My puppy was diagnosed with panosteitis last Sunday and was prescribed vetprofin. He responded well and now seems to be having another episode where the vetprofin doesn't seem to be helping too much. Is there some way to help make him more comfortable? He is eating and drinking and using the bathroom regularly...even though I carry him to go.

Hello, Sorry about that. My advise would be to talk to your vet to prescribe another anti-inflammatory drug or adjust the dosage. Good luck

My Labrador, Alfie, is nearly 9 months old. At 7 months he started limping and crying severely on his front left leg. He had X-rays and CT scan - showed Panostetis and was treated with analgesia. He healed in about3 weeks and had no problems since, until today! He started limping very suddenly after we returned home for a walk and was making his dinner. But this time of his right front leg. I know growing pains can shift from leg to leg but with a 5/6 weeks gap, is that normal? I'm just worried that's all! Thank you

Dogs may have recurring episodes of panosteitis until around two years of age and almost any time interval between episodes; you need to ensure that the limping this time isn’t due to a small injury whilst out on a walk. Keep an eye on Alfie and follow up with your Veterinarian if there is no improvement. Regards Dr Callum Turner DVM

Bernese Mountain male puppy around 10 weeks old had recurring kidney/bladder infections. Vet analyzed urine and urine had more crystals in it than Vet had ever seen. Then, puppy started becoming lethargic, fever and swollen joints. Puppy received several rounds of antibiotics and then went on prednisone for six months. Growth has been stunted. Dog weighs about 54 lbs. just looking for your thoughts on future potential problems that might happen.

I would need much more information to comment on any possible problems in the future. Urinary problems can be hereditary or diet related, and panosteitis tends to resolve with time and medication. I'm not sure in what way her growth was stunted or if she has larger bony problems. Since I cannot see her or know more about her situation, it would be best to ask your veterinarian what thoughts they may have on any potential problems for her. I hope that all goes well for her.

How do I help my pup with pain at home? I need to make him an appointment with the vet soon but he has been crying all night. Since he was younger he’d switch up a leg he limped on in his back legs but we didn’t think anything of it. We eventually took him to the vet because he started limping bad on his front leg and they gave us anti inflammatory medication for a week and he was fine after. Now he’s been limping on him front leg for a about a week and now he’s also limping on his back leg tonight and is crying and it’s so sad seeing him in this pain. Our vet is not open until Monday.

If you are looking for temporary pain relief whilst waiting for your Veterinarian to open you could use aspirin, I would recommend using a product specifically for dogs like in the link below which is available at petco and has a dosage guide on the back. Some people still use baby aspirin, but I stay on the side of products made for dogs. Regards Dr Callum Turner DVM www.petco.com/shop/en/petcostore/product/well-and-good-buffered-large-dog-aspirin#

My German Shepard female is 2.5 years old. She has pain walking up the stairs, which appears to be in her back legs. She is active but jumping up too is a problem. My doctor said she has panosteitis, but I’m not comfortable with the diagnosis. Its difficult for me to go for a second opinion when my initial visit cost me over $500. The treating doctor said she did not have any signs of hip dysphasia, however when I called back; I was told she had a mild case; but that wasn’t the issue. My dog is getting worse and I’m not sure what to do.

Generally panosteitis occurs in young dogs between four and eighteen months but has been seen in some older dogs; diagnosis is usually based on a thorough physical examination and x-rays may be taken but may not be fully reliable. This is one of those conditions where you really need to have a long hands on examination to diagnose. If your Veterinarian has some radiographic evidence of panosteitis I would recommend you request a copy and consult with PetRays for a report. Regards Dr Callum Turner DVM www.ufaw.org.uk/dogs/german-shepherd-panosteitis www.cliniciansbrief.com/sites/default/files/attachments/CV_Panosteitis.pdf http://petrays.com/