Search found 164 matches

by David Lane
Mon Jun 17, 2019 1:55 pm
Forum: Orthopaedics
Topic: Pivot Shift
Replies: 2
Views: 262

Re: Pivot Shift

If a pivot shift is detectable on examination, but the patient is doing well or almost well clinically, I have good success in resolving it with rehab strength training. If however, there is dysfunction with virtually every step (I haven't seen the video), then that is a deeper hole to climb out of ...
by David Lane
Mon May 27, 2019 9:24 pm
Forum: Orthopaedics
Topic: When to use a stifle brace?
Replies: 4
Views: 412

Re: When to use a stifle brace?

A few point form thoughts: • kinematic studies have shown that a stifle brace allows improved weight bearing relative to no treatment, but not as much as surgery does - kinda part way between the two • another study found that although braces did not allow the same improvement in function that surge...
by David Lane
Mon May 13, 2019 2:02 pm
Forum: Miscellaneous
Topic: Running with your dog in warmer temps
Replies: 3
Views: 424

Re: Running with your dog in warmer temps

I'm not aware of any cutoff meteorological stats, and would hesitate to rely on that instead of monitoring whether the dog is showing symptoms; I have seen overheating in dogs in the high alpine running on snow, with low temps but beating sun, so I hesitate to use ambient temperature as a sole consi...
by David Lane
Mon May 13, 2019 1:40 pm
Forum: Miscellaneous
Topic: Running with your dog in warmer temps
Replies: 3
Views: 424

Re: Running with your dog in warmer temps

I'm not aware of any cutoff stats, and would hesitate to rely on that relative to monitoring whether the dog is showing symptoms.... but then again I am Canadian and hide as soon as it gets warmer than 27 degrees. I have seen overheating though in dogs in the high alpine running on snow, with low te...
by David Lane
Mon May 06, 2019 10:01 pm
Forum: Orthopaedics
Topic: SDFT rupture & foot protection
Replies: 2
Views: 200

Re: SDFT rupture & foot protection

Agreed that it is an SDF rupture... but those usually are not painful on their own unless dog is on gravel or some other uneven surface, so what else is going on here? MCP OA? Sessamoiditis?

Pinpointing the cause of pain may open the door for other treatment options depending on the final diagnosis.
by David Lane
Mon May 06, 2019 9:57 pm
Forum: Orthopaedics
Topic: Agility Training - persistent periodic lameness
Replies: 2
Views: 237

Re: Agility Training - persistent periodic lameness

As per LEH, but MSI/MSS is not off the list either, nor are other forms of cervical pathology.
by David Lane
Mon Apr 08, 2019 10:16 am
Forum: Orthopaedics
Topic: Shoulders, Tarsi, & L8
Replies: 2
Views: 193

Re: Shoulders, Tarsi, & L8

One could make an argument for PRP'ing the SDFT, but like LEH, I would hesitate to do so based purely on the imaging results. I would first want evidence that I can localize pain in that area, otherwise I would rely more on laser +/- ESWT plus rehab as a first line along with treating the other affe...
by David Lane
Mon Apr 01, 2019 10:40 pm
Forum: Orthopaedics
Topic: Gait 4 months after TPLO
Replies: 5
Views: 658

Re: Gait 4 months after TPLO

Without having seen the video yet.... gait alone is not a reason to diagnose fibrotic myopathy. If FM exists enough to affect gait, then there should be reduced PROM when flexing the hip with an extended stifle, combined with a palpably firm (fibrotic) feeling hamstring that appears to be the cause ...
by David Lane
Mon Mar 25, 2019 1:47 pm
Forum: Orthopaedics
Topic: Tarsal arthrodesis, hopping gait
Replies: 3
Views: 302

Re: Tarsal arthrodesis, hopping gait

With a partial arthrodesis only, I would be thinking the hop is coming the hip/lower back origin. Cranial translation of a hemipelvis/other SIJ issue, psoas or other hip flexors, or deep lower lumbar paraspinal trigger points would be highest on my list with that history.
by David Lane
Mon Mar 18, 2019 1:54 pm
Forum: Orthopaedics
Topic: Hock OCD and DJD
Replies: 5
Views: 463

Re: Hock OCD and DJD

If the lameness is that mild, then I think most surgeons would elect for not scoping.