Navigating Canine Osteoarthritis: Insights from a Veterinary Professional

Navigating Canine Osteoarthritis: Effective Treatment and Management

Tânia Frazão, M.C.S., D.V.M.
Better Pets
9 min readSep 1, 2023

--

Summary: I’ve treated many dogs with osteoarthritis and discovered effective ways to manage this degenerative condition, improving dogs’ quality of life. This article shares my invaluable insights on optimizing medications, nutrition, supplements, movement, and compassionate end-of-life care for dogs with osteoarthritis. I discuss real-world medication responses, the promising effects of green-lipped mussel extract, and guidance on determining declining quality of life. My goal is to empower pet owners with the knowledge to enhance their dogs’ comfort and mobility while coping with osteoarthritis. Join me in exploring this intricate landscape.

Introduction

In the ever-evolving world of veterinary medicine, we veterinarians often find ourselves faced with unique challenges, especially as our beloved canine companions gracefully age. As a dedicated veterinarian, I’ve been fortunate to witness a myriad of cases that have illuminated the intricate landscape of health management for our furry friends. In this article, I will share invaluable insights gleaned from my experience in addressing osteoarthritis (OA) in dogs. This condition, akin to a rapidly progressing ailment, can lead to a precipitous decline in a pet’s quality of life. However, it’s essential to recognize that OA can be managed, offering hope and an extended period of improved well-being. Join me in exploring the ways we can enhance the lives of our canine companions as they navigate the challenges of OA, ensuring they continue to enjoy the highest quality of life possible.

Managing Canine Osteoarthritis

Understanding Degeneration and Breed Considerations

One of the fascinating aspects of veterinary medicine is understanding how degenerative processes affect different breeds. Some breeds are anatomically predisposed to developing osteoarthritis. Common higher-risk breeds include German Shepherds, Labrador Retrievers, Golden Retrievers, Rottweilers, Saint Bernards, and Dachshunds. These breeds are prone to factors like sloping hindquarters causing joint stress (German Shepherds), susceptibility to hip dysplasia (Retrievers, Rottweilers), and genetic conditions like intervertebral disc disease (Dachshunds).

However, it’s important to note that any breed can develop osteoarthritis. Smaller dogs are also frequently affected. While larger breeds may be especially prone, vigilance and proactive management are vital regardless of breed.

Signs of Osteoarthritis

Signs in dogs include limping, stiffness, reduced range of motion, difficulty rising, and changes in behavior like decreased activity or aggression. If your dog exhibits these signs, discuss osteoarthritis risk and prevention with your veterinarian. While some breeds are predisposed, early action applies to all.

Osteoarthritis (OA), also known as degenerative joint disease (DJD), is a debilitating disorder that can affect many animal species. Image source: Clinician’s Brief — Treating Canine Osteoarthritis

Medication Insights and Variability

In my practice, I’ve come across a spectrum of responses to medication among dogs with osteoarthritis. The emergence of newer options like Librela [1] has garnered attention, with some colleagues reporting positive outcomes. This medication has garnered attention for its potential to alleviate the discomfort associated with osteoarthritis. Approved by both the European Medicines Agency [2] and the FDA, Librela offers a fresh approach to managing OA pain in dogs. However, as is often the case, individual medication responses can vary significantly. What proves effective for one dog may not yield the same results for another. This inherent variability underscores the need for a patient-centric, trial-and-error approach when crafting treatment plans. The encouraging news is that there is now a vast array of new medications and treatments available, many of which have shown reduced side effects compared to those offered a decade ago.

Prioritizing Movement and Muscle Maintenance

When managing osteoarthritis, my experience has reaffirmed the importance of facilitating movement and preventing muscle atrophy. The loss of muscle mass can substantially impede a dog’s recovery process. Altering the exercise routine of the dog to include more frequent, shorter walks can make a notable difference. For example, instead of going for a long walk two times a day, I recommend three to four short walks. Exploring hydrotherapy options, such as swimming, can also offer substantial benefits. I recall instances where access to canine-friendly pools significantly improved the well-being of dogs under my care. If you have a personal pool, and your dog is accustomed to water and swimming, your dog can use a buoy to float. Consequently, this allows them to move their legs and build muscle by working against the resistance of the water.

Assisted Aquatic Therapy: A Labrador Receives Support While Building Strength in the Pool with a Flotation Vest. Image Source: LBB.in

Nutrition and Supplement Strategies — Multimodal Approach

Managing osteoarthritis in dogs requires a multifaceted approach targeting different symptoms. Beyond medication and exercise, nutrition is pivotal for overall health. Supplements can provide natural anti-inflammatory and cartilage-protecting benefits. Glucosamine-chondroitin supplements are commonly recommended. Additionally, I have found omega-3 fatty acids and green-lipped mussel extracts highly beneficial for supporting dogs with osteoarthritis.

- The Benefits of Omega-3s

Incorporating omega-3 fatty acids into their diet can serve as a natural anti-inflammatory agent, contributing to cartilage health. The positive effects of omega-3 polyunsaturated fatty acids on osteoarthritis have been supported by various studies, including a recent meta-analysis [3]. These fatty acids have shown promise in reducing inflammation and improving joint function, making them a valuable component of a comprehensive OA management plan.

In my practice, I’ve often recommended a combination of multivitamins and omega-3 supplements for a comprehensive approach to supporting dogs with osteoarthritis.

- The Promise of Green-Lipped Mussel

However, one natural supplement that has captured my attention is the green-lipped mussel. This supplement has gained recognition for its potential benefits in managing OA. Its origins trace back to a population in a specific region of New Zealand where residents regularly consumed this mussel species. Intriguingly, this population exhibited notably lower rates of osteoarthritis. This discovery prompted further research, ultimately leading to the development of the supplement.

Green-Lipped Mussels example. Image Source: AKT

In a recent review of nine clinical trials in humans, researchers found some exciting results. They discovered that GSM, whether in a special oil or whole powder form, can help reduce pain effectively. They used a pain scale called the Visual Analogue Scale (VAS) to measure this, and the results were promising. It showed that GSM supplements had a moderate and meaningful impact on reducing pain scores. [4]

In addition to pain relief, the review also found that using the whole GSM extract helped improve stomach problems in osteoarthritis patients who were taking anti-inflammatory medications. The good news is that, in most studies, GSM supplements were well-tolerated, which means they didn’t cause significant side effects for the patients.

Still, it’s an option to consider that may help pets feel better, especially if looking to avoid the potential side effects of traditional meds. As always, discuss supplements with your vet.

Patience and Observation

It’s important to remember that supplements often require time to manifest their full benefits. When incorporating any supplement into your dog’s regimen, patience is key. It’s advisable to continue usage for at least a month, closely observing your dog’s response. If you notice no discernible improvement, you can consider exploring alternative options.

Veterinarian Insights on Mobility Solutions

Drawing from my experiences, I’ve encountered cases that have truly expanded the horizons of veterinary medicine. In situations where the progression of osteoarthritis significantly impairs mobility, I’ve witnessed the remarkable impact of specialized wheelchairs, particularly for larger dogs. However, these decisions are deeply personal and demand meticulous consideration of the dog’s well-being.

It’s essential to note that dogs in wheelchairs require assistance from their pet owners to get in and out of the chair. Wheelchairs serve a specific purpose, primarily enabling dogs to enjoy walks and maintain an upright position for urination and defecation. Nonetheless, it’s crucial to exercise caution, as even with partial or complete paralysis, dogs can develop wounds, especially from dragging their hind limbs. To mitigate this risk, protective measures such as socks or boots should be employed.

Additionally, there’s a potential for chafing or pressure sores in the inguinal area due to the harness of the wheelchair. Thus, selecting a wheelchair that prioritizes comfort is paramount. With numerous options available on the market, careful consideration is necessary. I recommend checking with the seller if it’s possible to try the wheelchair before making a decision, ensuring that it meets both the dog’s needs and the owner’s expectations.

What to Do If Your Dog Needs a Wheelchair: Best Dog Wheelchairs. Image Source: AKC

The Heart-Wrenching Decision and Compassionate Care

Being a veterinarian is more than just having medical expertise; it’s about being a compassionate advocate for the well-being of our beloved animal patients. One of the most emotionally challenging aspects of our profession is guiding pet owners through the heart-wrenching decision-making process regarding end-of-life care.

The bond between pet owners and their animal companions is truly unique and deeply profound. It’s a connection built on shared moments, unwavering love, and a silent understanding that transcends words. When it comes to determining the right time for end-of-life care, I’ve always shared with my clients that deep down, they possess an innate sense of when it’s time to make this difficult choice.

Losing a cherished pet friend is undeniably one of life’s most agonizing to violent experiences, and deciding the right moment should never be rushed or influenced by external pressures, whether from veterinarians or well-meaning friends. While our professional advice is essential and valuable, the ultimate decision rests firmly with the family. This approach ensures that the healing process following the loss of their beloved pet begins on a foundation of understanding and peace, rather than being clouded by lingering doubts and ‘what ifs.’

While medical interventions, when the dog loses his ability to move and becomes recumbent, including potent anti-inflammatory medications, can offer temporary relief, the final decision is a reflection of the owner’s judgment and profound compassion. I’ve often been in the position of reassuring my clients that they will intuitively sense when it’s time to grant their cherished pet the gift of a peaceful passing. This heart-wrenching decision, in its own way, is a profound expression of love — a testament to the deep care and devotion pet owners have for their cherished animal companions. It’s about providing them with the serenity and comfort they so rightfully deserve, liberating them from pain and suffering. Ultimately, it’s an act of compassion that encapsulates the true essence of the remarkable bond between humans and their animal friends.

Conclusion

Managing canine osteoarthritis requires a multifaceted approach, as we’ve explored. With knowledge of breed considerations, emerging treatments, controlled movement, nutrition, and compassionate care, we can enhance the quality of life for dogs with this progressive disease. My experiences as a veterinarian reveal that while osteoarthritis poses mobility challenges, there are effective ways to improve comfort and well-being. As science advances, I hope our holistic approach focused on dog welfare will also continue evolving. By learning together, we can empower these beloved family members to keep enjoying life’s simple joys

Disclaimer: The suggestions and information presented in this article are intended for informational purposes only. It is vital to understand that when it comes to the health and well-being of your pet, decisions regarding their care and treatment should always be made in consultation with a qualified veterinary medical professional. This article is not a substitute for professional veterinary advice, diagnosis, or treatment.

References:

[1] Librela Official Product Page on Zoetis. Link — accessed on 30th of August 2023

[2] — European Medicines Agency (EMA) Product Information for Librela. Link accessed on 30th August 2023.

[3] — Omega-3 polyunsaturated fatty acids supplementation for patients with osteoarthritis: a meta-analysis (2023). Link PubMed — accessed on 30th of August 2023.

[4] — Green-lipped mussel extract in the management of osteoarthritis: efficacy, safety, and mechanism of action (2021). Link PubMed — accessed on 30th of August 2023

Share Your Experiences and Stay Informed

I believe that every pet owner has a unique story and valuable experiences to share. If you’ve faced the challenges of managing osteoarthritis in your furry friend or have insights to offer, I encourage you to share your journey. Your experiences can provide invaluable support and inspiration to others on a similar path.

Stay connected and up-to-date with the latest in pet care and wellness by following and subscribing to our publication on Medium, “Better Pets. Join our community of passionate pet owners, advocates, and veterinarians, all dedicated to ensuring the well-being of our beloved animal companions.

--

--

Tânia Frazão, M.C.S., D.V.M.
Better Pets

Computer scientist &Vet.(DVM) passionate about animals, the potential of generative AI and Python. Shares insights on pet health and tech.