Question Details
Panosteitis
by Lauren Chattigre - January 19, 2010
Hi Steve. I'm working with a 6 month old male newfie with a two month history of alternating forelimb lameness, hunched mid-back, and stiff hindlimbs that he positions forward at the stand. Rads suggest panosteitis in both femurs. Forelimb rads were not done (I've suggested them); R elbow has crepitus and pain on palpation of both coronoid process regions; R humerus is painful. R femur is painful on palpation. Tender to palpation of BL20 (I've also recommended rads of the mid-back.) Stools are a little soft since on rimadyl.

Tongue is normal but pulses are a little thin and he has small flakes dander. It felt appropriate today to do acupuncture at BL11, 18, 20, 23; SP10; GB39, 41; LI11. Are there points you would add or omit, and what herbs would you suggest? (Shen Tong Zhu Yu Tang?) Thanks!
Replies
by naturevet
January 20, 2010
Hi Lauren,

Wow, that's a long list. For general lameness (including back pain) in this breed, I seem to have very good luck with Yi Yi Ren Tang (Coix Decoction), which we sell but which isn't on the site. It tonifies Spleen Qi and Blood; expels Wind Cold Damp; drains Damp; and moves Blood. The pulse certainly suggests a need to tonify and perhaps disperse, the dander a need for Blood or Yin tonification, and the activity at BL 20 the Spleen involvement. As for added points, I'd probably look at BL 40 (sedate), BL 17, and ST 36 or 37 (even).

For OCD lesions like fractured coronoid processes, etc., I would additionally use homeopathic Symphytum 30C once or twice daily.

I'd see what that does for the pain, and get a chiropractic consult as well, if you don't do that yourself.

For panosteitis, if the case doesn't respond to the above, Mercurius solubilis 30C and Eupatorium perfoliatum are considerations, as is Xiao Huo Luo Dan.

I've never been a big fan of Shen Tong Zhu Yu Tang, but it works best where there is a Wind invasion plus Blood Stasis.

Steve
by Lauren Chattigre
January 21, 2010
Thanks! I hesitated to use the activator on a young dog with immature growth plates...what do you think?
by naturevet
January 22, 2010
Should be no problem if you've dialed it back to just one or two turns. I've never seen any problems from using an Activator at that setting in anything, let alone young large breed dogs.

Good luck,

Steve
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