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Old 05-04-2006, 12:14 PM   #1
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Default Leggs Perth

The vet is quite convinced Moe has Leggs Perth.....he wakes up from every nap not using one leg, if he has any "energetic" exercise he stops using that same leg......this is why I am looking for the legs out carry pouch, to lessen his load while walking the bigger dogs, anyways.....my question is....is there anything I can do from home to help with his limping, or to lessen the pain? The vet says he wouldn't even be considered for surgery until he reaches a year old, he is only 9 months old, so quite a ways to go.They gave him an injection to lessen the pain and such the first time it started really acting up, then sent me home with anti inflam pills , The shot cost £15 and the pills £10 for 10 tablets, this could get to be a VERY costly thing to keep at bay until he is old enough for surgery, and I am as far from rich as it gets, so I was wondering if there were things at home and over the counter that are SAFE for him to take that may do similar things...anti inflam and pain killing? I would obviously take him in to the vet if he became as lame as he was again, but when it's just minor limping after a nap and such..what can I do from home?
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Old 05-04-2006, 01:00 PM   #2
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This website might help you with some answers.

http://www.leggperthes.com/
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Old 05-04-2006, 04:49 PM   #3
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Default Legg Perthes

Our younger Yorkie was diagnosed with this in January at age 8 months. It took 19 days to get an appointment with the orthopedic surgeon. He confirmed the diagnosis and operated immediately. In the meantime he was on Rimadyl, 1/4 of a 25mg. tablet 2 times/day. This helped with the pain tremendously. We were advised that the longer we waited to operate the more painful it would become and the longer healing time might be. His initial symptoms were just as your dog, limping slightly after resting, but at first he seemed to be pain free. Then it became progressively worse as we waited for the appointment with the orthopedic surgeon. He is recovering well from the surgery and the surgeon said that in 6 months time we should never be aware that anything happened.

If you want more information, don't hesitate to pm me and I will be glad to tell you anything I may know.

Good luck and keep us up on what happens.

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Old 05-04-2006, 11:00 PM   #4
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Default waiting to operate

the reason our vet wants to wait is twofold, first of all with Moe having small problems in the breathing department, small sinus ect, they want to be sure he is old enough and strong enough to make the anestisia, also they say they have found some dogs at a year old begin to "heal" on thisr own and dont need the surgery....I personally just want him better. He doesn't "seem" to be in pain, but he is tough and may not be showing it, as Hubby accidentally stepped on his foot once and there was not a sound, he went on as if nothing had happened(Moe) so he seems to have a high tollerence level for pain, he never yelps or verbally speaks of pain...this in my mind does not mean he isnt in pain he just chooses not to vocalize it.
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Old 05-05-2006, 03:55 AM   #5
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Default Legg Perthes

Obviously, your vet understands your dog's physical condition and has his best interest in mind. I hope that the condition does resolve itself without the need for surgery. That is something you don't want to go through unless absolutely necessary.

Good luck in the next few months and please update us on the outcome.

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Old 05-05-2006, 05:16 AM   #6
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Quote:
Originally Posted by dezertblu
I personally just want him better. He doesn't "seem" to be in pain, but he is tough and may not be showing it, as Hubby accidentally stepped on his foot once and there was not a sound, he went on as if nothing had happened(Moe) so he seems to have a high tollerence level for pain, he never yelps or verbally speaks of pain...this in my mind does not mean he isnt in pain he just chooses not to vocalize it.
I agree with you - one of our rescue's came in and was a very sick little boy with kennel cough, coccidia and a few other things. It was nip and tuck with him at first. It took a week for us to realize that his left back leg was no longer in the socket because it had been kicked out by his abuser. He never once let on that this hurt. Once we got him over the worst and knew he would live then we started analyzing his leg. It was thought that maybe surgery was the way to go with the understanding that down the road he probably would have more issues due to the leg being a little shorter and arthritis would probably set in because of the surgery. Luckily for Tahti our vet continued to talk to surgeons and finally it was decided "First Do No Harm" and surgery was cancelled until he was older (he was only 3 months old) & until he stopped growing. Today Tahti is very active and can walk on the leg but when he runs he only runs with 3 legs. I continue to monitor the leg (I adopted Tahti) but it appears for now we have been able to delay/cancel any surgery. Many of these little ones have a very high tolerance to pain - it is amazing.

My friend who does rescue with me just finished going through this surgery for one of her own dogs. He is great now but it was not an easy process to keep him sedate as he is a Yorkie. Helen I know where you are coming from.

Best wishes as you go forward with your little one.
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Old 11-01-2007, 01:56 PM   #7
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Animal Smiley 019 Legg Perthes

Has anyone else heard of Legg Perthes resolving itself after a year. My pup is 11 months old and has been diagnosed. Vet wanted to do surgery right away. However, as time goes on she seems to be using her leg most of the time and only occasionally squeaks (she does that if she gets nervous, scared, or stressed so you can't always tell if something hurts her or if she's expressing her dislike).
I'm terrified of the surgery and have a hard time trusting vets who seem to run convenience offices. In other words, they see you when it is convenient rather than when there is a need. I can't even get hold of my vet half the time and have to drive 30 miles to a very expensive emergency clinic when the need arises.
There, I've vented and I feel much better. Anyway, I would appreciate your comments on the Perthes resolving at a year question.

Last edited by Vic602; 11-01-2007 at 01:59 PM. Reason: Placed in wrong spot
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Old 11-01-2007, 05:39 PM   #8
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see my post here http://www.yorkietalk.com/forums/sho...71&postcount=3
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Old 11-05-2007, 06:02 AM   #9
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Moe is now 2 and only shows signs of his problem when he has had an extremely active day , such as trips to the beach or very long outings.Durring normal day activity he is fine, no pain no limp nothing, cept sometimes when he stands on his hind end you can feel a slight "popping", if that makes sense...like when a joint "clicks".....this also happens if you try to manually get him to sit by pushing down on his hind end .
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Old 11-05-2007, 06:12 AM   #10
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LEGG-PERTHES (LEGG-CALVE-PERTHES DISEASE)
Legg-Perthe's disease is a degeneration of the hip joint occurring
in young dogs. It is also known as Legg-Calve-Perthe's Disease,
Perthe's disease, Calve-Perthe's disease, or in medical terminology,
avascular necrosis of the femoral head and neck. The former
names recognize the original researchers in the disease as it
occurs in humans.
.
Most of the time the clinical signs of this disease occur in 4 to
11 month old dogs and usually consist of lameness of one leg
only. Pain may be mild to very severe. Some dogs have mild
forms of this condition and do not require medical care.
In other
dogs, the condition cause sufficient pain and deformity of the hip
joint to require surgical intervention. Atrophy of the muscles of the
affected leg is not uncommon. If this is severe it can slow the
recovery period considerably and may make medical therapy less
likely to work.

Definitive diagnosis is made by X-rays. As changes to bone occur
slowly, X-rays taken early in the course of the disease may appear
normal. Repeating the X-rays in 3 to 4 weeks will reveal the bony
changes. A dog affected with LPD suffers a loss of blood supply to
an area of the femur (thigh bone) known as the neck. Because the
bone loses its blood supply, it dies. As a result of the loss of bone
tissue, the neck of the femur collapses. The neck attaches the head
of the femur to the body of the femur. When the neck collapses, the
head of the femur is moved, and may also become deformed. These
changes are readily apparent in X-rays. The head of the femur is
the "ball" which sits in the "socket" on the pelvis, making up the
hip joint. Therefore, changes to the head result in disruption of
function of the hip joint which causes the pain and lameness.The
term "avascular necrosis" means death of tissue due to lack of
blood supply. In most dogs, only one hip is affected, and males
and females are equally affected.

Treatment of this condition varies according to the severity of
the signs seen. In mild cases, enforced rest may be sufficient to
allow healing of the damaged areas to occur.
In some cases,
immobilization of the affected limb using an Ehmer sling may
be beneficial to recovery. Many dogs have advanced cases of
this disease by the time they are examined by a veterinarian and
medical treatment is not likely to work. In these dogs, excision
of the femoral head (ball portion of the hip joint) is often
beneficial. Removal of this section of the bone diminishes painful
bony contact in the hip joint. Recovery from this surgery can
be slow with recovery periods of up to one year sometimes
occurring before good use of the affected leg returns. If muscle
atrophy is not present at the time of surgery the recovery time is
usually much less. Pain relief and anti-inflammatory medications
may be beneficial.
.
There is a stronger tendency to treat this as a medical condition
prior to surgery right now. A general rule of thumb is to allow
non-surgical therapy a month to show a beneficial response. If
one is not seen, surgical repair should be considered more carefully.
.
Treatment of LPD usually consists of surgery to remove the
damaged femoral head and neck (femoral head ostectomy).
Mildly affected animals may recover soundness with only cage
rest. Affected animals will probably always have some gait
abnormalities, but make satisfactory pets after recovering
from surgery.
.
Prevention of the disease is only possible through genetic means.
Affected animals should not be bred. Breeding stock should
have their hips X-rayed to insure that they are not affected
with mild LPD, the symptoms of which went unnoticed during
the dog's adolescence. Extreme caution should be used when
considering breeding animals that have produced LPD, or
have LPD affected littermates.
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