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Speaker 1: You were listening to Petlifradio dot com.

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Speaker 2: And good morning or good afternoon wherever you may be.

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Is it we after the East Coast. It's just after

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noon by about one minute. And here in Sunday, southern California,

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we are at nine am, and you are here for

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the next thirty minutes with me, Doctor Jeff Weerber, host

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of Askedveets with Doctor Jeff here on pet Life Radio,

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our only live call in show here on pet Life Radio.

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And we're live and we're calling because we want to

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hear from you. We want to answer your questions. We

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want to talk about your pets. That's why I'm here,

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because we love talking pets. And if I don't get

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people to call in and talk to me, then I'm

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just going to talk about some topics that hopefully we'll

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be of interest to you. We've been covering ground lately

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for the last several weeks on some of the conditions

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that you don't know how much you need to worry.

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You can have a vomiting dog where you have to

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worry a lot, and you can have a vomiting dog

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you don't have to worry at all. And I'm just

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trying to help you get through. What are the things

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you'd have to worry about and when and what to

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do if and those that you know what, give it

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a day, watch them carefully, not a problem. And we

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tell a lot by how it came on the history,

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what vomited, how often or how soon after they eight

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did they vomit, you know, et cetera, et cetera. And

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after that we've been covering the limping dog. And that's

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a big eie because, oh my god, I think that

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is one of the most overdiagnosed problems, is the limping dog.

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So I'm trying to give you a bunch of guidelines

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as well to know is this something I need to

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worry about or is it not? And I'm here again

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thanks to our sponsors pro Sense Pet Products, the veterinary

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quality products that you can find in the mass market

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like in your local Walmart or Walgreens or Target, and

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also the Kong And we are so happy to have

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our sponsors on board that if you get the courage

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the guts to give us a call here at eight

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seven seven three eight five eight eight A two.

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Speaker 3: Once again, it's easy eighty seven. It's a free call.

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Speaker 2: Eight seven seven three eight five eight eight eight two,

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or just log on to pet Life Radio and go

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to the Ask the Vets with doctor Jeff tab and

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join in on the conversation. We will see you joining

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on the conversation, and if you give us a call,

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if you send me a little text, a little note

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during the show, we will send you out some free

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products pro sense and a con product for your pet,

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so you can't lose. To get free advice, a free

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phone call, free internet. I mean, come on, this is

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a no brainer if you ask me. And also it's

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just good to hear because you know, I always tell

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I've been doing this for a long time. This is

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actually my thirtieth year, and actually I'm in my thirty

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first year. That's even more frightening. And what I find

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is that so many people will start a conversation when

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they come in to see me, and I can tell

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just by how they start the conversation what the question

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is going to be, because the truth of the matter is,

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there are only so many problems your pet could have.

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And you know an expression I love to use is

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well a couple of them, actually I use them off

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at number one. If it looks like a duck walks

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like a duck cracks like a duck, it's probably a duck.

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And that helps me a lot in trying to decipher

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what the situation might be, what a diagnosis might be.

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And that's even before I have to do one test

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just merely by the history, then another one. And I'm

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sure there are places in your locale that this would

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make sense. Here in southern California, we use Malibu, and

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it goes like this. If you're running along the beach

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in Malibu and you hear hoof beats chasing you from behind,

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what are you thinking? Horses or zebras? And clearly it's horses.

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So then I asked you, doctor Sown, so why were

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you looking for the zebra when you didn't even rule

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out the horses the most obvious things. You got to

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go with the obvious things first. So after a while,

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you hear the prelude to a question, and they're already

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giving you, like some of the hints about what they're

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going to ask, because it's embarrassing because it's just because

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that and I'll finish it befo before they ask it.

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And so that's how I feel. It's why it's so

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important to hear from you, because I guarantee whatever question

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you have, however weird a situation you have with your pet,

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there are hundreds of you out there listening that have

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the same problem and just are afraid or embarrassed to

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call in. So at the very least those of you

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that have the courage besides the freebies, is that you

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will be helping a lot of other pet parents with

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the same problems that they're having with their pasts, because trust.

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Speaker 3: Me, it's more common than you think.

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Speaker 2: So in the light of that, we have been discussing

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over the last few weeks the limping dog and we've

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been through some shoulder displays that we talked to last

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week about hips and the importance of early detection. That

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there is a surgical procedure that can be done. It's

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called a TPO triple pelic osteotomy to sort of rebalance

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the hips, to replace the socket of the ball and

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socket hip joint over the ball and very effective and

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what it does, it doesn't allow you to breathe. By

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the way, if you had a breeding dog and you

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thought that by fixing the hips it would be okay

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to breed, wrong, absolutely not. This pet should be spade

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or neuter like right away. Now, well, I shouldn't say that.

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If it's under a year, you shouldn't be breeding anyway.

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But if it's over a year in a large breed,

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we want to wait till they're about a year of

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age for large breeds. Small breeds still you can do

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it at six months of age as soon the criteria

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are this. When it comes to the small breed, it's

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the teeth. And you say, what what do teeth have

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to do with spang and neutering. It has a lot

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to do with it. Why because small breed dogs typically

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don't lose their baby teeth on schedule. The adult teeth

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erupt on schedule. That one of the jobs of the

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adult tooth is to push that baby tooth that it

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is replacing out of the way, and that baby tooth

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should fall out.

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Speaker 3: But unfortunately, in many of.

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Speaker 2: Our small breeds that doesn't happen, so we end up

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with double teeth. Well, it's so silly to anesthetize to

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spaye a neuter a dog it's say four months or

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five months of age, only to have to go back

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in reinesthetize a month later because there are two or

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three or four deciduous teeth baby teeth left that need

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to be pulled. That is ridiculous given the fact that

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probably probably the most dangerous part. And I don't don't

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be afraid because it's not. But if you have to say,

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what is the most dangerous part the most you know

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that we fear when we're doing surgery on a pet,

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it's the anesthesia. I mean this way, there are more

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anesthetic deaths then they are going to be from forgetting

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to ligate or for what we call a slip ligature

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when you're tying off one of the major vessels. So

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it's the anesthesia we're worried about. To why put a

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pet through a situation or you have to necessize them

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twice in a short period of time, Wait until all

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the adult teeth are in. At that point you can

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easily tell which baby teeth needs to be pulled, and

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then you do one anesthetic procedure and you get the

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teeth and the spear and mooter at the same time.

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Large breeds a different situation. Large breads don't usually have

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problems with the situous teeth. Occasionally they will, but not

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certainly not common. But large breeds, based on a new study,

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there seems to be a very strong link to bone

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can answer in older dogs and early spae neuter. So

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clearly there is must be some protective benefit of the

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sex hormones, the estrogens and the testosterones on growing developing

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bone to prevent that bone later in life from developing

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bone cancer. Therefore, the new recommendations are to wait until

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these large breed dogs are fully mature about a year

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of age, before you even think about spaine or neuter.

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More so, on the male, there was a sixty five

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percent greater incidents and long bone cancer in males were

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pre puberly neutered, and a thirty five percent increase in

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bone cancer and the females that were pre puberly spade.

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So therefore no brainer. You know, a lot of municipalities,

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including Los Angeles, to have this rule that the dogs

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have to be spaded or neutered by four months insanity.

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And what I do is I'll write letters, and they

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want to fight, they can fight with me, but we're

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not going to subject the dog to a sixty five

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increase percent increase in bone cancer. Not happened on my

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watch anyway. So as we move down the hind leg,

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we talked extensively about the hips. Hyptasplasia common but usually

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over diagnosed as a problem, especially an acute problem, a

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sudden problem in hind limb lameness, slash, limping.

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Speaker 3: Pain, et cetera, in an.

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Speaker 2: Older dog, that the x rays of the radiographs clearly show hypdasplasia.

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My contention, of course, being as we talked last week,

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that if in fact the current problem is due to

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the hips, then why wasn't this dog limping last week

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and the week before, in the week before, in the

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week before. Because I could bet you that if you

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take an x ray but a ten year old dog

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with arthritic hips, that those hips have been arth grated

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for years, and yet he wasn't limping for the last

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several years.

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Speaker 3: So you need to look for.

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Speaker 2: Another problem, a problem that is more typical of what

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we call an acute ontet, a sudden onset, and the

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same thing.

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Speaker 3: We have with our knees.

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Speaker 2: So there are a couple of classes times of knee problems.

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And interestingly, you could tell a lot by the age

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of the dog, the clinical onset of the symptoms, and

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the breed the size.

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Speaker 3: Here's what I mean.

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Speaker 2: One of the more most common young small breed problems

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we are going to see relating to the knee joint.

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The stifle is what we call an MPL medial patella luxation.

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MPL is a condition where we have a shallow femeral groove.

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That's the groove in which lies the kneecap called the patella,

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and it slides up and down as the dog bent's leg.

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There is a patella tendon which comes from the quadricepus

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muscle group, rides over the patella and then it turns

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into a patella ligament. Because the patella is bone. Any

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structure that attaches bone to bone is called a ligament.

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Any structure that attaches muscle to bone is a tendon.

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So actually we have a Pateller ligament and a Pateeller tendon.

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The tendon of course coming on the upper portion originating

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from the quadricepis muscle group, and the patella tendon which

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attaches the lower portion of the tendon to what we

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call the tibial crest. It's the top of the tibia,

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and there's a piece that sticks out of the tibia

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called the tibio crest, and that is where the Pteller

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tendon inserts now what happens with these small breed dogs

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a number of things. Number one, the pateller groove is shallow,

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too shallow. And number two, the position of the tibial

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crest and some of these small breeds is displaced medially

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to the inside. So the combination of a very shallow groove,

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typically the edge on the middle edge, the medial edge

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being very low, and the natural pull of the pteller

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tendin because of the positioning of the tibio crest. The

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tibio tuberosity pulls that kneecap to the inside. We call

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it medial patella luxation.

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Speaker 3: And we have four grades.

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Speaker 2: And very very common in the small breeds. We pick

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it up early, early, when we're first examining them. We

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can't always predicted it's going to be a problem, but

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we certainly can predict the problem. How much of an

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issue it's going to cause, we don't know. Thus, the

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four grades, you have a grade one. Grade one is

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probably the most common, and that is.

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Speaker 3: Where you can take that kneecap.

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Speaker 2: You can a little pressure or digital pressure sometimes happens

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by itself. The kneecap will pop off of the groove

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to a medial position. In an inside position, but with

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a couple of steps it pops right back on.

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Speaker 3: Those are usually not a problem. We leave them alone,

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and that's a great one. Grade two.

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Speaker 2: Grade two is where the kneecap is usually in the

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groove where it belongs, but it can pop out by itself,

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and when it does, it doesn't pop right back in.

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It still spends more time inside the groove where it belongs,

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but it can also spend.

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Speaker 3: Some time out of the groove.

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Speaker 2: Those questionable surgery are not. It all depends how much

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in within the grade two it is.

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Speaker 3: Grade three.

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Speaker 2: Grade three is where that kneecap is living pretty much

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outside of the groove. It will still pop in on occasion.

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You're a veterinarian, and you if you learn how, you

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can push it back in the groove, but within a

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few steps it's popping out again. It's more comfortable outside

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than inside. And that is Grade three. That is surgical,

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and that leads u ultimately to a grade four. And

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Grade four is where this poor kneecap has been sitting

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outside of that groove for so long that it develops

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a false joint and you can't reduce it push it

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back into the groove. The federal groove, if you even tried.

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That is the ones that caused most of our problems. Now,

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how can you tell that a dog you see, smaller

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breed is having a problem with ptello luxation.

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Speaker 3: It's very simple. Watch them walk. When you see these.

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Speaker 2: Little guys and they're cruising around and having a great

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tim all of a sudden, that back leg, usually one

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of them, but certainly both pops up and they'll take

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four or five hops as they're running or walking, and

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then sometimes they put it down again, sometimes they don't.

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Speaker 3: That is a big clue of ptello luxation.

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Speaker 2: As the problem progresses, especially if it's unilateral, meaning one sided,

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another thing will notice because there is an effect on

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the muscle usage of that leg.

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Speaker 3: The leg actually gets.

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Speaker 2: Smaller, the muscle mass starts to become reduced as atrophies,

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and you can clear see when you're palpating, when you're

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feeling the legs, how one is worse than the other. Now,

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what happens when both are luxating? When you have a

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media bilateral medial ptalaxation, you will notice this, This is

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really cool. You will notice your dogs that are affected.

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And I'm talking that there's often the small ones. It's

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the Yorkies, it's the Maltese, it's the Pomeranians, it's the

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Chihuahuas that as they're eating, or as they're walking, or

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as they're doing anything, you'll notice that they're putting way

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more weight on their front legs, so much so that

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sometimes it looks like their back legs are barely touching

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the ground. And that is a huge clue that we

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are having some kind of hindlimb problem. And as I said,

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unlike the arthritities, the arthritis conditions that happen in bigger

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dogs or even smaller dogs that have them when they're older,

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this is something that you're gonna notice in your young dog.

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Speaker 3: So it's a young dog condition.

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Speaker 2: It's often chronically progressive, and you're gonna either see hopping

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you're gonna see if it's unilateral one side, and if

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it's bilateral two you're going to see them putting a

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lot more weight on their front limbs. This is definitely

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reason to go see your veterinarian and have these evaluated.

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Don't wait too long. I'll tell you why. It's a

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very surgically correctable problem. If you wait so long that

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the muscle atrophy progresses that the post operative rehab period

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is going to be extremely challenging for both you and

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your dog. So it's something that when you see it,

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if it's diagnosed, if it's a grade two and a

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half or more, I highly advise surgery.

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Speaker 3: They do so well after surgery.

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Speaker 2: And not only that, what happens when we have a

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bone on bone situation, bone on bone rubbing over time

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causes what's called an osteo arthritis. The longer we allow

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this to happen, the worst her arthritis is going to be. Conversely,

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the sooner we get to put that beecap back in

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the groove where it belongs and to keep it there,

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then we are going to slow down, if not prevent

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the ultimate onset of our So it's very important to

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when you see this in your small breeds, get them

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to your veterinary and make a diagnosis early.

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Speaker 3: And we have more to come back.

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Speaker 2: We have some other growth diseases before we move on

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to the injury condition that often happens using the bigger dogs,

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and we'll talk about.

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Speaker 3: That we come back after our break. Just a second.

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Speaker 2: You're here with doctor Jeff at ASIVTS with doctor Jeff

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caarent pet Life Radio.

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Speaker 1: We'll be right back right after these messages. Stay tuned.

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Speaker 8: Hi, this is t O D Anderson and I'm the

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host of Get Positive Results on pet Life Radio. We're

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00:17:21,759 --> 00:17:24,079
going to talk about a variety of topics from canine

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behavior and training, all based on modern methods that are

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00:17:26,720 --> 00:17:28,839
fun for you and your dog. We might be talking

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00:17:28,839 --> 00:17:32,119
about other critters too, so join us on Get Positive Results.

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We'll talk about common issues between you and your dog,

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answer your questions, discuss different activities you can do with

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your dog, and keep you posted on current canine news

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and products. All this on Get Positive Results on pet

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Life Radio.

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Speaker 6: Let's talk past it, Let's talk pets.

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Speaker 1: On pet Life Radio Netline Radio, ptlfradio dot.

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Speaker 6: Com and welcome back.

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Speaker 3: You're at a pet life.

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Speaker 2: We asked the best of doctor Jeff. I'm your host,

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00:18:17,240 --> 00:18:20,519
doctor Jeff Weerber. And during the break we did get

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a email very easy and it's from Sarah and we're

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going to talk to Sarah in just a second about

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her dog. And it's perfect question because where always going

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00:18:29,440 --> 00:18:33,400
with this after talking about media ptaluxation usually younger, smaller dogs,

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pretty much congenital problem.

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Speaker 3: The only other growth related disease. I wanted to talk

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about it briefly.

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Speaker 2: It's just one of the other joints that can happen

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is the hind end and that's called OCD and not

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obsessive with compulsive disorder. It's osteo can drive us desiccns.

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It can happen in any joint, much less common in

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the knee joint. But it's something we always have to

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look at and again an X ray can show we

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00:18:53,000 --> 00:18:54,519
want to go to And I'm so glad that Sarah

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had spoken about this.

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Speaker 3: I'll read it to you.

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Speaker 2: It says hi, doctor Jeff, speaking of knees. My golden

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00:18:59,799 --> 00:19:01,720
dude was having knee problems. She had X rays and

383
00:19:01,920 --> 00:19:04,759
was wiggled. Her knee was solid, but the joint was

384
00:19:04,799 --> 00:19:08,519
swollen right away. The vets at ACL. That's anterior cruciate ligament.

385
00:19:08,720 --> 00:19:11,000
Actually we all often call it a CCL in dog's

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00:19:11,039 --> 00:19:13,880
cranial crucia ligament. That's too surgery without the movement to

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00:19:13,880 --> 00:19:15,759
the knee, which I'll talk about a minute. I'm afraid

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00:19:15,799 --> 00:19:18,240
to spend money for surgery for something that might be arthritis.

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00:19:18,599 --> 00:19:21,039
So and to make that and this is this happens

390
00:19:21,079 --> 00:19:24,400
so frequently. Sarah's daughter had ACL surgery about a year ago.

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00:19:24,880 --> 00:19:27,440
And how often do I make a diagnosis of like

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00:19:27,680 --> 00:19:30,559
diabetes or something or Addison's disease? And the owner said,

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I'm my gosh, I have adisons.

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Speaker 3: I have diabetes.

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Speaker 2: So for some reason, we I think dogs mimic us.

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00:19:36,039 --> 00:19:37,559
They don't want us to feel badly, so they come

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00:19:37,640 --> 00:19:40,079
up with the same problems that we have. But anyway,

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00:19:40,279 --> 00:19:42,160
one of the things that we want to talk about

399
00:19:42,400 --> 00:19:46,000
is the larger breed gold noodle fits the bill. Typically

400
00:19:46,119 --> 00:19:49,599
an acute onset, and I like to talk to hear

401
00:19:49,640 --> 00:19:51,960
more from Sarah about this, but an acute onset is

402
00:19:52,000 --> 00:19:55,839
where literally it happens. They're out playing sometimes you're actually

403
00:19:56,119 --> 00:19:59,759
lucky enough to hear a yelp, a cry, some sort

404
00:19:59,759 --> 00:20:03,400
ofvocalization when it happens, and that's when that you're definitely

405
00:20:03,480 --> 00:20:06,400
clued in to this problem. Next thing, you're going to

406
00:20:06,960 --> 00:20:09,920
see the dog clearly favoring the leg. I mean, this

407
00:20:10,279 --> 00:20:12,440
typically active dog is not gonna want to put this

408
00:20:12,519 --> 00:20:15,400
leg down. And the first thing you think about when

409
00:20:15,559 --> 00:20:19,440
you have an acute, sudden onset injury, often preceded by

410
00:20:19,440 --> 00:20:22,160
a yelper scream, don't want to use the leg largely.

411
00:20:22,359 --> 00:20:25,559
I mean, it is until proven otherwise it is a

412
00:20:25,640 --> 00:20:28,960
cruciate ligament. But we don't do surgery based on that.

413
00:20:29,599 --> 00:20:33,920
We need some clues to determine surgical need. Now I

414
00:20:34,000 --> 00:20:36,279
will tell you, and this is for you too, Sarah,

415
00:20:36,400 --> 00:20:40,039
that if in fact this is cruciate, surgery is the

416
00:20:40,279 --> 00:20:43,799
only treatment. Unlike people I think we talked about this

417
00:20:43,839 --> 00:20:45,319
a couple of weeks ago. But if a person stands

418
00:20:45,400 --> 00:20:49,160
up and you look at the body position of the

419
00:20:49,599 --> 00:20:53,680
distal limb, the leg, and how many bends natural bends

420
00:20:54,240 --> 00:20:58,079
angles does it have when we are standing erect So

421
00:20:58,440 --> 00:21:00,319
the hip that's great, that's perfect.

422
00:21:00,359 --> 00:21:04,160
Speaker 3: The knee that's straight, that's perfect, the ankle the equivalent

423
00:21:04,200 --> 00:21:04,920
of the dog's hawk.

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00:21:05,079 --> 00:21:07,960
Speaker 2: Ah, that's got a ninety degree bent, and the medic

425
00:21:08,079 --> 00:21:11,799
tarsels joint and all the little filangies and digits are

426
00:21:11,960 --> 00:21:14,279
again all flat on the ground, meaning there is one

427
00:21:14,640 --> 00:21:17,440
bend and only one bend at the ankle in the

428
00:21:17,680 --> 00:21:22,079
entire limb. Dogs at rest, however, if you look at

429
00:21:22,319 --> 00:21:24,319
a dog, never look at a picture of a dog's skeleton.

430
00:21:24,480 --> 00:21:26,519
There's a bend at the hip, a bend, a bend

431
00:21:26,559 --> 00:21:29,640
at the hawk, a bendit the toes. So even at rest,

432
00:21:30,240 --> 00:21:32,559
they have bends in every one of their joints, which

433
00:21:32,599 --> 00:21:36,839
puts undue strain on this joint that badly needs that

434
00:21:37,279 --> 00:21:38,200
cruciate ligament.

435
00:21:38,559 --> 00:21:40,960
Speaker 3: So it is a surgical condition. Now, it may not

436
00:21:41,000 --> 00:21:41,680
need surgery right.

437
00:21:41,640 --> 00:21:44,839
Speaker 2: Away because a lot of times we will have what's

438
00:21:44,920 --> 00:21:47,160
called a partial tear, the initial pain.

439
00:21:47,240 --> 00:21:48,200
Speaker 3: And this is for you, Sarah.

440
00:21:48,240 --> 00:21:52,160
Speaker 2: The initial pain might be why there's limping and swelling.

441
00:21:52,480 --> 00:21:57,039
But as long as there's still adequate ligament that is functioning,

442
00:21:57,559 --> 00:22:00,680
maybe your doodle can get lucky and need surgery.

443
00:22:01,039 --> 00:22:03,519
Speaker 3: Why I say maybe because I know doodles. I own one.

444
00:22:03,839 --> 00:22:06,640
Speaker 2: They are very hyper, very active, just like my two labradors,

445
00:22:07,039 --> 00:22:10,559
and clearly a ligament that say it only eighty percent

446
00:22:10,960 --> 00:22:12,440
is not going to be as strong as the one

447
00:22:12,480 --> 00:22:13,240
at one hundred percent.

448
00:22:13,519 --> 00:22:14,480
Speaker 3: So it's going to be.

449
00:22:14,519 --> 00:22:17,920
Speaker 2: Something that we're gonna need surgery ultimately. But X rays

450
00:22:17,920 --> 00:22:20,359
are important not only looking for that wiggle. We call

451
00:22:20,400 --> 00:22:23,319
it an anterior or cranial drawer sign, which is I'm

452
00:22:23,359 --> 00:22:26,359
sure what your veterinarian was looking for. If that's not there,

453
00:22:26,440 --> 00:22:28,720
there are still other clues. Number one is called a

454
00:22:28,880 --> 00:22:31,799
tibial thrust, and that's something your veterinarian can do. And

455
00:22:31,920 --> 00:22:35,359
number two is what we call joint effusion. When those

456
00:22:35,480 --> 00:22:38,440
fibers tear, even though they don't have a great blood supply,

457
00:22:38,519 --> 00:22:41,799
they do bleed, and that bleeding sort of goes into

458
00:22:41,839 --> 00:22:44,000
the joint space, and you can see it on X rays,

459
00:22:44,039 --> 00:22:46,119
especially when you compare it to another the other leg

460
00:22:46,160 --> 00:22:48,240
and the other side, and you can see evidence of

461
00:22:48,279 --> 00:22:52,119
what we call joint effusion. If after all this there

462
00:22:52,200 --> 00:22:55,440
is still confusion, then a bone scan could be done

463
00:22:55,839 --> 00:22:59,119
or an MRI could be done, which will clearly clearly

464
00:22:59,400 --> 00:23:03,359
elucidate the problem. So I understand the trepidation, the fear

465
00:23:03,880 --> 00:23:06,559
of not jumping into surgery, especially if it's not gonna work.

466
00:23:06,839 --> 00:23:09,079
But it is something that we really need to consider

467
00:23:09,440 --> 00:23:13,680
in this case because if she had that cute sudden onset,

468
00:23:13,880 --> 00:23:16,599
she's not using the leg. You can cansely wait till

469
00:23:16,599 --> 00:23:18,720
the swelling can go down. There are anti inflammatories that

470
00:23:18,720 --> 00:23:21,200
could be done. I would highly recommend maybe some laser therapy.

471
00:23:21,480 --> 00:23:24,200
Let's get this swelling down. Let's see how much of

472
00:23:24,319 --> 00:23:28,640
the current limping lameness is due to swelling versus due

473
00:23:29,039 --> 00:23:33,720
to the actual injury itself. So there's no immediate rush

474
00:23:34,079 --> 00:23:37,519
to surgery. And I'm going to underline that word immediate rush.

475
00:23:37,799 --> 00:23:40,920
And as with the need the patella problem in the

476
00:23:40,960 --> 00:23:44,799
small breeds, there is a concern if you wait too long,

477
00:23:45,079 --> 00:23:48,119
and that has all to do with the muscle mass

478
00:23:48,240 --> 00:23:50,079
atrophy because of lack of use.

479
00:23:50,119 --> 00:23:52,119
Speaker 3: We call it disuse atrophy.

480
00:23:52,519 --> 00:23:55,720
Speaker 2: Not to mention the onset of more arthritis in the joint,

481
00:23:56,200 --> 00:23:58,119
but I will tell you that you know the question

482
00:23:58,400 --> 00:24:00,920
was you said, is this You know it be arthritis.

483
00:24:01,359 --> 00:24:05,079
Arthritis could be there for a long time, but it's

484
00:24:05,319 --> 00:24:08,279
rare that the clinical presentation is sudden.

485
00:24:08,599 --> 00:24:10,680
Speaker 3: So if this was a situation with.

486
00:24:10,799 --> 00:24:12,759
Speaker 2: Her where she was out playing running and all of

487
00:24:12,799 --> 00:24:15,559
a sudden comes up lame in a day to the

488
00:24:15,599 --> 00:24:18,000
point where she wasn't this lame two days ago, four

489
00:24:18,079 --> 00:24:19,440
days ago, a week ago, two weeks ago.

490
00:24:19,759 --> 00:24:22,960
Speaker 3: Then it is an injury. It is an insult an

491
00:24:23,039 --> 00:24:24,279
event that happened.

492
00:24:24,599 --> 00:24:27,200
Speaker 2: And again I would say that if there is a

493
00:24:27,279 --> 00:24:29,720
fusion and joint swelling, that's a possibility.

494
00:24:29,839 --> 00:24:31,160
Speaker 3: Now other things that can be done.

495
00:24:31,160 --> 00:24:33,200
Speaker 2: It's a joint tap and has to be done by

496
00:24:33,240 --> 00:24:37,000
your veterinarian un are extremely sterile conditions, and that a

497
00:24:37,440 --> 00:24:40,599
needle can be inserted into the joint space, some of

498
00:24:40,640 --> 00:24:44,720
the joint fluid can be removed and evaluated. They could

499
00:24:44,720 --> 00:24:46,519
see if it's bloody, you could see it's a severe

500
00:24:46,559 --> 00:24:49,960
inflammatory condition or other things. So that too is something

501
00:24:50,000 --> 00:24:54,440
that could be done if the joint remains swollen and painful. Anyway,

502
00:24:54,599 --> 00:24:56,240
I want to thank Sarah. Sarah, We're gonna I'd like

503
00:24:56,279 --> 00:24:57,640
you to stay tuned next week is we're going to

504
00:24:57,680 --> 00:25:00,920
talk a lot more about the ACL, the CCL. It

505
00:25:01,039 --> 00:25:05,680
is an extremely common injury. We see large breed active dogs,

506
00:25:05,799 --> 00:25:10,279
especially dogs that have humoenously muscular thighs and legs, and

507
00:25:10,480 --> 00:25:12,480
they just the need because of again the way they're

508
00:25:12,759 --> 00:25:15,680
built just can't keep up, and because of the way

509
00:25:15,680 --> 00:25:19,160
they're built, typically there needs to be surgical intervention if

510
00:25:19,319 --> 00:25:21,640
in fact it is a cruciate ligament tear.

511
00:25:22,039 --> 00:25:24,640
Speaker 3: So we're gonna keep you hanging. But thank you so much.

512
00:25:24,880 --> 00:25:27,440
Speaker 2: If you could send me to doctor Jeff Dr Jeff

513
00:25:27,440 --> 00:25:29,880
at Petlifeadio dot com your info, We're gonna get a

514
00:25:29,880 --> 00:25:31,480
hold of you so we can send you out some

515
00:25:31,640 --> 00:25:32,400
really cool.

516
00:25:32,559 --> 00:25:36,079
Speaker 3: Products from Kong. I'm sure she'll love that and pro sense.

517
00:25:36,279 --> 00:25:37,640
Speaker 2: I want to thank you all for joining us here

518
00:25:37,680 --> 00:25:39,799
in pet Life Radios asked bets with Doctor Jeff. I'm

519
00:25:39,799 --> 00:25:41,720
gonna be here next week, and in two weeks on

520
00:25:41,759 --> 00:25:44,519
the fifth, I have doctor Heather Lenzer, a guest that

521
00:25:44,559 --> 00:25:46,319
I've had before, is going to be returning onto the

522
00:25:46,359 --> 00:25:48,640
show and we're gonna be talking about pet peeves.

523
00:25:49,119 --> 00:25:51,720
Speaker 3: So anyway, thanks for joining us, have a great week.

524
00:25:52,000 --> 00:25:54,880
I'm doctor Jeff Werber and we'll see you next week.

525
00:25:55,319 --> 00:25:59,599
Speaker 1: Let's talk bets every week on demand only on pet

526
00:25:59,680 --> 00:26:12,680
Life Radio dot Com. MHM