Cookie's saga started by diagnosis of iliopsoas injury. As usually with such things, the plot kept thickening. It's not exactly clear what the true root of the issues is and short of doing an MRI it won't be. Since she's been improving, we decided not to put her through that, at least not at this time.
We are tackling her issues with a full arsenal of non-invasive options.
This includes laser therapy, chiropractic, physical therapy, hydrotherapy, massage, acupuncture ... platelet-rich plasma therapy for the knees, some medications, herbal therapy and, of course, supplements.
With exception of the Trazodone which we're are gradually reducing now, we used medications only temporarily during the acute phase(s).
On a number of occasions I was asked which supplements I've chosen for Cookie.
I like Standard Process products and the obvious choice for musculoskeletal issues would have been Canine Musculoskeletal Support. It's a great supplement and we've been using it for Jasmine.
However, this time I selected Ligaplex II instead.
Omega-3 fatty acids is something Cookie gets all the time.
It's not something I have added since the problems started but I did up the dose. As for specific products, there are a few which I like to rotate between various fish oils and krill oil. My options are somewhat limited because I can only use products that come in gel caps; Cookie isn't fond of fishy smell or flavor.
Other oils I'm using are evening primrose oil (source of less inflammatory omega-6 fatty acids) and wheat germ oil (source of natural whole vitamin E).
According to my integrative dog nutrition course, whole vitamin E/vitamin E complex contains more than just tocopherol(s) present in vitamin E supplements and each of those compounds serves an important function.
When supplementing, I prefer whole food options.
I went into a bit more detail about these things in my thoughts on what natural means in regard to dog nutrition. The compounds beside tocopherols that are present in whole vitamin E work to increase oxygen carrying capacity of tissues, and reduce scar tissue formation, among other things.
For the same reasons, when I decided to also include vitamin C in the supplementation, I went with a whole food product as well, specifically Standard Process Cataplex C.
While vitamin C isn't an essential nutrient for dogs because their bodies can synthesize it, there are times when supplementation is a good idea. Not only vitamin C is beneficial for immune function but it plays an important role in connective tissue integrity.
Since Cookie's knees were deemed to have problems, I added Dasuquin as well.
Protein is important for tissue maintenance and healing.
Cookie's diet is already high in animal-source protein but I add a bit of whey protein for good measure. Whatever protein the body doesn't need to take care of itself, it can use for energy.
I also boosted Cookie's source of B vitamins.
From herbals, we've settled on DOK's formula.
I might have considered adding some phytoestrogens but because Cookie has already been on that for her incontinence, I just left the dosing the way it was.
That's about what I'm adding specifically for the musculoskeletal issues.
There are other things that could be added but for now these are the ones I'm including. Together with her diet, I think it covers her needs.
Because of the prolonged activity restrictions, Cookie started putting on some unwanted weight too, so we're working on that. Along with dietary adjustments (more on that some other time), I also started adding L-carnitine.
The rest is all standard stuff such as probiotics.
Do you have a go-to supplement for musculoskeletal issues that worked for you? Do share.
From The End Of A Lead Line To Casa Jasmine: Meet Cookie, Our New Adoptee
And So It Begins Again(?) Our First Health-Related Heart Attack With Cookie
I Didn't Know I Could Fly: Why Cookie Wears A Harness Instead Of A Collar
C.E.T. Oral Hygiene Chews For Dogs CAN Be A Choking Hazzard
Our First Health-Related Heart Attack With Cookie: The Knee Or The Foot?
Creative Solutions And An Incidental Product Review
Too Young For Pot: Cookie's Snack With A Side Of Hydrogen Peroxide
Taming Of The Wild Beast: Cookie's Transition To Civilization
Staying On Top Of The Ears: Cookie Is Not Impressed
Putting The Easy Back Into Walking
Cookie's Ears Are Still Not Happy
The Threat Of The Bulge Is Always Lurking
Today Is Cookie's Three-Months Adoptoversary
Cookie Meets The Electric Horse Fence And Her First Chiropractic Adjustment
Why Examine Your Dog's Vomit?
Why Is That Leg Still Not Happy? Cookie's Leg Keeps Getting Sore
Cookie Too Is Insured With Trupanion
Does Being Insured Mean Being Covered? Our First Claim With Trupanion
Is Cookie's Leg Finally Getting Better?
Is Cookie Going To Be Another Medical Challenge Or Are We Looking To Closely?
The Project That Is Cookie: Pancreatitis Up Close And Personal
Pancreatitis: Cookie’s Blood Work
Another Belly Upset: Pancreatitis Again Or Not?
Happy Birthday, Cookie
Incontinence? Cookie's Mysterious Leaks
Who's Training Whom? Stick And Treat
Don't Just Stand There, Do Something? Cookie's Mysterious Bumps
Cookie's Mysterious Bumps Update
One Vomit, No Vomit
Happy One-Year Adoptoversary, Cookie!
Cookie's Leaks Are Back: Garden Variety Incontinence Or Not?
Cookie's Leaks Update
Don't Panic, Don't Panic: Know What Your Job Is
The Continuing Saga Of Cookie's Leeks: Trying Chiropractic Approach
Cookie's Minor Eye Irritation
Regular Wellness Exam: Cookie's ALT Was Elevated
Cookie's Plantar Paw Pad Injury
How Far To Take It When The Dog Isn't Sick?
Cookie Has Tapeworm Infection
Cookie's Elevated ALT: The Ultrasound and Cytology
Cookie's ALT Update
The Importance of Observation: Cookie's Chiropractic Adjustment
Sometimes You Don't Even Know What You're Looking at: Cookie's Scary "We Have No Idea What that Was"
Living with an Incontinent Dog
Summer Dangers: Cookie Gets Stung by a Bald-faced Hornet
To Breathe or Not To Breathe: Cookie's Hind Legs Transiently Fail to Work (Again)
Figuring out What Might Be Going on with Cookie's Legs: The Process
Figuring out What Might Be Going on with Cookie's Legs: The Diagnosis
Cookie's Iliopsoas Injury Treatment: Trazodone
Cookie's Iliopsoas Injury Treatment: Other Medications
Cookie's Iliopsoas Injury Treatment: Laser, Hydrotherapy and Chiropractic
Cookie's Recovery from Iliopsoas Injury: ToeGrips
It Never Rains ... Cookie's New Injury
Mixed Emotions: When What You Should Do Might Not Be What You Should Do for Your Dog
Cookie's New Injury Update
Cookie's Iliopsoas Injury: The Symptoms
Cookie's Iliopsoas Injury: Battling the Zoomies
Cookie's Muscle Injuries: What Else Is Going On?
Theory and Actual Decisions for an Actual Dog Aren't the Same Thing: Cookie's Knee Injury
Does Your Vet Listen to You? Cookie's Post-Sedation Complications
Would I Ever Treat a Symptom Directly?
Platelet-Rich Plasma (PRP) Treatment for Cookie's Bad Knee(s)
Platelet-Rich Plasma (PRP) for Cookie's Bad Cruciate Update
Injury or Surgery Recovery: Mishaps versus Setbacks
See Something, Do Something: Cookie's Lumpectomy
Cookie's Lumpectomy Update
Using Pressure Pads to Evaluate Lameness in Dogs: My Observations