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I will jump in on the PRP question: Answer: Maybe. It depends what your goal is, and what the nature of injury is (ie: what the ultrasound tells us about the underlying lesion). If the goal is to reduce active inflammation, then yes, PRP will probably help. If the goal is to repair macroscopic damag...

I would like to echo that there are 2 treatment paths here: rehab with the goal or repair, or corticosteroid injections... not both at once. If these are true MSS cases, we want to initiate healing of the subscap tendon, and corticosteroids will shut that process down... If the owner just wants to p...

I agree with LEH that this is an unusual situation... I personally have never had to wrestle with a recurrent gastroc issue like you are describing. If this were my case, I would be ultrasounding that muscle from origin to insertion, as well as the caudal stifle, looking for some sort of macroscopic...

I do prescribe methocarbimol for back pain in dogs and often see success when I do, but am also frequently combining it with other medications. I have a few geriatrics that the owners feel that methocarb is the only thing that keeps them pain free and mobile. Having said that, I don't routinely Rx i...

Again, with all the caveats of never having seen the dog.... Based on the description, if it became desperation surgery time, I would transect the SDF and DDF tendons just proximal to the MTP1 joint, aggressively break down any phalangeal fibrosis while you have the benefit of a GA on board, and see...

There aren't nerve branches that are normally at risk during a TPLO, assuming it was done the standard way. I would wonder more about SDF or DDF contracture as part of whatever other pathology went on to cause such an atypically poor return to function. Do the toes flex at the proximal interphalange...

And then I stumbled across this... might have to start combining PRP with HA. https://read.qxmd.com/read/33091549/intra-articular-platelet-rich-plasma-combined-with-hyaluronic-acid-injection-for-knee-osteoarthritis-is-superior-to-prp-or-ha-alone-in-inhibiting-inflammation-and-improving-pain-and-func...

Ok…. So this is a big topic. Here is my subjective perspective on injections, what I pick and why HA – I routinely give this for all arthrotomy surgical procedures (ie: TPLOs) at the end of surgery, unless I am giving PRP instead. If the patient has bilateral disease, I inject the other knee at that...

I don't know of any research, but I have always considered extracapsular repairs to be contra-indicated in cushings patients due to decreased production of fibrous tissue secondary to elevated corticosteroid levels... the same way prednisone impairs healing. Anecdotally, I did have an ex-cap case th...

Especially if there is elbow pain, consider adding carpal flexor enthesopathy to the rule out list (with or without FMCP or other elbow issues). Offloading the carpus could be to take tension off the tendon of origin, and chronically doing so can then screw up the feet. If the original biceps issue ...