My Great Pyrenees has good bones, but not my St. Bernard.
I have researched this disease intensely, causes, medications, treatments, surgeries, care. I know all of it.
If this is the disease please continue to write questions to add and I will add answers. If it is not, then I rule that if it is a problem with other joints, calcium supplements will not help at all.
The prescription food I feed is Royal MS25. it is a high grade food, which is better and a bit expensive. The joint food contains medication, basically the cheap ones do not. If you can't afford to feed the bears, then feed the ordinary grain on the line, and then buy some drugs (containing glucosamine drugs) crushed and mixed in the grain to eat on the line. Remember to keep your weight under control.
Ps:
I went out yesterday, sorry for the wait.
It's like this, I guess you have looked up a lot of information, and the doctor has told you a lot, so I'm going to fish for dryness here, and I hope it's a reference for you. It's a lifelong disease, a lifelong medication, and in severe cases it can paralyze you for the rest of your life. My little saint is like that too and needs very careful and scientific care.
According to the authoritative book Clinical Manual for Small Animals (Fourth Edition) edited by Rhea V. Morgan (ISBN 7-109-09218-6) Description:
Notes are my experience and understanding.
Definition and etiology
I. Developmental dysplasia of the hip is characterized by an underdeveloped hip joint that initially presents with varying degrees of joint laxity and later with femoral head and acetabular reconstruction and degenerative joint disease. (Note: From the X-ray, it simply means that the acetabulum is shallow and the joint does not fit together well. (The other case is that the femoral head cannot be fully anastomosed due to its crooked shape.)
II. The disease is characterized as a congenitally inherited multifactorial disorder. (Note: the academic community is quite controversial, not the same conclusion, the mainstream theory is that the cause of this disease genetic factors account for 70%, my dog's parents do not have this disease, according to the genealogy up to thirteen generations may be able to find the onset of the case.)
III. Environmental factors, especially high energy levels and an increase in the percentage of calcium in the food also contribute to the disease. (Giant dogs grow rapidly during the growth period, my dog to the French royal giant puppy food and homemade boiled beef as the main food, add Taiwan Yoda calcium stomach can be added to calcium, so the nutritional intake is quite high, resulting in the body develops too fast, and supplemented with a large amount of calcium, please note that books say that too much calcium can also lead to the occurrence of the disease, so do not blindly oversupplementation of calcium in puppy. The cold environment can also aggravate the disease.)
Pathophysiology
Ⅰ. Hip dysplasia, initially manifested as inconsistency between muscle and overgrown bone.
II. Instability of the hip joint leading to subluxation of the acetabulum and femoral head.
III. Bone lesions secondary to hip incongruity and subluxation are thickening of the femoral neck, osteophytes and sclerosis of the acetabulum.
(Note: my dog is currently in subluxation, if further deterioration can be total dislocation after dislocation of the hip joint, paralysis of the hind limbs, poor bowel movements, constipation, and extreme depression.)
Clinical signs
Ⅰ. Hindlimb lameness varies from visible postural abnormalities to non-weight-bearing lameness, which is more pronounced after exercise.
A. It is common for young dogs to show a "rabbit hop" posture, which develops simultaneously in both hindlimbs when running.
B. The dog is often in a ventral recumbent position with the hind limbs extended backward.
II. The joints are painful in full extension, and joint laxity is seen.
(Note: my dog after the onset of the disease is, five to ten years of age, gradually manifested, walking twisted buttocks, unwilling to move, like lying down, get up the action is not smooth enough, running looked uncoordinated, and after the right hind limb is obviously lame, to the animal hospital to take a X-ray diagnosed as hip dysplasia, and at the same time the forelimb elbow joints are also underdeveloped. Due to the long time lying on the ground, both elbows and the ground for a long time friction, resulting in bursitis in the elbow of the right forelimb, bulging a large bag, which is full of oozing liquid. Decreased exercise led to atrophy of the thigh muscles.)
Diagnosis
This is a matter for the doctor and must be confirmed by taking X-rays (dorsal abdominal and lateral).
Treatment
I. Non-surgical treatment.
A. Restriction of exercise.
B. Administration of non-steroidal anti-inflammatory drugs. Such as aspirin and chlorocarbazole propionic acid. (Note: My doctor prescribed cefadroxil for my dog)
C. Polysulfate glucosamine maltose and hyaluronic acid can be used as cartilage protectors in small animals. The effects of these complexes are still being observed in clinical trials. (Note: Sacha Arthritis was prescribed by a doctor. Also on the market are M&C's Arthrosan from the UK, NUTRI?VET's Hip&Joint from Canada, and Jamieson's Complexe de SULFATE DE from Canada, all of which fall into this category.)
D. Give pain medication. (Note: Drabirin prescribed by the doctor)
II. Surgical treatment
Depending on the circumstances*** There are triple pelvic osteotomy (TPO), femoral neck resection, total hip replacement (THR) and pubococcygeus or tendonectomy.
(Note: Foreign surgical techniques have matured, and many animal hospitals in developed countries in Europe and the United States can perform the surgery; veterinarians need to have a special license to perform the surgery. Because of the need for special equipment, and surgery is quite expensive and the success rate of surgery is not very high, can afford to spend the money of the owner of the rare so limit our research in this area, so China's veterinarians in this area of surgery is still in a state of exploration. If money is not a factor, there are two ways for domestic owners to have their dogs operated on: 1. Ship the dog abroad to have the surgery performed and have the dog cared for for a long period of time abroad, this method is only applicable to overseas Chinese. 2. Have the dog operated by the best pet surgeons in China with the help of a surgeon from a human surgeon and in a human surgical suite, this method can be carried out at the moment.)
Monitoring
Ⅰ. Medicated animals are evaluated monthly for pain relief and limb function. (Note: The doctor asked us to bring the dog to the animal hospital for review once a month, but this was not implemented because of the need for general anesthesia and the insubstantiality of each radiograph.)
II. Other care: (I summarized)
A. Strict weight control. To try to relieve the pressure of the body's own weight on the hip joint. Switch to Royal Joint prescription food Ms25.
B. Proper exercise. In order to enhance the support function of the leg muscles. Mainly lead walking, slow walks, reduce running and jumping.
C. Theoretically it is said that swimming is the best exercise. But it is impractical, need to dig a separate pool, and the body is not suitable for blow-drying after swimming wet. Making a pet wheelchair is a tireless endeavor.
D. Maintain joint flexibility and muscle support. To massage the joints and muscles mainly, whether you have time or not must insist on massaging the joints and leg muscles every day. In order to activate blood circulation and remove blood stasis, you can consider using physical therapy such as specific electromagnetic wave therapy (TDP) on the joints.
E. Reduce any damage to the hip joint. The most common and important is to avoid jumping from high places (beds, high platforms, in the trunk of the car, etc.)
F. In the case of mucus bursitis of the elbow, which does not need to be treated, do not use a syringe to draw out the fluid, which can easily lead to internal infection. What is needed is to relieve the coefficient of friction between the elbow and the ground. Methods are: 1. ground all laying soft floor (supermarket sold foam texture of the kind) 2. for pets with socks homemade a elbow guard and in and the ground in contact with the side of the pad on the sponge.
G. Take special care not to take calcium tablets. Medication containing glucosamine is required.
H. It is recommended to sterilize dogs with hip dysplasia. Breeding of dogs with this disease is prohibited abroad.
Finally, to summarize the treatment of the onset of my dog:
5-7 months of age Began to show a slight limp
9 months of age Animal Hospital diagnosis
Started to eat Royal Joint Food
Use of two bottles of Sasha Joint Spirit
Use of Cefadroxil for three days
And consider feeding until a year and a half to go abroad! Surgery was performed
Mucoceles in the right elbow at the age of 12 months
At the age of 14 months, the bag in the right elbow was significantly reduced and the auto-absorption was good
At the age of 15 months, he started to feed the Hip&Joint of Nutri?vet
Complexe de Sulphate de Jamieson
After four months the lameness was significantly reduced and walking was clearly noticed that the hind legs were stronger than before, indicating that the supportive therapy was working. Feeding of the prescribed food and the two medications mentioned above is now continued. In fact, there is no change in the lesions at the joints themselves, and the drugs just make the local pain relief, walking with strength, not so so lame as before.
Joint foods from all the major manufacturers contain small amounts of painkillers, glucosamine and chondroitin, and none of them are cheap.
Royal, Hills, and Yogurt's are the big brands.
With this disease, you don't want life, you want money, and all the drugs are more expensive and have to be taken for life. Please do not euthanize until you have to. The above is information from authoritative books and my personal experience, as well as the current state of medical care in the country.
You saw your dog in Shanghai. Korea should have something to offer in this area as well.
I don't know Korean, so I'll recommend a few English sites.
/xra/hd.html
/article.cfm?c=2+1569&aid=444
/articles/what-you-should-know-if-your-dog-has-hip-dysplasia. html
Thesis/2000/RMV151_829_834.pdf
This is hard for me. I can't read know Korean.
I think the best veterinarian in Korea would be Seoul University Veterinary Medicine.
They have a veterinary hospital, so give them a call.
The phone number I couldn't find out, only the official phone number of Seoul National University, 82-2-880-4447
You can check it out one level at a time. I can't help you with that, no way.
Responders: hellozhaohua