Question Details
Boney Lesion In Young Dog
by CVWDVM - October 17, 2009
Hi Forum! I would appreciate some feed back on this case.
Sadie is a 2 yr, F/S, border collie. She has had intermittent lameness for ~6 months with development of a remodeling boney lesion on the 1st phalanx of the 4th digit of the right forepaw. Reviewed as "remodeling" by the radiologist, it has remainded unchanged. She is lame usually after playing frisbee. The lameness resolves after several days of rest.
On exam, she was somewhat timid but warmed up to friendly. Her coat was in good condition, not dry. Her pulse is normal strength, but deeper than normal. Her tongue was slightly lavender. The physical exam was otherwise normal except for the firm, smooth swelling associated with bone as previously discribed.
Phycox, a glucosamine, etc., suppliment has been somewhat helpful. The owner is interested in herbal options.
Replies
by naturevet
October 17, 2009
Hi there,

The deep pulse and tongue; worsening with over exertion; and improvement with rest all suggest Stasis. The fixed location of the pain and tissue changes indicate it is of the Blood stasis variety. Unless she's overtly hot, I'm assuming she's cool or neutral. In that instance, Xiao Huo Luo Dan should help.

Other options:

Arnica montana 30C (homeopathic) used before and after exercise

Eupatorium perfoliatum as a single western herb for bone pain

Hypericum (homeopathic or herb) for severe digital pain

Dang Gui Si Ni Tang (Dang Gui Four Cold Extremities Powder) for digital pain due to Wind invasion. The latter is probably not as likely to work if only one digit is affected, but I mention it anyway, since it has been very effective in rheumatoid arthritis in people, where degenerative changes are noted in the distal interphalangeal joints.

Some or more of those are bound to work. I'd probably start with XHLD, plus Arnica, plus Hypericum.

Good luck and let us know how it goes.

Steve

by CVWDVM
October 28, 2009
Sadie will not eat the granules; not mixed with food, etc. I checked Kan Herbal on line and didn't find the same formula. Any suggestions on a similar formula in tab form?
by naturevet
October 28, 2009
Hi again,

I'm not sure what you're trying to source out of all those options, but if you now feel the dog is hot, then Xian Fang Huo Ming Yin is available in liquid or tablet form from Kan. Eupatorium is available in liquids, perhaps in capsules. Homeopathics come as pellets.

S
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