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Roxy's Hip Dysplasia Thread (Round Two! - First Consult with New Surgeon)
  • RyuRyu
    Posts: 1623
    Hello everyone!

    I haven't been posting much about Roxy because we've been going through a roller coaster of emotions lately. I wanted to wait until I could "objectively" talk about her surgery and recovery without completely breaking down.

    A couple of months ago, when Roxy was around 7 months old, we noticed a slight popping noise whenever she would get up from a lying down position. We knew that she probably had a higher risk of LP and joint pain, given her bad breeding background (she is a puppy mill rescue) so we start supplementing her diet with Glucosamine tablets early.

    A month ago, we noticed that she would hesitate to use her back legs when getting up. After watching her try to pull her entire body up using only her front legs, we decided to get some x-rays done. On April 29th, she was diagnosed with severe hip dysplasia in both hips as well as bad knees.

    Here is a video of her lack of mobility (watch for the last 2 seconds):


    We got a few options from the vet and after numerous discussions among ourselves, the vet, the surgeon, and the orthopedic specialist, we all agreed to do a "FHO" surgery (Femoral Head and Neck Excision). Basically, to remove the part of the femoral head that is rubbing against her pelvic bone. Once the grinding motion is eliminated, her body will form a false joint and she will be near 100% mobility. Since both of her hips are in terrible shape, this will be a long ordeal. We can only operate on one hip at a time and wait for that hip to fully recover before moving on to the next. And then we have to take care of her knees.

    Today, Roxy went in for the first surgery (FHO on her right hip). The surgery went smoothly and she's back home, knocked out from her pain meds.

    Here she is, confined to her ex-pen to keep Ryu from pestering her:
    image
    From Roxy HD

    image
    From Roxy HD


    We have instructions from the vet to keep her inactive tonight but starting tomorrow, she will need to start using her right leg. The faster she touches it to the ground and uses it, the faster she will recover. So far, she has gotten up once and touched her paw a few times but she's still very sedated. She's such a brave little girl.

    We are SO relieved that the surgery went perfectly and that she is expected to make a quick recovery. I'm also extremely pleased that so many forum folks are being proactive about checking for HD, as it is now showing up in Shibas more often. Though I hate that Roxy is having to go through this, I'm glad that she is now recovering in her forever home, and not stuck in the puppy mill cycle with so much pain.

    I'll update this thread as we go through recovery - it's going to be a long road but we are looking at the rainbow at the end of the journey :)
    Post edited by sunyata at 2012-08-09 10:27:38
  • KFontaine04KFontaine04
    Posts: 1872
    Pam, it is awesome that Roxy is home and recovering. It breaks my heart and brings me to tears to see her like this, even though I know it's the best thing for her! I know she will be brave and recover quickly! Great work with all the research!

    Much love to you!
  • tobyshibatobyshiba
    Posts: 1121
    Aww, poor Roxy. :(
    Its a good thing you caught it just in time. She must've really been in a lot of pain.

    Hoping for a speedy recovery for her.
  • BradA1878BradA1878
    Posts: 2240
    She looks great! That is a tiny little incision. I'm glad she is home and on her way to recovery!
  • BradA1878BradA1878
    Posts: 2240
    giver her some love from all of us over here. Hugs to you guys too. :o)
  • Best Wishes on the recovery Pam. She couldn't be in better hands. Much love to Roxy.
    - Jessika
  • We're glad to hear that Roxy is back home. I hope she has a speedy recovery and wish you guys alot of luck.
  • KaddyKaddy
    Posts: 1248
    Awww poor thing!!! Hopefully she'll be quick to recover :o)
  • okironokiron
    Posts: 735
    Oh man, poor Roxy. Recover fast little girl :)

    How are you doing Pam?
  • cmmookiecmmookie
    Posts: 519
    Just wanted to leave some love for Miss Roxy. Get better soon!
  • lindsaytlindsayt
    Posts: 4784
    Poor Roxy, so sad for her :( We are all wishing her an uneventful recovery. So glad she has such a great forever home."Common sense isn't so common"
  • SangmortSangmort
    Posts: 1361
    Poor Roxy girl. Glad she has such a wonderful mum & dad to care for her!


    To a speedy recovery! ~
  • ShikokuSpiritShikokuSpirit
    Posts: 1426
    Oh thank goodness the surgery went well. I'm super glad that she's gonna be alright.
    She's still young, so she should recover at a quick rate.

    Thanks for the update! Hugs and kisses for Miss Roxy.
    - Corina A. Gonzalez | Lynxiene (Belgian Malinois), Shoushuu, Kotomi & Shuran (Shikoku Ken). | Along with a Clan of cats!
    Post edited by ShikokuSpirit at 2009-05-23 05:19:56
  • CrimsonO2CrimsonO2
    Posts: 1165
    While my visceral reaction is to feel sorry for Roxy, I must always keep in mind that she is more fortunate that she has found a family that is willing to give her the medical attention necessary for her to live a fulfilling life. It could've been worse, you could've noticed her HD past the age for which surgery would actually be viable for her.

    So, to that end, I celebrate Roxy in finding a loving home from both you and Tim, and I will continue to keep positive thoughts for her throughout her recovery period. Frankly I'm amazed that your vet recommends she use her leg as fast as possible. Dogs must have remarkable healing to be able to put pressure on a leg 24 hours after a surgery.

    Jesse
  • LeonbergerLeonberger
    Posts: 3580
    She looks pretty knocked out.
    Wishing her a smooth, speedy recovery.
  • CaliaCalia
    Posts: 3664
    Many thoughts for a speedy recover
    image
  • RyuRyu
    Posts: 1623
    Thanks for all the kind, encouraging words everyone!

    Brad: I thought the incision would be much wider and much longer. I'm glad they used as small of an incision as possible. Also, she hasn't paid much attention to it either so hopefully we won't need an e-collar (she didn't need one at all during her spay recovery)

    Rina: I'm alright. I cried a little last night when she couldn't get comfortable and would whine unless I lied down next to her in her ex-pen. Apparently, she slept most of the night though and only whined a little. I keep reminding myself that she'll be so happy next year when all this is behind her.

    Update:

    Roxy is amazing. Simply amazing. This morning, Ryu started barking at 6 am. Which is not his usual style so we go in to let them out. Sure enough, Roxy has chewed her way out of the ex-pen (LOL) and is walking around the room (Ryu is in his crate). Much to our surprise and delight, Roxy resumes her normal morning greeting - flat ears, dances in circles and tries to find the nearest toy (today, it was a tennis ball). We laughed and laughed as she seemed to be as "Roxy" as she could be. We took her outside to see if she would potty (no dice) and let her roam around.

    Here is a pic and video:
    image
    From Roxy HD


    Walking around!


    When we got back inside, she whined a little because she couldn't jump on her favorite chair but is now sleeping soundly next to it :)

    Ryu is not happy that his playmate is out of commission. Here he is, whining that he's on the OTHER side of the gate:
    image
    From Roxy HD
    Post edited by Ryu at 2009-05-23 11:35:35
  • brandon_wbrandon_w
    Posts: 3433
    Ryu has serious cyborg eye in that picture.

    Roxy is looking great. Good to hear that the surgery went so well. Can't wait to meet her next month and throw her some treats from across the room since she probably wont want to be by the big scary stranger.
  • TheWalrusTheWalrus
    Posts: 101
    Pam, it looks like she's doing surprisingly well. Fingers crossed for a continued excellent recovery.

    I know it must be hard on you and TIm to be going through this. Haru and I send a big hug from Japan for you all.
  • ljowen123ljowen123
    Posts: 3105
    Sorry to be late posting - I'm glad she did so well in the surgery and that she's got an excellent prognosis - many hugs from the Owen clan.
    LJ - owned by Queen Jazz, a Shiba Inu, Atlanta, GA
    CSC_0144
  • tsukitsunetsukitsune
    Posts: 6468
    She looks fantastic for just having surgery! I'm so glad it all went well! We were praying for her. GO ROXY! She's one lucky gal.
  • SayaSaya
    Posts: 6675
    She looks good for having surgery from the looks of it Roxy looks like she's doing great I'm sure she will heal well and Ryu will have his buddy to play with soon also great picture of Ryu he looks scary with those shining eyes. =)

    Me, my mom, and Bella sends best of wishes to Roxy and your family I look forward to see how she does.
    Nicole, 5year old Bella(Boxer), and 4year old Saya(Shiba inu)
  • RomiRomi
    Posts: 2722
    Pam! I'm so happy the surgery went well! She looks like she's coping well with the recovery! Sending you guys good vibes for a speedy recovery!
  • KFontaine04KFontaine04
    Posts: 1872
    Pam Im really glad that Roxy is getting back to herself and healing. Best of luck to all of you for a speedy recovery!
  • we're sorry we didn't get to meet you at the meetup, but we're glad Roxy is doing so good. It's great that she's getting active, hopefully it'll speed up her recovery.
  • RyuRyu
    Posts: 1623
    Thanks everyone!!

    Roxy is a little less active today and her appetite is pretty much non-existent. It was a rainy day today so she spent most of the time in her crate. I also noticed that when she would walk today, she used her right leg far less than yesterday. We think she's just an extra sore and stiff today and will see how she does tomorrow. So far, we still have high hopes :)

    Brandon: I am SO excited for you to visit in June - Ryu will absolutely trample you but he does with love, I promise! Roxy will probably be a little wary but she's been doing VERY well with strangers lately :)
  • JessicaRabbitJessicaRabbit
    Posts: 2217
    Piglet was the same way after her knee surgery. The good painkillers are probably wearing off a bit. I am sure she will do great.
  • tjbart17tjbart17
    Posts: 437
    Roxy is lucky to have you and Tim. What you are doing for her is amazing.
  • sunyatasunyata
    Posts: 8294
    Wow, I am sooooo late on this.

    But good luck to Miss Roxy on a speedy and full recovery. She looks like she is doing well. And she is in such great hands.
    Bella 2Mountains 2Nola 2
    Casey, with Bella and Nola, hanging out in the mountains of Virginia.
    I Wander, I Ride
  • I heard about Roxy at the meet in PA. I'm so sorry for what you guys are going through but I'm glad that Roxy sounds like she's on the right track and hope to meet her one day!!!!!
  • BradA1878BradA1878
    Posts: 2240
    Ahi had good days and bad days pot-surgery. I think it has a lot to do with how much they use their leg the day before... It's like working out, you do well today and tomorrow you will hurt, but the next day you will be even stronger.

    Give her some love for us.

    ----
  • RyuRyu
    Posts: 1623
    Jess - thanks for the encouragement - I was a little concerned yesterday but this morning, she was back to using her leg some more. Granted, she's passed out in her crate right now (since we noticed her hip was bothering her back in Feb, she has been spending every spare moment in her crate. She wholeheartedly views it as her safe place from the crazy Ryu.) but she was pretty active this morning. She even invited Ryu to play a few times.

    Brad - that makes a lot of sense. I think it must have a lot to do with how active she was right after the surgery. I'm just uber-paranoid about her injuring herself and then being set-back in the recovery sense. Tim tells me I need to relax LOL

    Thanks Casey and Jonathan! I would have made the trek (18 hrs!) over to the PA meetup if we weren't on recovery watch. I was planning to ambush it like LJ with my two crazy ones before we scheduled Roxy's surgery. Maybe next time!
  • I'm super late, but Roxy looks fantastic. I'll third what Jessica and Brad have said about ups and downs post-surgery. There will be a lot of them. But, over time, you'll notice the ups keep getting higher and downs don't get as low as they did before and before you know it, Roxy will be back to her crazy self again.

    Did your surgeon recommend any rehab? I honestly believe it did wonders for Lucy. She was supposed to have "bad days" for up to six months post-surgery, but after her 9th week she didn't show *ANY* signs of ever having had an issue in that leg.

    Sending more good vibes and well wishes to Roxy and to your all.
  • sunyatasunyata
    Posts: 8294
    Glad that Roxy is doing well. Hopefully she gets a little stronger every day.

    How is Ryu handling everything?
    Bella 2Mountains 2Nola 2
    Casey, with Bella and Nola, hanging out in the mountains of Virginia.
    I Wander, I Ride
  • RyuRyu
    Posts: 1623
    Dave: I read about some post-FHO physical therapy techniques on the web but our vet didn't go into detail about any rehab. Just to make sure she uses the leg as much as possible (walking/running). I would love some demonstrations on how to do rehab on her leg.

    Casey: Ryu is being EXTREMELY gentle with her. We wanted to keep them separated for at least 5 days but by the second day, Roxy was pawing at the gate between her and Ryu. We let them in the same room together as long as we're with them and Ryu keeps his distance. Every now and again, he'll groom her (his favorite activity) and Roxy has started to invite play. Since she can't play with him on the same level that he is used to, I'm going to start taking him back to daycare to get some of that pent-up energy out! :)
  • jakkiharejakkihare
    Posts: 74
    poor little soul...cant beleive this, not the best start in life but im sure she wil be on the mend and on top form soon...:)least you cought it when you did !
  • cmmookiecmmookie
    Posts: 519
    So glad that Ryu is being a great big brother. Keep getting better Roxy!!
  • StaticNfuzzStaticNfuzz
    Posts: 1814
    That is a good idea to get Ryu to some play time...

    I am so glad the first surgery went so well for Roxi. You might want to consider some water therapy for her if there is a center near you. Hydro does wonders for getting all in order quicker.

    Since she is young it is all in her favor. Did the vet say if her improved hips would help ease the knees. Sometimes depending on the grade you can strengthen the muscles so the knees stay in line a bit better and you don't always have to go the surgery route.
    Down the road I would think about that option depending on her progression. Stretching and strength training is really helpful as a first option once the hips are in good shape.

    Sending good wishes Roxis way.
    Snf
  • RyuRyu
    Posts: 1623
    Patrice: I just e-mailed a Canine Rehabilitation Center that is about an hour and a half away from me. They offer hydro-therapy in addition to their other services. I'm just waiting to get a reply.

    In regards to her knees, I'm hopeful that when her hips are fixed, her knees won't be bothering her as badly. Our vet is convinced that her knee pain will be a piece of cake compared to what she has been dealing with. If we can lessen her pain by strengthening her muscles, we are all for it. We just want her to be as pain-free as possible.

    We've been doing some small stretches to help work the muscles around her surgery site. She has been very compliant so far. With painkillers of course :)
  • RyuRyu
    Posts: 1623
    Today has been a good day so far. Roxy is starting to get her appetite back - she ate all of her dinner yesterday and half of her breakfast this morning. We have to make sure that she eats something in the morning so we can give her the pain pill. It's so funny to see the change in her energy after the pain pill takes effect. One minute she's napping in our room and the next, she comes bounding into my office looking for kisses.

    Her incision site is looking FABULOUS!! I'm so proud of her for not licking the area and letting it heal. As you can see, most of the iodine has been cleaned off (compliments of Ryu):
    image
    From Roxy HD


    Here are some videos that I took a few minutes ago:

    Going down the stairs:


    Trying to decide between being happy for lovin' or being snarky at Ryu being too close:


    Coming up the stairs!
  • KFontaine04KFontaine04
    Posts: 1872
    Wow Pam she looks AWESOME! That is so great that she is healing so well! Keep up the great work!
  • sunyatasunyata
    Posts: 8294
    Wow! It definitely looks like she is in good spirits. And I am so proud of her for keeping her incision site clean and un-bothered. :)

    Keep up the great work, all of you!
    Bella 2Mountains 2Nola 2
    Casey, with Bella and Nola, hanging out in the mountains of Virginia.
    I Wander, I Ride
  • Hang in there guys you're doing a great job. It's really cool to see her being mobile and going up and down stairs.
  • RyuRyu
    Posts: 1623
    Thanks guys! I'm trying to learn the balance between allowing her to use the muscles and restricting her from overusing them. Which is extremely difficult with a 10 month old puppy inside just bursting with energy!

    Some background about the video below: I have restricted Roxy to the backyard since her surgery. Today was our first "walk" and she was shaking with excitement. To make matters worse, as soon as we stepped out the front door, two cats ran across our yard in separate directions so Ryu went absolutely BUCK WILD. This sets Roxy off and she does her adorably cute cough/bark. Then she proceeds to run around, not knowing what to do with herself LOL



    And a cute cuddle pic of my princess and me :) I have been dying to hold her like this but was too scared to hurt her. I think she was OK because she almost fell asleep on me LOL
    image
    From Roxy HD
  • She looks great Pam!!!!

    I'm glad you contacted the rehab center. That is what I was referring to when I asked if the surgeon had recommended rehab. Lucy did hydro-therapy post surgery as well as a host of other strength and flexibility exercises. She went in once a week for an hour and the other six days of the week I did home exercises with her. Money well spent IMO.

    Also, if I may be so bold, you may want to consider walking her without Ryu as part of her rehab. I don't know if its the same, but with Lucy, when I walked her alone I could walk slower which got her to put more weight on her leg. I would take Joey for his normal walks and then spend another 10-20 minutes slowly walking Lucy around. Once she stopped putting weight on her leg even at slow speeds, I knew she had had enough.
  • RyuRyu
    Posts: 1623
    Dave - you know I welcome any advice you have to give :) On our walk today, she started out gung-ho as you can see in the video but pretty soon, we scaled back and let Tim and Ryu run ahead. We just kinda lollygagged around while she sniffed. When we got about 6-7 houses down the street, she started to stop and rest so we walked even slower back to the house. When Tim is at work, I'll have to do the separate walks like you mentioned :)

    I'm anxious to hear back from the rehab center - I really need demonstrations to know what I should and should not be doing :)
  • RyuRyu
    Posts: 1623
    Well, it's been awhile since my last update but things haven't really gotten any better or worse at this point. I wish she were using her leg more but I'm pretty sure she convinced herself that she can't use it yet. Even though we can move her leg really well during our stretches, she still won't put any weight on it while walking. It's almost as if she knows that she can move faster by using her *good* three legs instead of trying to use all four. *sigh*

    We have an appointment with the Canine Rehabilitation center (the only one in our local area is an hour and a half away) next Wednesday. We're hoping to learn more techniques to rehab the leg.

    You can see in these videos the small stretches that we're doing in the meantime.

    Ryu helps distract Roxy so Tim can work her hip flexors:


    Roxy is now referred to as "Chicken Leg":
  • LeonbergerLeonberger
    Posts: 3580
    LOL, Chicken leg! :-)

    Ryu is being very helpful, Roxy deoesn't even seem to notice Tim working her muscles. What a good boy!
    Post edited by Leonberger at 2009-06-04 20:44:30
  • StaticNfuzzStaticNfuzz
    Posts: 1814
    Pam meet with the rehab center and see what say and what you need. Maybe an exercise ball that you can stand Roxi on so she starts to distribute her wight a few minutes at a time throughout the day.

    See the following link: http://www.wizardofpaws.net/pages/store.htm#ball

    She looks like she is taking it well so that's great. You just need to keep her from cheating or getting use to favoring her leg (LOL).

    Snf
    Post edited by StaticNfuzz at 2009-06-05 13:29:33
  • RyuRyu
    Posts: 1623
    Thanks Patrice! I have an exercise ball lying around here somewhere. I'll try to work with her using it. She is definitely cheating because you can see that the leg isn't painful to manipulate. She's just being a stinker.
  • ljowen123ljowen123
    Posts: 3105
    Roxy....a stinker...c'mon!
    LJ - owned by Queen Jazz, a Shiba Inu, Atlanta, GA
    CSC_0144

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