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Peer-reviewed veterinary case report

Mesotherapy eased elbow osteoarthritis pain in police Labrador

By Alves, João Carlos & Santos, Ana Margarida·Published in Topics in companion animal medicine·2017·Divis&#xe3·View original on PubMed

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Original publication title: Evaluation of the Effect of Mesotherapy in the Management of Osteoarthritis-Related Pain in a Police Working Dog Using the Canine Brief Pain Inventory.

Species:
dog

Plain-English summary

A 9-year-old male Labrador Retriever was brought in for constant limping on his right front leg, which got worse with exercise. After examining him, the vet found severe osteoarthritis in his elbow, causing pain and limited movement. To help manage his pain, the vet used a treatment called mesotherapy, which involved injecting a mix of medications around the elbow. After the treatment, the dog's pain scores improved significantly for three months, although they started to rise again by the six-month check-up. Overall, the treatment helped reduce his pain without any side effects.

People also search for: dog limping treatment · Labrador osteoarthritis pain relief · mesotherapy for dogs arthritis

Abstract

CASE DESCRIPTON: A 9-year-old, 33.4kg (73.63Lb) male entire drug detection Labrador Retriever Dog was presented with an history of constant lameness from the right thoracic limb, aggravated with exercise and work. CLINICAL FIDINGS: Clinical examination revealed mild signs of pain on the manipulation of the elbow joint, with reduced range of motion on the end feel of joint flexion and extension and crepitation. Radiographic examination of the right elbow joint revealed severe, chronic osteoarthritis, with osteophyte formation on the humeral epicondyles and articular margin of the distomedial humerus, with a narrowed joint space, and osteophytes on the proximal radius, proximomedial ulna, and anconeal process. TREATMENT AND OUTCOME: A solution comprised of a combination of lidocaine, thiocolchicoside, and piroxicam was prepared and applied around the right elbow joint. The animal was rested for 3 days and normal work load was introduced over a 5-day period. The CPBI was completed by the trainer before treatment (T0), 14 days (T1), 1 (T2), 2 (T3), 3 (T4), 4 (T5), 5 (T6), and 6 (T7) months after treatment. Following the mesotherapy session, pain score results consistently declined until the 3-month evaluation moment. At the 6-month follow-up evaluation, values have risen to near baseline values. No side effects were recorded. CLINICAL RELEVANCE: Mesotherapy produced significant reduction of pain score results, as measure by the CBPI, and may be a promising treatment option for canine osteoarthritis-related pain. Further studies are required.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28750790/