About Us    Donate    

You are here

Small Animal Topics

​What is a Diplomate?
The term "ACVS Diplomate" refers to a veterinarian who has been board certified in veterinary surgery.

Bookmark and Share

Text Size

Current Size: 100%

Osteoarthritis in Dogs

Associated Terms:

OA, Degenerative joint disease, Osteoarthrosis

The term "ACVS Diplomate" refers to a veterinarian who has been board certified in veterinary surgery. Only veterinarians who have successfully completed the certification requirements of the ACVS are Diplomates of the American College of Veterinary Surgeons and have earned the right to be called specialists in veterinary surgery.

Your ACVS board-certified veterinary surgeon completed a three-year residency program, met specific training and caseload requirements, performed research and had research published. This process was supervised by ACVS Diplomates, ensuring consistency in training and adherence to high standards. After completing the residency program, the individual passed a rigorous examination. Only then did your veterinary surgeon earn the title of ACVS Diplomate.

Overview: 

Osteoarthritis (OA) is the most common form of arthritis in dogs affecting a quarter of the population. It is a chronic disease characterized by loss of articular cartilage that is covering and protecting the ends of bones in most joints of the body. In association, there are other abnormalities present that include new bone formation around the joint (osteophytosis) as a response to increased instability and inflammation in the joint leading to pain.  

In contrast to humans, OA in dogs most commonly occurs secondarily due to developmental orthopedic disease (cranial cruciate ligament disease, hip dysplasia, elbow dysplasia). The joints most commonly affected are the hip, stifle, and elbow. The exception to this is idiopathic (unknown cause) OA of small joints of digits (manus and pes) that is seen in older dogs. Contributing factors to OA include genetics, age of dogs, bodyweight, obesity, gender, exercise and diet.

Signs and Symptoms: 

Signs of OA are often times non-specific and include:

  • Activity impairment: reluctance to exercise, decrease in overall activity, stiffness, lameness, inability to jump, changes in gait such as ‘bunny-hoping’.
  • Pain on manipulation: behavioral changes such as aggression or signs of discomfort.
Diagnostics: 

Diagnosis of OA is usually made by a combination of physical exam and imaging modalities such as X-rays.

  • Initially physical exam will orient towards the affected joint or joints. The veterinarian will palpate the limbs and joints to assess for painful response, thickening of joint capsule, accumulation of joint fluid (effusion) or sometimes osteophytes and muscle atrophy (wasting).
  • The most common imaging modality used is X-ray. These are of limited use though, because they only give information on bony changes (osteophytosis) and show only limited soft tissue changes therefore should be combined with physical exam findings.
  • Other diagnostic tools becoming more popular include magnetic resonance imaging (MRI) which can provide information regarding soft tissue structures (ligaments, menisci) and computed tomography (CT) that is good for assessing bony changes in joints with more complex anatomy such as elbows, carpi (wrists) or tarsi (ankles).
Treatment: 

Treatment recommendations for OA are multimodal which means they include different approaches and can be either conservative or surgical or a combination of both. All treatment decisions are made based on individual patients and in discussion with the animal owner and surgeon.  

Here are some of the most commonly used approaches:

  • Nonsteroidal anti-inflammatory drugs (carprofen, meloxicam, deracoxib, ketoprofen etc.).
  • Adjunctive pain medications (amantadine, gabapentin, tramadol, codein, corticosteroids, acetaminophen) although there is an overall lack of studies that is evaluating their efficacy.
  • Joint supplements (chondroitin sulfate, glucosamine sulfate, omega-3-fatty-acid supplementation).
  • Local intra-articular injections (in the joint) with different agents (corticosteroids, platelet-rich plasma, hyaluronic acid).
  • Weight control. An overweight dog places additional force on joints causing more pronounced OA changes and can ultimately be more painful with limited mobility.
  • Activity modification, which means that high-impact activities such as running or jumping should be limited as they can cause more inflammation and pain. These activities should be replaced with more controlled activity like leash walks. Low impact consistent activity is good to help build the muscles around the joints and will eventually promote joint stability.
  • Surgical management can be indicated and in some instances the best treatment choice (cranial cruciate ligament rupture) and includes arthrodesis (fusion of joints), total joint replacement surgery (most commonly in hips, elbows), surgical stabilization of instable joints (for stifle: suture-based or osteotomy-based techniques).
Aftercare and Outcome: 

Unfortunately OA is a progressive disease and continues to worsen with time. The conservative approach can slow down the progression of disease and many dogs can live comfortably for years following diagnosis. If surgery is performed the recovery of those dogs is usually very good especially with total joint replacement surgery as the diseased joint is completely removed and replaced.

Content Theme: 
Also known as: 
Osteoarthritis in Dogs
OA
Degenerative joint disease
Osteoarthrosis

This Animal Health Topic was written by and reviewed by Diplomates of the American College of Veterinary Surgeons.  Any opinions stated in this article are not necessarily the official position of the American College of Veterinary Surgeons.

The American College of Veterinary Surgeons recommends contacting an ACVS board-certified veterinary surgeon or your general veterinarian for more information about this topic.

To find an ACVS Diplomate, visit www.acvs.org/find-a-surgeon.