VNJ Volume 38 (5) October 2023 | Page 22

What are the benefits of early management of osteoarthritis ?
Osteoarthritis is a progressive inflammatory and degenerative disease , which negatively impacts dogs ' well-being by causing pain and impaired mobility . Effective management is crucial in all stages of the disease . Early osteoarthritis describes the period in which osteoarthritis has developed and is progressing within the joint , but the patient is initially able to compensate and carry out activities at the same rate as before . They do this by adapting their posture , gait and behaviour to minimise pain through the osteoarthritic joint . Importantly , if these adaptations are present , the dog is already in pain . The complex nature of osteoarthritis makes a multimodal approach necessary , involving pharmacological and non-pharmacological therapies , but management may differ between stages and individual patients .
“ Early osteoarthritis pain does not necessarily mean mild pain . Osteoarthritis pain can be significantly painful early on .”
Duncan Lascelles , BSc , BVSc , PhD , FRCVS , CertVA , DSAS ( ST ), DECVS , DACVS North Carolina State University , USA
Proactive early intervention that emphasises prevention is the most successful way of managing osteoarthritis as it :
• Reduces the osteoarthritis risk in growing dogs with an underlying arthropathy
• Is important from an animal welfare perspective as early osteoarthritis is already associated with pain
• Has a positive impact on the course of the disease and helps to minimise treatment requirements
• Can be successfully adjusted to the patient ’ s needs over time in a multimodal management approach
Helping owners to look out for signs of canine arthritis
REFERENCES
1 K . L . Anderson , H . Zulch , D . G . O ’ Neill , R . L . Meeson , L . M . Collins , Frontiers Vet Sci 7 ( 2020 ) 220 .
2 S . A . Johnston , Vet Clin North Am Small Animal Pract 27 ( 1997 ) 699 – 723 .
3 A . Wright , D . M . Amodie , N . Cernicchiaro , B . D . X . Lascelles , A . M . Pavlock , C . Roberts , D . J . Bartram , J Small Anim Pract 63 ( 2022 ) 609 – 618 .
4 M . Enomoto , ACVS Surgery Summit ( 2022 ).
5 J . Demko , R . McLaughlin , Vet . Clin . North Am .: Small Anim . Pr . 35 ( 2005 ) 1111 – 1135 .
6 P . Witte , H . Scott , Pr . 33 ( 2011 ) 58 – 66 . 7 H . Scott , P . Witte , Pr . 33 ( 2011 ) 20 – 27 .
8 D . S . Mills , I . Demontigny-Bédard , M . Gruen , M . P . Klinck , K . J . McPeake , A . M . Barcelos , L . Hewison , H . V . Haevermaet , S . Denenberg , H . Hauser , C . Koch , K . Ballantyne , C . Wilson , C . V . Mathkari , J . Pounder , E . Garcia , P . Darder , J . Fatjó , E . Levine , Animals 10 ( 2020 ) 318 .
9 F . D . Dona , G . D . Valle , G . Fatone , Vet . Med .: Res . Rep . 9 ( 2018 ) 23 – 32 .
10 G . H . Cardinet , M . M . Guffy , L . J . Wallace , R . C . Laben , J . Am . Vet . Méd . Assoc . 182 ( 1983 ) 393 – 5 .
11 S . Bliss , R . J . Todhunter , R . Quaas , G . Casella , R . Wu , G . Lust , A . J . Williams , S . Hamilton , N . L . Dykes , A . Yeager , R . O . Gilbert , N . I . Burton- Wurster , G . M . Acland , Am . J . Vet . Res . 63 ( 2002 ) 1029 – 1035 .
12 F . Coopman , G . Verhoeven , J . Saunders , L . Duchateau , H . V . Bree , Vet . Rec . 163 ( 2008 ) 654 .
13 T . H . Witsberger , J . A . Villamil , L . G . Schultz , A . W . Hahn , J . L . Cook , J . Am . Vet . Méd . Assoc . 232 ( 2008 ) 1818 – 1824 .
14 D . G . O ’ Neill , D . C . Brodbelt , R . Hodge , D . B . Church , R . L . Meeson , Canine Med . Genet . 7 ( 2020 ) 1 .
15 K . Engdahl , U . Emanuelson , O . Höglund , A . Bergström , J . Hanson , Sci . Rep . 11 ( 2021 ) 9546 .
16 D . G . O ’ Neill , R . L . Meeson , A . Sheridan , D . B . Church , D . C . Brodbelt , Canine Genet . Epidemiology 3 ( 2016 ) 4 .
17 G . K . Smith , E . R . Paster , M . Y . Powers , D . F . Lawler , D . N . Biery , F . S . Shofer , P . J . McKelvie , R . D . Kealy , J . Am . Vet . Méd . Assoc . 229 ( 2006 ) 690 – 693 .
18 M . H . Sallander , Å . Hedhammar , M . E . Trogen , J . Nutr . 136 ( 2006 ) S2050 – S2052 .
19 R . I . Krontveit , A . Nødtvedt , B . K . Sævik , E . Ropstad , C . Trangerud , Am . J . Vet . Res . 73 ( 2012 ) 838 – 846 .
20 D . C . Sellon , D . J . Marcellin-Little , BMC Vet . Res . 18 ( 2022 ) 39 .
21 B . L . Hart , L . A . Hart , A . P . Thigpen , N . H . Willits , Front . Vet . Sci . 7 ( 2020 ) 388 .
22 A . M . Oberbauer , J . M . Belanger , T . R . Famula , Front . Vet . Sci . 6 ( 2019 ) 397 .
23 W . J . Gordon , M . F . Besancon , M . G . Conzemius , K . G . Miles , A . S . Kapatkin , W . T . N . Culp , Vet . Comp . Orthop . Traumatol . 16 ( 2003 ) 01 – 05 .
24 G . M . C . Jones , et al , Frontiers Vet Sci 9 ( 2022 ) 789898 .
An educational service from the makers of Metacam ® and Previcox ® . Further information available in the SPC or from Boehringer Ingelheim Animal Health UK Ltd ., RG12 8YS , UK . Metacam ® is a registered trademark of Boehringer Ingelheim Vetmedica GmbH , used under license . Previcox ® is a registered trademark of Boehringer Ingelheim Animal Health France SCS , used under licence . © 2023 Boehringer Ingelheim Animal Health UK Ltd . All rights reserved . Date of preparation : August 2023 . UI-PET-0078-2023 . Use Medicines Responsibly .
22 Veterinary Nursing Journal