Effective Canine Lame Leg Diagnosis Techniques Explaine
In such scenarios, external trauma is often the most likely cause. Here are some examples:
1. A single thorn embedded in a dog's foot pad can trigger a sudden onset of severe lameness and pain.
2. A bite from an insect on a leg can lead to an infectious disease, which in turn can cause lameness.
3. In a forest, a boisterous puppy chasing after something on uneven terrain might suddenly strain its cruciate ligament in the knee, resulting in a lameness that makes it difficult to bear weight.
4. An overweight dog might jump off a deck, land awkwardly, and injure the ligaments supporting the wrist joint.
In all these cases, the dog transitions from normal to abnormal quite rapidly. However, diagnosing limping is not always straightforward. In some instances, a trained examination of common areas, such as the knee, can be conducted to begin diagnosing the issue more accurately.
Sometimes, dogs may suddenly become lame after a problem has been present for some time. A dog with a partially torn cruciate ligament might suddenly develop a complete tear, while a joint with chronic arthritis and soft tissue thickening may indicate a more longterm issue. Pets with bone tumors in the limbs might become severely lame due to fractures in the tumor area, often related to minor trauma like slipping on kitchen floors, though such incidents are typically not considered the direct cause of the fracture.
Sudden lameness can be an early sign of various spinal diseases. For instance, a herniated disc in the neck can cause severe lameness in one front leg, and similar issues in the lumbarsacral region of the spine can do the same. Disc diseases and fibrocartilaginous emboli (FCE) can lead to sudden weakness and awkwardness, sometimes mistaken for limping.
Many limping issues are noticed in young and adult animals, often improving with rest but worsening with continuous activity, such as in cases of elbow dysplasia. These issues may start out mild but can become more severe over a few weeks.
If a dog is limping on one or more legs, it may not be the first symptom you notice. Initially, you might observe signs such as reluctance to climb stairs, a lack of enthusiasm for exercise, or a decrease in usual vitality. These signs are often seen in dogs with hip dysplasia, which may not cause specific limb lameness but can lead to an abnormal gait.
Some owners may notice subtle gait abnormalities, such as a tendency to swing all four limbs while standing or walking instead of bending specific joints. Highly agile and enduranceoriented working dogs might experience milder or more challenging movement injuries, which can affect their work performance, but these typically only cause minor issues in one or more limbs.
Occasionally, limping caused by orthopedic diseases may be mistaken for a neurological disorder. Dogs with cruciate ligament injuries in the knee may show signs of extreme difficulty walking, with weak and clumsy hind legs, similar to dogs with disc diseases.
Indepth diagnosis involves a thorough understanding of the pet's history. Your veterinarian will ask questions based on your pet's age, sex, breed, and overall health, including:
1. How long has this issue been present?
2. Has there been any improvement recently?
3. Is the limping worse in the morning or evening? Does it worsen after rest or exercise?
4. Does your dog cry out in pain?
5. Has it been treated before? Did it respond to treatment?
After a general physical examination, your pet's movement will be observed, and you may even be asked to record a video of your pet's gait to show the veterinarian.
Orthopedic assessments include examining the limbs, palpating bones, checking for pain in muscles and joints, swelling, and assessing mobility. Your vet may focus on specific areas of the limbs to identify the cause of the limping, such as hip dysplasia, elbow dysplasia, and cruciate ligament diseases.
Your vet will also assess the neck and tap along the spine. If a neurological disorder is suspected, a more detailed neurological examination will be conducted.
If skeletal or joint abnormalities are detected, radiographs of the affected area may be taken. While not always necessary, radiographs can confirm suspected diagnoses and identify the exact cause, allowing for a more accurate treatment and prognosis plan.
In some cases, it may be necessary to take Xrays of the opposite limb for comparison to help the veterinarian make further diagnoses. In some instances, it may be recommended to take Xrays of the same area again in 46 weeks to determine if there have been any changes or if the condition has progressed.
Based on the results of Xrays, the vet may choose to perform further diagnostic tests, such as biopsies or joint aspirations. In joint aspirations, the vet will insert a sterile needle into the joint, and the pet may be anesthetized or sedated before collecting a sample to determine the type of pathology within the joint.
In challenging cases of limping, CT scans or MRI may be helpful, such as in diagnosing minor cruciate ligament injuries in the knee. Arthroscopy, which involves inserting a small scope into the joint to observe the inside, is also minimally invasive and can be used to diagnose certain joint diseases.
If a neurological disorder is suspected, diagnostic tests such as myelography, CT scans, MRI, and spinal puncture may be recommended.
Joint arthrography, which involves injecting a watersoluble dye into the joint to check its range and shape, can help determine the joint's anatomy and may be used to screen for issues with the biceps tendon.
Bone scans can also be used to diagnose limping issues, though their application is limited in diagnosing lameness in small animals.
Most limping issues do not produce specific changes detectable through routine blood work. However, if limping is suspected to be caused by infection or autoimmune reasons, or if the animal is to undergo general anesthesia for surgical correction, this test may be recommended.