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Trembling six weeks post amputation
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Member Since:
20 February 2023
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15 April 2023 - 8:04 am
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My dog Ollie (19 months old, Pyrenees/Bulldog mix) had a rear leg amputation for osteosarcoma at the end of February. During his recovery, he would have tremors, almost like he was shivering but he wasn't cold. At his two week post-op, when we had the sutures removed, we told the surgeon and she said to see if it abated, and if he kept doing it, to try to get a video and show her.

We didn't see any more tremors after that until yesterday; he started it again (very suddenly) and is showing a lot of resistance to moving. He will go outside and trot around, but he comes back and in and lays down. He's also not eating his regular food, though he will happily eat treats when we bring them to him. The tremors are intermittent. 

I've tried to massage his back and legs and test for sore spots, nothing seems to be bothering him. At one point he felt warm so I thought he might have a fever, but he doesn't.

I will follow up with the vet of course, but I'm curious if this has happened to anyone else? If so, do you know anything that might help?

The Rainbow Bridge



Member Since:
25 April 2007
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15 April 2023 - 12:16 pm
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Hi Ollie and family welcome. So sorry you are dealing with a cancer diagnosis, and at such a young age! Ugh!

Can you describe what his activity level is like? How much walking/running does he get, for how long, and on what type of terrain? Does he play with other dogs when he does? 

It's still really early for a dog to be having unregulated activity and oftentimes we see pain signals like you are describing. The not eating, shaking, and tiredness are all pain signs.

If you can share that video with us it would be helpful. Best way to do that is by uploading it to YouTube and then copying the Share URL and pasting it here in the forums. Let me know if you'd like help.

Member Since:
20 February 2023
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15 April 2023 - 1:01 pm
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Thank you; it's been really difficult but we're trying to give him the best life possible while we can.

We have a big yard, mostly grass and flat; I let him out to run around four times a day (morning, afternoon, evening, and before bed). The first and last of those are short (under 10 minutes) and the middle ones are longer (20 minutes or so). We do have a second dog and they play occasionally, but she is elderly so she doesn't like to play for long. 

We do have a house guest, and Ollie loves people, so he has been more activated than normal. The strange thing is that when we noticed the change yesterday, it was when we came home after leaving the dogs alone for a few hours. 

Here are Google links for the videos; let me know if you can't access them and I'll put them on YouTube. The tremors are subtle; harder to see in a video.

https://photos......fpQy5VKZy9

https://photos......vkTA7KJnk8

https://photos......YqXqXLF936

Thank you so much for your response.

Virginia







Member Since:
22 February 2013
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15 April 2023 - 9:19 pm
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First of all, Ollienis a strikingly  handsome boy.  

Yes, I did see the "shiver-like"  movement.  It was indeed subtle,  but there.  Certainly  not a Bet, but as Jerry noted it does seem to be a pain sign.

Since you first noticed this during recovery, curious what his pain protocol  was during those two weeks.  Dose and frequency.   Ollie's weight.  Did you notice the "shiver" maybe an  hour or so  before his next pain med was due?  Did it subside after his pain med dose?

What was his activity level like during recovery?  It's recommended  just short, leashed potty breaks during first two weeks.  No roaming around, no stairs, no jumping,  etc.

In the videos he seems to be resting  comfortably  when the tremors actually happen.  Is that accurate or do they seem to cause him pain...if that makes sense?

Assuming nothing else going on neurologic,  etc, FWIW, it does seem as though this could be  activity related.  It's soooo easy to tweak something  and to overdo as a tripawd.

Anyway, talk to your Bet about mayve adding a pain med or/and an antiinflmmatory  and keeping  his activity  level more restricted  for a few days and see of that helps.  The Bet may want to check him over.

Let us know what the vet says and update when you can. In the meantime, give sweet Ollie  lots of extra treats for us.👍

Hugs 

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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16 April 2023 - 3:13 pm
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Aww thanks, those videos are helpful. I would show them to your vet. 

Honestly I'm thinking the same thing as Sally; he's wiped out, his muscles are exhausted, he's probably getting too much activity too soon after surgery. It's not your fault, we all learn as we go. I did! For now I would definitely scale back the free-roaming play time and force him to rest more. That's hard to do with a young dog, so consider adding interactive brain games into his day. Tiring out the brain is just as effective as tiring out the body, and a lot safer at this stage.

My guess is that with your vet's help, an anti-inflammatory pain reliever will make a difference. Also, please consider having him evaluated by a canine rehab therapist. They can get a better feel for what kind of activity he is capable of doing without exhaustion now, and then show you ways to help him build endurance and strength over time. The best part is Tripawds Foundation can pay for your first rehab visit ! It really makes a difference for a dog after amputation surgery, especially younger ones who need more regulation and monitoring during the early days of life on three. It's a good way for you to learn how to manage his activity to minimize the risk of injury too.

Member Since:
20 February 2023
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17 April 2023 - 7:03 am
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Thank you, both of you! I don't remember the exact dosages of his pain medication, but he started out on codeine, gabapentin, and carprofen, of which I varied the timing. He also had a nerve block shot that was supposed to last 72 hours. When that wore off, his pain signals increased, especially as it was getting to be time for his next dose. His third day home after surgery was his worst day, and then it slowly started to get better. On day eight, he really wanted to get up and run around, and from then until the stitches were out on day 14, he was a nightmare to keep calm. We got all of the brain games we could manage to try to keep him occupied (thanks to the Tripawd recommendations!) and we had him cornered in a specific room, and it was still pretty close to a full-time job. The shivering occurred on days 10, 12, and 13, and didn't seem to have any connection to his pills and/or his outside trips. They always start when he's awake, and then he pretty much always goes to sleep. This is the first time that they have lasted overnight.

On day 14, the vet told us he was off any activity restrictions except stairs, so we let him roam the house but kept the stairs blocked off. I still ramped up his outside activity pretty slowly; I didn't want him to push it. He's so young and energetic and he has no sense of self-preservation!

He seemed fine yesterday, but I restricted his movement anyway to make him rest. I'll set up a physical therapy appointment as well; thanks for the recommendation. I appreciate you both taking the time! Navigating the symptoms is really hard; it really feels like reading tea leaves sometimes.

Virginia







Member Since:
22 February 2013
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17 April 2023 - 8:28 am
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Thank you so much for taking the time to provide so much detail on Ollie's care. It really does sound like you've been doing a great job trying to monitor his activity, give proper pain meds etc. 

I know it has to be concerning to watch him have these tremors off and on, especially when they last all night. I guess the silver lining is it doesn't seem to be bothering him at all and he can comfortably sleep straight through them.

 

Try to continue to keep his activity level low for the next couple of days.  Maybe maybe add a Gabapentin for the next day or two just in case it is a muscle tweak that you're dealing with. Keep up with the massages too.. Sorry I'm not much help. 

Sounds like you have a real feisty fella on your hands. We would love to see pictures of him. Here's a link that might help you to post them. If you have any trouble just let me know and I can post them for you. Just send me a PM (private message) .

Hugs

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 April 2023 - 11:01 am
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Wow you guys are doing such a great job managing his recovery! He did get great pain control too. So in my non-vet opinion all those details point to a puppy overdoing it situation as far as what I can tell. If everything else is normal, I wouldn't panic but definitely book that therapy appointment. Hopefully they can pinpoint the cause (they're great at reading tea leaves 😉  Let us know if you'd like help finding a therapist. 

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19 April 2023 - 4:03 pm
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Thank you! That's good to hear; I have been doing my best.

Update: Vet agreed that it was likely pain, and we were able to get him some painkillers/antiinflammatories. He immediately seemed to feel so much better, and his appetite is coming back. I've reduced his outside time, and while he hates it very much, I think it has helped him a lot. He ate both breakfast and dinner today and is currently trying to get his sister to wrestle with him. I am also getting him on the schedule with the PT.

I would love to show you pictures (I show pictures to anyone who will tolerate it) if I can figure out how!

The Rainbow Bridge



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25 April 2007
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19 April 2023 - 10:25 pm
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Yay! What a difference you are describing, I'm thrilled he's better and spunky again! 

So yes we would love to see photos! Adding images requires you to upload them to your own Tripawds blog or a photo sharing site like imgur.com. Then copy the share URL and return here to paste it into your post. Hope that makes sense, let me know if I can help.

Virginia







Member Since:
22 February 2013
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19 April 2023 - 10:42 pm
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So glad you're starting to see improvement. A little dose of some good pain meds and rest are good combo. Good job!

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!

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