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Terranova de 5 años con displasia de cadera: dolor al levantarse y cojera
What they asked
Tengo un perro Terranova macho de 5 años, de 47 kg. A veces se nota que siente dolor al levantarse y le cuesta un poco incorporarse. Hay días en los que renguea durante unos segundos, pero después camina normalmente y también juega. Cuando tiene dolor se le administra meloxicam. Tiene estudios de sangre realizados y están correctamente. Le hicimos radiografías en 2023 y nuevamente en 2026 para controlar la evolución de sus caderas, rodillas y miembros posteriores. Informe radiológico 2023: “Se observan ambas articulaciones coxofemorales con incongruencia articular, con mayor grado del lado derecho. Cabezas y cuellos femorales conservados. Sin signos actuales de enfermedad articular degenerativa. Dicho hallazgo sugiere displasia de cadera bilateral.” Informe radiológico 2026: “Cadera: ambas articulaciones coxofemorales con moderada incongruencia. Cabeza y cuellos femorales conservados. Leves osteofitos periarticulares y esclerosis subcondral. Columna lumbosacra: no se identifican alteraciones radiológicas. Conclusión: en cadera sugiere displasia bilateral de moderado grado. Leves cambios articulares degenerativos. Columna lumbosacra conservada al momento del estudio. Relacionar con clínica.” Quisiera saber qué opinión tiene sobre la evolución entre ambos estudios, qué considera que está causando el dolor que presenta actualmente y qué tratamiento haría para mejorar y preservar su calidad de vida a largo plazo. También quisiera saber si recomienda algún tratamiento además del meloxicam. Kinesiología no puedo llevarlo porque queda a muchísimos km de mi casa, y si hay algo que pueda hacer desde mi casa, comprar o implementar, me interesa hacerlo. También quisiera saber si, por el grado de displasia y los síntomas actuales, considera que en algún momento estaría indicada una cirugía o evaluación por traumatología/ortopedia veterinaria. Si una intervención quirúrgica pudiera mejorar significativamente su calidad de vida o evitar un mayor deterioro, estaría dispuesta a considerarla. Tengo las radiografías originales de 2023 y 2026 y me gustaría que pudiera verlas y compararlas. ¿Podría indicarme cómo se las puedo enviar?
I believe google translate did a good job. Sorry to hear your dog is dealing with hip dysplasia. Unfortunately, the large breeds have a propensity for orthopedic issues. Regardless of the timeline, a confirmed coxofemoral dysplasia from 2023 means we have progression of the disease. Dysplasia is a chronic condition that will lead to joint luxation, and or degenerative joint disease in the affected joints. An orthopedic evaluation would be a good idea due to the progression of his condition. 5 years old is a good candidate for potential surgery, but effectiveness will come to progression of the disease and recovery. An expectation is that a hip surgery for a large dog will require strict crate confinement for at least 6 weeks and leashed walks to use the bathroom. The best for at home management is to have them at a body condition score of 4-5/9. Motion is lotion is another common saying for physical therapy. Light exercises or full range of motion PT exercises daily will also help long term. There are many joint supplements but one that has Glucosamine Hydrochloride, Methylsulfonylmethane (MSM), or Sodium Chondroitin Sulfate is ideal. Meloxicam is an appropriate medication for pain relief and low risk of side effects. If there is further decline in motion or increased pain other prescription meds can be added by your vet. Look for evidence if your dog's back legs seem to be losing muscle mass. If they are losing muscle tone there needs to be a discussion for surgery or increased PT to maintain the mobility of the back end.
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