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Caring for a Three Legged Dog or Cat

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POST AMPUTATION - CHEWING REMAINING LEG OBSESSIVELY - HELP
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Member Since:
21 June 2011
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22 June 2011 - 6:55 am
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My buddy Lincoln is a 10 1/2 year old male Doberman.  He's very large - 110lbs of love and loyalty. 

 

Linc went in for a routine ACL surgery about 5 weeks ago.  We went to the best vet speciality hospital in our state.  The plan was to use titanium plates and screws to stabilize his knee. The surgery went well, the vet told us his ligament was almost totally ruptured.  We left him in the hospital for five days because he's so big and we wanted to make sure he'd be safe - no accidents.

 

We outfitted our house with rubber runner, had a secure place to confine him, constructed a huge outdoor potty for him on our deck with astro turf and specialty pads so he wouldn't have to go down stairs and potentially get hurt.  Plent of bully sticks, a Kabunga bed, etc.

 

They sent him home with a plastic e collar, which I was nervous about because Linc goes nuts in them.  We kept it off until bedtime because he was a little too interested in his incision.  When I went to put it on him, he freaked out and knocked me down and ran out of the room.  He managed to find the only part of the floor without runner, fell and broke his leg terribly.  We were devasted.

 

Back to the hospital.  Two weeks with a splint on his leg.  It didn't heal at all.  We had two options.  Amputate the leg or put him down.  I was extremely conflicted about amputation because the vet told us he is at the very end of his life span for such a huge Dobe.  But, he asked us to consider his otherwise excellent health so we did the amputation. 

 

Nothing can prepare you for the sight of your spectacular animal being brought to you on a sling, rear end totally shave and a hole where his hind leg used to be.  It was such a shock.  We were so overwhelmed that our big boy went in for a simple ACL repair and ended up with three legs.  Especially when they are heavily medicated because the drugs are masking the personality, the heart, the love.  We visited him every day for a couple of hours and as the meds were reduced, his spirits were very good.  We were hopeful.

 

We brought Lincoln home without any pain meds which made me a little nervous but they didnt' want him sedated because of posisibility of falling, etc.  He was home for three days and became increasingly obsessed with his incision and remaining hind leg paw.  Toys and bones distracted him momentarily, but he always went back to the chewing.  We were hesitant to put the hard e collar back on him because he flips out.  We tried the inflatable (joke), the stiff cervical type (joke), wrapping a towel around his neck - nothing worked. 

 

Last Friday night I went to put him to bed and he'd ripped two of his toenail out of their nail beds.  There was blood everywhere.  We couldn't stop the bleeding and took him to the emergency vet.  They had to cauterize his nails and put him on paid meds.  They kept him overnight.  We went back to the original hospital the next morning where he's been since.  He won't stop there either.  They put him on Neurontin to treat nerve pain.  That didn't help.  Now he's on Prozac, too.  Also the e collar, which he's very unhappy about.  They can manage him with it on because they have two large male attendents helping him.  I also just ordered a clear, softer ecollar from Amazon, hoping if his vision isn't so impaired, it won't be so unsettling.

 

I've got him slated to be evaluated be a great physical therapist today.  Maybe if they use massage, e-stim or other therapies it will help him calm down.  I can't imagine the psychological adjustment and how much anxiety the loss of this limb is causing him.

 

Has anyone had this problem before.  If so, how did you deal with it?  The vet is very concerned and so are we.   

On The Road


Member Since:
24 September 2009
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22 June 2011 - 9:03 am
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oh-my No pain meds? We'd be chewing obsessively too!

If no cone of shame alternatives are working, hopefully your vet can prescribe something to help calm Lincoln. His obsession is clearly more than just with an itchy incision site. I am no vet but it certainly appears to be an indication of pain. If falling is a concern consider these other traction solutions for tripawds.

We're sorry to hear about your buddy's troubles and wish you the best for his complete speedy recovery. Please keep us posted. Thanks for joining, your future posts will not require moderation.

PS:Did you search for similar topics? We found a couple...

Licking Incision

Cone of Shame

Also, below is an excerpt from Three Legs and a Spare – The Tripawds Canine Amputation Handboook. We understand you may have tried some of these ideas but hope it is helpful...

Some tips for preventing your dog from bothering the incision include:

  • Modify a Muzzle: Put the upper part of pantyhose over the cage part and secure it with tape.
  • Use a Bath Towel: Loosely secure a large rolled towel around your dog’s neck (not too loose that she can slip away). The thick towel can serve as a barrier between her neck/chin and the incision.
  • A special sock like Power Paws Traction Socks for Dogs or dog boots like Ruff Wear’s Grip Trex and Skyliner can be used to keep your dog’s paws from scratching at the site, but dogs with degenerative mobility issues should not use them.
  • Use of an anti-inflammatory spray such as Dermacool Hc.
  • Over the counter medicines to relieve itching, such as Benadryl and Chlorpheniramine
  • Some vets recommend using ointment such as Neosporin
  • Homeopathic remedies suggested in The Whole Pet Diet, include Calendula, Comfrey and Myrh which all have antiseptic and healing properties.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Member Since:
13 January 2010
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22 June 2011 - 1:35 pm
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I am so sorry to be reading this.  His pain must be controlled.  They can use many different drugs and even combinations.  For example, Gabapentin can be given with an NSAID and Tramadol if need be.  They also make IV drips with different cocktails to help with the pain.  Any vet that would send a dog home w/o pain meds because of fear of slipping.....well, I would question that.  I would seek a vet more familiar with pain control! 

Hope your boy finds relief he needs soon,

Gina

Leicester, NY
Member Since:
23 August 2010
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22 June 2011 - 2:09 pm
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pattyp said:

 

 I was extremely conflicted about amputation because the vet told us he is at the very end of his life span for such a huge Dobe.  

Before Dalmatians we had Dobes (all 95-110 lbs) They lived to be 12,13 and 14 yrs old) Jack (the male next to the redhead) was diagnosed with OS in 1998. With Red and Roxanne it was CHF.

I agree with the pain management . My dobes were very stoic. They wouldnt whine or cry but they would pace, dig and lick if they were in pain or anxious.

Image Enlarger

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Daisy earned her wings on Oct 22, 2011 at 14 years old

She is now the official greeter at the rainbow bridge

Everyone is guaranteed a welcome sniff and Dalmatian smile


Member Since:
21 June 2011
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22 June 2011 - 4:42 pm
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Thank you all so much for your imput!  We took Linc to a physical therapist today and she agreed with more pain meds and we are going to speak tonight to the surgeon again about adding either tramadol or deramax to the neurontin and prozac.  Both those drugs take a while to kick in so he needs relief now.  The last thing we want is more suffering for our big guy.

 

His appointment with the therapist was excellent.  She used a tiny laser to go over his incision (ever hear of this??) and assessed his other three legs (all good) and gave him a deep tissue massage.  Lincoln was full of knots in his shoulders and back.  So much stress and the difficulty of learning a whole new way of walking.  She is having an accupuncturist work on his next week and putting him on an underwater treadmill. 

 

I really appreciate your expertise and taking the time to respond to my post.  And, all your dogs are wonderful.  God Bless 'em!

On The Road


Member Since:
24 September 2009
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22 June 2011 - 5:26 pm
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pattyp said:

She used a tiny laser to go over his incision (ever hear of this??)

Yes, but potentially helping the healing of incision sites is about all "cold laser" therapy is good for. Some rehab practitioners try to promote it for pain management , but those we've spoken to don't believe it helps. Acupuncture and hydrotherapy are excellent rehab tools to help Lincoln get back on his feet. Stretches and massage will help too, be sure to do any homework your rehab vet gives you to do with Linc!

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Chicago, IL
Member Since:
5 March 2011
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22 June 2011 - 9:22 pm
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Poor, poor Lincoln!  All that care and planning and then things went south.  So sorry to hear all this.  It's so blasted hard to watch  them suffer.

After 3 months, Tate still has an open sore at the very end of his scar.  We thought it was healed up but then he tore it raw again.  We're at wit's end because 3 months of cone is just plain wrong.  Luckily, he's with us so much we can watch him but if he's not with us, the cone goes on.  All it takes is a moment and he's on it, and that's the problem.  The puppy distracts us and he's on it.  The phione rings and he's on it.  But too much cone and he's miserable.  How much misery can you put a dog through?  We tried all the alternatives, too...

Patty, how is Linc doing with his chewing now?  I am hoping you can get it under control because I don't want you to have to go through what we've been through with our boy.  And if you do have it under control, I'd love to know how you did it.

We were told they don't like to do cold laser on cancer dogs because there is research that indicates it could instigate new cancer cell growth.  Does anyone know about this?  I couldn't find anythiing; Tate's onc said theire is "ongoing discussion."

Tate's vet is now suggesting CO2 laser ablation to kill the nerve endings to keep him off it so it can heal.  Has anyone had to do this?

http://tate.tripawds.com/
August 16, 2006 to November 28, 2011
TATE ~ Forever in our hearts.

Las Vegas, Nevada
Member Since:
14 August 2009
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22 June 2011 - 10:51 pm
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Wishing Lincoln all the best for a speedy and now hopefully painfree recovery!

Her Retired AvatarComet - 1999 to 2011

She departed us unexpectedly  January 23, 2011 at the age of 12 1/2.

She was born with a deformed front leg and a tripawd all of her life.

On The Road


Member Since:
24 September 2009
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23 June 2011 - 3:24 pm
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Just came across this info about cold laser. Seems that a lot of vets and clients say it works for pain management of chronic conditions like arthritis, but it doesn't say anything about treating acute post-surgery pain. I'm hoping that Tripawd Isabelle can chime in.

Veterinarians Add Laser Therapy to Arthritis Treatment

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

On The Road


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24 September 2009
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23 June 2011 - 5:33 pm
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Re: Cold Laser

Also wanted to add that in our radio interview with Dr. Jessica Waldman, a rehab vet and founder of CARE, discussed the huge popularity of cold laser.

At about 16:20 in the interview, Dr. Waldman says that cold laser is unparalleled for wound management but "in terms of using it for arthritis or joint or pain, which is what people are really advertising it for, it really does not work as a standalone treatment. If you have the exact right scenario for it and you use it in conjunction with (other rehab techniques) it can be a nice tool. But it's not effective enough to be a standalone treatment (for arthritis or joint pain) and it can cause burns, so you have to make sure that the people who are using it really understand it."

Just wanted to mention it.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Chicago, IL
Member Since:
5 March 2011
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23 June 2011 - 7:18 pm
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Thanks Jerry!

http://tate.tripawds.com/
August 16, 2006 to November 28, 2011
TATE ~ Forever in our hearts.

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