Michael Sterns, DVM
4Paws Mobile Veterinary Services, 690 Showers Drive, Mountain View, CA 94040
13.5 y/o MN 78# Lab/Border Collie Mix
Dog has had no medical issues in the past, other than inflamed anal glands.
All Physical Exam Parameters were WNL
Initial Exam 6/5/18
Jake had been limping on LR leg for several days
Increased laxity of L Stifle, minimal joint effusion, not painful. Plan is two weeks on meloxicam to reevaluate. try to avoid stairs
DDX; CCL trauma,
Tx: Kenalog 4mg sq
Rx: Meloxicam 1.5mg/mL dose by weight once daily x 14 days
Owner checked in by phone +14 days, No improvement noted in gait, more 3 legged running than at initial visit.
Follow Up Visit 8/3, 2008
Plan: Inject L Stifle with Kush to protect ruptured CCL. Procedure to be performed in owner’s family room as a house call visit.
- Jake is not a surgical candidate due to age and cost considerations.
Sedation 0.5mL Dexdomitor 5mg/mL + 10mg Ketamine IM
Clip and prep L cranial stifle with chlorhexidine and inject joint with 2mg Kenalog and 2mL Kush from PetVivo, using approach through medial patellar ligament with owner mildly flexing stifle.
Suggested 3 days of walking only on leash, and then gradual return to hiking and dog park.
I had intended to leave either carprofen or meloxicam with the owner to give for the next 7-14 days, but drove away without leaving it, and told owner to call me to make arrangements to pick up medication. I had not heard from owner for a week, so I texted them for an update. They informed me that on day 4 post-injection Jake was hiking in the Sierra High Country on uneven trails and swimming in the afternoon in Lake Tahoe. He had not limped since the injection and was visibly happy. The owner’s commented on the fact that they had not realized how “depressed” he had been.
We are now out to Day 57, and Jake is doing well and not on any type of anti-inflammatory medication. This response is typical of the other 4 stifle cases I have treated with Kush, and my first case (an aged Labrador Retriever) is still doing well after 2 years.