Limping Yorkies

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Limping Yorkies

This is a discussion on Limping Yorkies within the Dog Health forums, part of the Keeping and Caring for Dogs category; Hi, i want to help my friend doing some research regarding her dog, NANA, 1year 2 months old female yorkies, intact, weight 1,5kg (she is ...

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Old 10-26-2012, 02:56 AM
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Limping Yorkies

Hi, i want to help my friend doing some research regarding her dog, NANA, 1year 2 months old female yorkies, intact, weight 1,5kg (she is small).

My friend noticed Nana started limping around 1,5 months ago. At first she occasionally lift her back right leg, but as time goes she does not want to use that particular leg at all. She tried massaging and twisting it around to test for pain, but showed no signs of pain. If she pull and hold it for a long time, she will get irritated and pull the leg back, so its not paralyzed.

Nana fell down from the sofa to the floor once when she was 3 months old but nothing happen, just a yelp and off she went running and playing.

Nana have a history of incest. Siti x Budi = Owen (Sire), Iyem x Budi = Mimi(Dam), so she only got 1 grandfather. Mimi's 1st litter was only 2 pups and both died, 2nd litter is 4 pups and only 2 lives, one is Nana.

She took her to get X-ray, but the result is normal (bone is normal). Vet give Medrol Tab, Calcium, Dolo neurobion and Flamar.

Vet 1 (the breeder's vet) suggested massage and observation. Vet also said that Artemis Fresh Mix is not good and to use Royal Canin or Science Diet instead (but we assume its just business talking :P ) and that its not genetic problem and its just the nail is not clipped enough to cause her pain to use that leg. but please note, this is the breeder's vet and my friend does clip the nail regularly.

Vet 2 (her vet) says its genetic and it got something to do with her ligament.

I asked my vet, vet said if x-ray shows the bone is normal, then something must be wrong with the muscle. but if its muscle, its usually painful for the dog. Vet says she once help a senior vet operated a dog with abnormal muscle, but it only heal for 2 months, and the dog is back limping again, owner then refuse to do 2nd surgery and within 6 months, dog is paralyzed on all 4 legs. Since our Vet cannot see and meet Nana because we live far away and on different island. So my vet suggested to give Vit B 12 and Glucosamine, then take Nana for a swim to exercise the leg, then she can gently massage and moving the leg. She also suggest if possible to find a good surgeon vet or acupuncture vet to check the leg.

Does anyone have any knowledge or experience with what is happening to Nana?
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Old 10-26-2012, 04:17 AM
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The breeder's vet is covering the breeders ass because this is likely a genetic problem called a luxating patella.

Luxating patella

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So my vet suggested to give Vit B 12 and Glucosamine, then take Nana for a swim to exercise the leg, then she can gently massage and moving the leg. She also suggest if possible to find a good surgeon vet or acupuncture vet to check the leg.
I agree with this part of what Vet 2 is saying... except maybe the B12 part. I'd do the glucosamine and chondroitin and hte swimming. A luxating patella isn't always a surgical issue and most dogs live fine with it-- intermittently skipping when the patella is out of place. Based on what you're saying it sounds like the patella is completely out of the socket always (is she never using it anymore?) and therefore it IS a surgical issue.



I assume the dog is fine otherwise? Your friend should make sure the dog isn't having a back issue (but usually those are painful). Odds are based on the breed, size and what you were initially seeing, this is a luxating patella and IS genetic.
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Old 10-26-2012, 11:10 AM
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Avascular necrosis should be suspected in any Yorkie showing hind limb lameness. Just because the xrays appear normal (or normal to the vet at that moment), you should not rule out this disease. I do not know how much your friend wants to take care of this dog, and I do not know how your universities are set up in Indonesia, but I would recommend getting another radiograph and a second opinion at your veterinary college.
If you cannot look into this any further, Holly´s suggestion of a possible luxating patella (bad knee) is a good one. Surgical repair would be best, at this dogs age. If that is not a possibility the glucosamine/chondroitin would be fine.
Do you have access to a veterinary acupuncturist?
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Old 10-29-2012, 12:19 AM
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Originally Posted by Holly View Post
The breeder's vet is covering the breeders ass because this is likely a genetic problem called a luxating patella.

Luxating patella

I agree with this part of what Vet 2 is saying... except maybe the B12 part. I'd do the glucosamine and chondroitin and hte swimming. A luxating patella isn't always a surgical issue and most dogs live fine with it-- intermittently skipping when the patella is out of place. Based on what you're saying it sounds like the patella is completely out of the socket always (is she never using it anymore?) and therefore it IS a surgical issue.

I assume the dog is fine otherwise? Your friend should make sure the dog isn't having a back issue (but usually those are painful). Odds are based on the breed, size and what you were initially seeing, this is a luxating patella and IS genetic.
Thank you for the link. I have forwarded your reply to my friend and we will think of what possibilities that we can do for Nana.

Btw, what is wrong with the vit B12? is it not needed or not recommended? (I thought B12 is for nerves, is it right?)

Nana is currently at boarding since vet is 2hours drive from my friend's home and only open from 9am to 12am and 5pm to 9pm and she only have one car and is using it with her parent too.
Latest news from boarding is that Nana is getting slightly better since on those meds, and started to use her limp leg occasionally.

If its already out of the socket, is it possible for the patella to get back inside the socket without surgery? What we're afraid of is if we cannot do surgery, is it possible for the limpness to spread to other legs or cause other health problem (like the shih tzu story that went paralyzed after 6 months)? Since we do not think the vets here have ever encounter or treat luxating patella and we're worry that Nana will be an "experiment" to the vet >.<

Other than the limping, Nana is healthy and fine. She does not have any back problem yet (and hopefully will not have any *crossfingers*)
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Old 10-29-2012, 12:36 AM
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Originally Posted by DrMark1961 View Post
Avascular necrosis should be suspected in any Yorkie showing hind limb lameness. Just because the xrays appear normal (or normal to the vet at that moment), you should not rule out this disease. I do not know how much your friend wants to take care of this dog, and I do not know how your universities are set up in Indonesia, but I would recommend getting another radiograph and a second opinion at your veterinary college.
If you cannot look into this any further, Holly´s suggestion of a possible luxating patella (bad knee) is a good one. Surgical repair would be best, at this dogs age. If that is not a possibility the glucosamine/chondroitin would be fine.
Do you have access to a veterinary acupuncturist?
Hi DrMark1961, i have forwarded what you said to my friend. Thank you for your information. We will check on Avascular necrosis more

My friend loves Nana and Nana is my dog's BFF (which she adopted from me).
Well, honestly, I'm not too sure too about how veterinary universities are sets up here. My friend lives in a rural place at Tebing Tinggi which is 2hours drive from Medan city (where the closest vets is available). While i live at Bali (different islands and is very far apart >.<). She did mention that she's considering to send Nana to Jakarta-Java if Nana is not getting any better, which is 2hours flight.

There is no veterinary acupunturist at Medan. But i know one in my city, but even so she does not have a practice permit, but i know she healed a paralyzed dog caused by car accident. Problem is, Bali is a closed island due to rabies. I haven't check whether there is one on Jakarta/Java. How long do you think is needed for acupuncture treatment? because we have to consider boarding cost.

But even my vet here in Bali told me she never do surgery on this, and considering Bali got one of the best vet university in Indonesia, so i'm having doubts on veterinary capability and knowledge here *sigh*

But we'll think things through again while relying on glucosamine/chondroitin and swimming.

I'll update how it goes, hopefully she'll get better somehow.
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Old 10-29-2012, 09:15 AM
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Wow, I can really understand that it is not going to be easy. I live on an island several hundred kilometers from the nearest vet school so a good treatment for a problem like this would not be easy to find here. Holly´s suggestion on the glucosamine/chondroitin and swimming may be your only option. Here is a link to acupressure I wrote How to Use Acupressure to Help Your Dog . Acupressure is not as good as acupuncture but it is something that can be done at home. Tellington touch is another option but it is not as good as acupuncture. (There are books and charts that can be ordered from Amazon.com) I have no idea how long an acupuncturist would recommend for treatement, it is usually a long process though; since it is used to treat chronic problems like arthritis it is usually carried out over several months! Boarding would not be a good option.
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Old 10-30-2012, 06:12 AM
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Wow, I can really understand that it is not going to be easy. I live on an island several hundred kilometers from the nearest vet school so a good treatment for a problem like this would not be easy to find here. Holly´s suggestion on the glucosamine/chondroitin and swimming may be your only option. Here is a link to acupressure I wrote How to Use Acupressure to Help Your Dog . Acupressure is not as good as acupuncture but it is something that can be done at home. Tellington touch is another option but it is not as good as acupuncture. (There are books and charts that can be ordered from Amazon.com) I have no idea how long an acupuncturist would recommend for treatement, it is usually a long process though; since it is used to treat chronic problems like arthritis it is usually carried out over several months! Boarding would not be a good option.
I have forwarded what you said to my friend. Thank you for your input
I like the idea of acupressure, its like massage right? my vet showed it to me one day, i might have to ask her about it, at that time she just teach me to do it to check whether there is pain, but it looks similar to the video in youtube. we'll try to learn how to do it our selves

Its not even a week since Nana is at boarding house, and my dog, Emmy (the one adopter by my friend) seems to be kinda down *sigh* I bet Nana misses Emmy too at boarding >.<
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