Another
year is coming to a close, and I am reminded that I, too, am another year older. While I am blessed with excellent health in my
thirtieth year of practice, I am not
certain that many realize veterinary
medicine is a physically demanding career.
Veterinarians
and their staff often spend long hours on their feet. The nature of our job requires a lot of bending,
squatting and kneeling to attend to our larger and "table-timid"
patients. Lifting anesthetized or disabled pets and restraining unwilling patients
can and does take its toll on one's back as well. We also perform many repetitive motion tasks which lead to
hand and wrist arthritis (she states after performing ten toenail trims during
a six hour shift).
While
some of us might feel the discomfort of
every day occupational aches and pains, I hurt more for my arthritic patients
who experience chronic pain and suffer in silence. Osteoarthritis, or inflammation of bones and joints,
occurs when cartilage lining the surface
of bones is damaged or absent. Since
cartilage acts like a shock absorber in joints, when it is defective bones
begin to wear abnormally within the joint, and they, too, become deformed and ultimately
painful.
It
is not a secret that I adore senior pets, but along with their aging
counterparts, even young pets develop
osteoarthritis. The joint discomfort noted in this younger group is often a
sequela to congenital defects, athleticism, or injury. Common causes include obesity, shoulder/hip
dysplasia (malformation of ball and socket joints), torn knee ligaments
(ruptured anterior cruciate ligaments or
ACL's), or unstable knees (medial patellar luxation).
Most
multiple pet households have at least one pet that is suffering quietly with
osteoarthritis pain. In my pet family,
our two Border collies have taken their "jobs" to assist their
shepherd quite seriously. Twelve year
old, "Robbie," still puts in
long days of "watching her man's back" to keep him safe around
rams. She and her nine year old brother,
"Jimmy," are also a dutiful herding team, circling wide and near, repeatedly, to move
the flock as a unit. These two herders love to work so an occasional limp is sometimes
observed.
Even
our low-riding Welsh Corgi, "Betsy Louise," is an athlete that lives
to "play ball-y"--- so much so, that she had to have knee surgery
after she ruptured her ACL when she was just
two years old. Now, if she has a full
day of activity or exerts herself, she sometimes shows it.
Pets
with osteoarthritis will show their discomfort in varying ways. Symptoms may
include limping, difficulty sitting or rising, stiffness, reluctance to climb
or jump, unusual irritability or aggression, vocalizing when handled, or
licking/chewing painful areas. Cats tend to hide their discomfort more so, but
even they can show pain by no longer seeking their usual perches, sleeping on
or near heating vents, or resting in sun beams.
To
further diagnose arthritis in pets, veterinarians may recommend
x-rays to visualize the shape of bones and damage to joints. Once
diagnosed, oral non-steroidal anti-inflammatory drugs may be prescribed, along
with glucosamine chondroitin supplements. The latter are nutritional supplements
provided as powder, flavored chews or tablets (Nutramax's Cosequin or Dasuquin)
that rebuild cartilage on joint surfaces,
thus reducing inflammation. Please be aware that not all glucosamine
chondroitin supplements are created equally! A large number of human and pet
supplements are available; most are costly and not all are actually utilized
fully by the body.
Some
pet foods such as Hill's Science Diet
Healthy Mobility or Prescription Diet J/D also contain glucosamine chondroitin. Be certain to seek your veterinarian's advice
when selecting diets, joint supplements and
anti-inflammatory medications. Note also that pets should never be given
Tylenol and aspirin is not always a good choice, especially for cats.
Speaking
of diet, obesity is a major contributing factor for the development of
arthritis in pets. If you own a "Flabby-Labby" or
"Tubby-Tommy," please heed your veterinarian's recommendations for
weight reduction and exercise. Even pets with joint pain can benefit from short
periods of exercise, especially low-impact walking, jogging or swimming.
In
addition, consider providing heated and cushioned pet beds and shallow litter
pans for aging cats. And, who doesn't
love a good massage? Many pets will enjoy your
undivided attention during a personal massage of their sore joints.
Finally,
please don't ignore your pet's subtle signs of discomfort! Limping equals pain
and should never be considered "normal" or tolerable! Your veterinarian can help you
understand and treat your pet's seemingly silent osteoarthritis pain. Why not resolve to put the spring back in
your pet's step in the New Year?
By Dr. Bonnie Jones
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