapist (he's been doing swimming; it seems wonderful on his joints!), we do some massage and passive range of motion exercises, and he takes these meds in support of his mobility and pain management :

  • Novox 100mg
  • Gabapentin 300mg (x3 per day, since his surgery -- we tried weaning him off it per the rehab specialist since he seemed to be doing well, but then were concerned it was helping him feel better during those achy days, so we kept him on it per his oncologist and the rehab specialist)
  • Fish oil (Omega 3, made from tiny fishes)
  • Dasuquin
  • Tumeric treats (Started giving him these a few years ago, too, in hopes it might help with inflammation?)

His oncologist said we could add in Amantadine 100mg once per day and that it'd work nicely with what else he's on, but we haven't given it a go yet. We're looking to consult local dog pain management specialists, too. But totally curious if anyone else has an active, elder, tripod who gets especially achy during rainy/humid days, and how you manage pain.

It may be that we're close to what's appropriate for him now, and on rainy days, we'll just spend extra time being cozy.

Anyway, thanks for your time! This community is a wealth of information and support.

Our guy:

Loki hopping alongImage Enlarger

Loki in wagonImage Enlarger

Virginia







Member Since:
22 February 2013
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17 June 2023 - 8:31 pm
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Oh sweet Loki....you are meeting my heart with that ADORABLE close up of you😊

Standing ovation to your hoomans for leaving no stone unturned when it comes to keeping you comfortable and fit.

Others will chime in but honest to goodness I think you have all your bases covered.  I do know that some jave said the Amantadine does seem to be helpful addition in pain ,management. 

JERRY will remember the name, but one of our members Clare used a special  "drug" for her Meg's arthritic  hips, etc.  I k ow it's not hip dysplasia per say, but I k omit helped tremendously. 

I can add that, as a hooman with HORRIBLE bone on bones knee pain, damp days do seem to make the pain worse.

Higs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

The Rainbow Bridge



Member Since:
25 April 2007
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17 June 2023 - 11:11 pm
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Oh be still my heart what a sweet face he has! And he is so lucky to have you being such great advocates.

Our Wyatt did get a lot of comfort from the Amantadine so its worth a try. See:
https://tripawd.....r-tripawd/

Here is an article about Meg's therapy:

https://tripawd.....e-tripawd/

Has acupuncture been tried yet? That can also be very helpful, it was for our Wyatt.

Switching up his pain control meds might also help because the body can build a tolerance to  meds that are being taken for many years.

Member Since:
14 May 2023
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1 July 2023 - 5:19 am
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Benny and Jerry, thank you so much for your kind replies! We've added Amantadine into the mix, and are hopeful it's helping (or will as he continues to take it). Loki is going to try acupuncture; thank you for the suggestion! We've found it helpful for our own wellbeing, and are hopeful it will be therapeutic for Loki, too. 🙂

Loki's rehab specialist (CCRP) is also recommending a custom hip support brace thingy, to help with his alignment -- we've noticed his foot has been pointing outwards especially when sore. Hopeful that will help give him the support he needs. He'll also be trying their underwater treadmill and some more supportive physical therapy exercises. 

Thank you also for linking me to Meg's story! It's so uplifting hearing what's been helpful for fellow tripawds. We'll keep monoclonal antibody therapy in mind, too, as we continue our journey with our cherished guy.

I'm so grateful for this website's resources and community support. It means so much. sp_hearticon2

Member Since:
15 June 2023
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1 July 2023 - 12:43 pm
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Has anyone brought up Adequan?  I’m not sure how early it can be used during or after cancer treatment but it worked wonders for my last dog who had hip displasia and an inoperable herniated disc in her lower back. It is injected subcutaneously once per week.  


Member Since:
22 August 2008
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2 July 2023 - 7:11 am
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Yes I agree I always like starting Adequan early if the dog will tolerate injections.  I have also had great results with my dog as well as client dogs with Flexadin Advanced which is Type II collagen. It comes as a chewable treat that is even safe for cats and you use it in addition to glucosamine supplements/fish oil/etc.  You do not need a prescription for it and can find in on Amazon or Chewy.

Pam

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