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Discussion Starter · #1 ·
Hello
I've been worried sick about our boy Milo who has had a mild limp off on his left side off and on since he took a tumble after jumping from my arms after I tried to get him off our bed.
As he was hobbling quite a bit we rushed him to emergency but by then he was weight bearing again with just a limp. At emergency they x rayed him and said his hips and knees looked great, no fracture visible. He was walking fine again the next day after going on anti inflam.
Anyway he then saw another vet 2.5 weeks later as he tumbled off the sofa awkwardly while we were away and our friend who was watching him said he started limping right away. When we got home he still favoured his right leg again so I took him to another vet who was apparently trained in orthopeadics. Milo's limp was barely visible at that stage and he again x rayed hips and knees and said both looked excellent. Probably a sprain as his left hock was swollen.
Anyway he went on more meds for a week and was great but as meds wore off his limp returned but not quite as severe.
I decided to take him to another vet today. She x rayed him again and this time she says he has hip dysplasia as she thinks she can see a bone spur. Personally I thought hip dyspalsia is the head not fitting well in the socket and decreased spacing. I'm just not seeing it at all when I compare his x rays to x rays of hip dysplasia I'm seeing on the net. She also did a check she said of his hips but couldn't find any abnormality or get him to express any pain. He doesn't bunny hop when walking his only real clinical symptom is a reluctance to put full weight on his left leg. I'm worried about two things.
a) If he has hip dysplasia what that means for his life. Milo is a support dog for my child who was diagnosed with an illness and he is her everything.
b) Can you diagnose off only an x ray when 2 other vets have said his hips were excellent including an orthopaedic vet only 2 weeks ago. This vet said the bone spur could have developed since then but surely there would have been signs on the earlier x rays (he has actually had 3 previous hip x rays and all 3 gave him the all clear saying his hips are excellent). I don't know if she is right and the other 2 vets are wrong (she did mistake a left leg limp for a right when I showed her a video of him walking, she also said his hock is normal when it is clearly larger than his right).

Sorry for the long post but I'm beside myself with worry. He has been an absolute angel for my daughter. If anyone knows anything about x rays I'll attach the picture here and I circled what she is calling an abnormal bone spur/growth. Milo is 2 years old and we are expats living in Manila, Philippines
Joint X-ray Medical imaging Radiography Medical
Joint X-ray Medical imaging Radiography Medical
 

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Discussion Starter · #6 ·
Can you share the entire image?
sure, this is the picture I took with my phone but honestly the contrast is the same as the image I was seeing in the x ray room. I could be in complete denial as hip dysplasia was the thing I was most concern about in getting a GR and we checked the breeder and his clients as best we could given we are in the Philippines.

His hips were x rayed at 12 months as a screening, then at 19 months after what turned out to be a muscle strain then twice more after the fall from our bed when he developed his limp and 4 different vets including one specialising in orthopaedics said his hips looked great. This vet did only a quick hip flexing test and some palpation and elicited no sign of dysplasia. Her diagnosis is based on this x ray. He doesn't bunny hop when walking but when going down stairs since his injury he will hop down with his left leg raised on occasion. His symptoms are worse after his walk and he has lied down for 30 min on the tiled floor or couch. He will hobble for 10 or steps and then it becomes tough to see any limp. He has the same appetite, is still crazy playful and jumps around the place as normal including going up and down or 6 garden steps without incident. He sits normally and seems to lay a lot of his left hip which is supposedly the bad one. His other hip the vet said looks great. I worry that even if there is a bone spur there that it is not the culprit of his current limp and the real cause is still unknown because this seemed like a good explanation. Fact is his left hock is still swollen. When I pointed this out to her she said it's normal and looks like the other one. I've included a picture of his left and right hock. The swelling has come down a bit from a week ago but this picture is from today just before I visited the vet (you can just see as well how he is placing a bit more weight on his right side. I'm very lost at this point as I don't know who to believe. I'm going back to one of the 3 vets who cleared him of hip dysplasia on Monday to get a second opinion and possibly another x-ray, a proper physical exam and a better look at his hock. Any information/ reassurance of raising a dog with hip dysplasia would be much appreciated. I'd like to give my daughter as much hope as possible for our boys future. Thank you all so much

Wood Liver Fawn Dog breed Floor
 

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Discussion Starter · #7 ·
sure, this is the picture I took with my phone but honestly the contrast is the same as the image I was seeing in the x ray room. I could be in complete denial as hip dysplasia was the thing I was most concern about in getting a GR and we checked the breeder and his clients as best we could given we are in the Philippines.

His hips were x rayed at 12 months as a screening, then at 19 months after what turned out to be a muscle strain then twice more after the fall from our bed when he developed his limp and 4 different vets including one specialising in orthopaedics said his hips looked great. This vet did only a quick hip flexing test and some palpation and elicited no sign of dysplasia. Her diagnosis is based on this x ray. He doesn't bunny hop when walking but when going down stairs since his injury he will hop down with his left leg raised on occasion. His symptoms are worse after his walk and he has lied down for 30 min on the tiled floor or couch. He will hobble for 10 or steps and then it becomes tough to see any limp. He has the same appetite, is still crazy playful and jumps around the place as normal including going up and down or 6 garden steps without incident. He sits normally and seems to lay a lot of his left hip which is supposedly the bad one. His other hip the vet said looks great. I worry that even if there is a bone spur there that it is not the culprit of his current limp and the real cause is still unknown because this seemed like a good explanation. Fact is his left hock is still swollen. When I pointed this out to her she said it's normal and looks like the other one. I've included a picture of his left and right hock. The swelling has come down a bit from a week ago but this picture is from today just before I visited the vet (you can just see as well how he is placing a bit more weight on his right side. I'm very lost at this point as I don't know who to believe. I'm going back to one of the 3 vets who cleared him of hip dysplasia on Monday to get a second opinion and possibly another x-ray, a proper physical exam and a better look at his hock. Any information/ reassurance of raising a dog with hip dysplasia would be much appreciated. I'd like to give my daughter as much hope as possible for our boys future. Thank you all so much

View attachment 897889
oh and the x ray
X-ray Radiography Medical imaging Jaw Bone
 

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Discussion Starter · #9 · (Edited)
Yes that hock is quite swollen in that image. Did anybody X-ray the hock?
I would definitely see an orthopedist again and have a full lameness evaluation.
Thank you so much for the advice. I will do whatever it takes to get this guy back on his feet so to speak. If it is dysplasia we will deal with it. I've read some of the stories on here of others with dogs with that diagnosis and been heartened that he can live a good life even if surgery lies somewhere in his future. I'm concerned about the hock but I seem to be the only one. I worry that it is OCD or something even though he is quite old for that to suddenly reappear at 2 years old and the hock doesn't appear painful to him in the slightest (but then again nothing does including the hip). I asked the vet we saw to x ray the hock and she said she did and it was normal. To be honest I didn't ask to see it which I now regret as I have some doubt that they actually did x-ray it as she already pinned things on the hip. I'll pursue a second opinion as you suggest on Monday.

If I do a second opinion though, do you think it best that i stop the anti-inflammatories as I'm worried they may mask possible findings. I think I may just give him the Glucosamine Plus that was also prescribed. He has been on supplement chews for the past 7 days but they don't appear to have done anything as yet.
 

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Discussion Starter · #14 ·
I won't weigh in on the x ray because I don't feel qualified. But I do want to say that even if the dog is mildly dysplastic, that doesn't mean he can't still have a happy life.
Thank you for the words of encouragement. He is a big part of our family in what he has done for my daughter so we will do whatever it takes to give him his best life
 

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Discussion Starter · #15 ·
Of course, good luck and I hope he feels better
Quick update. I did as you suggested and paid for an online consult. I sent the x ray image as well as videos of Milo taken today. He was quite certain that it is not hip dysplasia based on both the x ray and the way he moves in the videos He also said what the vet is saying is a bone spur is not obvious to him at all. He also said the hip socket and joint spacing look excellent in the x ray. He said it is definitely the left hock and said total rest and a round of NSAIDS for at least 5 days. I feel a bit better but now have to wonder what is going on in that hock? I'll also continue to brace it
 

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Discussion Starter · #17 ·
It is impossible to say without a diagnostic work up. If he injured something like a tendon or ligament, the length of time it takes to heal will be much longer and is at high risk for reinjury. Rest and NSAIDs will help, but if he starts limping again after being off crate rest, it would be worth an ultrasound of the hock if there is a veterinarian capable. It’s hard to see the soft tissue structure.
Yep agree, thanks again
 

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Discussion Starter · #19 ·
I think you have your answer already based on the last couple posts, but gotta ask... do you have a full xray that shows the entire hip - ie like the below? (the hip xray was the first I grabbed from google).

I'm very curious what the 2nd vet saw as a bone spur.



View attachment 897895
This is the best I have but the one I say today is actually the 4th vet to look at x rays of his hips in the last 3 months. 3 so far have concluded that his hips look very good. She think there is a bone spur on the x ray at about 8 - 9'o clock on his left side (right when looking at the x ray). Before this diagnosis though this vet mis diagnosed his limp as right rather than left until pointed out how he was raising his left leg when standing. She also concluded that his hocks were the same size which I was staggered by. It is grayish in that region but not so different from the left and given they didn't sedate him to x ray and the blurry nature of the x ray I was very dubious. The other x rays we'd looked at of his hips had far clearer definition and contrast of the hip area including one just 10 days prior with supposedly the best orthopaedic surgeon in Manila who declared he had excellent hips. This new vet suggested this bone spur grew within those 10 days which I struggle to believe.
Art Rectangle Symmetry Pattern Tints and shades
 

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Discussion Starter · #21 ·
I would not call these excellent hips from that xray... but I don't really see how you could identify a bone spur from that blurry spot. 🥴 How bizarre of that vet. I do not think you need to be concerned about HD....

It seems to me that you already know that it is the hock. From the picture the swelling appears to be high up and it could be the bone or the ligaments around there. I would have xrays done to rule out any fractures or OCD, but odds are very likely it is soft tissue and will just need rest.
Thank You for your response. He'll be on rest all of this week and then. we will see how he goes. That hock swelling has actually gone down a little today. On the NSAIDS he is walking about in his enclosed space without a sign of uneven weight bearing. I was also worried about OCD initially but this happened when he is 2 years old and the swelling his not warm to touch nor seemingly remotely painful to him when pressed on. Online vet said OCD of the hock in a male Golden is also very rare, much more a female lab issue and presents well before a year old in the vast majority of cases. He also shows no pain when flexing the hock so hoping it is a minor to moderate sprain. I wasn't great at keeping him rested during his first round of NSAIDS 10 days ago as we were hosting 2 students for a week and they keep leaving the barrier open which saw him sprinting upstairs after them to play ....grrr. I think this has definitely delayed his ability to recover so he is on a much stricter regime of rest now with no steps, carpeted floor and short on leash toilet breaks. I'm hopeful this will do the trick.
 

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Discussion Starter · #23 · (Edited)
Agreed- never call that excellent. But a telephone photo will never be diagnostic, if you can call and ask them to email you the images it would be much easier to try to see what the vet was calling a spur. I see what she's concerned w but the phone image simply isn't clear enough to really see it.
Thank you. To be honest the image she showed me was very blurry. The one I'd had taken 2 weeks ago by the orthopaedic vet were much clearer with good definition as was the one takenm by a different vet 2 weeks before that. In all he has had 4 sets of hip x-rays in the past 6 months (one we wanted done just as a screening, the other two after he started limping after he took a fall). The orthopaedic vet also had measurements he had taken over them and explained how they are defined and the angles spacing and coverage he could measure. I can't recall if he rated them or if they even do it in the Philippines. He just said the dog was fine in terms of his hips and that there were no signs of dysplasia. I know the picture is blurry but are you thinking more fair to good? Also can a bone spur develop in 10 days? Thats what the vet said to explain why 3 other vets had a different opinion to her.

I'm going to see if I can get the ortho vet to email me his images and if he does I'll repost. I'm going to give Milo his supplements and keep him on them for life just in case there is any mild dysplasia, better safe than sorry but I'm going to rest him up this week and see if I can get on top of the hock situation. In 10 days time if he is still limping I'm going to take him back to the ortho vet and have him x ray hips again as well as perhaps his hock and maybe ultrasound the hock. I don't trust the vet who did the x rays as she couldn't even diagnose which side his limp was on correctly when it was obvious in the video I showed. That is why I'm highly suspicious of her hip diagnosis
 

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Discussion Starter · #26 ·
With the photo you took on your phone, there is no way to know if the blob is even on the radiograph. Without seeing knees along w hips, it would not be possible to guess at a rating, either. But there's too much laxity in the right (view on left) and no telling what the left (view on right) actually shows to call them 'excellent'.
Thank you I'll try and get to email me the x rays from all three. For some reason in the Philippines thats not commonly done
 

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Discussion Starter · #27 · (Edited)
With the photo you took on your phone, there is no way to know if the blob is even on the radiograph. Without seeing knees along w hips, it would not be possible to guess at a rating, either. But there's too much laxity in the right (view on left) and no telling what the left (view on right) actually shows to call them 'excellent'.
Hello I was wondering if I could trouble you to look at these X Rays and get your opinion. I'm looking hard at the area of the blur from the x ray 2 days ago and I can't spot anything on this one. These were taken 10 days earlier than the blurry ones from the previous vet. These are from the orthopaedic vet who told us his hips are fine but I don't think they rate them in the same way here. How would you rate him based on this. Sorry for being a pain. I'm a worrier as he is a support dog for my daughter who has health concerns and he is her everything and subsequently ours as well.
Joint X-ray Radiography Medical imaging Bone
 

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Discussion Starter · #30 ·
MUCH better radiograph- he's slightly unlevel but other than that, we can see he is positioned correctly and that lack of blurred area does make me wonder again what the vet was seeing, I do not see a concern here really.
Thanks so much, I just think it was a very poor x ray that she took and she wanted to give me an answer for the limp and that was a solution. In the end his swollen hock is getting better as is the limp so obviously those two are related. Thank you for taking the time to respond.
 
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