Dr. Lehrer reviews two dogs with ACL injuries: Dolce got Adequan injections every 2-4 weeks with minimal side effects, while Mindy received gabapentin after surgery, increased to three times daily during physical therapy. Pain control needs constant reassessment during rehab.
Hey guys, My name is Dr. Lehrer. I'm here in Heron Lake San Paul Hospital. Today I'm here with Dolce. And you guys may have seen Dolce in the past when I was talking about ACLs or cranio cruciate ligaments. And so one of the things I just wanted to give you an update on Dolce. So she seems to be recovering really, really nicely. One of the things that we added to her treatment is an injection called Adequan. And so Adequan is a product which initially you'll give an injection twice a week for four weeks and then after that, depending on how the patients respond, you'll give an injection once every two to four weeks. You'll try and stretch out as long as possible while it's still providing good anti inflammatory effects or good pain relief. And so it's something that doesn't affect the kidneys, doesn't affect the liver. In the rare occasion, sometimes you might see some bleeding stuff, but that's very, very rare. Do you like me rubbing your ears? I think you like me rubbing your ears. The other thing that I wanted to let you know was we have another patient, her name is Mindy, and she's responding, recovering from ACL surgery. And what we initially were doing was we had her on a medication as well as some other ones, but we had her on something called gabapentin post surgery and we were giving it to her twice a day. And when we first started doing physical therapy with her this week, we noticed that she seemed to be kind of uncomfortable. And so what we did was we increased the dosage of the gabapentin to three times a day instead of twice a day. And so now Val is helping us with physical therapy and she's working with Nancy, one of our other team members, and they noticed a huge difference in Mindy's response to physical therapy. And so that's one of the things that's really important is that you constantly want to be evaluating your dog's pain control and see if there are any adjustments that need to be made. Whether it's that you need to do something to provide more pain management or maybe they're being too sedated, otherwise. If you guys have any questions about this particular topic, drugs that we use, physical therapy, or anything else, leave it in the comment box. If you found this video helpful, give us a thumbs up. Subscribe and share. Otherwise, thanks for watching guys and have a great day.
