We have a 1.5 year old pom. He was running the other day and pulled up limping on his left hind leg. It was the 2nd time in a month this happened. After it happened, he was not willing to jump up on anything nor climb stairs at all the rest of the day. We took him to the vet and the vet said it was MPL and showed me how his patella moved sideways when his leg flexed. The Vet suggested this surgery which costs $2500 for both legs as both legs have the luxation. We read online that for small dogs you may be able to do without surgery if the dog isn't overweight and it is restricted to certain activities...what do you think?
He believes? He should know, and if both patellas were a grade 4 luxation, I doubt your dog would be moving much at all, since the knees would always be out of joint...I'm glad you're getting a second opinion.
Ok. New vet said the other vet's x-rays were unnecessary.
He said his back left leg is a grade 2 currently, but may get worse. His back right leg is a grade 1. He said that he thinks the tendon in the left was stretched and that if it doesn't constrict back to it's normal size, that leg could be a problem. He said to give it a few weeks and if he has full range of motion with the leg and is back to his jumping and running a muck, that he would be ok. If he still favors it, he could to a procedure that tightens the tendon and it would be less then $500 bucks...compared to the $2500 for doing both legs which the other vet suggested...
Well, what a surprise. If you keep your dog from jumping off anything and if he's a bit on the chubby side, feed him a little less, it will all help. I'm really glad you went to another vet, and got another opinion. The same thing happened to my daughter in Red Deer. She has one of my dogs, and one day his eyes were suddenly all red, and looked like he had conjunctivitis. She took him to the vet, who gave her a diagnosis of stenotic nares, and quoted her $4,000 to reconstruct his face! The vet also told her the dog would die if the surgery wasn't done. She phoned me crying, and I said a few words that can't be written here, and told her to bring him back to me. My vet looked at him and her diagnosis was a pollen allergy, and gave him an antihistamine, and some eye drops. I really wanted to phone that vet in Red Deer and tear a strip off him. I later found out that he's famous for diagnosing brachycephalic dogs with phantom conditions. I advise all my puppy's new parents to seek a second opinion, especially with recommended complicated, risky expensive surgery.
We were told that our "mix" dog Otis would require this procedure after he came up lame on the rear right leg while chasing a squirrel. The vet said his patella was out (didn't give a grade - but I would estimate it at around a 2) and that he might get better after taking RIMADYL for a couple of weeks. He also said he might have ligament damage so we ran X-ray's which were negative.
It's been about 3 weeks since Otis was injured (2 1/2 weeks on medication) and I notice GREAT improvement in his gait. The knee seems to stay in place more often than not allowing Otis to do some light running/chasing as well as getting up and down off the sofa and using stairs. When his knee does "pop out", he simply sits down against it and it seemingly pops right back into place. Still I can see that he is in obvious pain and he is no longer able to go on walks or go in a full out run.
We called the vet to ask for the X-ray's as we were looking for a second opinion. He told us that we would not need the X-ray's (which I guess is right since the luxating patella test is done simply and quickly enough and he said there is no ligament damage) and that going to another vet wouldn't tell us much but we should go to a surgeon (specialist) to which he could refer us.
I don't want Otis to suffer any more than he already has but I don't want to jump into an unnecessary surgery of all things! Does anybody have any suggestions? Should I see the specialist? Should I just disregard the vets advice and go see another one anyway?
Personally, if you can see that your dog is in obvious pain, and he can no longer run, I would definitely go back to the vet, and get some more analgesic, first. If you want to get a second opinion, that's not a bad idea, especially if he is a very young dog. Don't let the vet discourage you from seeking a second opinion, and he should be willing to give you the x-rays. You can palpate the leg to see if the patella is loose, (the vet can) so it depends on the degree of luxation, and a couple of other things as to whether it will tighten and heal on it's own. How old is the dog?
I spoke to the vet and he told me that upon initial examination he determined Otis to have a grade 3. I was surprised to hear him say this based on all of the research I have done...of course I am NOT a doctor! I told him the improvements Otis had made regarding being able to go up and down stairs without the patella luxating, and also his ability to put it back in rather than having us do it for him. He suggested we continue the RIMADYL for another week and then have another look.
Otis is 4 1/2 years old. He is a "rescued" Chihuahua mix, some people I have run into call him a "Taco Terrier".
Since the dog is 4 years old, I think you may have to opt for the surgery. The fact that he's kicking or sitting on it to put it back in place is a good thing, but the degree of luxation and pain is not. I have a dog who has a grade 2 luxation, and she runs, and kicks her knee back into place. It has never progressed, and she has been that way since she was 6 months old. I have constantly had her re-assessed, and she has no arthritis,and is in no pain, and she's almost 5. I'm sorry that I can't give you a very positive answer. The only other avenue I would explore is a specialist who may have a different opinion about ligament damage. I wish you luck with your little man.
Grettings My dog Molly is just over a year old. She is an active lab/rhodesian ridgeback mix who weights about 65 lbs. About six weeks ago her knee went out and our vet diagnosed medial patellar luxation grade 1 and prescribed a pain killer. She has continually limped for five more weeks so I did alot of reading and felt her leg was alot worst than grade 1 I thought maybe a grade 3 because the knee cap is out more than in place. I took Molly to one of the best Orthopedic Veternarians in southern California and he diagnosed her as grade 3 and recommended that her knee be scoped that she didn't require full surgery and would heal much sooner. The estimate was $3,800 and said it should be done soon. I took Molly to another Orthopedic surgeon who also confirmed grade 3 and recommended scoping at an estmate $4,700 adding that the old surgical methods were not being applied by most surgeons and that since we have used the same technics since the 1950's, the follow-up research shows that in some cases the surgery has done more harm than good over the long haul. My local vet said he would do regular surgery for $1,500. Since the primary vet didn't get the diagnoses correct, I have concerns regarding his surgical skills. I'm not sure as to how I should proceed, but for me this is alot of money. Is anybody else getting similar advice and pricing?