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Update on Kip's 'Clicking Sound'

Discussion in 'General Health' started by Elei, Nov 26, 2019.

  1. Elei

    Elei Forums Regular

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    Kip went to the vet again for a recheck on his clicking sound. Today we were able to confirm that the noise is coming from his right knee joint. The vet can feel the click there. So the good news is no inflammation, no instability, no pain (as far as we can tell), and he is acting normal. I showed the vet videos of him walking, trotting, and doing cavalettis, and she thought that all looked normal. The frustrating part is we still don't know WHY the click is happening.

    A common cause of a click sound in the knee is a meniscus tear. But normally meniscus tears are accompanied by pain and limping. They are also most common with an ACL/CCL tear. Kip's knee feels stable, so the vet doesn't think that's the cause.

    The vet said the clicking might be something Kip outgrows, or it might turn into a problem later on.
    Plan: several more weeks of restricted/controlled exercise. The vet is going to do some research and get back to me. If the clicking doesn't resolve, I may ask for a referral to a different vet for a second opinion. All I want to know is: Is something wrong? If so, what can we do? I just wish I had a definitive answer.

    Has anyone here had a dog with a meniscus tear?

    Any ideas on keeping Kip happy and calm in his crate/ X-Pen in the house? He gets so bored, and then he jumps up and down, and I'm scared that's going to make things worse. He has a kong, but it only occupies him for a few minutes. We go on gentle leash walks, play gently, have cuddle sessions, trick training sessions, but he still gets bored.
     
  2. TheDailyPainter

    TheDailyPainter Forums Regular

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    I don't know if this relates but my sister (a human lol) had a clicking sound in her ankle when she walked. This happened when she was in her late teens. I don't know if it still clicks...she's 70 now but for what it's worth it never amounted to anything. Maybe Kip just has a click that means nothing. I hope that's it!
     
    Wendy C and Ann like this.
  3. Elei

    Elei Forums Regular

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    The DailyPainter: I have a clicking ankle too. It started when I was about 10 years old, and hasn't gone away (I'm still a young adult:)). It doesn't cause me any pain or trouble at all. I've always hoped that this is what is going on with Kip, but my vet doesn't think its likely.

    I've contacted another veterinary hospital to get an estimate for a consultation. Hopefully I'll get to the bottom of this soon.
     
    TheDailyPainter likes this.
  4. Sharon7

    Sharon7 Premium Member

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    So hard when you don't know, especially in a puppy, so I feel for you. Can you consult an actual vet orthopedist? I had a meniscus tear myself and I can tell you it IS painfull!! So hard to keep a puppy entertained quietly. I would do some beginning Nosework stuff with him - hide treats in boxes all over a room and have him search. Keep dropping small treats in boxes he's already passed so he has to return. Believe it or not, the thinking involved will tire him out.

    And, if you are using a lot of treats for distraction, make sure you cut back a bit on his food - the last thing a growing dog with possible joint issue needs is extra weight on him.
     
    KarenCurtis likes this.
  5. Elei

    Elei Forums Regular

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    Hi Sharon7,
    So this is probably a dumb question, but what exactly is a vet orthopedist? Is it just a vet who specializes in orthopedics, or is there an extra certification or accreditation I should look for?

    I have a friend who is a vet, and I asked her if she knew any vets who specialized in orthopedics. She recommended a local vet, and today I contacted his office to find out how much a consultation would be. I may go see this vet if there is no change after a few more weeks of rest. I'm also going to ask my regular vet if she can recommend someone.

    I also have the option of going to a specialty & emergency care veterinary center. They have pretty much every diagnostic tool there is, and I think they would be the best. But I also think they're VERY expensive. I'm going to see if I can get a rough cost estimate from them. The only other issue, is I would have to fly off island to get there...

    Most of Kip's training treats are his regular kibble, and I do watch his weight closely. I'll give the nose work a try. Thanks!
     
    KarenCurtis likes this.
  6. Caro

    Caro Moderator

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    It's the vet equivalent of an orthopedic surgeon. The do extra study and an internship and residency, and they'll be a member of an ortho vet specialisation or board. They spend all day looking at joints, bones, muscles and ligaments. and are generally more up to date with the research and advances in their field. I wouldn't necessarily go to another general vet if you want a second opinion. The specialist vet centre should have an ortho vet on staff.
     
    KarenCurtis, Sharon7 and RikyR like this.
  7. Chris

    Chris Premium Member

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    If it were me, I would seek out a canine orthopedist. He or she will be able to tell you exactly what is happening and, if necessary, treat so as to prevent more serious problems down the line. Here we have Veterinary Orthopedic and Sports medicine. The Doctors Canapp travel all over the world to teach other vets how to do what they do. Layla had her elbows done by Dr. Canapp in 2016 -- it enabled her to walk when no treatment would have left her unable to enjoy her activities of daily living.
     
    Last edited: Dec 10, 2019 at 8:44 AM
    Sandy in CT and Sharon7 like this.
  8. Sharon7

    Sharon7 Premium Member

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    We have a very well regarded emergency/specialist hospital here and one further south that really specializes in orthopedic stuff. Definitely more expensive, but I agree with Caro, it might be better to make that jump instead of going to another general vet. They spend all their time dealing with bones and joints so that would be your best bet. Sorry it's more of an effort for you to get to one. I don't think it's necessarily WRONG to see the recommended vet, but maybe a waste of money.

    Just a thought - did you contact the breeder to see if she has any experience with this issue in her dogs? Just an added bit of information.
     
    KarenCurtis, Sandy in CT and Hanne like this.
  9. Elei

    Elei Forums Regular

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    Thanks everybody, for the explanation about orthopedic vets. I'm going to ask my regular vet if there are any orthopedic vets on my island. The 'recommended vet' is a member of the "Veterinary Orthopedic Society". I will ask if he is specifically a orthopedic vet. Here is his website. It looks like he has a lot of orthopedic experience. https://keauhouvet.com/373-2/

    Sharon7: Yes, I contacted the breeder. She has been very helpful, and is the one who recommended the specialty & emergency hospital. She's never seen anything like this, but she talked to a veterinarian (who owns Shelties & is also experienced with dog sports) about it. I just heard back from her last night, and her vet had something very interesting/encouraging to say. That vet thinks that it is just laxity in the joint because Kip is growing. She thinks Kip will outgrow it, and as long as his gait is unaffected and he doesn't limp, he is fine. If this is true, I would be so relieved!
     
    Last edited: Nov 27, 2019
  10. Sharon7

    Sharon7 Premium Member

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    That is great news from your breeder. Well, the recommended vet looks to be well-versed in orthopedics so in that case I'd see him instead of flying to another island! I hope very much it is just as described, a laxity in the joint that will firm up over time as he grows. I'm like you - I just always want to know what's going on with my pups and not leave things to chance.
     

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