Please send good thoughts our way (little long)

takemebacktotulsa

New member
Thank you all so much for your thoughts and prayers. It means a lot to have the support! We just got back and after a physical exam, he is leaning towards FCMP. He wants to do a CT scan to diagnose. We talked about doing the CT scan along with the neuter and gastroplexy, then taking it from there. I'm going to be searching for info in the meantime. If anyone has any experience, I'd love to hear about it. Thanks again!
 

Angela

Super Moderator
Evan had FCMP when he was young, diagnosed on X-ray and had surgery to remove the bone chips. He has done very well since but the surgeon did warn me that he would probably have arthritis in that joint. He is on Cartrophen injections every 3months approx.
 

laney

New member
so sorry what is FMCP? even if it is bad news if you can find out what is wrong at least you can find out how to treat it> i really hope things get better soon xxx
 

YorkvilleNewfie

New member
I'm sorry :( Stacey (hemingway) went throught this (FCMP and the surgery to repair it) fairly recently with Hemi...had both fronts done. I'll send her this way :)
 

takemebacktotulsa

New member
so sorry what is FMCP? even if it is bad news if you can find out what is wrong at least you can find out how to treat it> i really hope things get better soon xxx
FCMP or FCP is a type (not sure if this is the right word?) of elbow displasia. Check out this link if you want to learn more: http://www.offa.org/pdf/elbowarticle.pdf

I'm sorry :( Stacey (hemingway) went throught this (FCMP and the surgery to repair it) fairly recently with Hemi...had both fronts done. I'll send her this way :)
Thank you so much! I'd forgotten Hemi had gone through this, but remember now that you mention it. I sent Stacey a message.

I am so anxious to get a definitive diagnosis so we can figure out how we can help him best. The thing that stinks is we are scheduled to move next week (horrible timing) and I don't want to put him through a surgery, recovery, and a stressful move at the same time. So I think what may be best (though I feel horribly guilty about it--I've thought about calling off the move, too) is to wait until we are settled in before we go through the first hurdle (CT/neuter/gastro).
 

hemingway

New member
Hi! Sorry I'm late to this! I was going to PM you the info, but I figured it'd be better to make it public so that it could be available to others who may go through the same. Sounds like it's still sort of up in the air, but if it is Fragmented Medial Coronoid Process, that is exactly what Hemingway had. He limped within the first few weeks of bringing him home as a puppy. We thought Pano, but no such luck. After several trips to the vet we were referred to an orthopedic specialist. Xrays confirmed loose fragments floating in the cartilage and arthritic changes in both elbows at only 6 months old. The right elbow was worse, and that was the side he favored. I was devastated....to put it lightly. He was booked for laparoscopic surgery on both elbows and we had a long conversation post-surgery to discuss his future with "bad" elbows. The surgeon said the fragments had nearly worn down the cartilage on the right side completely, but that surgery had gone very well- he'd cleaned the elbows up and did the best he could, but that Hemingway had Elbow Dysplasia, moderate arthritic changes in both elbows, and would need joint supplements for life and could possibly always have a limp, but that we'd know within 6 months post surgery. The recovery from surgery was a bumpy road for us because Hemingway had several bad reactions to medications and spent a few night at the ER. Newfs, I've learned, are more sensitive to meds than other breeds. As for his elbows, they healed very nicely and he felt like he was ready to run a marathon within days post-op. (Keeping him quiet was the hardest part.) His poor little shaved chicken legs were a bit embarrassing for him for a while....it sounds petty, but you might want to ask the vet to shave as little as possible...our vet shaved Hem from his shoulder to his paws...including chest. He ended up getting horrible skin infections on his elbows from razor burn. (GRRR.) And it took 5 months for the fur to grow in...at least. He still had a limp 4 months post surgery but when we started him on Dasuquin with MSM...the limp disappeared...and has never returned. (seriously...that stuff is AMAZING!!) He moves quite well considering what he has going on in those elbows. He has no idea he is dysplastic...and I'm hoping to keep him that way as long as I possibly can. I use deramaxx if he has had a very active day because he does get sore after lots of play/running. I massage his elbows a few times a week, too. The surgery, while not a cure for dysplasia, gave him the best shot of having decent mobility. If we'd opted not to do it, he'd probably be in rough shape already. It was that bad. Sharp fragments floating in the joint just wear it down nonstop. It's like having a sharp rock in your shoe....annoying at first but eventually does damage. So, if Willis has FMCP, I would absolutely get the surgery ASAP. The sooner you get the chips out the better. Hope this has been helpful, and GOOD LUCK to your sweet boy. Let me know if you have any other questions.

ps. I noticed Willis is only one month younger than Hemingway....I'm surprised it's taken this long for him to have symptoms for FMCP...It usually happens during the crucial puppy growth stages! That is the only thing that would make me think that maybe it's not FMCP.
 
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Ginny

New member
Fragmented coronoids usually do show up, as Stacey said, during the rapid growth period in pups. Many Newfs have arthritic changes on elbow x-rays which are more than likely due to FCPs, but aren't symptomatic. Most times once the cartilage cracks and pieces break off (joint mice) and irritate the joint, symptoms appear. It's hard to see a FCP on x-ray which is why they're recommending a CT scan. It can pick up 90% of FCPs. If they x-rayed him and could readily see changes on his x-ray, plus physical exam suggests this form of ED, it might be smart to consider foregoing the cost of the CT scan and having the arthroscopy done. As said, it's best to get the joint cleaned out ASAP. Post-op rehab is stringent confinement and very short walks for 2 -3 weeks, then 5 - 10 min. walks until 8 wks. Having him neutered plus invasive abdominal surgery (I'm assuming open incision for the gastropexy) on top of arthroscopy, could be putting your boy through a bit too much. Discuss this with your vet. While anesthesia is nothing to take lightly, a second procedure is something I'd consider.
 

takemebacktotulsa

New member
Stacey, thank you so much for sharing. What we're struggling with is why we're just seeing signs now when he's almost 2 (I know that's unusual)and what to do to diagnose.

Ginny, I appreciate your take on this, too. I don't want to put him through too much so it sounds like initial xray (even though it might not show anything) might be the best first step. I don't want to waste time finding out what's wrong when xray might not show, so I was leaning towards CT, and we may still do that, but leave the neuter and gastroplexy to a later date. My first priority is figuring out what's wrong so we can help him.
 

victoria1140

Active member
Max has just recently had his elbows and arthroscopy done, he started limping at 4 months old on his front legs and seemed stiff getting up at times. We went back and forward to our vets for a month while we were trying out NSAIDS and restricted activity.

He had xrays,etc and though they suspected pano as he had a huge growth spurt at 4months old nothing made him any better.

Specialist visit, more xrays plus penn hip tests and they told us we would have to do elbow surgery as a first as his elbows were a little bumpy in places. Like Hemingway they shave the chest,front legs down to the paws and the razor burn was the worst as he didnt mind the operation or stitch's but the razor burn bugged him so we had to witch hazel gel him constantly along with hot/cold compresses, joint rotations and massage.

They only kept him in one night but trying to keep him quiet was difficult as he wanted to leap and play constantly and was nicknamed the mountain goat.


Below is a photo of the cartilage they removed , not the best photo of it but boy it made so much difference to him. He has just had part 1 of a tpo surgery so fingers crossed will be mobile soon.
The arthroscopy isnt cheap but was well worth every penny , (luckily I am well insured) and the difference it made was astounding.




Best wish's for your boy and hope evrything goes well.

Also I posted Max's xrays in the maladies section which show his hips and elbows if that is any help to you
 
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skoorka

New member
Elwood has HORRIFIC elbow dysplasia as well, and I believe Stacey's Hemi and Elwood had the same surgeon at Tufts (he did have the same shave, and someone asked if he was a 'Newfadoodle'). He has done GREAT ever since. While we never got to take him on the hikes we planned, he still bounds around like a knucklehead and has the greatest outlook on life of any creature I've ever met. Feel free to PM me if you need to talk/vent/etc.
 

takemebacktotulsa

New member
Thanks for sharing your experiences, Victoria and Michelle.

We go in for a CT scan tomorrow morning so I'm hoping we'll know exactly what's going on with him. I'm sure I'll have a ton of questions once we know what we're dealing with.

Wish us luck!
 

AubreyMo

Inactive User
Aw, your poor sweet big guy. I don't think you're being selfish by waiting until the move. You'll have more time when you're settled to baby him and watch after him and it will be less stressful for all. Good luck with the CT scan tomorrow. I'll keep you guys in my thoughts and prayers. And like others have said to me with Moose - dogs don't read xrays and medical charts, so we are the only ones feeling sorry for them. They are happy as ever. He's lucky to have a momma like you! Keep us posted, we'll keep our fingers and paws crossed!
 

chumleysma

New member
I can't imagine how you must be worrying, but I think it's great that so many are pitching in to help you and Willis. Good luck!
 

takemebacktotulsa

New member
I spoke to the doctor earlier today but am waiting on the official report from the radiologist. I should get that when I pick my sweet boy up in just a little bit. The really good news is that nothing was fractured and there is little if ANY damage. He said both sides had "something" going on, the left more than the right (he's been limping on left side) but that it might "just be how Newfoundlands are built". Nothing requiring surgery, but probably something managed with antiinflammatories or pain meds when needed. I'm still a little confused and need more info but I hope to get clarification soon. I'm incredibly relieved but also really want to know what is causing the pain. I need to fix things :)

Thank you to everyone for sharing your experiences and your good thoughts with us. I am forever grateful for the support.
 
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