To understand hip dysplasia we must hold a basic understanding of the hip joint. The hip joint forms the attachment of the back leg to the body. It is made up of the ball and the socket. Hip dysplasia is the inability of the hip joints to develop normally, gradually failing and leading to the disappearance of function of the hip joints and sometimes in its later stages, results in osteoarthritis.
Rob is in his mid seventies and has severe restriction of mobility through both hip joints. He reports bilateral hip pain with radiation down the lateral thighs to the knee, the right side being most affected. He reports left side hip replacement five years ago due to severe osteoarthritis in the joint. Unfortunately, he continues to experience pain even after the operation. The osteoarthritis in the right hip has continued to progress and the hip is now extremely painful.
I wonder if this has been considered?
Upon examination there is severe hip tightness with hardening of the muscle and connective tissue surrounding the hip joint involving the piriformis muscles bilaterally creating Piriformis Syndrome. Rob is deeply concerned about the pain and the progress of osteoarthritis on the right hand side and wants to prevent another hip replacement.
Some breeds are most likely to have the genetic tendency for hip dysplasia than other breeds. Large and giant breeds are most usually affected. Rarely, small breed dogs can likewise be affected, but are less inclined to show clinical signs. It is primarily a disease of purebreds although it can happen in mixed breeds, particularly if it’s a cross of two dogs that are prone to developing the disease. It can affect any gender of dogs.
Canine Hip Dysplasia can be defined by the symptoms which rely on the degree of joint inflammation, the degree of joint looseness or laxity, and the life of the disease. Hip dysplasia may or may not be bilateral; affecting both the right and/or left hip.
As dog tries to avoid weight on its hips, leading to extra job for the shoulder muscles and subsequent enlargement of shoulder muscles due to more weight being exerted on front legs.
The diagnosis of canine hip dysplasia is typically made by combining a complete physical examination, clinical signs of arthritis and pain, and radiographs (x-rays). The best person to diagnose the disease is your veterinarian.
Typical hip dysplasia isn’t curable with any classical methods but there exist a series of surgical and non-surgical options to help reduce a dog’s pain and to enhance its quality of life. Surgery is normally reserved for severe cases, as the effects of hip surgery can include pain and other debilitating symptoms that already are associated with the disorder.
Conservative, non-surgical medical management are also possible on an outpatient basis for mild cases of hip dysplasia. It may include physical therapy, water exercises, weight control, and dietary management. The treatment to adopt is contingent on the patient’s age, size and intended function, the existence and degree of arthritis, the severity of hip joint laxity, and the fiscal and other considerations of the owner.
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