ARTHRITIS

Arthritis is a complex condition involving inflammation of joints. There are many causes of arthritis in pets. In most cases, the degree of arthritis is related to the age of the animal.

What causes arthritis?

The most common type of arthritis is osteoarthritis (OA) which is also known as degenerative joint disease (DJD). This can be primary, the cause of which is unknown and secondary, following conditions involving joint instability leading to damage of the subchondral bone that line the joints. Some common causes of DJD include hip dysplasia, cranial cruciate ligament rupture, and so forth.

Other causes include joint infection, often as the result of bites or injuries or it may follow joint trauma and damage.

Rheumatoid arthritis is an immune mediated, erosive, inflammatory condition. Cartilage and bone are eroded within affected joints and the condition can progress to complete joint fixation, (ankylosis). It may affect single joints or multiple joints may be involved (polyarthritis). In certain dog breeds Rheumatoid Arthritis (RA) factors can be detected with blood tests.

Other types of immune mediated arthritis can be non-erosive, such as arthritis that is associated with Systemic Lupus Erythematosis (SLE). SLE is often accompanied by other clinical signs in addition to the arthritis.

Infective or septic arthritis can be caused by a variety of microorganisms, such as bacteria, viruses and fungi. Septic arthritis normally only affects a single joint and the condition results in swelling, fever, heat and pain in the joint. Before long your pet is likely to stop eating and become depressed.

How do we treat arthritis?

Treatment will depend on the cause of arthritis. Immune mediated and rheumatoid arthritis are usually treated with high doses of corticosteroids which often lead to a dramatic response. The maintenance of these conditions often involves the long-term use of corticosteroids and other drugs such as immunosuppressive or cytotoxic agents.

The treatment of septic arthritis involves determining the type of microorganism involved and its antibiotic sensitivity. Antibiotics are usually administered for a minimum of a month and analgesics are also necessary to combat pain and inflammation.

Analgesics are the most common form of treatment for osteoarthritis. It is important to select these medications with care since some dogs are more sensitive than others to the potential side-effects of analgesics. The most common side-effects of analgesics include decreased appetite, vomiting and diarrhea. Most pets will have pre-medication blood tests to make sure that they can safely metabolize and excrete the medication and then periodic blood tests to ensure continued safe usage. If you have any concerns following the administration of any medication we have prescribed, please discontinue them and contact us immediately.