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-   -   Luxating Patella Surgery - Do Both Knees At The Same Time? Or One? (https://www.yorkietalk.com/forums/yorkie-health-diet/165003-luxating-patella-surgery-do-both-knees-same-time-one.html)

Gew 04-30-2017 02:05 PM
The PT is setting up a program for Max. The surgeon told me to take him at the stitch removal. The PT said she wouldn't work on the rear legs until 4-6 weeks and when Max is relatively pain free. She will teach us general massage and use the magnetic mat and the laser. Of course, she taught us general massage when she worked with Icy. Our appointment is at 3:00 pm. I can get to the surgical staff and possibly the doctor at 8:00 am tomorrow morning before the appointment.

I just posted under the general group. We had a hawk visitation this afternoon. All are okay, but......

Thanks for your input. I thought maybe the level of pain was due to it being double.

Gew

Lolasmom1211 04-30-2017 02:15 PM
I hope that's all it is! Please keep us updated - and know that our concerns, opinions and suggestions are being offered because we care. I've found priceless advice from this board, sometimes even better advice than I've received from my vet! There are a few people on here that have had so much experience with these little Yorkies, I think they could teach the vets a few things - I personally think Ladyjane happens to be one! Good luck to you and Max tomorrow - I hope you see major improvements in the next few days!

Gew 04-30-2017 02:26 PM
Thanks so much for your good wishes. I will get to the surgeon tomorrow. If he can see Max tomorrow, I take him right over.

Gew

Lovetodream88 04-30-2017 05:54 PM
Quote:
Originally Posted by Gew (Post 4719449)
I appreciate your input. I can't imagine going through this four times! Honestly, I don't know what to do about anything. Yesterday, I bought still another playpen. I move him from one to another in hopes he will be less bored. I brought him into the library where I can keep him within an eight foot area and sat on the floor with him. He just sat and wouldn't come or move. I got a lead and he immediately got up and walked with me so I removed some of the barricades I had put up to limit his space and we walked into the living room and the center hall. He then sat, so I picked him up. He slept very well in his soft expen after that.

Tomorrow is the evaluation with the PT. I really want her opinion as to how he is doing and hear her plan. I will let you know, but in the past it has been very expensive. Not sure I can manage it all. However I really believe the magnetic, laser and water therapy help my Icy when she tore her CCL.

Thanks again. You seem very kind.

Gew
Remember the PT person isn't a vet and didn't go to vet school. So haveing the surgeon check might be better. I have done this three times and the last one Callie was 8 so she wasn't young and after the first two weeks there really shouldn't be yelp worthy pain.

ladyjane 04-30-2017 08:29 PM
I have had more of these surgeries than I can count off hand. I would have to go back and look through records.

All of this is mind boggling to me. It started that way and is continuing to be that way. I strongly encourage you to see the surgeon before doing anything, including massage. I have to be honest, I have never massaged a leg on a pup after surgery. The only ones who went to PT were for other issues such as muscle contractures. They all got up and walked after the surgery so there was no reason for PT.....and some had both legs done.

I wish you and Max the best. He is a senior and I am quite sure he is very very stressed right now...he hardly knows you and is going through all of this. I don't know what rescue you got him from, but I sure wish they had taken care of his needs prior to adoption so that he could settle in his new home and simply be loved. Most specific breed rescues do not adopt pups out until their medical needs are taken care of. I don't mean to sound harsh as it is clear to me that you love him......it just seems so much for this poor little guy.

Gew 05-01-2017 01:13 AM
Believe me. I so wish it wasn't this way either. Our Spenser who we adopted in December was from a yorkie rescue. Within two weeks he had bladder surgery. U of Minnesota found them to be calcium oxilate. Spenser did very well. He is ten. Only residual results are a special diet. Max came from a small all breed rescue. They did vet him and had a dental resulting in 12 extractions, his being Lyme positive, but meds left up to adoptor. Our vet did further Lymes testing and found his score was 72 when it should be only 30, so he has been on doxycycline. By the day after the visit, Max was yelling, then sitting and licking his left leg. This happened five times in one afternoon. Back to regular vet. She said he had a 2 and 3 luxating patella. While she examined him when she checked his leg the now familiar yelp occurred. She got the surgeon. He said it was more likely a 4. He said he would like to help, but felt I should take him to an orthopedic specialist and recommended two, both of which we saw. Each said Max needed surgery.

I will update after today's chapter.

Gew

pstinard 05-01-2017 07:09 AM
Quote:
Originally Posted by Gew (Post 4719800)
Believe me. I so wish it wasn't this way either. Our Spenser who we adopted in December was from a yorkie rescue. Within two weeks he had bladder surgery. U of Minnesota found them to be calcium oxilate. Spenser did very well. He is ten. Only residual results are a special diet. Max came from a small all breed rescue. They did vet him and had a dental resulting in 12 extractions, his being Lyme positive, but meds left up to adoptor. Our vet did further Lymes testing and found his score was 72 when it should be only 30, so he has been on doxycycline. By the day after the visit, Max was yelling, then sitting and licking his left leg. This happened five times in one afternoon. Back to regular vet. She said he had a 2 and 3 luxating patella. While she examined him when she checked his leg the now familiar yelp occurred. She got the surgeon. He said it was more likely a 4. He said he would like to help, but felt I should take him to an orthopedic specialist and recommended two, both of which we saw. Each said Max needed surgery.

I will update after today's chapter.

Gew
Thanks for keeping us updated! I trust your surgeon's advice. Although Bella didn't need physical therapy from a specialist, we did adapt a few techniques such as passive range-of-motion exercises and Figure 8 walking to encourage equal use of the legs. (It may be too early for Max to be trying these kinds of things, so you're doing the right thing to consult with the surgeon.) The only abnormal thing you've reported so far is the occasional yelps of pain. We'll be eagerly waiting to see what the surgeon says. Best wishes for Max!

Gew 05-01-2017 02:49 PM
Well, apparently Max sprained his left hip flexor. The knees look fine, He suggested giving him Rimadyl twice a day for four days, then one for four days. He is to continue with crate limitations and I am to bring him back in three weeks.

He said to take him to PT. However, it is to be limited to his hips. Laser and magnetic therapy can be used, but not water.

Poor Max is exhausted and sleeping in his suite ( 30 inch circular soft playpen).

Gew

Lolasmom1211 05-01-2017 05:42 PM
Poor baby. I think I would leave him on strict crate (or playpen) rest, except to go to the bathroom, for the next few weeks. He may lose some muscle mass in those back legs, but he can easily regain that once his surgery and sprain heal. I think what this little guy needs most is to feel safe and comfortable for the next few weeks and to decompress from all that has happened to him. I know you love him and want to do what is best, and he'll realize that also, when he has a chance to just breathe and relax. Thoughts, prayers and good wishes coming from all of us!

ladyjane 05-02-2017 04:20 AM
Max has been on crate rest.....how in the world could he sprain a hip flexor?? This is not an easy thing to do....it would take some extreme physical activity. I cannot help but wonder if he had this prior to surgery...............
I might be thinking second opinion right now. You said you had gotten second opinion prior to surgery...maybe reach out to Red Bank?

pstinard 05-02-2017 06:05 AM
Quote:
Originally Posted by ladyjane (Post 4720003)
Max has been on crate rest.....how in the world could he sprain a hip flexor?? This is not an easy thing to do....it would take some extreme physical activity. I cannot help but wonder if he had this prior to surgery...............
I might be thinking second opinion right now. You said you had gotten second opinion prior to surgery...maybe reach out to Red Bank?
Since the yelping preceded the surgery, I agree with you. This sounds like something that preceded the surgery. I can't help but think that the Lyme Disease has something to do with it. Lyme symptoms usually go away within a few days following the start of treatment, but in more persistent cases, they can linger. I trust that the vet and the surgeon did an appropriate differential diagnosis and thoroughly considered whether Lyme Disease is a factor. If there are any doubts, there is nothing wrong with getting a second opinion. Whatever is causing the acute pain, prayers for Max on his continued recovery.

Gew 05-02-2017 07:57 AM
Max has completed his doxycycline meds. Should I have him retested?

Gew

pstinard 05-02-2017 08:11 AM
Quote:
Originally Posted by Gew (Post 4720031)
Max has completed his doxycycline meds. Should I have him retested?

Gew
The problem with Lyme Disease is that antibiotic treatment is not 100% effective in all cases, and in rare cases it either is not completely cured, or there are chronic after-effects even if it is cured. It's worth asking your vet about. IF the leg pain was originally due to Lyme Disease, it should have gone away within the first week of treatment, so his leg pain being caused by Lyme Disease is just a possibility at this point, but one worth investigating.

If the leg pain is due to a hip sprain, how long did the vet say it would be before the pain is supposed to go away?

Lovetodream88 05-02-2017 09:45 AM
Quote:
Originally Posted by ladyjane (Post 4720003)
Max has been on crate rest.....how in the world could he sprain a hip flexor?? This is not an easy thing to do....it would take some extreme physical activity. I cannot help but wonder if he had this prior to surgery...............
I might be thinking second opinion right now. You said you had gotten second opinion prior to surgery...maybe reach out to Red Bank?
I agree 100%

Lovetodream88 05-02-2017 12:46 PM
Quote:
Originally Posted by Gew (Post 4719958)
Well, apparently Max sprained his left hip flexor. The knees look fine, He suggested giving him Rimadyl twice a day for four days, then one for four days. He is to continue with crate limitations and I am to bring him back in three weeks.

He said to take him to PT. However, it is to be limited to his hips. Laser and magnetic therapy can be used, but not water.

Poor Max is exhausted and sleeping in his suite ( 30 inch circular soft playpen).

Gew
I have been really concerned and trying to think about this all day. If he was on crate rest like he is supposed to be after his surgery he should not have sprained his hip and if the surgeon checked him out as well as he should have before the surgery it should have been found then if it was their before the surgery. Something just is not seeming right to me. I think I would get a second opinion ASAP. It just is adding up first a surgeon that would do a surgery on a dog with an infection (Lyme), then puts on the papers for you to sign that it might have to be redone, then he is still in pain enough to cry out after 3 weeks, and then its discovered he has a sprained hip. That's just not seeming to add up.


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