UKC Forums - Arthritis -How do I treat it?

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Posted by timber hunter on 01-29-2017 06:28 PM:

Arthritis -How do I treat it?

Just wondering if you all could help me to treat my dog who has arthritis, he's start to get down in the back end some days.

Thanks John

Posted by Larry D Walker on 01-29-2017 09:29 PM:

Remedyl

Remedyl will help a lot...I like the 75's for my dog

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Posted by ahallada on 01-30-2017 09:01 AM:

Re: Arthritis -How do I treat it?

quote:
Originally posted by timber hunter
Just wondering if you all could help me to treat my dog who has arthritis, he's start to get down in the back end some days.

Thanks John

Hey John,
There is a new product coming out in a few months that will be much safer for the kidneys and liver and intestines. It's a newer class of NSAIDS that targets specific receptors in the joint to reduce pain of inflammation. Should be here in the next month or so.

Here is a link: https://www.elanco.com/news/press-r...laboration.aspx

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Posted by Richard Lambert on 01-30-2017 02:42 PM:

Rimadyl is a pain reliever that will stop the pain. NSAIDS are antiinflamatory medicines that will reduce the inflamation that causes the pain. Steroids are the best but have the most side effects. You have to take into account the type and severity of the arthritis and decide how aggresive and long term you want to be with treatment. Do you want to give him something every day or do you just want to get him through a weekend of hunting?

Posted by timber hunter on 01-30-2017 06:01 PM:

Can

a change in diet help as well?

My old dog is in pretty bad shape right now, I knew he was is some discomfort 4 months ago, but only acted like it was bothering him after hunting. Recently I noticed that it was getting worse and right now he is having a hard time getting up. I had him out hunting last week one night and he didn't act very sore. He is down, but I can get him up and going and take him for walks.

Thanks for all the advice, John

Posted by ahallada on 01-30-2017 06:20 PM:

quote:
Originally posted by Richard Lambert
Rimadyl is a pain reliever that will stop the pain. NSAIDS are antiinflamatory medicines that will reduce the inflamation that causes the pain. Steroids are the best but have the most side effects. You have to take into account the type and severity of the arthritis and decide how aggresive and long term you want to be with treatment. Do you want to give him something every day or do you just want to get him through a weekend of hunting?

Rimadyl is a NSAID. It was one of the earlier NSAIDS to market so it's not as selective as the newer NSAIDS for Cox-2 receptors. It still works good in many patients though. It has both anti inflammatory and pain effects as do all the NSAIDS on the market now.

Corticosteroids are not that effective in treating arthritis in dogs unless given in the affected joint. They have no direct pain relief action and only work to reduce inflammation. They have too many negative effects on the body to be used long term.

I recommend using multi modal therapy when treating osteoarthritis (OA) in dogs. A combination of an NSAID and narcotic type pain medication seems to work the best. Tramadol is commonly used along with a NSAID like Rimadyl , Previcox, Deramaxx, Metacam, or Onsior to get better control of both the inflammation and pain. Gabapentin works well in many patients as well in combination with the above. Adding 3 or more medications helps to create a synergistic effect for treating OA. Glucosamine/MSM probably isn't going to help much in this stage, but it's not going to hurt.

There are some good veterinarians out there that work specifically with osteoarthritis and pain in dogs. I'd recommend finding someone in your area that is good with that and ask them about what I've written above about multimodal pain control. If they've never heard of it then move on to someone who has.

L-S disease is common in large breed dogs. That is where the lumbar vertebrae meets the sacrum and it is a common place for OA to develop. These dogs can be resistant to medical therapy and respond sometimes to other modes such as cold laser therapy, swim therapy, accupuncture, etc.. An epidural injection of a steroid combined with a narcotic sometimes makes a big difference in these cases as well.

Swim therapy and underwater treadmills work miracles on some of these dogs as does acupuncture where it is available.

Doc

Posted by Richard Lambert on 01-30-2017 06:27 PM:

That is why you are the Doc. What about Naprosyn?

Posted by ahallada on 01-30-2017 06:42 PM:

quote:
Originally posted by Richard Lambert
That is why you are the Doc. What about Naprosyn?

I avoid human NSAIDS in dogs just because of the GI ulceration and perforation potential being so high with these drugs in dogs. Many of these human NSAIDS are metabolized different in dogs and are toxic to the liver and kidneys.

I'd start him on a combination of Tramadol and Deramaxx right now. Work on his weight if he is overweight with moderate activity and weight loss diets like Hills Metabolic/Mobility, Purina Pro Plan OM, or Royal Canin Calorie Control. The Metabolic Mobility diet has worked well. I also wonder sometimes about using Pro Plan 30/20 Salmon on these dogs because of the added Glucosamine, Chondroitin, high Omega -3 from Salmon, and it creates a more lean muscular dog. Even though it is a higher energy diet, it still creates a muscular dog which would help support the joints in AO.

Doc

Posted by oklared on 02-04-2017 12:46 AM:

TRAMADOL WORKS VERY WELL ON MY BACK TOO.

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Posted by ahallada on 02-04-2017 06:17 AM:

Galliprant is supposed to hit the market next week. This will be a life changer for long term osteoarthritis therapy in dogs.

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