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© Kirrawee Veterinary Hospital CANINE DISEASES
Arthritis
Arthritis is the common term given to the condition where the
joint surface (articular cartilage) becomes worn or damaged. There
are however several categories of arthritis based on the cause
and the presence or absence of inflammation. The most common form of arthritis is osteoarthritis, also referred
to as degenerative joint disease (DJD). It is mainly seen in older
animals where the articular cartilage wears away eventually exposing
the underlying (subchondral) bone. The joint space becomes narrowed
and new bone is deposited around the outer edges of the joint.
This is not an inflammatory condition so the joint lining (synovial
membrane) is not effected and joint fluid is normal. DJD can be
primary (cause unknown), or secondary to injury or abnormal movement
resulting from conditions such as hip dysplasia. Early signs of DJD may be mild lameness after prolonged exercise,
or reduced ability to exercise to previous levels. As the condition
progresses lameness and stiffness is most pronounced when first
moving after resting, and is often worse in cold weather. Treatment of DJD utilizes anti-inflammatory drugs, moderate exercise
programs, and more recently drugs which stimulate repair of the
articular cartilage. Corticosteroids were widely used in the past
of control of pain and inflammation in arthritis. There is some
evidence however that they may accelerate the rate of joint degeneration.
Non-steroidal anti-inflammatory / analgesics have generally replaced
the use of corticosteroids. Older drugs include aspirin and phenylbutazone
which although effective suffer from the side effect of gastric
(stomach) ulceration. Some of the drugs developed for humans including
naproxen, indomethacin, and ibuprophen can also cause ulceration.
Ketoprofen, flunixin and metacam are veterinary preparations which
produce less of the ulcerative side effects. Pentosan is a new
drug which stimulates the repair of worn articular cartilage and
is proving to be very effective in the long term treatment of
DJD. Inflammatory arthritis refers to damage or wear to the joint secondary
to inflammatory conditions. These can be infectious causes such
as bacteria or viruses and noninfectious immune-mediated causes
such as rheumatoid arthritis and systemic lupus erythematosus.
In all of these conditions there is inflammation of the synovial
membrane and synovial fluid. Systemic (whole body) signs are also
common. Treatment of inflammatory arthritis requires identification and
therapy for the underlying cause in conjunction with anti-inflammatory
treatment of the arthritis Related sites |