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Embracing Life: A Guide to Canine Front Limb Amputation and Rehabilitation Options

12/19/2023

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Canine front limb amputation can be a challenging experience for both pet owners and their doggos. However, with the right knowledge and support, a three-legged dog can lead a happy, active life.
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In this guide, we'll explore some rehabilitation options, lifestyle adjustments, and practical tips to aid and assist your resilient three-legged doggo.
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Front limb amputee dog
Rehabilitation Options
Physiotherapy
Engaging in physiotherapy is crucial for a dog's successful recovery post-amputation.  Some postural adaptations are considered normal, such as the remainder front limb taking up residency more toward the middle of the body,  and other movement patterns that are considered compensatory and need addressing. Sessions that focus on targeted exercises can help improve strength, flexibility, and balance. It is advisable to seek the guidance of a canine rehabilitation specialist or physiotherapist to evaluate the aforementioned adaptations and develop a customised program that caters to the needs of your canine.

Assistive Devices
Explore the use of assistive devices such as orthopaedic braces or custom prosthetics designed specifically for front limb amputees. These devices aid in mobility, providing support and reducing strain on the remaining limbs.
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Hydrotherapy
Water-based exercises can be highly beneficial for amputee dogs, however, the underwater treadmill is generally not recommended for front-limb amputees.  Other hydrotherapy options such as swimming are better suited and can promote muscle strength without putting excessive pressure on joints. Consulting with a friendly canine physiotherapist or hydrotherapist first will help

Lifestyle Adjustments
Modified Environment
Make your home more accessible by removing obstacles and creating a safe space for your three-legged friend. Ramps and non-slip surfaces can help your dog navigate more comfortably.

Weight Management
Maintaining a healthy weight is crucial for an amputee dog's overall well-being. Use the body condition scale to determine if your dog sits within a healthy weight range and adjust snacks and treats accordingly.

Mental Stimulation
Enrich your dog's life with mental stimulation through interactive toys, puzzle feeders, and engaging activities. Keeping their mind active contributes to a happy and well-adjusted canine companion.

Emotional Support and Monitoring
Patience and Encouragement
Be patient and supportive during your dog's adjustment period. Encourage their efforts and celebrate small victories. Positive reinforcement helps build confidence and strengthens the bond between you and your furry friend.

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Positive reinforcement helps to build confidence with our three legged doggos
Regular check-ups
Regular checkups with a physiotherapist or friendly veterinarian can help monitor how your doggo is coping and adjusting to a three-legged life.  They also have a wealth of knowledge and can assist and guide you through the entire process and set realistic expectations for you as you move through the journey with your three-legged friend. 

While the journey of adapting to life with a front limb amputation may seem daunting, countless success stories showcase the resilience and adaptability of three-legged dogs. With a combination of rehabilitation, lifestyle adjustments, and unwavering support, your doggo can lead a fulfilling and happy life. Remember, each dog is unique, so tailor your approach based on their individual needs, and embrace the joy of sharing a life with a three-legged doggo.
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Understanding Carpal Hyperextension in Dogs: A Canine Physiotherapist's Insight

11/6/2023

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As a canine physiotherapist, I see many injuries and pathologies in dogs ranging from spinal disease to hip dysplasia to ACL injuries. One injury that tends to alarm doggo owners more so than others is a condition called carpal hyperextension. 
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What is Carpal Hyperextension?
Carpal hyperextension, also known as "dropped wrist" or "down pastern," is a condition that affects a dog's front legs. This occurs when the carpus, which is the equivalent of the human wrist in dogs, extends beyond its normal range, causing instability and discomfort. In simple terms, it's like a dog's wrist bending backward more than it should and the supporting ligaments can become lengthened and stretched.  A normal wrist has straight upright legs while a hyperextended wrist is flatfooted in appearance. 

Causes of Carpal Hyperextension
  1. Genetics: Some breeds are more prone to carpal hyperextension due to their genetic predisposition. Breeds like Great Danes, Doberman Pinschers, and Basset Hounds are more commonly affected.
  2. Developmental Abnormality: Carpal hyperextension in young dogs is caused as a result of weakened ligaments. It is often seen in large breed puppies such as Great Danes and causes can range from inadequate nutrition to rapid growth however, sometimes no underlying cause is identified. 
  3. Trauma or Injury: Accidents, falls, or repetitive stress on the front legs can lead to carpal hyperextension where the ligaments get stretched or torn and is a common cause of carpal hyperextension in dogs. 
  4. Overuse: Working dogs or those involved in strenuous activities might develop this condition over time.
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Carpal Hyperextenson
Signs and Symptoms
Identifying carpal hyperextension in doggos is the first step towards addressing the issue. Keep an eye out for the following signs:
  1. Lameness: Dogs with carpal hyperextension may exhibit a subtle or pronounced limp on one or both front legs depending on the severity of the hyperextension. 
  2. Swelling: The affected area can become swollen, warm to the touch, or painful, particularly if acute trauma has caused the instability. 
  3. Stiffness: dogs might appear stiff and reluctant to bear weight on the affected leg.
  4. Abnormal gait: Dogs may walk with an abnormal walking pattern. Often owners are alarmed at how the carpus 'looks'  and many people describe it as looking ' deformed.' 

Treatment Options
As a canine physiotherapist, my primary goal is to help doggos regain their mobility and comfort. Treatment depends on the severity of the condition but here are some treatment options for carpal hyperextension:
  1. Physiotherapy/ non-surgical: Customised physiotherapy exercises and stretches can improve joint stability and muscle strength, helping doggos regain proper carpal alignment.
  2. Supportive Bracing: In some cases, specially designed braces can be used to provide additional support to the carpal joint and can be fitted through a veterinarian or canine physiotherapist.  The brace helps support the carpal joint and restores normal function to the stretched ligaments. 
  3. Medications: Anti-inflammatory drugs may be prescribed by the treating veterinarian to reduce pain and inflammation.
  4. Lifestyle Adjustments: Ensuring that your dog avoids strenuous activities and maintains a healthy weight can aid in their recovery. Avoiding tasks that place undue stress on the carpal joint line jumping down from height and chasing balls repetitively can help to alleviate symptoms. 
  5. Surgical Intervention: In severe cases, surgery may be recommended to correct the carpal hyperextension which typically involves fusing the entire carpus (arthrodesis.)

Preventing Carpal Hyperextension
Prevention is always better than cure. To minimise the risk of carpal hyperextension in doggos, consider the following:
  1. Regular exercise: Maintain a balanced exercise routine to keep doggos muscles strong and joints healthy. Excessive exercise like chasing and running for balls can place extra stress on the carpal joint and will need to be kept in moderation with all other forms of exercise. 
  2. Protect against injuries: Keep an eye on your dog during physical activities and minimise any potential hazards. Check the home for any tripping hazards such as slippery floors, particularly when jumping off surfaces like the couch onto them and if needed,  put an anti-slip mat down. 
  3. Weight management: Ensure your dog maintains a healthy weight to reduce excess strain on their joints.
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Protecting the wrist joint (carpus) from over use or acute injuries such as jumping or repetitive chasing will help to prevent carpal hyperextension

​Carpal hyperextension can be a challenging condition, but with the right guidance, it's possible to manage and let dogs go on to lead a full and happy life. Remember, early detection and proper treatment can make a world of difference. If you suspect your dog is suffering from carpal hyperextension, don't hesitate to reach out to a canine physiotherapist or veterinarian for assistance.

If you want to learn more tricks and tips and be involved in a community of like minded individuals,  join our facebook group below:​
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Corns in greyhounds; A cause for acute lameness

10/16/2023

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Greyhounds are known for their remarkable speed and agility, as well as their gentle temperament, making them a popular choice for many pet owners, especially when they take up residence on the couch! Although Greyhounds are less susceptible to developing CCL injuries or other acute orthopaedic injuries than other breeds, there is a common problem that often goes unnoticed but can cause severe lameness: the development of corns on their paw pads. This can be a painful condition that is often compared to the feeling of having a stone in your shoe while walking. Lets take a closer look at what these ‘corns' are, how to identify them, and how to treat them effectively.

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Causes:
Corns in Greyhounds are hard, painful growths that typically appear on the paw pads. The exact cause of corns remains elusive, but several factors are believed to contribute:
  1. Genetics: Some Greyhounds may have a genetic predisposition to developing corns, as they are more prevalent in certain bloodlines and sighthound breeds.
  2. Weight Distribution: Greyhounds have slender legs and a unique weight distribution. The pressure placed on their paw pads during high-speed running can lead to the development of corns.
  3. Environmental Factors: Walking on abrasive surfaces, such as concrete or gravel, can exacerbate the formation of corns over time.
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Abrasive surfaces like concrete can exacerbate the formation of corns over time
Symptoms:
Corns are a painful and distressing challenge for Greyhounds, emphasising the importance of early symptom recognition for timely intervention. These common indicators include acute lameness, with affected Greyhounds often favoring the afflicted paw; this lameness can vary in severity and may come and go. Upon close inspection of the paw pads, a characteristic hard, discolored, circular growth is often visible, confirming the presence of a corn. Applying direct pressure to these corns can elicit a pain response, further establishing them as a source of discomfort. In response to this pain, Greyhounds may engage in excessive licking or chewing of their paws in an attempt to alleviate their distress.

Treatment Options
Treating corns in Greyhounds can help relieve their pain and restore their mobility. Here are some treatment options to consider:
  1. Pain Management: Getting Provide pain relief methods such as non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate discomfort.
  2. Corn Removal: In many cases, surgical removal of the corn may be necessary. This should be performed by a veterinarian with experience in the procedure. After removal, proper post-operative care is essential.
  3. Orthotic Devices: Custom orthotic devices can help distribute weight more evenly on the paw pads, reducing the pressure that leads to corn formation. These devices may be recommended to prevent recurrence.
  4. Footwear: Using protective booties or shoes can provide a barrier between the paw pad and abrasive surfaces, reducing the risk of corn development.
  5. Topical Treatments: Creams and ointments designed to soften the corn and promote healing may be recommended. These should be used as directed by a veterinarian.
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protective footwear can be an option for management of corns
Prevention: 
Maintaining the paw health of your Greyhound involves a proactive approach to prevent the development of corns. Several key preventative measures should be considered. Firstly, regular paw care is essential; frequent inspections of your Greyhound's paw pads help in the early detection of corns or any signs of damage. Secondly, proper conditioning of the paw pads is crucial, as keeping them moisturised and well-conditioned can help prevent excessive dryness, which is a contributing factor to corn formation. Additionally, weight management plays a significant role in preventing corns, as maintaining a healthy weight reduces the pressure exerted on the paw pads during physical activities. Lastly, it's advisable to choose walking surfaces carefully; whenever possible, opt for softer terrains like grass or sand, which can reduce the risk of corn development by minimising the abrasive effects on your Greyhound's paws.

 Corns can be a painful and debilitating condition for Greyhounds, causing acute lameness and distress. If you suspect your Greyhound has developed a corn, seek veterinary care promptly. By understanding the causes, recognising the symptoms, and exploring treatment options, you can help your doggo regain their agility and comfort, ensuring they continue to enjoy their active lifestyle.
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    Joanna Whitehead

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