Insights from the Operating Room: A Surgeon's Take on the Latest Trends in Managing Degenerative Joint Issues
Welcome to a captivating exploration of degenerative joint issues with David Dycuss, the co-founder and Co-director of Veterinary Sports Medicine and Rehabilitation Institute (VSMRI) at https://www.vsmri.com.
In this webinar, generously sponsored by Protexin, David kicks off with a visual journey through radiographs, prompting us to question whether all patients with joint issues require the same management. Intrigued? Let's delve into the highlights!
Learning Objectives/Goals:
- Recognise that osteoarthritis affects the entire joint.
- Appreciate the ebb and flow of osteoarthritis with periods of calmness followed by flare-ups.
- Appreciate the multimodal management of osteoarthritis.
Unraveling the Complexity of Osteoarthritis:
Osteoarthritis (OA) isn't just a condition; it's a global disease process affecting 20% of adult dogs and a staggering 60% of adult cats. David guides us through the intricacies of joint pathophysiology, emphasizing that OA is always a secondary phenomenon in dogs and often primary and idiopathic in cats.
Diagnostic Deep Dive:
From recognizing reluctance to exercise to the crucial role of radiography, David breaks down the diagnostic process. Radiography, while providing essential bony information, may not always correlate with clinical signs. We're urged to adopt a proactive approach to OA management, as suggested by Denis Marcellin-Little from UC Davis.
Meet COAST: Canine Osteoarthritis Staging Tool:
David introduces a groundbreaking tool - COAST, enabling recognition of 'at-risk' patients before clinical signs appear. The webinar guides us through practical applications, making proactive management a reality.
Goals in OA Management:
David shares overarching goals, emphasizing a patient-centred and specific approach. Improve quality of life, pain relief, daily activity, and the animal/human bond. Weight reduction is crucial, with a reminder that management is not a one-size-fits-all strategy.
Two Categories of Management:
1. Preclinical and Incidental OA: Proactive management offers clear expectations and early warnings, profoundly impacting disease progression.
2. OA with Typical Signs: Tailored analgesia-focused management for controlling flare-ups.
Innovations and Recommendations:
From joint supplements to exercise advice, David navigates the 'deep dark world' of recommendations. Dasuquin, omega n-3 fatty acids, and weight control take the spotlight.
Navigating Flare-Ups and Beyond:
For cases with prior primary problems leading to OA, proactive baseline management with a focus on analgesia is key. David explores various drugs and techniques, including intra-articular injections, shedding light on new products like Librela.
Weekend Warrior Syndrome:
Ever heard of the 'weekend warrior syndrome'? Lazy during the week, these dogs compensate with intense activity on weekends. David's insights help identify and manage these cases effectively.
Surgery as a Last Resort:
Contrary to expectations, surgery is presented as a last-stage option, including arthrodesis, salvage procedures like femoral head osteotomy, and total joint replacement.
David's passion for the subject shines through, offering a thoughtful examination of factors influencing OA progression. This webinar is a must-watch for small animal practitioners, surgeons in training, or specialists. Brace yourself for an engaging session, topped with a half-hour Q&A! Watch Here