Case Study: Indy

Basic Information

Name: Indy
Breed: West Highland White Terrier
Sex: Female, Spayed
Weight: 50 lbs.
DOB: 7/98

History

Indy presented to her primary care Veterinarian not using her left hind leg and unable to jump for the last few weeks. Radiographs were taken revealing combined patellar luxation and cruciate ligament injury. Indy was then referred to an orthopedic surgeon.

Presenting Problems

Post TPLO and patellar luxation repair

Condition / Diagnosis / Findings

Indy arrived at TheraVet the day after surgery for boarding and therapy. Her surgical leg had moderate swelling and bruising along the medial and cranial aspects of the knee. She was non-weight bearing on the left hind most likely due to pain and weakness, and had decreased range of motion in both knees.

Therapy Goals

Pain management, resolve swelling and bruising and increase range of motion of the left stifle.

Course of Therapy

For the first 2 weeks Indy's therapy was performed three times daily. It consisted of LASER treatments, E-Stim, range of motion and cryotherapy. Indy was your typical stubborn terrier, but after a few days she would crawl into your lap as to say "ok, I'm ready for therapy." Indy

Progress Evaluation

Indy at 6-8 weeks post surgery had improved her balance, increased her muscle mass, and decreased her pain level. The Underwater Treadmill, Hako Med Whirlpool, therapeutic exercises, and cones and caveletti work all helped to achieve these results. She steadily increased her balance and mobility and improved her knee range of motion; even her non-surgical leg improved in muscle mass and range of motion. She would need to continue her work with the stairs, and hill walking to aid in further muscle strengthening.

Progress to Date

Indy has since "graduated" from therapy. She has made a full recovery and is back to chasing squirrels in the back yard!