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Cat Forum / Health and Behavior / September 2004

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Untreated injury/arthritis in cat and Adequan question

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zuzu22@webtv.net - 25 Sep 2004 17:33 GMT
In the last few days I have taken in Nubbins, an approximately 8 yr. old
cat that was dumped after exhibiting aggression to another cat in the
household. I had been trying to help the owners deal with this issue to
keep him in the home (he was adopted from a rescue I volunteer for) and
it was pretty obvious the aggression was pain related as he had a
pronounced limp and was really favoring his left front leg, but they
weren't interested in doing anything for him. I took him straight to the
vet and it turns out he had had a broken leg at some point that was not
treated and now arthritis has set in. I have taken a couple of photos of
the xray, which you can see here:

http://community.webtv.net/zuzu22/nubbinsxray

It is my understanding that deterioration over time and the resulting
pain is likely going to mean he will have to have his leg amputated. I
want to give him as much relief as I can until that time comes and plan
to start Adequan injections. If any vets are reading this and do Adequan
therapy on cats I would like to know what dose you feel is effective, if
you feel IM injections are more effective than subq, if you've treated a
similar situation and what the outcome was, and if you have suggestions
for anything else I can do to help lessen his pain. I have him on a
short course of Meloxicam just to give him some relief but I know I
can't use his long term. Does anyone have experience with staggering
this medication, or long term use? Are there other things I could try?

I have also ordered a product called Recovery SA  (you can find info
sheets and safety data at http://www.recoverysa.com ) to supplement him.
I have read anecdotal evidence that it has been more effective than
Cosequin. Has anyone used this product or compared it to Cosequin? If
so, what were your thoughts on this? Thanks in advance. This cat has a
very sad history and I really want to help him and make him happy.

Megan

                                   
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"The only thing necessary for the triumph of evil is for good men to do
nothing."

-Edmund Burke

Learn The TRUTH About Declawing
http://www.stopdeclaw.com

Zuzu's Cats Photo Album:
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"Concerning all acts of initiative (and creation), there is one
elementary truth the ignorance of which kills countless ideas and
splendid plans: that the moment one definitely commits oneself, then
providence moves too. A whole stream of events issues from the decision,
raising in one's favor all manner of unforeseen incidents, meetings and
material assistance, which no man could have dreamt would have come his
way."

- W.H. Murray

Karen - 25 Sep 2004 20:16 GMT
> In the last few days I have taken in Nubbins, an approximately 8 yr. old
> cat that was dumped after exhibiting aggression to another cat in the
[quoted text clipped - 50 lines]
>
> - W.H. Murray

Megan, he looks very sad. I'm a bit confused about the amputation bit.
Pearl's xray's are MUCH worse than that (you can hardly see her knee and it
has spread much further up and down) and my vet has certainly never brought
up amputation. She gets around fine and has done much better on the
Cosequin. I was wondering since you give Cosequin to your other cats for
bladder, why you do not wish to see if it helps Nubbins? Of course, Adequan
may work better because it gets right into the system and I would hope you
can try it. Still, Cosequin isn't going to hurt and it might help in the
meantime.
zuzu22@webtv.net - 26 Sep 2004 20:05 GMT
> Megan, he looks very sad.

Yes he does. :-( He's had a very tough time of it. Shannon, the woman
that runs the rescue, trapped him in the middle of winter 2001 while
trying to catch one of her own cats that had escaped. He had severe
frostbite on his ear and all four paws and had to have a bunch of teeth
removed on top of that. He was very mistrustful of people, is very
afraid of feet (which makes me wonder if his broken leg was cause by
someone kicking him), and had to be socialized, but when he was brought
to adoption days he did so poorly that she stopped bringing him. She put
him on the rescue's Petfinder page and hoped he would be adopted that
way.

He then was bounced around between foster homes (they come and go,
unfortunately) for a long time. A woman adopted him, then returned him
because she decided she had too many cats. He then was in several more
foster homes before being adopted a second time.

When I did the behavior consultation I noticed the limp immediately, and
the owners response was "we just thought he walked that way." Grrrrrr,
so he had been suffering with this for many months. When I said he
really needed to see a vet their response was "We thought when we
adopted him we'd get a healthy cat," as though adopted cats are somehow
magically immune to developing health issues down the line (as much as I
was trying to help them so he wouldn't lose another home, in my mind I
was very angry and pretty much knew he was doomed.) On top of that, even
though he was exhibiting aggression and getting worse, they didn't
bother to take him to a vet to find out if there was a medical cause but
instead constantly yelled at him, chased him away and soaked him with a
spray bottle. I get sick just thinking about it.

I observed Nubbins interact with their cat and they were fine for the 3
hours I was there, but I also noticed that Nubbins was constantly
headbutting the other cat at every opportunity as if to get reassurance
and it was clear he had no confidence left. After I left their house, I
called Shannon in an absolute fury and told her that if they did give
Nubbins up I would adopt him and give him a forever home as enough was
enough. I couldn't stand stand to see him go through another round of
foster homes or another failed adoption. It sure would be nice if we had
a crystal ball and knew in advance how adoptions pan out, but the
reality is it's a crapshoot and you just never know.

He's been doing very well here and has settled in nicely. Putting him on
pain meds did wonders for his disposition, plus I'm madly in love with
him anyway. :-)
I added a second photo I took last night to the page with his xrays and
I think you'll be able to see a difference from a few days ago:
http://community.webtv.net/zuzu22/nubbinsxray

>I'm a bit
> confused about the amputation bit.
[quoted text clipped - 3 lines]
> vet has certainly never brought up
> amputation.

Nubbins arthritis is in a different spot, and deterioration and the
resulting pain will be the reason for amputation. Pain can be managed up
to a point, but the reality is that there are just not a lot of options
for long term pain management for cats, and I would rather see Nubbins
live a pain free life with three legs than be in constant pain with
four. We're not there yet and for now I'll try other things, but it is
something that most likely will have to be considered at some point.

>She gets around fine and has
> done much better on the Cosequin. I was
[quoted text clipped - 6 lines]
> Cosequin isn't going to hurt and it
> might help in the meantime.

When  giving Adequan, giving Cosequin is mostly overkill. I've found
another supplement I'm going to try that has shown to have some promise
and contains other things that may help. I ran it past my veterinarian
and after looking over the data she said it looked pretty decent and it
would be ok to try. Let's hope it helps.

Megan

                                   
Signature


"The only thing necessary for the triumph of evil is for good men to do
nothing."

-Edmund Burke

Learn The TRUTH About Declawing
http://www.stopdeclaw.com

Zuzu's Cats Photo Album:
http://www.PictureTrail.com/zuzu22

"Concerning all acts of initiative (and creation), there is one
elementary truth the ignorance of which kills countless ideas and
splendid plans: that the moment one definitely commits oneself, then
providence moves too. A whole stream of events issues from the decision,
raising in one's favor all manner of unforeseen incidents, meetings and
material assistance, which no man could have dreamt would have come his
way."

- W.H. Murray

Karen - 26 Sep 2004 23:01 GMT
> I added a second photo I took last night to the page with his xrays and
> I think you'll be able to see a difference from a few days ago:
> http://community.webtv.net/zuzu22/nubbinsxray

Definitely happier to be sleeping in that position! Whatever you do, I hope
he is very happy. Poor guy. He really looks pretty sweet.
Rene - 27 Sep 2004 17:05 GMT
> > I added a second photo I took last night to the page with his xrays and
> > I think you'll be able to see a difference from a few days ago:
> > http://community.webtv.net/zuzu22/nubbinsxray
>
> Definitely happier to be sleeping in that position! Whatever you do, I hope
> he is very happy. Poor guy. He really looks pretty sweet.

Megan,
As you know, I can't offer any medical advice, but wanted to give you
two paws up for taking him in. What a hard life he's had. I can't
believe this kind of stuff can happen to animals. I know you'll do all
you can to take care of this beautiful boy.

Rene
Spot - 26 Sep 2004 02:15 GMT
If the pain can not be managed with medication then I would opt for the
amputation sooner than later provided he is at a weight where he can handle
it.

I have a 6 year old Siamese mix who at age of 3 developed a giant cell tumor
from her yearly shots.  The tumor was so fast growing it had to be removed
within a week and then the orthopedic said he had to amputate to within 2 cm
of the top of the hip.  She's doing wonderfully on 3 legs and is the most
loving cat.  Cats adapt remarkable well to this type of surgery and often
people who come to visit don't even notice she's running on 3 legs till
they've been here a while.  Other than occasionally going just a bit to fast
and sort of loosing her balance a bit and sliding across the floor she does
great.

The only adjustments I've made in the house is that I let a chair pulled out
from the table for her to get up to  her food.  She uses the chair to get up
but still jumps down like the other cats.

Celeste

> In the last few days I have taken in Nubbins, an approximately 8 yr. old
> cat that was dumped after exhibiting aggression to another cat in the
[quoted text clipped - 50 lines]
>
> - W.H. Murray
Fuga :o\) - 26 Sep 2004 04:07 GMT
Fuga was on predisone to manage his pain because he has arthritis in the
elbows on his front paws and his spine is fusing.  I put him on cosequin he
gets a pill everyday and it has made a huge a difference in his comfort
level.  I have not had to give him any predisone in about 6 months.  It's
worth trying.

Fuga
 
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