What are some of the things we as dog owners can
do to help a dog with hip dysplasia?

Rosie
Humble, TX

Hip dysplasia is a syndrome in which a dog’s (or less often, a cat’s) hip joints do not develop properly. This causes premature arthritis in the hips. Hip dysplasia is most common in large breeds of dogs. It has a hereditary component. Careful breeding has reduced the incidence of hip dysplasia over the last several years.

Hip dysplasia is sometimes confused with age-related arthritis. Many older animals suffer arthritis in their hips that is not related to abnormal development of the joints. However, in either instance the outcome is the same–arthritis that causes pain, stiffness, decreased mobility and a lower quality of life.

There are several techniques (some old, some new) for managing hip displasia and arthritis in pets.

Preventing hip dysplasia is by far the best option. Careful breeding is the most important aspect of hip dysplasia prevention. Less effective, but still important, is to feed at-risk puppies (Labrador Retrievers, German Shepherds, Golden Retrievers and other large breeds) a diet that promotes slower growth. Talk to your vet about this.

For pets diagnosed with hip dysplasia by a veterinarian, several techniques may delay the onset of arthritis. The most effective of these is weight management. Carrying extra weight puts tremendous strain on the hip joints.

Other techniques that can delay the onset of arthritis (or help to ameliorate the symptoms of arthritis after it develops) include administration of oral or injectable glucosamine, oral omega-3 supplementation, and physical therapy (mild exercise, swimming, hydrotherapy, and range of motion exercises). Young dogs diagnosed with severe hip dysplasia may benefit from a surgical technique known as triple pelvic osteotomy.

For the unfortunate individuals that are suffering from arthritis, all of the techniques listed in the preceding two paragraphs (except for triple pelvic osteotomy) can be beneficial. Additionally, treatment with the much maligned NSAID medicines can lead to a dramatic improvement in quality of life. Other, newer pain medicines such as amantadine are emerging as well that may be highly beneficial when used in conjunction with NSAIDs. Some prescription diets may lead to clinical improvement in arthritic pets.

A new generation of treatments for arthritis in the hips is also entering use in clinical practice. These treatments include stem cell injections, stimulation with certain types of lasers, and a technique known as extracorporeal shock wave therapy (it sounds scary, but it’s quite benign).

The treatment of last resort for arthritis of the hips is surgical hip replacement. Recent clinical advances have made this option more attractive than it was in the past.

The long and short of it is that there is a wide array of treatments for hip dysplasia and arthritis in pets. Many of them are new and not widely known. Your best bet is to find a vet who is passionate about comprehensive management of the syndromes. Sit down with this vet and develop a treatment plan that is right for you and your pet.

Image credit: Joel Mills. Licensing information: CC.

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Hello doc, my name is Jim. I have a 12-year-old
yellow Lab named Buster. My vet is giving him
Zubrin to help ease is pain. Is there anything
else we can do?

Jim
West Palm Beach Florida

Zubrin is a non-steroidal anti-inflammatory drug (NSAID). I touched upon these drugs in a recent post.

NSAIDs are commonly prescribed for pain from surgery or arthritis. Since Buster is a 12-year-old yellow Labrador, I am guessing that he has arthritis. Sadly, most 12-year-old Labs do.

In most cases, NSAIDs are the most powerful treatments for arthritis. But there are many other steps you can take to help reduce Buster’s pain and improve his quality of life.

First, manage his weight. Excessive weight causes severe stress on arthritic joints. If Buster is overweight, getting a few pounds off of him may significantly improve his situation.

Also, I recommend physical therapy. The simplest form of physical therapy is mild exercise. Leashed walks are enjoyable for both the dog and the person walking the dog, and they help to keep joints limber and flexible. They also help to keep weight down. Do not engage in any physical activities that cause Buster to be sore or in pain the next day. But do allow him to enjoy activities that are fun and that don’t cause follow-up repercussions.

Another form of physical therapy you can perform at home is passive range of motion exercises. With Buster at rest, gently take each joint in each of his legs trough its normal range of motion. If he shows any sign of discomfort, be more gentle. This helps to maintain flexibility. It should be done several times each day.

As well, consider a nutritional supplements containing glucosamine and chondroitin sulfate. Many clients report that their pets’ (and their own) symptoms of arthritis are less pronounced when these supplements are offered. As well, omega-3 supplements may help to ease arthritis pain. There is still some debate among experts about the efficacy of oral administration of both of these supplements, but neither is likely to cause any harm.

Finally, you can talk to your vet about advanced physical therapy (such as underwater treadmill walking), or injectable forms of glucosamine. These therapies are more involved and more expensive, but are often remarkably effective.

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