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Pet Insurance – Things You Need to Know

Hey guys!  Nikki, Lead Veterinary Technician with Posh Dog Knee Braces here.  Let’s talk about the importance of pet insurance.  I know I have touched on this before, but let’s explain the benefits, especially where orthopedics are concerned.  If you asked me 2 years ago, I did not have my dog’s insured, and thought they were healthy, so it’s a waste of money right?  Boy was I wrong.  My very healthy 8 year old athletic dog went down suddenly, not wanting to get up or eat.  I immediately took her to the emergency vet, where it was diagnosed she had a ruptured splenic tumor. 

Let’s just say the bills from this visit were astronomical, and still I couldn’t save my dog.  Now I am still paying off a bill for a dog that has been gone for over 2 years now.  I can’t blame the vet, they did everything they could to save my girl.  I can only blame myself, because I knew about insurance for her and still held off.

What-You-Should-Know-About-Pet-Insurance

Now with my new girl Coco, we immediately got pet insurance.  She has had cheat grass in her ears, tummy infections, and everything was covered.  I would be another few thousand in debt if I did not have insurance on my girl.

Let me tell you about a family member’s dog.  He developed a cough, which turned out to be the start of heart failure.  To treat him for just 2 days, in order to get him stable to go home, was over $5,000.  They were not ready to say goodbye to their fur baby, and of course put this on their credit card.  They are now into their dog about $10,000.  He is doing much better, but they will also be paying for his care many years after he has passed.

Did you know that most insurance companies will cover orthotics such as knee or elbow braces? 

My insurance will cover up to 90%, leaving only $97 if I ever need a custom posh brace for Coco.  Now that $35/month is sounding better and better I bet.  Or, if your dog has any other orthopedic issues, such as luxating patella, shoulder issues, spinal issues, those are all covered. 

I have another scenario that happened to a client’s dog.  He was diagnosed with degenerative disc disease, common in daschunds and other small breeds, and one day could not walk on his hind legs.  He needed emergency surgery, which was over $10,000, in order to walk again.  Thankfully the owner had insurance, and was able to do the surgery with under $1k out of pocket.  He went on to live another 5 years, running and playing like nothing happened.

So, I urge you, if you are on the fence about insurance, please take some time to call a few companies.  There are many to choose from now, and most are very affordable.  Much more affordable than a monthly credit card bill for treatments.  Don’t let money ever be the reason to say goodbye to your best friend.  Feel free to reach out to us if you would like some suggestions on companies that we know work with braces.  Thanks!

You can contact us via our contact page or you can visit our Facebook page to talk to others who have used our brace.


Common Brace Questions and Misconceptions with Custom vs. Non-Custom Braces for Dogs

Today we will go over some common asked questions about custom braces for dogs.

custom braces for dogs

Custom vs Non-Custom Braces for Dogs

Why does our brace cost more than the over the counter options for $400-$500?

This is a good question!  First off, most custom orthotics will be in the $900-$1200 range, as there is much more involved in the production than the over the counter options.  For instance, with our brace each client gets 4+ hours of customer service with our veterinary technicians, both guiding them in measurements, fitting calls, rehab assistance, and supplement/diet help.  There is also a lot more production time needed for custom products, and we do not start until we have the measurements from the patient.  Over the counter braces are a “one brace fits all” product, so they have sized like small, medium, and large. 

They do not take into account patients that are more bow legged like our staffies, or patients that need the top shell brought down a bit more to accommodate shorter legs.  Plus, we do have a warranty on the parts of our brace, where a non-custom product is not only non refundable, but there is no warranty.  The buyer essentially takes on all of the risk.  I have many patients that have purchased a non-custom brace first, only to find it did not fit well, and were stuck.  Then, they went with our Posh Dog knee Brace, and loved the custom fit, non sliding option.

Does a custom product have straps that go over the back?

No, custom braces will not have straps or stirrups that hold them in place.  This is because we are a direct fit to the patient.  Non-custom products are not made for your dog’s leg, so they must be held up by straps and stirrups.  Our brace utilizes a hock wrap, that goes around the ankle, to help keep things from slipping down.  This, and our unique strapping system, make it so our brace is much more simple to use.

Do custom dog braces need to be casted?  My vet told me only to use casted braces

No, at Posh Dog Knee Braces we use a proprietary online program, that allows us to make a digital model of your dog’s leg, using specific measurements.  This is why we have a veterinary technician watching and helping each patient take the measurements that we need.  Our process is much faster and easier than casting, and production typically only 3-4 business days, with express shipping.

What is the materials of a custom vs. non custom brace?  Are they made of the same stuff?

Again, great question.  A non custom, over the counter brace is made of cheaper materials, such as neoprene and sometimes a cheaper metal hinge.  This means they are not going to last you long, and will not be waterproof.  Our Posh Brace is made of only the best orthotic materials, similar to pediatric orthotics, so that they are both durable, comfortable, and easily cleaned.  Our dog knee brace can also be used in hydrotherapy.

For more information you can reach us via our contact form or visit our Facebook Page.


Weight Management after Spay/Neuter Helpful Tips

Hey guys, this is Nikki, lead veterinary technician with Posh Dog Knee Braces.  Today, lets discuss weight management in our spayed and neutered pups.  It is well known that spaying and neutering, after a certain safe age, is recommended by almost every veterinarian.  It is very important in the prevention of overpopulation, and other health concerns, however, it also predisposes our pups to obesity.  Unfortunately, many vets are so quick to schedule your dog for surgery, and there is simply no information given to the owners as far as where to go now.

weight-management

Weight Management

So, now we have this relatively healthy dog, young and probably more active, and we just took away the hormones that helped keep their weight in check.  Post spay and neuter, their metabolic energy decreases significantly.  This means that we need to also be cutting back the calories, by at least 25%.  The other issue, especially with females, is that the hormone estrogen helps to keep their appetite at bay.  Taking this hormone away can give your dog an increase in appetite, which is bad in a patient that needs to decrease the calories taken in per day. 

So, now you go back in for your annual checkup, to find your baby has gained weight.  The veterinarian possibly tells you that your dog needs to go on a weight loss diet, or be given less food per day.  So, now you have a dog that just went through major hormonal changes, and has increased food cravings, yet you are feeding them barely any food. 

Sound familiar?  This equals out to an unhappy dog, and in return and unhappy owner.  So, what is the solution, because it is also essential that we spay and neuter to be good pet parents, and do our part to prevent overpopulation.

This is where it is time to get proactive.  Feel free to include your veterinarian in your plan, as you will need a way to weigh your dog every 2-4 weeks to check their weight.  The good news is this is free😊  Now, it is time to implement the proper spay and neuter diet.  For those that feed a raw diet already, you should not need to make any real changes. 

The key is to increase protein and fiber, but keep in mind it needs to be healthy fiber.  There are a few expensive brand foods marketed to spayed and neutered pets that the first ingredient is chicken by product.  Double yuck!  Just keep in mind that carbs will not help with weight loss.  Foods with lots of rice for example are not meant for weight loss.  It may be bland, but it will cause weight gain. 

Try discussing with your veterinarian before you plan to spay or neuter, ask them to help you develop a proper diet to keep your dog healthy for years to come!  This also will help prevent issues with joints potentially in the future. 

Please let me know if you have any questions, you can contact us through our contact form or visit us on our Facebook page.

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The Truth about Raw Diets

Hey guys, this is Nikki, Lead Veterinary technician with Posh Dog Knee Braces.  So, today I would like to talk about feeding raw diets, pros cons and why it has been clinically proven.  First off, studies show that puppies that are raw fed starting at 8 weeks old have a significant decrease in their chances of Atopic dermatitis, and much less chance of developing obesity and cholesterol/glucose issues later on, such as diabetes.  They also have an increased resistance to roundworms, which is great news.  There is also shinier coats, healthy skin, cleaner teeth, more energy, smaller stools, and most important is healthy weight. 

raw diet

It has been shown to be a great support for joint health, so dogs with CCL tears!  Crushed bone provides calcium, phosphorus, glucosamine, chondroitin, collagen, and marrow.  This also helps immune systems! 

About 30% of dogs world wide are raw diet fed, more in the US.  Australia is more like 60%.

The biggest questions we hearis, Is it safe to feed or dog a raw diet feed?  Well, this is a great question.  It depends on how you are raw feeding.  Some meat may have chemical contaminants, microbial pathogens such as salmonella or e. colli, or there is the issue of feeding whole bones, or unbalanced diet.  Bones if not ground properly, or supervised, can cause impactions, or gastric tears, fractures on teeth, etc.  So, it is very important if you choose to Raw feed, please do your homework.

What is raw diet food?  Typically, this includes muscle meat (not by products), bones whole or ground (I prefer ground), organ meat, raw egg, vegetables, fruit, some probiotics.  This can be either via homemade diet, or via pre-made packages.  The nice thing about purchasing packaged raw food is that they must provide cleansing methods to prevent contaminations, and grind down any bone material, so it is a bit safer. 

There are many companies that can provide frozen raw diets for your pup, just make sure to look at ingredients to ensure they include things that your dog should be eating.  One good thing about feeding frozen raw already prepared, is most will have supplements your dog needs already as a part of the diet. 

So, whether you feed kibble currently or raw, your dog’s diet is a big decision.  We all know that dogs were not meant to eat things like wheat, corn, and soy.  Some carbohydrates are required for energy, so there needs to be a good balance.  Raw feeding is a huge life change, and can sometimes not be as budget friendly as commercial diets, so that is another thing to consider before making the change.  I am not trying to sway you either way, just giving you all the facts on both sides.  Let us know if you have any questions, send us a message through our contact form or visit our Facebook page.

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Interesting Probiotics for Dogs and Why

Hey guys, this is Nikki, Lead Veterinary technician with Posh Dog Knee Braces.  So, today I would like to talk about probiotics for your dog.  Let’s face it, we have all had a dog with diarrhea or gastritis at one point, and it is not fun.  Weather you have a new puppy, and are switching to a better quality puppy food, or a dog that maybe likes to dumpster dive, or one that licks out of that gross water puddle on your walk, probiotics may be a good option for you. 

Probiotics

You can use probiotics therapy to help with their digestion, as well as immune system.

 They help with diarrhea, intestinal upset, and can also help with dog allergies.  If you have a female dog, they may also help in countering UTI’s, or even anxiety.  Some dog food manufacturers are getting on the probiotic train, and may already be adding this to their diet, especially some of the Raw food diets out there. 

I like to give my dog probiotics proactively, such as before I leave on a trip, if there will be a petsitter coming.  That is a stressful event, and I don’t need my dog to get a stressful tummy, or anxiety.  They can also be given as a daily part of long-term health. 

Did you know that 70% of your dog’s immune system is their GI tract?  It goes the same for people in that sense.  So, by taking care of your dog’s tummy, it makes for an easier transition if they need to take pain medications, supplements, stressful events coming up, or if they have acute diarrhea.  I typically will give at least 7-10 day course for a dog with loose stool/diarrhea, or a new puppy.  They can really help in prevention of stress colitis, and that very expensive veterinary visit that follows.  You can also add a tablespoon of canned pumpkin along with the probiotics if treating diarrhea, such as a new puppy. 

The good news is that there are lots of great probiotics available both by your veterinarian and online.  I really like Fortiflora personally, by purina, however, Zesty Paws also has a really nice product.  Just do your research, and make sure they have good reviews before purchasing.  Let me know if you have any questions, poshdogkneebrace.com or you can visit our Facebook page.

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Signs a dog is in Pain

Hey guys, this is Nikki, lead veterinary technician with Posh Dog Knee Braces, and today let’s talk about pain in our dogs.  I hear so often owners say they don’t feel their dog is in pain, or that they don’t know what to look for.  Today I would like to cover things to look for, and how to see those subtle hints your dog is giving you.

pain in your dog

Some signs of pain

First, does your dog show any signs of panting, licking a certain area or paw/leg, pacing, trouble laying down or standing, chewing an area, legs shaking/body shaking, trouble standing from a laying position, holding a leg up, low whimpering/whining, growling or biting out of character, flinching when touched in an area?  If you can answer yes to any of these symptoms, there is a good chance your dog is experiencing discomfort. 

Dogs are extremely stoic, which means it is against their nature to show they are hurting outwardly like we would.  A child is easy, they will hold the sore area, cry, and tell us what happened or that it hurts them.  With our dogs, it can be a bit of a challenge to identify if they are in pain, and when to give the appropriate relief.

One of the most painful injuries to a dog is a CCL injury.  This is significant agony, and your dog needs proper relief to get them through the first few weeks.  There will be a lot of swelling present, and they may be cranky and sore during this time. 

The first 2-3 weeks it is important to keep them on some form of anti-inflammatory.  I hear a lot of people learn about nsaids, and immediately take their dog off of them within the first 1-2 weeks of an injury, stating their dog doesn’t look in pain any longer.  I understand not wanting nsaids, however, I guarantee your dog is still in pain within the first 3 weeks of this injury.  There are other alternatives to nsaids, which I go over in another blog, but that does not mean to withdraw all pain relief.

If suddenly taken off of pain relief, dogs (like people), will experience something called withdrawal.  This means that their body is shocked with sudden pain, that has not been effectively treated, and it will be very difficult to get them feeling better without a strong med like a narcotic, something to calm and partially sedate them until pain management is achieved.  So, please do not suddenly remove pain relief without having something else to start.  If stopping an nsaid, you need to wait at least 24 hours before starting something like willow bark, to make sure the tummy does not get upset, and sometimes waiting for severe pain to stop before doing so might be best.

I always suggest resting 2-3 weeks, even if we are fast and you receive the brace in the first couple weeks of the acute injury, still wait a bit to begin walks.  Give your pup time to get through the painful parts, then we can start bracing and PT.  They will get better, and feel better, but it is our job as their owner to keep them comfortable.  It will make all of our jobs much easier as we begin recovery.

Please let me know if you have any questions about how we can help your dog live a happy and pain-free life, poshdogkneebrace.com, or email me at poshintake1@gmail.com or visit our Facebook page.

Let Your Dog Recover With Our Custom Dog Knee Brace! We’ve Helped Thousands Of Dogs, Now We Want To Help Yours…  

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What is a Luxating Patella and the Signs

Hey guys, Nikki lead veterinary technician with Posh Dog Knee Braces here.  Today, lets discuss what a luxating patella is, and what that means for our pups.  First off, a luxating patella simply means that the kneecap is not staying in the nice little happy groove that it was meant to on the femur.  There is a groove, like a valley, cut out in the femur, that the kneecap is supposed to stay inside.  A kneecap, or patella, is only supposed to glide in that grove up and down, as our pup bends the knee, just like our kneecaps do. 

Luxating Patella

Things to know about Luxating Patella

Unfortunately, due to sometimes genetics, this groove is too shallow for the kneecap to be happy and stay put.  Also, if the patient has a bow to the femur or leg, the tendon that holds the kneecap in place, makes that kneecap straight up and down.  Well, this causes an issue if our dog in fact has a crooked or bowed femur.

Certain breeds are more pre-disposed to this issue, and those would be most poodles, yorkies, chihuahua, bulldogs including smaller bulldog breeds, spaniels, terriers, and even some large breeds.  Some of the signs we will see is intermittent hind limb skipping, lameness, stretching the leg out behind them.  The more a kneecap moves out of place, the worse the issue gets. 

There are 4 grades of lameness for these guys.  Grade 1, the kneecap comes out of position, but is easily put back into place.  This usually does not cause an issue for the dog, and minor symptoms.  Grade 2 the kneecap shifts out of position with pressure, and can remain displaced until adjusted.  There may be damage to cartilage on these from moving out of place.  Grade 3, the kneecap is disjointed most of the time, but can be returned to normal position, however, once pressure is removed it luxates back out.  Dogs will exibit some lameness, and cartilage damage.  Grade 4, the kneecap is permanently dislodged from position, and can impair limb function.

Some dog’s with a luxating patella are more prone to having a CCL tear, and so we may suggest bracing them as a grade 2 or less, in order to help support the knee and take some pressure off the knee.  Bracing will not hold the kneecap in place, such as for a grade 3 or 4, but will provide some stabilizing of the joint itself, helping to prevent the CCL tear. 

Most grade 1 or 2 can be managed conservatively with supplements and rehab, possibly bracing.  Unfortunately, if the grade is 3 or above, sometimes they do need surgery to correct the issue, such as deepening that groove the kneecap sits on, or moving the actual tibial bone laterally, which makes the kneecap sit much better in the groove. 

If your dog does have surgery, it is recommended to brace post op, to restrict pressure on the knee, otherwise the patient must be restricted to a kennel or crate.  PT is really helpful as well.

Thank you, and please visit Poshdogkneebrace.com with any questions about Luxating Patella or you can visit our Facebook page.

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Laser Therapy – Great Read!

Hey guys, this is Nikki, Lead Veterinary technician with Posh Dog Knee Braces.  So, today I would like to talk about Laser Therapy for Dog’s with knee injuries ACL/CCL, or arthritis, and how it can help!  First off, what is Laser therapy?  Laser therapy is taking a simple beam of light to penetrate deep into the tissues and produce positive tissue changes.  First used on hair regrowth, Laser therapy has been a growing success. 

There are multiple types of Laser Therapy out there, some are more for superficial wounds and treatments, while others have a higher amount of power, thus deeper cell penetration. 

There are 2 types of treatment you will hear.  Cold laser, which focuses on the surface of the skin, and blood circulation, while hot laser are for deeper tissues.  Hot laser should only be done by medical professionals, as it is used for cutting and burning, as well as healing. 

laser-therapy

In most practices, we use low-level laser, or class IV laser therapy.  Depending on the class of the laser, will tell you if it is something you can do from home or by a clinician.  Quality laser equipment is very expensive, thus most will opt for therapy with their holistic vet, chiropractor, or veterinarian. 

So, how do dogs react to having laser therapy done?  They find it very relaxing.  Laser therapy releases endorphins, so dogs usually find it relaxing and positive.  Another benefit, is that your dog will not need to be sedated for laser, they can be resting and wide awake.  There is no need to clip the hair away either, like other treatments.  There is usually no side effects, the type of lasers used should not cause any burns to the skin. 

So how will this help a dog with a ccl tear?  Cold laser therapy for dogs with cruciate ligament injuries, restore health to damaged tissue cells by stimulating their ability to grow and survive, and heal naturally.  It helps relieve pain and limping as well.  If used with conjunction with an orthotic (brace) this would give your pup a good chance of fully recovering with less pain. 

Please call or email with any questions!  Poshintake1@gmail.com, or 509-412-3065. You can also leave us a message on our contact form or visit our Facebook page.

Thanks!

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Older injured dog, how to keep my new pupply from injuring him?

This is about half of the people I speak with on a daily basis.  Puppies are wonderful, and really do bring our families and other dogs joy, but sometimes that comes with a cost.  Whether you bring home the puppy before an injury on your older dog, or after, we still need to be careful when they play.  Rough play, such as puppy jumping on their back or playing tug of war, can result in new injuries, or aggravating an older injury.  Puppies bring on a youthful playing with our older dogs, which is fun to watch, however, it can encourage injuries, so please be careful.

dog

Chosing the right dog!

Choose a breed carefully.  If, for example, you have a small breed older animal, and bring home a large breed puppy, there is going to be some potential to be injured.  Puppies, as part of play, will try to jump on the other dog’s back.  This is their natural tendencies trying to establish dominance.  Well, if your poor older animal has hip or knee issues, you can imagine that this may not be the best case scenario.  Thus, it is important, to only let them have supervised play times, and not be left alone to rough play all the time. 

This is especially true if your other pet has a recovering knee injury.  Not only is it going to be tough to get that knee to recover with a puppy wanting to play, but the puppy will also be very curious about this really cool chew toy on their leg!  So, again, supervision at all times is going to be needed.  I’m not saying you can’t get a new puppy, but think the scenarios through before you adopt.  Or, perhaps look into adopting an older doggy instead of a new puppy.

Puppies are going to be growing and teething for at least a year, if not more.  This means their energy will be high, and your injured dog’s tolerance for this may be low.  Make sure you have the means to keep them separated when you are not home or there to supervise, because that would not be otherwise fair to your older injured dog.

Get lots of fun distracting toys for the puppy to play with (and don’t forget your older pup!).  This really helps keep them distracted, and happy.  If your older dog has a posh brace on, to support a CCL injury, it is ok to have them play for a little while with the puppy, but only directly supervised.  The brace does act as a shock absorber, so a little play is ok, but no running or jumping while playing.  My puppy likes to stand up on her back legs to “box” with my other dog.  This would not go over well if my other dog had an injured leg.

Again, feel free to check us out at poshdogkneebrace.com, or email us through our contact form or visit us on our Facebook page.

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What breeds are more likely to have a CCL tear?

Genetics do factor in sometimes on whether our dogs will have a CCL tear or not.  Such as, I don’t see tears as much in sporting breeds like springer spaniels or setters, but do in rotties and newfies.  Not saying I have never had a sporting breed like springer or setter come in with an acute injury, but I don’t feel their genetically prone to the issue like other breeds are.

dog breed

The following breeds have much higher chances of CCL injuries, including bilateral injuries.  Mastiffs, Newfoundlands, akitas, St. Bernard’s, rottweilers, Chesapeake bay retrievers, American Staffordshire terrier, and laborador retrievers.  Also Golden retrievers seem to also be affected more often that smaller breeds.

Toy Breeds

Toy breeds tend to have luxating patella issues, where the kneecap moves back and forth, thus causing concurrent CCL tears secondary to the LP issue.  We do see a fair share of chihuahuas, maltese, shihtzu’s, and Pomeranians as well.

So what if your dog is on the list?  What can we do?  Well, there are a few things you can do.  First off, don’t spay and neuter before they have reached maturity (~14 months), feed a breed appropriate diet with no bye products.  Diet correlates to muscle and ligament growth so much, which is why it is so important to start your puppy out the right way, on a good diet.  Preventing your dog from jumping in the air to play fetch, or turn corners too sharply. 

Instead, roll the ball on the ground for them to run after.  Getting them on a good bone supplement may help, we need to feed those growing ligaments all the goodies we can, and sometimes they need more than their food will provide. 

Bones with marrow are great, bone broth is great, shark cartilage is good.  There are many things you can give that are good for your pup.  Taking your dog on regular leashed walks, and exercising them properly will also help.  Especially with our more lazy breeds, you know who you are!  😊

Dogs with more bowing in the knee tend to also get tears more frequently, such as rottweilers and any staffy breeds.  Again, try to keep these pups from jumping or rough play, as that can put stress on the joints. 

Let us know if you have any questions, poshdogkneebrace.com, or email me on our contact form or visit our Facebook page.

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Breaking News: To Shave or Not to Shave

Today I want to talk about hair length, and if it is necessary to shave your dog for our our brace.  For the measurement call, we need to be able to see all the bumps in the knee.  The hair needs to be less than 1” in length.

shave dog

If you have a curly haired dog, you can try wetting down the hair in order to find the bumps.  You will also need to make sure you can see those bumps and landmarks clearly for when you are fitting the brace.

What to shave?

If your dog has shorter hair on front of the leg, and feathering behind the thigh, you are probably ok.  For dogs that have very long hair, like newfies or Great Pyraneese, they will need legs trimmed/shaved down to the ankle, otherwise we can’t see landmarks to help you measure.  Let us know if you have any other questions, you can reach us at our contact page or visit our Facebook page.

Nikki, Posh Lead Veterinary Technician

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Breakthrough Activity Level for a Dog with a CCL Tear

Today I would like to talk about recommended activity levels with a brace or CCL tear.  It is still important to remember that this is not a race. 

Activity Level

Recovery from a CCL takes time, which is why we use a gradual increase in activity/activities.

Initially, we start with walks and light physical therapy and massage.  Gradually, we can increase activities, such as adding hills or inclines to the walk, sit stands, more muscle building activities.

It is not recommended to let your dog run off leash while in recovery.  This can lead to injury of the other leg potentially.  Braced walks are meant to be nice and slow, not a jog.  The goal is to have your dog placing full weight down on his leg.  If you walk or run too fast, they will skip and not place full weight on the leg.

We will get to a point where your pup can play off leash, but ask first, and take things slow.  Feel free to email or send in a contact request with any questions about what levels of activity is right for your dog, we are happy to help! You can reach out to use through our contact form or visit us on our Facebook page.

Give Your Dog a Big Hug From Us!

Nikki, Posh Lead Veterinary Technician

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Signs that your dog has a CCL tear

Today I want to discuss signs that your dog has a CCL tear, and if he or she needs a brace.  First, obviously your poor dog is exhibiting signs of hind limb lameness.  Now this can happen two ways.  First, you hear a yelp, or see the injury, and have sudden onset lameness.  This is about 50% of dogs, and is called an acute injury.  Your pup will not use his or her leg, and is toe touching.

sign of ccl injury

Next sign you may notice

Second, you notice your dog limping on the hind leg after exercise, and after rest seems better.  This goes on for a few weeks until you have a veterinarian diagnose the injury as a CCL full or partial tear.  Some of these patients go a year or longer before getting to full limping.  This is a chronic case, and usually degenerative.

We can help with either situation, as even a partial tear will keep re-injuring over and over until externally supported with a brace.

After a while you may notice a medial buttress, or a hard bump on the inside of the knee.  This is a sign of cruciate injury as well.

No matter how long you wait, it is never going to be too late to brace your dog, as bracing will help stop the offloading that is happening, and we can start working on that thigh muscle to reverse the atrophy.  Let us know if you have any further questions about this topic, and always feel free to send me a contact request, I am happy to chat with you and answer some of your questions you can reach out to me on our contact form or visit our Facebook Page.

Nikki, Posh Lead Veterinary Technician

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Tibial Thrust, what is a drawer test or ? Revealing

First off, I want to do a bit of anatomy explaining.  Dog’s, unlike people, walk on their toes.  Cool, right?  So coming up from the ground, you can follow their toes to their ankle, which includes the hock bone in the back of the bend.  This is their “heel” bone.  The next bone, in front of the ankle, and up to the knee, is the Tibia and fibula.  The tibia thrust, just like in people, is what makes up the front of our knee.  There is a prominent bump in dogs, directly underneath the kneecap, that is called the Tibial Tuberosity. 

Tibial

In the videos attached, you will see the kneecap is a small round bone, making up the top of the dog’s knee, then the bottom bone is the tibia.  The cruciate ligaments, or CCL in dogs/ACL in humans, are located between the tibia and femur bones, directly in the back of the knee.  When a CCL is in tact, there should be no movement, or positive drawer sign, in the dog’s knee.  See video one, where there is no movement when palpated/moved.

In the next video, you can see what happens when there is no longer a ligament holding the bones together in the back of the knee.  Now, the tibia bone is able to shift forward, or tibial thrust.  This is a positive drawer sign, as there is a forward movement now where the tibia is shifting forward.  This is obviously bad.

With the Posh Dog Knee Brace, we can correct a dog knee injury (or tibial thrust) by exerting pressure on the tibial tuberosity (top of the tibia bone) to prevent this tibial thrust. 

If you choose to do nothing, over time this movement of the bones will potentially cause the meniscus to tear/rupture, and start to form arthritis.  It is important to immobilize this joint, to prevent these issues from occurring.  Not to mention, that movement is very painful.

After 9-12 months of using a Posh Brace, this movement should be back to the first image, as fibrous tissue has formed and will re-stabilize the joint.  Again, check out our website, poshdogkneebrace.com, or feel free to email me any questions to: our contact form or visit us on Facebook.

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Diagnosing a CCL tear in Dogs – Helpful Information

We get asked this question a lot, and wanted to see if we can answer some questions on diagnosing a CCL tear.  Is it necessary to have a diagnosis before purchasing a brace?  Answer:  Yes!  There are many other things, like sprains, hip joint pain, spinal issues, tumors, and nerve issues like DM that can cause hind lime lameness other than a ruptured CCL.

ccl tear

Understanding how they diagnose a CCL tear

At your appointment with the veterinarian, they will most likely want to do what is called a drawer test.  Please note:  this could worsen the injury if not done properly, or with sedation, and is very painful.  Some patients will let out a yelp, or limp much worse after the examination.

Your veterinarian may also want to do some radiographs during the initial examination.  These can show gaps, space, swelling, and rule out tumors in older patients.  I do recommend radiographs for any patient over 8 years old.

MRI is the absolute best way to diagnose a CCL tear, however, this can cost upwards of $1,000, and may be hard to find someone to do this.

Find a veterinarian that is gentle, and will do a thorough exam ruling out the other injuries.  This is the best method, and least painful for your pup.  Also, try taking the last appointment of the afternoon when possible, or the first in the morning, as this is when most veterinarians are less likely to be in a “rush.”  Right before lunch break, or in the late morning/afternoon can be rushed due to their surgical load that day, or if they have other patients that have been dropped off to be seen.

We leave the diagnosis up to our clients, it is not required, however, I do recommend at least finding a holistic minded veterinarian to help you! If you need more information on CCL tears you can reach us through our contact form or visit our Facebook Page.

Nikki, Posh Lead Veterinary Technician

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