LABRADOR RETRIEVER

POPULARITY: #1 ranked purebred dog

NATURE: Clever and (sometimes) trainable

ORTHOPAEDIC RISK: Moderate to high

    • Elbow dysplasia is the commonest cause of chronic forelimb lameness. Labradors rank #1 for elbow arthritis in a UK database. Elbow arthritis secondary to elbow dysplasia gradually worsens with age. The best treatment depends on age and arthritis severity.

    • Although some veterinary professionals use the term ‘shoulder lameness’, a gait assessment rarely indicates a specific cause. The most valuable test is a thorough physical examination performed by a veterinary surgeon. Other useful tests include x-rays and advanced imaging (CT or MRI).

    • Sporting dogs have a higher risk of muscle and ligament injuries. Elbow dysplasia should be ruled out before making a definitive diagnosis. Diagnosis can be challenging, and frequently requires advanced imaging or arthroscopy (keyhole surgery).

    • Labradors are ranked in the top 50 dogs affected by bone cancer. Average age at diagnosis is 7-8 years.

    • Sesamoid bone fragmentation typically causes intermittent or constant forelimb lameness. Discomfort often worsens during exercise on hard and uneven surfaces.

    • In dogs, ‘arthritis’ isn’t a definitive diagnosis. It’s a secondary problem caused by one of many possible primary conditions. Tap here to learn about the best available tests for establishing the cause of lameness.

PRESUMPTIVE DIAGNOSES

  • PRESUMPTIVE DIAGNOSIS: “Your Labrador has elbow arthritis”.

    TRANSLATION: Elbow arthritis is almost always a secondary condition. In Labradors, the commonest cause is elbow dysplasia. Without a definitive diagnosis, you’ll have limited treatment options. Most caregivers choose long-term exercise restriction and oral painkillers. If you pursue a definitive diagnosis, you’ll open the door to other treatment options. If the cause of your Labrador’s elbow arthritis is focal dysplasia, keyhole surgery can be very effective. If the problem is severe elbow dysplasia, your available choices will include joint injections and several operations.

  • PRESUMPTIVE DIAGNOSIS: “Your Labrador has shoulder lameness”.

    TRANSLATION: Neither “shoulder lameness” nor “shoulder instability” are definitive diagnoses. Without a definitive diagnosis, you’ll have limited treatment options. Most caregivers choose long-term exercise restriction, physiotherapy, and oral painkillers. Some treatment protocols include non-specific laser therapy. Joint injections are available (e.g. methylprednisolone or PRP); however, without knowing the specific shoulder injury, long-term response is unpredictable. If you choose to fit a shoulder brace to your Labrador without a definitive diagnosis, you’re committing to months of potentially ineffective treatment. If you pursue a definitive diagnosis, you’ll open the door to other treatment options. Missed diagnoses of elbow dysplasia are common in dogs with “shoulder lameness”, and elbow dysplasia has many effective treatment options. Specific shoulder injury treatments include arthroscopic treatment of partial biceps tendon rupture, shoulder stabilization, and biological therapy for supraspinatus tendinopathy.

  • PRESUMPTIVE DIAGNOSIS: “Your Labrador has hip arthritis”.

    TRANSLATION: “Unless it’s severe, hip arthritis rarely causes clinical signs in adult Labradors. It’s crucial to avoid months of ineffective treatment for “hip arthritis” when the true culprit is another condition with better treatment options. If you ignore the possibility of another cause of chronic pain, you’ll limit your choices. Most caregivers select long-term exercise restriction, physiotherapy, and oral painkillers. If you pursue a definitive diagnosis, you’ll open the door to many treatment options. If your veterinary team diagnose an ACL injury, there are several very effective treatment options. Lumbosacral disc disease is another common missed diagnosis in Labradors with hip arthritis. If hip arthritis is the true culprit, total hip replacement is a very effective treatment option.

DEFINITIVE DIAGNOSES

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