Hip dysplasia is a common problem in certain breeds: Bulldog, Dogue de Bordeaux, Saint Bernard, Neapolitan Mastiff, German Shepherd, Rottweiler, Golden … all of them show a rate above 20%.

 
Dysplasia is a multifactorial and multigenic hereditary, ie, several predisposing factors and cause hip dysplasia, several genes involved in its onset and has inherited.
 
Environmental factors are increasingly important in the development of hip dysplasia, genetic factor is necessary to develop the disease but this is not the only factor. Genetics is a necessary but not exclusive, meaning you can have a genetic predisposition and not develop the disease but if you are not sure that predisposition does not develop.
 
There are various degrees of dysplasia, and also those that appear when the puppy or dog is giving problem and into adulthood, but in this article we will focus on the treatment and specifically in the treatment of dysplasia in young dogs.
 
Classification of degrees of dysplasia, OFA:
 
Grade I: minimal alteration with scarce small subluxation and degenerative changes.
 
Grade II: marked lateral subluxation of the femoral head, which is outside the 25-50% acetabulum.
 
Grade III: 50-75% of the femoral head is out of the acetabulum; no significant degenerative changes.
 
Grade IV: dislocation of the femoral head with flattening of the acetabular rim and femoral head, no significant degenerative changes.

The presentation in the young dog is normally between 5 and 6 months and is marked by a significant limp.
 
It is considered that a dog is free of dysplasia until two years of age and not seen any problems or inconsistencies in the radiographs.
 
Food is one of the factors predisposing to the development of hip dysplasia, Calcium-Phosphorus imbalances should save Ca1.6% correlation – P1.1% and above do not overfeed or excess proteins provide allows us to minimize the incidence of hip dysplasia. A hypocaloric diet from 3 months to 8 months and protects dysplasia especially dogs with rapid growth. Excess weight at 60 days is another factor that predisposes to disease.

Hip dysplasia in puppies usually debuts from the 5 or 6 months before it is possible to observe any problems and the dog has been completely normal and developed normally. The debut is usually presented as an acute lameness that prevents the dog as he had played so far. We can observe changes in playfulness, negative when going for a walk, to interact with other dogs or owners. Are frequent mood swings, frequent slips of the hind legs, discomfort and even refuses to be touched and the fact “escape” of children in dogs that until recent days were playful and loving.
 
Sometimes to meet the 90% growth between 8 and 11 months can be reduced signs and even disappear. Anyway dysplasia remains and in many cases the problems reappear after a while and sooner or later signs of osteoarthritis in the hips.
 
The most common clinical signs are:
 
Lameness may increase with exercise
 
Walking and jogging with swinging hips
 
Morning stiffness
 
Difficulty rising
 
Muscle atrophy
 
Refusal to move
 
Changes in mood
 
Tenderness
 
Ortolani sign.
 
Although there are surgical methods: pectineus muscle excision, triple osteotomy hip arthroplasty femoral head, pubic osteotomy, forage, most hip replacements are performed when the dog is young to supposedly reduce the possibility of secondary hip osteoarthritis adulthood. The hip should be reserved for severe cases and once growth is complete.

Medical treatment is based on anti-inflammatory, natural anti-inflammatories can begin, which contains no medicinal substances, if we do not get the expected results happen to NSAIDs and in extreme cases resort to cortiços. We include the chondroprotective nutraceuticals especially as they reduce the incidence of osteoarthritis and protect the articular cartilage. These are used in senior dogs very general but very useful as joint protector in growing dogs, there are specific condroportectores young dogs. Weight reduction, moderate exercise regularly and above are other basics, as well as improvements in the environment and the fact sleep in a warm place, away from moisture.

Physical therapy can greatly help better develop the muscles to reduce pain, to remove tensions and eliminate offsets the dog has done with bad posture and antalgic positions. This will build on TENS, ultrasound, therapeutic exercises, use of hydrotherapy, laser, shockwave? for more information you refer to this article.
 
The main improvement in the environment is a good mattress sleep in therapeutic, keep warm or exposed to high humidity, use a blanket in winter, hopefully unamanta therapeutics that can be used all year round.

We can help in many ways to our dog with hip dysplasia, regular exercise we can be very useful to improve muscle mass that makes better support poor joint congruency, avoid impacts, jumping or racing during the presentation descontrolas the table are also important. Physiotherapy and massage have always let the dog in a proper muscle condition, and all adjunctive treatments such as acupuncture, massage, reiki, bach flowers … also can assist in the treatment. The latest are the hip supports that help stabilize the pelvis, give support and greatly enhance the quality of life for our pets.

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