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Discussion Starter #1
When I took Lexi to the vet last week I had them check her legs to make sure she didn't have any problems. I had no reason to suspect she did. The vet told me the she has not quit a grade 1 Luxated Patella in her right rear leg. He said that it might not get any worse. That was all he said. I take her back in May fro some shots. I was wondering what else I should ask them about it? Is there anything I can do to try and keep it from getting worse?
 

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Oh no!!! I have no idea what a grade 1 LP is, so I won't be able to offer any advice, but I really hope it's not serious!!! I hope Lexi is ok!!
You're such a good mommy!!!!!
 

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I'd put Lexi on a good joint supplement like Cosequin or Glycoflex. (Don't bother with the cheaper ones or food with glucosamine added - they don't have enough to make a difference)

Do you have a ramp to get up to your bed (if Lexi sleeps in your bed)? The biggest thing is not to let these litlte ones jump up and down off furniture, which is easier said than done with a puppy!
 

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From what I understand it is the best grade for a dog with this condition. He said it wasn't even that grade yet. There was just a little slipping. This vet wasn't my normal vet so when Lexi goes for her shots in May I'm going to make sure I make it with my normal vet. That way I can get a second opinion.
 

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Discussion Starter #5
Originally posted by LadysMom@Mar 14 2005, 02:02 PM
I'd put Lexi on a good joint supplement like Cosequin or Glycoflex. (Don't bother with the cheaper ones or food with glucosamine added - they don't have enough to make a difference)

Do you have a ramp to get up to your bed (if Lexi sleeps in your bed)? The biggest thing is not to let these litlte ones jump up and down off furniture, which is easier said than done with a puppy!
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Lexi doesn't sleep with me. She prefers to sleep in her crate. The only thing she jumps off of is the couch, which is actually pretty low for a couch. It will be really hard to keep her from jumping off and on. Oh, well if it will help to keep it from getting worse it is worth it.
 

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Originally posted by Lexi's Mom@Mar 14 2005, 03:02 PM
From what I understand it is the best grade for a dog with this condition.  He said it wasn't even that grade yet.  There was just a little slipping.  This vet wasn't my normal vet so when Lexi goes for her shots in May I'm going to make sure I make it with my normal vet.  That way I can get a second opinion.
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Sounds good to double check with your regular vet! I wonder, do you think going up and down stairs could be affecting her legs? Peanut loves to run up and down the stairs...just curious.
 

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Grade one is the best - if there is such a thing. Hopefully with a joint supplement and no jumping, it will never get any worse.

Your Dad is pretty handy, isn't he? Get him to make you a set of stairs for Lexi to get on and off the couch!

You might want to consult an orthopedic specialist for a second opinion.

Here is some information from the Bhe Jei website:

Luxated Patellas
(slipping stiffles - knees)

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Luxated patellas or "slipped stifles" are a common orthopedic problem in small dogs. Dogs classified as small (such as Maltese) are much more likely to be affected as larger breed dogs. Luxated patellas are more common in female dogs. No research has yet identified the reason for this higher incidence in females, however researchers feel it could possibly be related to X-linked sex genes or hormonal influences.

Patellar luxation is a dislocation of the kneecap (patella). The kneecap may dislocate toward the inside (medial) or outside (lateral) of the leg, or may move in both directions. It may result from injury or congenital (present at birth) deformities. Both legs maybe affected. The most common luxation is medial patellar luxation in small breeds, such as the Maltese. This type of luxation is mainly a congenital or developmental condition. It is graded on a scale of 1 to 4, with grade 4 being most severe.

The crippling effects of patellar luxation are related to the severity and duration of the luxation. The milder forms, especially in small breeds, show little or no signs, and only minimal treatments required. Severe cases cause more intense pain, with limping. Grade 1 luxations may respond well to anti-inflammatory therapy and restricted exercise. These may or may not progress to worsening grades. Grades 2 through 4 luxations tend to require surgical corrections. The worse the luxations the more reconstructive surgery required to provide a functional joint.

Many techniques are available depending on the severity of the condition. Treatment ranges from rest (decreasing your pet's activity for 1-2 weeks) to surgical reconstruction of the knee joint. Treatment is based upon the severity of signs and your pet's age, breed and weight. Obesity complicates surgery and convalescence. A weight-reduction program may be required in conjunction with treatment. Satisfactory results are usually obtained if the joint degeneration has not progressed too far. Once the condition is repaired, most affected Maltese will make satisfactory recovery.
 

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Discussion Starter #8
My couch is so low that I could get by with using a box. The seat of the couch is maybe 18" from the floor (might not even be that). I will see if I can fine something to use. Otherwise my dad can make me a box from wood. Not sure where the heck I would put it. It is already crowded with a couch, oversize chair, 2 end tables and a coffee table.
 

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Discussion Starter #9
Originally posted by littlepeanut+Mar 14 2005, 02:24 PM-->
<!--QuoteBegin-Lexi's Mom
@Mar 14 2005, 03:02 PM
From what I understand it is the best grade for a dog with this condition.  He said it wasn't even that grade yet.  There was just a little slipping.  This vet wasn't my normal vet so when Lexi goes for her shots in May I'm going to make sure I make it with my normal vet.  That way I can get a second opinion.
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Sounds good to double check with your regular vet! I wonder, do you think going up and down stairs could be affecting her legs? Peanut loves to run up and down the stairs...just curious.
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[/B][/QUOTE]

So does Lexi. I hope not, because I live on the 3rd floor. Carrying 2 dogs up 3 flights of stairs would get old. Jk! I would do it if need be but dang would I get dirty some days.
 

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She's fine...if the patella is not luxating on its own, no damage to the joint is occurring. Keep in mind that even some instability in the knee joint may predispose her to injury. Many, many dogs have patellas that can be luxated on palpation but never cause a problem or begin luxating on their own. That said, as a Maltese, a breed prone to luxating patellas, it would be a good idea to have the vet take a feel of them annually to check for progress. Mikey's left knee has the same level of luxation. His right one did advance to a grade I/II after he lost a lot of muscle mass. Keeping your dog healthy, trim, and in good shape will help keep joints healthy.

ALL little dogs should have ramps or steps up onto high furniture like beds and couches. They ruin their backs much more than any extremeties with all of the jumping they do.
 

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Originally posted by Lexi's Mom+Mar 14 2005, 03:33 PM-->
Originally posted by [email protected] 14 2005, 02:24 PM
<!--QuoteBegin-Lexi's Mom
@Mar 14 2005, 03:02 PM
From what I understand it is the best grade for a dog with this condition.  He said it wasn't even that grade yet.  There was just a little slipping.  This vet wasn't my normal vet so when Lexi goes for her shots in May I'm going to make sure I make it with my normal vet.  That way I can get a second opinion.
<div align="right">index.php?act=findpost&pid=43171

Sounds good to double check with your regular vet! I wonder, do you think going up and down stairs could be affecting her legs? Peanut loves to run up and down the stairs...just curious.
<div align="right">index.php?act=findpost&pid=43175

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So does Lexi. I hope not, because I live on the 3rd floor. Carrying 2 dogs up 3 flights of stairs would get old. Jk! I would do it if need be but dang would I get dirty some days.
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Whew, I'm glad it doesn't sound too serious! Big kiss for Lexi!!!
I know what you mean about the stairs, I also live on the 3rd floor, and after Peanut's romp in the mud last week, we both needed a bath. I had tiny little paw prints all over the front of my shirt, the mail man seemed amused by it
 

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Discussion Starter #13
Originally posted by littlepeanut@Mar 14 2005, 03:09 PM
after Peanut's romp in the mud last week, we both needed a bath.  I had tiny little paw prints all over the front of my shirt, the mail man seemed amused by it

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That always seems to happen during my lunch hour. I remember one time last summer when my neighbor's dog was really happy to see me and jumped up and put his paws on my light tan pants. Normally it wouldn't be a big deal but his paws were muddy and it was during my lunch hour. I ended up having to change.
 

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No need to worry Lexi's mom! She seems to have great knees.
 
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