Craniomandibular Osteopathy

Re: Craniomandibular Osteopathy

Bob Russell — Tue, 30 Nov 2010 17:44:42 GMT

The West Highland White Terrier - sponsored by Novartis the makers of Atopica. Love it - should follow that annoyingly wonderful dog in the Cesar dog food ad.

Re: Craniomandibular Osteopathy

Richard Fox — Tue, 30 Nov 2010 14:37:26 GMT

LOL I'll take that onboard :)

Re: Craniomandibular Osteopathy

Mark Holmes — Tue, 30 Nov 2010 14:12:38 GMT

[quote user="Richard Fox"]

As I haven't been in clinical practice for a while do they now come with a life supply of Malaseb?

[/quote]

They used to but these days they are sponsored by Novartis under the Atopica Brand.

Re: Craniomandibular Osteopathy

Richard Fox — Tue, 30 Nov 2010 12:09:46 GMT

As I haven't been in clinical practice for a while do they now come with a life supply of Malaseb?

Re: Craniomandibular Osteopathy

Bob Russell — Mon, 29 Nov 2010 17:32:14 GMT

Rather depressingly every one of the young Westies that we have seen and suspected CMO have gone on to develop the more obvious forms of the condition so either we are good diagnosticians or just had unlucky patients!!

Any other breed and I would be more hopeful it is something other than CMO. Westies are Westies!!!!!

Re: Craniomandibular Osteopathy

Richard Fox — Mon, 29 Nov 2010 17:01:57 GMT

Can be a complcation from what I have read yes :)

Funnily I had the same thought about Masticatory Myositis as well :)

Re: Craniomandibular Osteopathy

Christopher Saul — Mon, 29 Nov 2010 16:46:01 GMT

This is a bit of a left field suggestion I know but immune mediated masticatory muscle myositis has been reported in CKCS dogs as young as 3 months of age I believe, might be worth doing an anti 2M titre....

Re: Craniomandibular Osteopathy

Anonymous — Mon, 29 Nov 2010 15:52:16 GMT

Interestingly though, I believe that there is an increased incidence of gastric ulceration in humans on tramadol + NSAID than on NSAID alone. Can't quite remember where I read that though, so might not be true.

Re: Craniomandibular Osteopathy

Bob Russell — Mon, 29 Nov 2010 15:43:09 GMT

Tramodol seems a logical choice to supplement steroids. Our CMO dogs have been really distressed at times. Perhaps we are unlucky and have a 'genetic strain' locally that produces very severe new bone formation but we have ended up putting them to sleep eventually as a result of the condition.

Re: Craniomandibular Osteopathy

Richard Fox — Mon, 29 Nov 2010 15:36:40 GMT

Tramadol can be used with steroids as it is no a NSAID (my wife is on it) :)

Re: Craniomandibular Osteopathy

Bob Russell — Mon, 29 Nov 2010 15:23:02 GMT

We have a fairly local breeder of Westies and have seen a number of these. They have all been very severe and only one resolved. We have always ended up with steroids. Not sure how Tramodol might fit in to the equation. Can it be used with steroids?

Re: Craniomandibular Osteopathy

Julian Earl — Sun, 28 Nov 2010 10:07:44 GMT

[quote user="Gerry Henry"]

I'd go for steroids; tried NSAIDs in the past but disappointing results.

[/quote]

Ditto. Steroids, and as they seem to be more effective, I worry less about the side-effects than the severe pain that these puppies usually have.

Re: Craniomandibular Osteopathy

Gerry Henry — Sat, 27 Nov 2010 13:04:28 GMT

I'd go for steroids; tried NSAIDs in the past but disappointing results.

Re: Craniomandibular Osteopathy

Clive Ansell — Sat, 27 Nov 2010 11:51:19 GMT

I've got this guy on Metacam so far, but no diagnosis yet as rads due on Monday. Costs an issue so will be limited work up. Not keen on corticosteroids, but will use if NSAID's don't help.

Re: Craniomandibular Osteopathy

Andrew Mellor — Sat, 27 Nov 2010 11:08:54 GMT

seen a few of these in recent years, steroids definately give a quicker response but don't like to use so young, last 2 I put on metacam continually at low dose ( after initial pain controlled) until about 6-8 mths old and never looked back.

Re: Craniomandibular Osteopathy

Richard Carter — Sat, 27 Nov 2010 10:10:13 GMT

Will be teething as well so probably would start nsaids/ abs if raised wbc and consider switch to steroid if nsaids not effective as have found sometimes steroids better results in panosteitis cases. Also consider welpi/ Ca suppl as is at peak Ca consumption and blood Ca levels not always reflecting requirements.