cruciate ligament strain

January 2017 Patient of the Month!

Stella's Story

When we adopted Stella in 2010, we weren’t looking for a young dog. We had our hearts set on a 9-year old female from German Shepherd Rescue who could be a companion to our 9.5-year-old male, Ezra. The 9-year-old female did not want to live in a house with other dogs, so the rescue steered us to Stella, a 2.5-year-old that had been surrendered by her family.  We feel in love with Stella’s sweet personality and playfulness immediately.  Stella and Ezra were running around and playing like old friends shortly after meeting so we knew she was the dog for us. 

Stella had a femoral head and neck osteotomy performed on her left hip when she was 6-months old after x-rays showed hip dysplasia. Despite this early setback, Stella is an extremely active dog who loves to play fetch and Frisbee. Occasionally we noticed that Stella was stiff after her playtimes. We brought her in for Physical Rehabilitation and Pain Management at the Veterinary Medical Center of CNY. Dr. Fleckenstein and Lis Conarton had worked wonders on our old shepherd, Ezra’s issues through the end of his life so we knew they would come up with a plan to keep Stella active. We immediately saw a decrease in Stella’s stiffness and recovery once we added physical rehabilitation. We have kept Stella on a 4 to 6-week rotation of chiropractic care and hydrotherapy and followed a regiment of home exercise and stretches. 

When we adopted Stella we knew she had anxiety issues. Having a strong male role model around helps with Stella’s anxiety but it is still a problem. Stella’s greatest problems occur during thunderstorms. We have frequently come home or woken up to find Stella wedged into a space that is too small for her. Stella has cut herself during these episodes but never caused an injury that required medical care. In early July, Stella panicked during a thunderstorm and wedged herself under our bed. The bedframe is very close to the ground. The only way Stella was able to get herself under the bed was to unnaturally contort her body. Stella was wedged in so tight that we could not pull her out. I was able to pull Stella out after my husband lifted the bed. It looked like she had rotated her hips at a strange angle so we weren’t surprised that she was a little stiff when she started walking around. 

Aside from the stiffness, she acted like her normal, playful self.  The next morning when we took her out to play fetch it was obvious that something was wrong. She was not putting weight on her left hind leg. We brought Stella to the Veterinary Medical Center of CNY for evaluation and found out that she had ruptured her cruciate ligament. Dr. Robinson and the surgical team assured us that this was a common injury in active dogs and that Stella would be back to her playful self about 12 weeks after surgery if we followed a strict rest and recovery program. 

Stella 1.png

One week after Stella’s surgery we started Acupuncture. Stella had a lot of bruising and swelling around her knee and ankle and her leg was extremely hot to the touch. A few hours after her first Acupuncture treatment, the bruising and swelling had decreased significantly. We continued with treatments every two weeks through Stella’s 6-week post op x-rays. Once we got the all-clear that she was healing well, we were able to add Physical Rehabilitation with Lis. Visits with Lis for laser therapy were already part of Stella’s recovery but we were happy that now she was going to be able to do something active to burn off some of that nervous energy. 

At this point, we are almost 11 weeks post-surgery and Stella is doing great. Stella now comes in twice a month for her treatments with Dr. Polly and Lis and we follow our home exercise and mobility regiment.  Stella is doing better than we expected at this point and is basically back to her old self. Even though some parts of the recovery process have been difficult, things would have been much worse without the great care and support that we receive from the VMC. You never want anything bad to happen to your pet but when it does, it is great to have such a great resource close by that embraces both traditional and non-traditional approaches to veterinary care. 

                               ~The Sliwiak Family

Diagnosis:

  • History of Left Femoral Head & Neck Osteotomy
  • Left Cranial Cruciate Ligament Rupture corrected with TPLO repair
  • Noise Phobia
  • Separation Anxiety
  • Secondary Compensatory Muscle Pain

Treatments:

  • Electroacupuncture
  • Laser Therapy
  • Hydrotherapy
  • Massage
  • Soft Tissue Mobilization
  • VSMT
  • Alprazolam (for anxiety)
  • Shen Calmer (Chinese Herbs for Anxiety)
  • Pain Management Perioperatively (and as needed)
  • Tendon Ligament Formula Chinese Herbs

 

 

 

 

VMC's (Belated) October Patient of the Month!

Abby's Story

Abby 10-15

Abby started her journey with the VMC in 2009 when she was 9 years old. Prior to the VMC, Abby had surgery in the early 2000’s to repair both cruciate ligaments in her hind legs. She was experiencing some discomfort due to resulting osteoarthritis and trigger points in her shoulders (as she compensated for her knees). Abby had also been diagnosed with Laryngeal Paralysis (LP) which restricted her breathing. We had consulted with a surgical veterinarian regarding the LP; however, he felt surgery was not warranted yet and suggested acupuncture. Hearing Dr. Fleckenstein was the local expert, Abby started acupuncture sessions at the VMC with the added benefit of reducing the pain associated with the osteoarthritis and trigger points.

As Abby’s breathing became more labored due to the LP, Dr. Robinson at VMC  performed a unilateral tieback surgery to reduce the restriction caused by her larynx. Now able to breathe better, and with her joint/muscle pain under control, Abby was back to acting like her old self, an active pup, again. After Abby’s tieback surgery, we continued acupuncture sessions and introduced supplements recommended by Dr. Fleckenstein to help with the osteoarthritis. Abby would become so relaxed and comfortable during acupuncture that she would fall asleep during her treatments.

Dr. Fleckenstein thought Abby could benefit from the addition of physical rehab, so in 2010 we started rehab with Lis Conarton. Abby’s physical rehab includes laser therapy for her joints, manual trigger point release, and walking on the underwater treadmill. Lis also provided us with a home exercise program including massage, range of motion exercises, swimming, and walking at the beach. Abby adores Lis and is very accommodating even when Lis is working out her painful trigger points! In 2013, Abby was diagnosed with a hemangiopericytoma, a soft tissue sarcoma, below her right eye. After consultation with Dr. Rassnick at the VMC, Dr. Robinson again performed surgery on Abby – this time to remove the sarcoma. Unfortunately, the sarcoma could not be removed completely due to the location, so Dr. Robinson implanted a few chemotherapy beads. Dr. Rassnick also recommended the addition of low dose metronomic chemotherapy to prevent the sarcoma from growing, which Abby has tolerated well. We continue to see Dr. Rassnick and we’re happy to report Abby has had no regrowth of the sarcoma for almost 2 years.

Abby swimming 10-15

Abby loves going to the VMC! The office and medical staff welcome her with so much loving attention, it doesn’t matter whether she’s here for surgery with Dr. Robinson, bloodwork with Dr. Rassnick, acupuncture with Dr. Fleckenstein or rehab with Lis. With the wonderful care provided by the VMC, Abby is now almost 15 years old. Abby continues her rehab with Lis, home exercise, and supplements to maintain her quality of life and allow her to age comfortably and gracefully. ~ Abby’s Loving Family

VMC Services Providing Care: • Acupuncture • Surgery • Physical Rehabilitation • Oncology

Diagnoses: • Laryngeal Paralysis • Hemangiopericytoma • Osteoarthritis – Knees • Myofascial Trigger points

Treatments: • Surgery • Metronomic Chemotherapy • Acupuncture • Laser therapy • Manual Trigger Point Release • Home Exercise Program • Supplements • Underwater Treadmill Hydrotherapy

June 2015 VMC Pain Management Patient of the Month

Puccini's Story Puccini

My husband and I are proud owners of our 11 year old standard poodle named Puccini. Since Puccini was the runt of a litter of six, he weighs only 42 pounds, whereas, typically, the breed weighs between 60-70 pounds. During Puccini’s initial veterinary visit, Dr. Davis at Lyndon Veterinary Clinic, advised us that sometimes the runt of a litter can develop a variety of health challenges. Clearly, this has proven to be so for our dog. Beginning as early as 3 yrs. old, Dr. Davis diagnosed Puccini with hip dysplasia, with the right hip significantly worse than the left. Just looking at the x-ray of Puccini’s right hip, Dr. Davis commented, “you wouldn’t think he could walk.” Dr. Davis prescribed Cosequin double strength twice a day, and he modified Puccini’s playtime eliminating the run/stop action which was bad for his back legs. In 2009, Dr. Davis diagnosed Puccini with Intervertebral Disc Disease. Dr. Davis referred us to Cornell Companion Animal Hospital where they discovered that Puccini’s hind limb muscles had atrophied. At that time, they recommended Lis Conarton and the Physical Rehabilitation Service at the Veterinary Medical Center. Lis evaluated Puccini, and provided us with a thorough understanding of the problems and challenges he may encounter. She highlighted the various techniques she would use on Puccini including: laser therapy; the underwater treadmill; the “agility course”; and the importance of addressing the Myofascial Trigger Points (muscle knots). We were impressed with Lis—her breadth of knowledge, her professional demeanor, her patience, and Puccini who doesn’t like meeting people warmed right up to her immediately. Lis has been able to markedly improve Puccini’s muscle strength and maintain his muscle mass. Due to Puccini’s aging process, Lis has continually modified his rehab sessions, along with the home exercise program. She informs Dr. Davis of her observations about Puccini which has produced a “winning team” for our dog. We are convinced that Puccini’s quality of life is very good because of Lis. We are not taking anything away from Dr. Davis, who is a great veterinarian, but Lis has skills that are not widely available. We refer to Lis as the “animal whisperer”. Lis is an amazing and talented young woman, who possesses the desire to stay abreast of everything related to her profession. We are always recommending the VMC and Lis to anyone who has an animal in need, because she treats each animal as if she is the owner. To this day, we count our blessings that physical rehabilitation is available in Syracuse and that a highly knowledgeable, competent, and talented woman by the name of Lis Conarton manages the area. ~Puccini’s Family

Puccini

  • 11 year old Standard Poodle
  • Hip Dysplasia
  • Cervical Disc Disease/Intervertebral Disc Disease
  • Right Cruciate Ligament Strain
  • Compensatory Muscle Strain & Myofascial Trigger Points
  • Irritable Bowel Disease

Current Treatments

Weekly Rehabilitation Sessions Including:

  • Hydrotherapy Exercise
  • Under Water Treadmill
  • Low Level Laser Therapy
  • Joint Mobilization
  • Massage Including-Myofascial Trigger Point Release
  • Home Exercise Program
  • Home Massage Program