Steroids heal muscle tear

Hi all, I have a 3 year old pit mutt that hurt her leg. She was holding it up when walking so we went to the vet and she said that there is clicking in the knee and it seems swollen. The vet then immediately says that surgery is needed. We love our dog and want what’s best, but to the tune of $2-4k for acl surgery?!?! No X-rays were done; the vet gave us a referral to a surgeon. After a few hours of research and reading online, I see that there are other treatment options. Does anyone have options or opinions for me? Should I have x-rays done and will they be accurate enough to see ligament and cartilage damage? Some even suggest that the surgeons promote surgery and vets get kick backs for referrals… We’re quite in the dark on this matter. My email is marshallh1@ if anyone has extra info or expert opinion. Thank you.

Historically, surgeons had to make large incisions in the skin and split and move the deltoid muscles to gain access to the rotator cuff. Serious and debilitating complications developed if the deltoid muscle origin did not heal back to the acromion, so surgeons now will now access the rotator cuff tear by leaving the deltoid muscle attached and simply splitting it (like ‘peeking through closed curtains’) to gain access to the rotator cuff where it attaches to the humerus. This process is ideal for tears that have not pulled back, or retracted back away from the deltoid. However, in cases of larger retracted rotator cuff tears, working through a deltoid split can become a little like building a ship in a bottle—trying to work through the narrow mouth of a bottleneck to get to the retracted cuff tissue.

Cheap or improper shoes can be one of the causes of plantar fasciitis, but before you go buying brand new shoes, you may also consider shoe inserts.  Inserts last longer and can be moved from shoe to shoe as needed. At one time you had to spend hundreds of dollars at a foot doctor or physical therapist in order to get good, quality custom-made orthotics. Now there are literally hundreds of options for inserts online or at any number of footwear stores with a very wide price range. Just keep in mind that price can often—though not completely—reflect quality. Try to choose based on other reasons.

Treatment

What treatment options are available?

Nonsurgical Treatment

Tendonitis/Tendinopathy
Nonsurgical treatment for tendocalcaneal bursitis and Achilles tendonitis started with a combination of rest (activity avoidance), ice, and anti-inflammatory medications such as ibuprofen or motrin.

In some cases, physical therapy may help alleviate your pain and well as help you restore proper motion and weight-bearing so you can return to your usual activities.

Physical therapy may also include a special program of stretching and eccentric strengthening exercises. Your therapist will instruct you in a home care program.

Tendon Rupture
Nonsurgical treatment for an Achilles tendon rupture is usually not recommended. Non-operative treatment has a lesser chance of healing with a higher prevalence of re-tearing. Many orthopedists feel that Achilles tendon ruptures in younger active patients should be surgically repaired.

Surgery

Surgery may also be suggested if you have a ruptured Achilles tendon. Reattaching the two ends of the tendon repairs the torn Achilles tendon. This procedure is usually done through an incision on the back of the ankle near the Achilles tendon. Numerous procedures have been developed to repair the tendon, but most involve sewing the two ends of the tendon together.

Steroids heal muscle tear

steroids heal muscle tear

Treatment

What treatment options are available?

Nonsurgical Treatment

Tendonitis/Tendinopathy
Nonsurgical treatment for tendocalcaneal bursitis and Achilles tendonitis started with a combination of rest (activity avoidance), ice, and anti-inflammatory medications such as ibuprofen or motrin.

In some cases, physical therapy may help alleviate your pain and well as help you restore proper motion and weight-bearing so you can return to your usual activities.

Physical therapy may also include a special program of stretching and eccentric strengthening exercises. Your therapist will instruct you in a home care program.

Tendon Rupture
Nonsurgical treatment for an Achilles tendon rupture is usually not recommended. Non-operative treatment has a lesser chance of healing with a higher prevalence of re-tearing. Many orthopedists feel that Achilles tendon ruptures in younger active patients should be surgically repaired.

Surgery

Surgery may also be suggested if you have a ruptured Achilles tendon. Reattaching the two ends of the tendon repairs the torn Achilles tendon. This procedure is usually done through an incision on the back of the ankle near the Achilles tendon. Numerous procedures have been developed to repair the tendon, but most involve sewing the two ends of the tendon together.

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