Panosteitis involves inflammation of the outer lining of bones in growing dogs, often described as “growing pains.” This condition typically affects young large or giant breed dogs. The inflammation triggers pain and may cause shifting lameness between limbs. The pain can wax and wane, meaning it intermittently comes and goes. Generally, the disease resolves itself by the time the dog reaches about 2 years of age.
Your pet may exhibit acute lameness in one or multiple limbs, with a limp that may come and go, often worsening with activity. This lameness typically lasts 1-3 weeks per affected bone but can wax and wane in severity. Your dog might also show systemic symptoms such as fever, anorexia, lethargy, and a reluctance to rise. During a physical exam, palpation of the affected bone may reveal pain.
In chronic tears, there is small damage that occurs without sufficient healing leading to more damage. This is referred to as achillodynia. Achillodynia can eventually lead to a complete rupture. In acute injuries we see a disruption of the tendon that ranges from mild to a complete rupture. A history of trauma may be present such as a jumping down, lunging, or a laceration.
When examining our patient, we compress and feel along the long bones. If we elicit a strong reaction, we typically recommend radiographs. We generally perform radiographs to diagnose panosteitis, based on the presented signs and symptoms. Often, these radiographs reveal changes in the boney cortex and bone marrow cavity.
Bracing can be utilized post surgery or throughout the rehabilitation process if surgery is not pursued. For some patients braces are used temporary during the healing process whereas chronic degenerative achilles injuries may need a brace long term.
Medical treatment typically involves administering pain and anti-inflammatory medication. In rehabilitating panosteitis, we concentrate on reducing pain and inflammation using modalities such as laser therapy, TENS, PEMF, and massage. We also prioritize maintaining good range of motion, flexibility, and strength throughout the growth process. To manage your pet’s condition and initiate treatments during flare-ups, we help build a home program. We have achieved great success in assisting puppies with panosteitis.
Healing of an achilles tendon often takes many months. These are very serious injuries and best healed if addressed quickly. If you have any questions, please feel free to reach out to us. Achilles injuries are a very common injury we see in our practice.
