<![CDATA[AZcaninerehab - Dog Rehabilitation serving Phoenix, Scottsdale, and the North Valley

<![CDATA[AZcaninerehab - Dog Rehabilitation serving Phoenix, Scottsdale, and the North Valley - Blog]]>Tue, 10 Mar 2026 08:35:38 -0700EditMySite<![CDATA[How You Can Help Your Dog Recover from Hip Surgery]]>Wed, 04 Sep 2024 03:52:53 GMThttps://www.azcaninerehab.com/blog/how-you-can-help-your-dog-recover-from-hip-surgery

Hip surgery is a fairly common orthopedic surgery that affects dogs of all ages and sizes. In my practice, I see a good number of dogs with hip issues, including hip dysplasia, hip fractures, osteoarthritis, and post-hip surgery.

Hip dysplasia is a common cause of hip issues, particularly in mid-sized and larger dogs. My website has separate posts on hip dysplasia and osteoarthritis.

Sometimes, crate rest and physical rehab are enough to treat hip issues, and other times, surgical intervention is needed. Either way, canine physical rehab can help your dog regain the use of the impacted limb and recover more quickly.

Here’s what you need to know about hip surgery and how you can help your dog recover.

How to Know if Your Dog Has Hip Issues
Dogs can show signs of pain in many different ways. If you see your dog doing the following, make an appointment with your primary vet.

Limping when walking
Displaying stiffness in their joints when walking, getting up, and lying down
Walking with a “bunny hop” favoring one back leg
Decreasing interest in normal activities like walking or playing

Some dogs show more subtle signs of pain, so you’ll want to also keep an eye out for these signs:

Restlessness
Sensitivity with touch, especially around the hips
Unexplained barking or whining
Changes in your dog’s behavior

If you’re unsure if something is going on, it’s best to have your vet take a look to evaluate your dog. Be sure to share any unexplained or unusual movements or behaviors you see.

What is an FHO?
The most common hip surgery performed on dogs is a femoral head ostectomy, also known as an FHO. This surgical procedure removes the head and neck of the femur (the thighbone) to improve a dog’s quality of life and restore pain-free mobility to the damaged or diseased hip.

Hips consist of ball-and-socket joints. The head of the femur, or thigh bone, is the ball in the joint. The acetabulum, part of the pelvis, is the socket. When the head of the femur fits within the acetabulum, the hip can move freely and comfortably.
However, mobility can be impacted when the hip is damaged or diseased. Chronic inflammation and pain are often the result when the ball-and-socket joint doesn’t fit together properly.

An FHO removes the ball from the femur, leaving the empty socket. With healing, the leg muscles hold the femur in place and restore mobility. In time, scar tissue provides cushioning, making the joint movement more comfortable. The result is considered a “false joint.”

Not all hip surgeries involve an FHO. In some cases, surgical repairs can be done to preserve the original hip. FHOs are typically done on dogs who are under 50 lbs. In some cases, a vet will perform an FHO on a larger dog.

Why Do Dogs Get an FHO?
An FHO helps dogs by removing bone-on-bone contact in the impacted hip or hips, which can result in pain-free mobility. If the hip bones can’t be repaired, then an FHO is an option for many dogs.

There are several medical conditions that may necessitate an FHO surgery for your dog. Here are the most common reasons:

Hip fractures—Some hip fractures can be fixed surgically. When they can’t, or if finances are a concern, an FHO is often recommended for pain-free mobility.
Severe osteoarthritis--If you’ve loved a senior dog, you may be very familiar with this type of arthritis, which erodes joint cartilage. In this case, the cartilage protecting the head of the femur and the acetabulum erodes where the thigh bone meets the pelvis, leading to painful bone-on-bone movement in the hip.
Hip dysplasia—When a dog’s bones don’t grow uniformly, and the joint is loosened, this condition eventually leads to degenerative joint disease or osteoarthritis. An FHO can help with mobility and pain from this condition.
Joint dislocation or luxation–A hip that isn’t in the socket due to trauma or a medical condition like hip dysplasia and cannot be manipulated into place or surgically repaired may be a good candidate for an FHO.
Hind leg muscle weakness—Depending on the circumstances, some vets may recommend an FHO for dogs with muscle weakness in their back legs, which can cause pain and mobility issues.

A less common reason for a dog to need an FHO is Legg-Perthes disease (avascular necrosis of the femoral head). This disease is mostly seen in toy and miniature breeds, where a lack of blood flow to the top of the femur causes the femoral head to collapse and die. This often happens at a young age, and FHO surgery can eliminate the source of pain.

What is the Healing Time for a Dog Who Had an FHO?
For the first few days after surgery, vets usually recommend activity restriction and prescribe medications to help with pain. The activity restriction usually entails crate rest or restriction to a small room.

Limit movement and brief leash walks for your dog to potty are fine. Moist heat and cold laser may help to ease inflammation that can cause pain and to decrease stiffness. Cold laser also encourages healing.

If your dog will tolerate it, you can gently move the hip forward and backward through a normal range of motion. However, these passive range-of-motion exercises should only be done if they don’t cause pain.

Around one week following surgery, your vet recommends increasing physical activity and adding some short, managed leash walks. You can also hold the front of your dog’s body while allowing him to move his hind legs, mimicking walking.

By encouraging your dog to walk, you’re helping him start rebuilding his strength and muscle mass. Walking also helps prevent the scar tissue that will form in the affected joint from forming too tightly, which helps with flexibility.

Your dog should walk slowly and start bearing weight on the leg at around a week post-op. For the next month, you shouldn’t allow your dog to run, play rough, or make any sudden twists and turns. These high-impact motions can slow the healing in your dog’s muscles and joints.

At around six weeks post-surgery, most dogs will completely recover and resume regular activities. This time can vary based on the dog’s age, condition, and activity level. Life After Hip Surgery and How Can Physical Rehab Help? If your dog doesn’t show significant improvement six weeks after surgery or isn’t bearing weight on the leg by the first week, many vets will suggest physical rehab.

Cold laser therapy can help your dog get a jump-start on healing if you start it soon after surgery. A rehab vet can assist with your dog’s healing process and evaluate when your dog is ready to resume normal activity.

Most dogs regain normal function of their affected leg following hip surgery or an FHO. Though the average time following surgery is usually six weeks, it can vary. Some dogs may have a slightly decreased range of motion or strength in the limb. Some exercises can help your dog strengthen the impacted joint and continue with the healing process. A physical rehab vet can help you learn how to improve your dog’s mobility and set realistic expectations for the future.

]]><![CDATA[A Day in the Life of a Rehab Vet]]>Wed, 17 Apr 2024 00:56:09 GMThttps://www.azcaninerehab.com/blog/a-day-in-the-life-of-a-rehab-vetHave you ever wondered what a typical day is in the life of a canine physical rehab vet? I’m frequently asked what my days are like, so I thought I’d share it with you.

Here are some common questions I’m asked:

What kind of dogs do I see?
Do I see other types of animals besides dogs?
What ages are the animals I see typically?
What breeds?
What are the issues I treat?

While doctor-client-patient confidentiality prohibits me from saying too much about specific patients, I wanted to share some examples with you. Of course, names and ages have been adjusted to protect the innocent! (and maintain confidentiality).

Here is an example of a common day in my practice. I get to treat a lot of different conditions. Then, I’ll answer any questions not covered below!

A Typical Day of Patients

King (corgi with degenerative myelopathy, DM)
Riley (Dutch shepherd with senior arthritis)
Molly (Frenchie, who was paralyzed)
Max (golden retriever with post-operative cranial cruciate ligament rupture (CCL) and elbow dysplasia)
Spring (Chihuahua with a luxating patella)
Bailey (German shepherd post-operative femoral head ostectomy, FHO)
Rain (German short-haired pointer with a shoulder injury)
Delilah (three-legged “tripawd” dog)
Lucy (German shepherd dog with hip dysplasia)

King’s Story
My first patient arrives and is carried into the gym. He is an older Corgi with a common Corgi issue—degenerative myelopathy. He is 11 now and has had it for two years.

DM is a genetic condition that affects certain breeds. German shepherds and boxers are overrepresented, and I have seen both breeds with this diagnosis.

While he is unable to walk without assistance, he has a dedicated family who do an amazing job of managing his medical condition. They make sure they maximize his quality of life as he progresses through this horrible condition.

He has been my patient for over two years, so we are grateful for our time with him. And I am grateful he has such an amazing family. We discuss where he is for the day, I answer any questions on his care, and we proceed to do some therapeutic exercises to keep his nerves and muscles firing.

King is difficult to motivate, but we are creative and find new ways. He also receives intensive cold laser therapy on his spine.

Riley’s Story
Then, I turn to my next patient, Riley. This pup is actually a geriatric (older than a senior!) Dutch shepherd. She is on a maintenance plan to maintain her mobility as she ages since she has arthritis in multiple joints.

Initially presenting with lower back and hip dysfunction, she now has arthritis in her carpal joints (paws) as well. She has been an active dog throughout her life and continues to maintain mobility now that she is nearly 15.

Riley participates in low-impact exercises based on her capabilities today, and we follow that with laser therapy for multiple joints. She gives kisses and enjoys her one-on-one time with her mom without the “annoying” puppy they have at home.

This one-on-one time with seniors and geriatrics is one of my favorite bonuses of rehabilitation. She truly looks forward to her visits here.

Molly’s Story
My next patient is a dog with intervertebral disc disease (IVDD). This common spinal condition affects many breeds, male and female dogs, and nearly any age.
I have multiple patients with this condition, affected by different degrees of severity and in various degrees of recovery. Molly is post-op from her first back surgery. Sadly, there may be more in the future.

She is a 4-year-old Frenchie learning to use her back legs again. Her back end looks moderately intoxicated as she tries to walk.

Molly gets to work in the gym. I assist her in walking around, stabilizing her back end to prevent “drifting,” and providing a lift when necessary. She also receives laser therapy on her spine to encourage blood flow and promote healing.

Max’s Story
A middle-aged golden retriever arrives next. He is one of my few patients who is reluctant to participate in rehab. Though most dogs enjoy coming to see me, he would prefer to stay home.

However, his mom and I see the importance of rehab since he has multiple mobility issues. Max has elbow dysplasia and arthritis in his knees after he had surgery to stabilize them after rupturing his cranial cruciate ligaments (CCL).

He begrudgingly agrees to exercises to maintain his range of motion and strengthen his joints. Today, we are working on strength exercises to help him get in and out of the car.
We identify a point in the process that may be causing discomfort and modify the movement to make it easier for him. As all four legs have issues, it is even more important that he be in rehab. He also receives laser therapy—this is his favorite part!

Spring’s Story
My next patient is a two-year-old Chihuahua who packs a lot of personality into her tiny little body. Spring has undergone surgery on her right back leg to correct a luxating patella or loose kneecap.

Luxating patellas are a common congenital condition in many small or tiny breeds. Mild cases can be treated with rehab alone. More severe cases require surgery first and then rehab.

Spring has significantly improved in strength, even though her leg will never be 100%. She has already exceeded everyone’s expectations and has a great quality of life.

Bailey’s Story
My next appointment is with a one-year-old German shepherd who has a single issue—he’s had a femoral head ostectomy (FHO) on his right hip. He has decided he can maneuver better on three legs, so we must convince him to use the leg that Mom and Dad paid for surgery on.

As with many patients, pain management is critical to success in rehab, and his medications are ongoing. With him, baby steps help him build strength and confidence in his weak leg.

His progress is slow, but it is still progress.

Rain’s Story
Next, a German short-haired pointer bounces into my gym. He has a strain in his shoulder muscle (the supraspinatus muscle.) This is similar to a rotator cuff injury in people.
I frown, as he is not supposed to bounce. I tell him we’ve had this conversation before and that while I’m glad he feels good enough to bounce, bouncing is not on his list of approved activities at this stage of healing.

Rain ignores me. Because he is young and athletic, following the approved activities list is very difficult for him. His mom tries hard, but we can only control so much.
She diligently works at his home program, which focuses on using pulsed electromagnetic field (PEMF), heat, massage, and transcutaneous electrical nerve stimulation (TENS) to help manage his discomfort and activity level as best she can.

He eagerly participates in his exercises and laser therapy in exchange for small chicken breast pieces.

Delilah’s Story
My next patient, a shepherd mix, hops into the gym. Hopping is necessary for her as she only has one front leg. She is a “tripawd,” so she cannot just walk normally.
Three-legged dogs have to be “above average” in terms of balance, strength, and coordination when compared to four-legged dogs. This is important for them to be functional in their day-to-day lives.

Her moms do a great job of maintaining her ideal weight. She wears a harness, so we have a handle to help when needed. Her exercises are challenging but not high impact as we work to keep her balance optimal and her strength above average.
Delilah is doing well and will continue in rehab every two weeks for maintenance. I remind them that she has “already used her spare tire” and to react quickly if something appears off in any other leg. After her workout, she heads home to take a nap.

Lucy’s Story
My last patient for the day is a middle-aged German shepherd with hip dysplasia. Hip dysplasia is a very common condition I treat, and she is one of many dogs I see for it. It affects all breeds.

Lucy is overweight, so she is on a weight loss plan. We discuss how her diet is going and discuss her pain levels this week. Deciding that we are managing her pain adequately, we proceed with her exercises and laser therapy.

My Work as a Canine Rehab Vet
As a canine physical rehab vet, I work with dogs of all ages and breeds. Some are recovering from injuries, some have congenital issues, and others have conditions due to old age with a possible genetic component.

Though I have seen other animals, like a cat and a goat, most of my patients are dogs. Knowing that I can help and the wide variety of conditions I work with helps keep things rewarding and interesting.
]]><![CDATA[11 Tips to Help Your Dog with Aging]]>Tue, 02 May 2023 02:32:30 GMThttps://www.azcaninerehab.com/blog/11-tips-to-help-your-dog-with-aging

It’s not easy watching your dog get older. As their faces get more silver and their energy level starts to fade, you can’t help but think of the future. What could be more beautiful than that gorgeous silver face?

It’s so important to try to make every moment count and appreciate the time you have. Did you know there are things you can do to help your dog with the aging process?

Of course, you can’t keep your pup from aging, but you can help make it a bit easier. Here are some suggestions for how to help improve your dog’s golden years.

How to Know When Your Dog Is Aging
Not all dogs age at the same rate. The age when a dog is considered a senior depends on its breed and its unique traits. Typically, the larger the dog, the faster they age.

Giant breeds, like Great Danes and Mastiffs, are often considered senior by the age of five or six. For medium-sized dogs, like Retrievers, Pit Bulls, and Heelers, that age is around eight to ten. And for small breeds like Chihuahuas, Pugs, and Dachshunds, the age when they are considered a senior is often ten or eleven.

When determining if your dog is a senior and may need extra assistance, consider the condition of your dog. With aging, you’ll find your dog starts to have less energy and sleeps more. It may start with some medical issues, like diabetes, arthritis, or higher kidney values. Or maybe you notice your dog struggling a bit to get into your bed or in and out of the car.

Genetics, environment, and nutrition all play a role in how fast your dog ages, so evaluate your dog with the help of your vet to see where your dog is at and what you might be able to do to help improve its quality of life.

11 Tips for Helping Your Dogs as They Age
There are a lot of different things you can do to help your dog as he gets older. What you do will depend on your dog’s specific needs, but here’s a list to give you some ideas for how you may help your dog with the aging process. After all, you want to keep him with you, and feeling great, for as long as possible!

See your vet regularly. Your dog should be examined at least annually or more as he ages. Even if he seems healthy, catching a medical issue that’s brewing is often much less costly than waiting until it’s a problem.
Maintain a healthy weight for your dog. When your dog gets older, it’s more important than ever to manage weight appropriately. Extra weight can cause issues like arthritis, diabetes, heart disease, and more. Ask your vet for an appropriate weight and for tips for evaluating your dog’s body condition at home.
Feed a high-quality diet. A dog’s diet directly impacts their health, so it’s important to feed them quality food, particularly for their age and lifestyle. If you’re unsure, talk with your vet. Limit treats to 10% or less of their intake. If your dog has any medical conditions, like kidney disease or heart disease, talk with your vet about a prescription diet that can help manage it.
Get regular exercise. Make sure to exercise your dog regularly based on their individual needs. Going for walks is a great way to do this at a good pace for your dog. Start slowly and gradually increase the distance and intensity based on what your dog can do. Don’t push it, as you don’t want to cause an injury. Regular walks can help with a host of things, like preventing obesity, preventing boredom, and stimulating the appetite.
Exercise your dog’s brain. Not only do you need to physically exercise your dog regularly, but keeping their brain stimulated is important as well. Try food puzzles or a snuffle mat, which are great for entertainment as well as weight loss.
Maintain dental health. Dental disease can cause major problems in our pets at any age. Not only can it be painful, but it can cause dogs to have difficulty eating and weight loss. If you can’t brush your dog’s teeth, try dental treats and chews to keep their mouth healthy.
Add supplements. Adding supplements like glucosamine, chondroitin, and MSM can help your dog. Also, consider a fish oil supplement with fatty acids like DHA and EPA as they can help with mobility and other joint diseases. If you feel it’s warranted, you can also talk with your vet about anti-inflammatories or pain meds to help.
Improve weather protection. Dogs can be more sensitive to the weather as they age, even if they’ve never had issues before. They may feel more comfortable with a jacket or sweater and may even need booties during cold, snowy, or icy weather.
Add accommodations for accessibility and mobility. As your dog ages, he may have trouble with certain things, like getting in and out of the car, getting up on your bed and sofa, and walking on a smooth floor. You can get things like steps and ramps to help, as well as rugs to navigate the floor. You can use a sling to assist them with jumping, and you can even use a towel for it. Consider a bed with more cushioning as well, with either a thicker mattress or more blankets, towels, and pillows to help their aching joints.
Help with grooming. It may be challenging for your dog to keep up with grooming as he ages. Help by brushing your dog regularly and bathing when needed. You might even trim his fur a bit to help. Take this opportunity to check for lumps and bumps, which many dogs get as they age. It’s a good idea to have a vet check them out to make sure they’re not a concern and monitor them regularly. If you notice a change in a short period of time, don’t wait to have your vet check it out just to be safe.
Consider canine rehab therapy. If your dog is having mobility issues or issues with managing weight, there are a number of safe and effective, natural options to help. Canine rehab therapy has an arsenal of tools to help, including cold laser therapy and exercises. You can even get an Assissi Loop to use at home to help with inflammation and pain management.

You Can Start Improving Your Dog’s Senior Years Today
You can help your dogs in their golden years to have a longer, better quality of life. Whether your dog is approaching old age or already a senior, it’s never too late to start.

]]><![CDATA[How to Maintain a Healthy Weight for Your Dog]]>Tue, 07 Mar 2023 02:19:46 GMThttps://www.azcaninerehab.com/blog/how-to-maintain-a-healthy-weight-for-your-dog

I know, I know, no one likes to be on a diet, right? And that’s also the case for your dog as they would love to eat.. well, just about anything!

Though it’s fun to give your dog treats and great to see how much they enjoy their meals, many dogs will eat without restraint, leaving us to be responsible for managing their weight.

According to the Association for Pet Obesity Prevention, 56% of dogs are overweight or obese. It’s a health crisis for dogs—unfortunately, it’s so often overlooked and not recognized. Though it may look cute when our pup is pleasantly plump, it can actually be harmful.

Overweight dogs are at a higher risk for health issues. In this post, we’ll discuss why maintaining a healthy weight for your dog is so important and some great ways to do it.

Why Do You Need to Manage Your Dog's Weight?
Just like with people, it’s important for dogs to maintain a healthy weight. Many of the reasons are the same for people and dogs alike, as being overweight or obese can put them at significant risk for health issues that can reduce their quality of life and even shorten it. These include:

Arthritis
Some types of cancer, like bladder cancer and breast cancer
Heart disease
High blood pressure
Diabetes
Breathing issues like laryngeal paralysis (collapsing trachea)
Anesthesia risk
Lipomas and fatty tumors

They can also have issues with their skin and fur if they’re so obese that they can’t groom themselves properly.

By not providing the right amount of quality food regularly for your dog, you may be harming and not helping your dog. It can be a tough balance, and an occasional treat won’t hurt your dog. The issue is when dogs eat more than they are burning off regularly.

How Can You Know if Your Dog is Overweight?
If you’re unsure if your dog is a healthy weight, talk with your primary vet. During your routine annual medical exam, ask your vet if your dog is at the right weight.

The vet will weigh your dog and check its appearance to make the determination. Typically, a dog is considered overweight when its body weight is more than 10-20% over its ideal body weight. If they are more than 20% over it, then they are considered obese.

If you’d like a visual representation, there are several different representations. The American Animal Hospital Association (AAHA) provides this graphic for body condition scoring.

What Should You Do If Your Dog is Overweight?
If your dog needs to lose weight, you’re in good company! It’s correctable with consistent attention and work.

Ask your vet for guidance, and consider weight management food if your dog has to lose a significant amount of weight. There are prescription diets for weight management, and there are some you can get in pet stores as well. These foods are nutritionally dense and higher in fiber to help keep your dog feeling full while providing the requirements.
If your dog just needs to lose a few pounds and isn’t obese, reduce the amount of food your dog eats and consider measuring the amount to make sure you’re consistent.
Reduce the number of treats you provide and make sure those that you do give are high quality. No more junk food like table scraps! Consider things like chicken jerky instead of dog biscuits, as they have a higher nutritional value, but be sure you’re limiting them and providing less than the package may indicate. Those recommendations are for dogs at a healthy weight.
Consider adding something like green beans to your dog’s meal if they will eat them. Many dogs enjoy green beans, and they are a great low-calorie addition to their diet.
Increase your dog’s activity level by doing something you both enjoy. Toss a ball, go for a walk, or head to the dog park.

How to Manage Your Dog’s Weight Going Forward
Once your dog hits the target goal weight that you and your vet agreed upon, congratulations! It can be challenging to do, so enjoy the moment. After you hit the goal, keep an eye on your dog’s weight.

Being dramatically underweight isn’t healthy for your dog, either. So, make sure when you’re working on it that to get to a healthy weight and maintain that.

If you’re unsure, your vet is a great person to ask. Or check out the body condition scoring charts mentioned above for guidance. Keep an eye on portion sizes, and it’s a good idea to continue measuring the food to ensure your dog gets the right amount.

If your dog’s activity level changes, you might need to adjust a bit. Keep treats to 10% or less of their total caloric intake, and continue with healthy, low-calorie veggies that your dog enjoys.

Maintaining your dog’s healthy weight is a journey and not a sprint.

]]><![CDATA[What to Expect from a Canine Rehabilitation Session & How to Prepare]]>Mon, 26 Dec 2022 22:27:09 GMThttps://www.azcaninerehab.com/blog/what-to-expect-from-a-canine-rehabilitation-session-how-to-prepare

There are many ways we can help our dogs live happier and healthier lives, and canine rehab can be one of these ways. It’s aimed at helping your dog achieve the best quality of life possible with the highest level of independence and function possible while decreasing pain.

Rehab can be an effective way to help your dog heal from a surgery or injury or deal with a mobility issue. Here’s what you can expect from canine rehab and how to prepare for your first session.

Check out this post if you’re wondering if you should consider canine rehabilitation.
What is Canine Rehab Therapy?Canine rehabilitation is a field of veterinary medicine that treats dogs for the treatment and ongoing management of injuries, pathologies, and functional impairments. Rehabilitation is practiced by a vet, but human physical therapists may also offer animal physical therapy.

Rehab vets are trained to perform an assessment of a canine patient’s gait, mobility, flexibility, strength, endurance, range of motion, and other functional activities. Additionally, they evaluate a dog’s medical history to develop a tailored plan of care with short and long-term goals.
How to Prepare for Your First Canine Physical Rehab SessionThere are some activities you can do in advance of your first session with a rehab vet to ensure it’s as productive as possible. First, pull together all of your dog’s medical records, including diagnostic tests and results of procedures like x-rays.

Or, you can request that your vet send your dog’s records directly. If you saw multiple vets, like your primary vet and a surgeon, have both send their medical records.

Also, keep track of any symptoms you may see. Is your dog limping? Does anything specific seem to bring this out or is it a regular issue? Document anything you think of that could be related and what, if anything, you are doing about it.

Last, consider your commitment to a treatment plan. Treating your dog’s mobility issues will likely not be a “one and done” appointment with a rehab vet.

It may include regular visits, supplements and medications, and regular work at home including walks and structured exercises. This takes time and money. So, consider what you can and are willing to do to be prepared when you meet with the vet.
What to Bring to Your First SessionIt’s a good idea to bring a copy of your dog’s medical records to the first appointment if you can or to confirm the rehab vet received them.

Additionally, bring your pet’s supplements and medications. You can also bring an updated listing with you instead. Also, bring any documentation your captured tracking any issues you’ve witnessed that your dog is having and the details.
What You’ll Do During Your First SessionAt AZ Canine Rehab, the initial consultation consists of two sessions that are 55 minutes each. The first is an evaluation. I discuss the medical history with you as well as your observations. You complete a new client registration form.

We get to know each other a bit, then I evaluate your dog. This includes a full-body physical evaluation. We discuss treatment goals as well, as your participation is vital to your dog’s successful outcome.

The evaluation includes placing your dog on a stance analyzer to determine how the dog is standing and shifting weight. This important tool can identify issues before they can be directly observed, and it provides an objective measurement a rehab vet relies on for evaluation.

Following this first consultation, I craft a customized treatment plan designed for your dog based on the medical records and my evaluation. This may include a combination of the following:

Therapeutic exercises
Cold laser therapy
Manual therapy
Thermotherapy
Muscle stretching
Transcutaneous electrical stimulation (TENS)
Neuromuscular electrical stimulation (NMES)
Education

A treatment plan is designed specifically for each dog. I demonstrate any therapeutic exercises I recommend for your home program to ensure you understand how to do them effectively. This includes if there are any tools you’ll need to do them.

Doing the exercises at home can help to reduce the frequency of visits. Though, it’s a good idea to follow up in person to ensure they are done correctly and to follow up on progress. This way, we can modify based on how your dog is at that time.

Once I complete the treatment plan, I share the results of the evaluation and the plan with your primary vet. Additionally, I share updates as the treatment progresses.

Ultimately, follow-up appointments depend on your dog’s needs, goals, commitment to care, and financial abilities. Please know that I’m committed to helping you and your dog, regardless of where you’re at.
Follow-Up SessionsAt subsequent appointments, your dog returns to the office for a workout. We run through some of the exercise plan you have for continued work at home to make any needed adjustments. This could be postural changes or an exercise change.

Your dog may also get therapeutic treatments like cold laser or others, depending on his or her needs. Follow-up appointments may be 25 or 55 minutes.

Canine rehabilitation can be an effective way of helping dogs with a variety of medical needs. I hope this helps to demystify what happens during the initial and subsequent sessions!

]]><![CDATA[How a Stance Analyzer Helps a Canine Rehab Vet]]>Tue, 01 Nov 2022 23:27:10 GMThttps://www.azcaninerehab.com/blog/how-a-stance-analyzer-helps-a-canine-rehab-vet

There are a lot of tools in a canine rehabilitation vet’s arsenal to help diagnose mobility issues in your dog. One of the first you may see in your introductory appointment is a stance analyzer.

Learn more about what a stance analyzer is and how it helps your vet determine a game plan for helping your dog.

What is a Stance Analyzer?
Stance analyzers are a tool your dog steps on, placing a paw in each quadrant on the plate. It assesses the weight distribution on each leg, detecting unequal weight distribution.

This tool can help a vet diagnose medical issues like hip dysplasia, degenerative myelopathy, osteoarthritis, intervertebral disc disease, and cruciate ligament tears (CCL).

It’s an accurate, objective, non-invasive, and fast method to collect data. And, it’s easy to use as a vet can remotely control it to take fast snapshots of the dog’s stance.

The system then averages the data collected by each capture to provide an overall assessment.

How Does a Stance Analyzer Help?
A stance analyzer helps your rehab vet quickly evaluate how a patient is standing and shifting weight. This is particularly helpful as collecting this data removes subjectivity and provides an objective reporting.

Knowing how a dog is holding their weight can help to identify lameness and where to look for it. Lameness is a clinical sign relative to a physiological or mechanical change in the body, resulting in an impact on their gait and the dog’s ability to move its body. It can be due to an injury, pain, or abnormal anatomy.

Evaluating lameness can be subjective and a challenge to quantify. With a stance analyzer, a vet has data with which to do so.

It can be used as an early warning system of sorts to identify an issue before an owner even realizes it. Just like people, dogs can learn to compensate for a feeling of discomfort or pain. Mild lameness can often unnoticed, even by a vet.

By identifying lameness early on, the vet and owner have the means to proactively address the issue, before it becomes severe. A vet may recommend additional diagnostics, other treatment options, supplements, or prescriptions to help.

Who Uses a Stance Analyzer?
Rehab vets generally use stance analyzers during an initial evaluation of a dog. And, they also use it for re-checks to objectively determine progress from a prescribed treatment plan. And, if the stance analyzer doesn’t show progress, the data may suggest an alternative treatment is needed.

Primary vets may also use them during wellness exams, limping evaluations, and re-checks.

What's a Normal Reading on Stance Analyzer?
As you might expect, readings on a stance analyzer will vary. And most dogs don’t hold perfectly still, so rehab vets expect a range in the reading.

A normal reading is 30%/30% in the front and 20%/20% in the back. However, this can vary plus or minus by one or even two percent given a dog’s movement on the tool. This is why it’s important to take three to five “readings,” and each is an average of a dozen or so individual single readings.

What to Do if You Think Your Dog Has a Mobility Issue
If your dog is limping or seems to have a mobility issue, it’s a good idea to make an appointment with your primary vet right away. They are able to evaluate your dog to determine an appropriate course of action.

Of course, if your dog is currently seeing me, please bring it up at your next appointment. Or contact me and I can try to fit you in sooner. I do tend to book out a couple of months for new patients, and it’s often a good idea to not wait.

A stance analyzer is a useful tool for proactively identifying potential mobility issues, objectively securing data to quantify an issue, and determining the effectiveness of a mobility treatment plan. It’s one of many tools rehab vets use to help your dog live the best life possible.

]]><![CDATA[Arthritis in Dogs and What You Can Do to Help]]>Mon, 22 Aug 2022 02:19:06 GMThttps://www.azcaninerehab.com/blog/arthritis-in-dogs-and-what-you-can-do-to-help

An estimated twenty percent of all dogs will develop osteoarthritis. Since it’s a degenerative and progressive disease without a cure, this diagnosis can be quite upsetting to owners. However, you do have options!

If your dog does develop osteoarthritis, there are ways to improve quality of life by decreasing inflammation, controlling pain, and slowing the progression of the disease. The best outcomes are often found using multiple therapies simultaneously. Here’s how to know if your dog may be at risk, how you can help delay the onset of osteoarthritis, and what to do if your dog is diagnosed.

What is Canine Osteoarthritis?
Osteoarthritis (OA) is commonly simply called arthritis, and it’s also referred to as degenerative joint disease (DJD). This disease is a progressively worsening inflammation of a joint caused by the deterioration of cartilage. The cartilage may break down due to repetitive stress, injury, age, or disease.

When the joint loses the cushion of cartilage, the result is inflammation, pain, and decreased range of motion. Any joint in the body can develop arthritis, though it’s most often the limbs and lower spine that are impacted.

Osteoarthritis in Dogs: Is My Dog at Risk?
Osteoarthritis is typically found in older dogs. However, dogs at any age may develop it. There are a number of factors that may predispose your dog to osteoarthritis, including:

Age
Obesity
Breed—large or giant breeds
Poor nutrition
Genetics
Injuries like a torn ligament or fracture
Hip or elbow dysplasia
Pooconformationon
Highly repetitive athletic activities like agility and flyball
Bacterial or fungal infection and tick-borne diseases like Lyme disease, Rocky Mountain spotted fever, or others

If your dog has a predisposition to osteoarthritis, you’ll want to be sure to implement the preventive methods mentioned below. It’s also important to have regular vet visits and to be aware of the signs of pain in your dog.

Signs of Arthritis in a Dog
Osteoarthritis isn’t always easy to detect, especially in the beginning. Dogs often hide their pain until it becomes more severe when there is more damage to the joint(s). If you notice any of the following signs in your dog at any age, schedule an appointment with your vet.

Unwilling to play, lay down, or jump
Restlessness
Sensitive to touch
Trembling
Panting or excessive licking
Barking or whining with no explanation
Lethargy
Weight gain
Difficulty pottying or having accidents in the house

Pain can be very subtle, so keep a close eye on your dog. If you notice any of these signs, and especially more than one, it’s a good idea to schedule an appointment with your vet right away.

What Can I Do If My Dog Has Osteoarthritis?
To diagnose your dog, your vet will perform a full examination and will assess your dog’s range of motion. Your vet may also suggest x-rays as they show the degree of damage in a joint.

There are a number of things you can do around your home to make it easier for your dog. First, consider slip-free flooring if you can, like carpeting or even area rugs and runners. Keep your dog’s nails trimmed and trim any fur on their paws to help keep them from slipping.

Invest in an orthopedic bed if you can, and provide raised dishes so your dog doesn’t have to bed so far to eat and drink. You might need a ramp or steps to help your dog access their favorite spots and get into the car.

And speaking of steps, you might want to prevent access to stairs as the osteoarthritis progresses unless you’re around to assist. A baby gate can work well for this.

Treatments for Osteoarthritis
There are many different treatments for osteoarthritis. Some of them are beneficial as a preventive, and all can be used following diagnosis. Here are the top options.

Joint Supplements
Supplements are safe and effective ways to help reduce inflammation and slow joint damage progression. Two of the most common supplements are glucosamine and chondroitin. MSM (methylsulfonylmethane) is also used, and commonly combined with glucosamine and/or chondroitin.

Omega-3 fatty acids found in fish oil and green-lipped mussel are also recommended, which are good for the skin and joints. They can be used at any age and are often considered a helpful preventive.

NSAIDs
Non-steroidal anti-inflammatory drugs (like Rimadyl, Metacam, and others) are commonly prescribed for dogs with osteoarthritis. They help to reduce inflammation as well as pain, making them very effective with this disease.

These drugs can have significant side effects, though. If you decide to give them to your dog, your vet will discuss the risks and will recommend regular blood work to monitor.

Please never give human pain medications to your dog unless directed by a veterinarian, as they can cause life-threatening side effects. NSAIDs will be prescribed specifically for your dog and human NSAIDs are generally not used.

Weight Management
Maintaining a healthy weight is a good idea for all dogs of any age, whether they have osteoarthritis or not. For dogs with the disease, it’s especially critical to not carry excess weight on their already damaged joints. Not only will extra weight cause additional pain, but it can cause the cartilage to break down faster. Obesity can also cause other diseases, so keep your dog healthy and trim.

Physical Rehab
Physical rehab is another great way to help your dog with osteoarthritis before and after the diagnosis. Canine rehab vets are trained on proper weight management and implementing an exercise plan to help your dog maintain muscle, important for arthritis.

Many rehab vets also use alternative therapies to help your dog by promoting healing and managing pain. Cold laser therapy and an Assisi Loop can be beneficial, as well as acupuncture, massage, and exercise.

Osteoarthritis in Dogs Can Be Manageable With Help
No owner wants their dog to develop osteoarthritis. However, there are a lot of effective options to help most dogs maintain a great quality of life. It’s all about mobility and effectively managing pain to maintain a good quality of life.

]]><![CDATA[How to Care for a Three-Legged Dog]]>Thu, 23 Jun 2022 02:18:34 GMThttps://www.azcaninerehab.com/blog/how-to-care-for-a-three-legged-dog

Some links in this article may be affiliate links, which means that if you purchase through them, I receive a small commission. This will never cost you extra.

You might expect a dog with three legs, often called a tripod or tripawd dog, to have a lot of special needs. However, your dog likely doesn’t agree with your assessment that he’s disabled!

Generally speaking, dogs do incredibly well on three legs and don’t have ongoing health issues. Unlike humans, they don’t have any stigma associated with losing a limb, so they go about figuring out the physical aspects of navigating on three limbs.

Once they adapt to it, which generally happens pretty quickly, they are usually “off to the races,” so to speak. Here’s what you should know about tripod dogs and some effective ways to help them adjust.

How Does a Dog Become a Tripod?
Dogs can have three legs for a number of reasons. It could be due to a congenital deformity, where they are born with a malformed or unusable fourth leg that may require amputation.

Dogs can also lose a leg due to trauma, like a severe break that can’t be fixed or due to a car accident. Or, a dog can lose a leg due to some types of cancer, where either a mass cannot be safely and fully removed, or they have cancer in the bone of a paw or leg, necessitating amputation.

Some dogs become amputees at a young age and others when they are older. Though it can sometimes be more difficult for older dogs physically, dogs of all ages usually adjust well to this change.

How to Care for a Dog Following Amputation
Amputation is a big decision and one you’ll discuss with your vet. If it’s recommended, they have weighed the options and determined amputation offers your dog the best chance for a high-quality life.

As traumatic as the surgery may feel to you, it’s likely your dog will feel better than before the surgery in just a few days. Amputation can enable your dog to live a long and healthy life without pain.

Following an amputation, your dog’s activity will be restricted for a period of time to allow them to heal. Be sure to give any pain medications and antibiotics as prescribed by your vet, and follow their guidance for care closely.

Consult your vet before discontinuing any medications or initiating activity with your dog.

It may be helpful while your dog is healing to keep them in a carpeted area or to add small area rugs for traction as they get acclimated to life on three legs. And they may need some help getting around at first.

Consider gating off a section of your house to limit their ability to move around, especially around stairs. Your dog will need to re-learn how to navigate them on three legs, so be especially careful until you’re sure they can do it unaided.

Tripod Dog Care
Your main objective in keeping your dog healthy, as a tripawd or not, is maintaining their general wellness. There are three things you can do to help your dog to stay happy and healthy. These are important for all dogs and especially important for a tripod dog.

1. Exercise
Tripods, like any other dog, need exercise to keep their joints in good working shape and to prevent injury. It’s especially important to exercise dogs with three legs. Strong muscles help support the remaining limbs.

But make sure to monitor the level of exercise and let your dog set the pace. Pay special attention to your dog’s body language. Tripods can sometimes need a little more rest given the extra work the remaining legs are taking to support his body.

2. Weight Management
Maintaining a healthy weight is also important for tripod dogs. More weight provides more strain on the joints, so it’s essential to keep your dog at a healthy weight.

Not only does excess body fat cause inflammation, putting them at risk for conditions like osteoarthritis, but the added weight can cause strain to the remaining three legs. It’s often beneficial to keep tripod dogs on the thin side, so talk with your vet about the ideal weight target for your dog.

3. Supplements
The only real physical concern for a tripawd dog is the risk of osteoarthritis as it can impact the effectiveness of their remaining limbs and cause an increase in pain. Your dog may be at increased risk due to the alterations in its posture from the missing limb.

Owners can try to proactively delay the onset of osteoarthritis by offering supplements like glucosamine, chondroitin, and MSM to support joint health along with a fish oil supplement with omega-3 fatty acids.

Tools that Can Help Tripods
Though owners aren’t really required to get any special equipment for tripod dogs, it can sometimes come in handy. Some beneficial things to consider are no-slip booties or socks if you have hard floors in the house. Here’s a second bootie option as well.

You might also consider installing carpets or runners for traction and padding. For dogs with difficulty jumping, a ramp or even steps may help them get to their favorite spots.

Getting up from a seated or prone position can sometimes be a challenge for dogs learning to walk on three legs as well. A support sling or harness can be really helpful.

My favorite tool that I recommend is the Help’Em Up Harness. It’s the best for all-day wear and uses support under the pelvic bone to lift the back end so it doesn’t put pressure on any of the organs. Some alternatives that you can get on Amazon are this one and this one.

This book on helping your dog with mobility challenges is one I recommend.

How Physical Rehab Can Help a Three-Legged Dog
Physical rehab isn’t required for tri-legged dogs, but it can be beneficial. First, rehab can be really helpful for dogs post-surgery to adapt to their new situation.

A rehab vet is specially trained to work with dogs after surgery to help them heal effectively and regain mobility. This includes a thorough evaluation, an exercise plan, therapeutic treatments like cold laser therapy, and others, as well as pain management.

Physical rehab can also help you determine the most effective exercise regime to help your dog maintain a good level of fitness. A physical rehab vet can help you determine the right amount of exercise and the best method(s) for your dog. This is helpful following surgery and as your dog ages.

A rehab vet can also help you determine a healthy weight for your dog to ensure they aren’t carrying any more than they should on their joints.

Seeing a specialist like a rehab vet, even for an appointment or two, is really helpful for a three-legged dog. They can detect even subtle gait or posture problems and prescribe strengthening exercises for your dog.

Caring for a Three-Legged Dog
Though caring for a tripod dog isn’t all that different from a dog with four legs, you can certainly give them an advantage when healing from amputation surgery or as they age. Consider supplements, regular exercise, healthy weight maintenance, and adapting your house to make mobility a little easier.

]]><![CDATA[Hip Dysplasia in Dogs]]>Sat, 30 Apr 2022 01:07:11 GMThttps://www.azcaninerehab.com/blog/hip-dysplasia-in-dogs

Hip dysplasia is a medical condition that many owners of large-breed fear as it’s very painful for dogs. Though it can’t be cured, hip dysplasia can be treated to reduce pain and improve quality of life.

And, it’s even possible to start preventive treatment early to stave off the effects of hip dysplasia for as long as possible. This article includes what you need to know about hip dysplasia in dogs and what you can do to help improve your dog’s quality of life if they have it.

What is Hip Dysplasia in Dogs?
Hip dysplasia is a medical skeletal condition affecting the hip(s). The bones don’t grow uniformly, causing looseness in the joint, eventually leading to degenerative joint disease (DJD) or osteoarthritis. It’s often identified in older dogs when DJD or osteoarthritis sets in. However, it’s was there well before their advanced years.

The hip is known as a “ball and socket joint.” The head of the femur, or the thigh bone, is the ball and the pelvis is the socket. In dogs with hip dysplasia, the femur and pelvis don’t fit together properly and instead of sliding smoothly with movement, they rub and grind. The impact is the deterioration of the joint over time and eventually a loss of function.

Elbow dysplasia is similar and occurs in the elbow of the front leg instead of in the hip.

What Dogs are Most at Risk for Dysplasia?
The dogs that most commonly have hip dysplasia are typically large-breed dogs that weigh 50 pounds or more. Some common breeds are German Shepherds, Labrador Retrievers, Golden Retrievers, Great Danes, though there are others. However, this genetic condition can be found in dogs of any size and is not specific to a dog’s size or even their breed.

There are a number of factors that come into play with hip dysplasia, and genetics is the biggest one. Dogs with hip dysplasia have a genetic predisposition that they are born with. However, just because they have this predisposition, doesn’t necessarily mean they will show symptoms during their lifetime.

Other factors that impact this condition are exercise and the types of exercise, nutrition, and weight. All of these are within the owner’s control, particularly maintaining a proper weight level and feeding nutritious food.

Regular exercise is also important, including walking, running, and playing. One thing to note is that dogs in competitive sports like agility, flyball, dock diving, and others that are predisposed to hip dysplasia are at a higher level of risk of having issues with this condition than dogs who exercise more moderately.

What Are Symptoms of Hip Dysplasia
As is the case with many mobility issues, there is a wide range of symptoms you may see. Many dogs don’t exhibit any symptoms at all when they are younger, so you may not even know they have the condition. For these dogs, symptoms usually present when they get older as dogs with hip dysplasia often develop degenerative joint disease (DJD) or osteoarthritis (OA) later in life.

Other dogs may develop symptoms as young as four months of age. Here are the things to look for with hip dysplasia:

Pain, stiffness, or limping
Swaying “bunny hop” gait
Decreased activity
Decreased range of motion
Lameness in the hind end (or in the case of elbow dysplasia, a front leg)
A grating sound in the joint
Reluctance or difficulty rising, running, or jumping
Loss of thigh muscle mass and enlargement of shoulder muscles due to compensation

If you notice any of these symptoms in your dog at any age, it’s a good idea to have a vet exam with your primary vet. When hip dysplasia becomes more advanced, dogs often develop osteoarthritis or DJD, so many of these symptoms are related to those conditions. They are more common as a dog ages.

Diagnosing Hip Dysplasia
There are a number of things your vet will do to determine if your dog has hip dysplasia. First, your vet will request a history of your dog’s health and any symptoms he has to indicate an issue. If your dog has ever had an injury that may have contributed to the symptoms, that’s helpful to share.

Then your vet will manipulate your dog’s hind legs. While doing this, they will check for any reduced range of motion, grinding, pain, and looseness in the joint.

Your vet may want to run blood work as inflammation due to joint disease can present in the complete blood count (CBC). Last, he will likely want to take radiographs, or X-rays, of your dog’s hips to determine the degree and severity of hip dysplasia if warranted from the physical exam. This helps to provide the best course of treatment for your dog.

Treatments for Hip Dysplasia
There are a number of ways you can help your dog with hip dysplasia. How you will treat your dog’s hip dysplasia depends on the amount of discomfort.

Medications and Supplements
A common treatment is with non-steroidal anti-inflammatory drugs (NSAIDs) like Rimadyl and Meloxicam. These drugs may have side effects so it’s important to work with your vet to determine if it’s right for your dog. You’ll also want to monitor blood work regularly.

In addition to medications, it’s a good idea to put your dog on some nutritional supplements including glucosamine, chondroitin sulfate, and omega-3 fatty acids. You can get these at any pharmacy or even at Amazon. I also recommend Standard Process Canine Musculoskeletal Support and can supply that for patients.

Exercise and Physical Rehab
In addition to supplements and medications, exercise is very helpful for dogs with hip dysplasia. Moderate daily exercise is the key, avoiding high-impact activities like jumping which can stress the hip joints. Exercise alone can help to keep your dog mobile while strengthening the surrounding support structures around the hips.

As you might expect, physical rehab can also be very effective in improving a dog’s quality of life with hip dysplasia. We can work together to get your dog to a healthy weight to reduce excess stress on the hip joints and get your dog on a regular exercise regiment.

Alternative Therapies
There are a number of alternative treatments that can be quite effective for helping your dog. One that I offer in my practice is cold laser therapy, and I highly recommend it along with physical rehab.

Some other therapies that can be helpful include acupuncture, stem cell treatments, and traditional Chinese medicine. Though scientific data is limited from studies, they may be worth looking into for your dog, particularly in conjunction with some other treatment options.

Surgery
Another option is surgery, and there are several surgical procedures to treat hip dysplasia. The most common two are a total hip replacement and a femoral head osteotomy (FHO). Your vet or veterinary surgeon will determine what’s right for your dog based on their condition, lifestyle, and age. If you do go the surgery route, physical rehab is a great way to help your dog post-surgery.

What You Can Do if Your Dog Has Hip Dysplasia
If you think your dog may have hip dysplasia, make an appointment with your primary vet right away. Your vet will examine your dog and will likely determine the diagnosis with X-rays.

From there, you can determine the most appropriate course of action. Dogs with his dysplasia can often live long and full lives with treatment, so the sooner you diagnose and determine a treatment plan, the better off your dog will be.

]]><![CDATA[How to Cope When You’re Losing Your Dog]]>Tue, 01 Mar 2022 02:24:14 GMThttps://www.azcaninerehab.com/blog/how-to-cope-when-youre-losing-your-dog

No one wants to think about that day we’re going to have to say goodbye to our beloved dog. We all know it’s going to happen, and though we understand that, it’s often just too difficult to think about. Are we unintentionally making the process harder for ourselves and even our dogs by avoiding the inevitable?

Loving a dog through the last stage of life isn’t easy, but there truly is nothing more rewarding than being there for your dog when she (or he) needs you the most. Here are some thoughts about the process and how we can make it a little easier to manage.

Anticipatory Grief
We generally think of grieving as something that happens after a loss. We expect to grieve our dog when she is no longer with us, as that’s a given. What we often think about is when we no longer see our dog’s beautiful face and hear the pitter-patter of her footsteps following us down the hall for dinner, or snuggling up in bed to our favorite furry buddy.

However, the grieving process actually begins before our loss when we first realize that it’s coming. This is called anticipatory grief, or grief that occurs before death. The symptoms are often the same as grieving after a loss—all of the feelings and thoughts, social, and cultural reactions to an expected death.

There are some differences between anticipatory grief and the grieving that occurs after death. Not everyone goes through it. But when they do, it often involves more anger, more loss of emotional control, and sometimes atypical grief responses. It’s often not discussed, which can make it even more challenging to process.

What it does do is provide an opportunity to say goodbye. To recognize what’s coming and to make sure to cherish every single moment. It’s a time of personal growth to find closure, assess priorities, and start to map out a different future.

Processing Our Emotions
We go through a wide range of emotions when we’re caring for our old and/or sick dog and preparing for her death. They may range from sadness, distraction, fear, guilt, and even anger to more serious issues like depression. Dealing with the fact that there is little we can do about what’s coming can be crushing.

And, if we’re in the position of being a caregiver, especially if our dog’s medical needs are especially intense near the end, it can be even more challenging finding balance. Trying to care for your pet when you are sad, exhausted, and burned out is, well, it’s exhausting.

What is Bonus Time?
Bonus time is the idea of extra, or bonus time as you’re nearing the end of life. No one lives forever. We won’t and our dogs won’t, but we often happily and blindly navigate our time with our dogs until we know we are nearing the end.

The concept of bonus time is that we know we are nearing the end, but instead of looking at this time with dread where the clock feels like it’s counting down, we instead appreciate the extra time that we have.

Enjoying bonus time means not focusing on the upcoming goodbye, but instead, focusing on making the most out of every special moment we get knowing the goodbye is near. It’s those extra snuggles, it’s the day off you take to be with your dog, it’s the bucket list of things you complete knowing your dog will enjoy every moment. Bonus time is all about creating the beautiful memories that will sustain you after your loss.

How to Manage Our Fear and Guilt
Truthfully, there’s really no right or wrong answer for handling those painful thoughts and feelings we have when we’re dealing with something as difficult as death. Everyone and every situation are so very different. We all have different triggers and thresholds for what we can handle and what causes us stress. Being afraid and feeling guilty are normal parts of the process and they’re difficult emotions. Here are some things to consider that may help.

Be Gentle to Yourself
It’s normal, healthy, and totally ok to grieve before and after your loss. The grief process is varied and you’ll go through different phases. And it’s not always linear, either. You may have moments of guilt, anger, and other strong and complex emotions.

Keep in mind that your dog is not going to die because you forgot to refill their water bowl for an hour, missed their medical that one time, or went out to dinner with your friends. Remind yourself of this when you need to. Know that this is normal and your dog loves you in spite of and because of your thoughts and feelings. Your dog just loves you.

Take Time for Fun
As much as you may not want to, you need to take some time occasionally to step away. Being a caregiver is hard and emotionally draining at times. You need to get out and get away periodically. Take that long shower, meet your friend for a movie, go for a walk alone. You can and need to have those moments. Those little snatches of time you take for you make you a better caregiver so you can focus on your dog when you need to.

Get a Support System
Make sure you have someone to talk to. This may be a friend or family member or it may be a professional. You are not alone in what you’re going through. Anyone who has ever loved anyone, human or furry, will at some point suffer a loss. Find someone who will support you when you need a good cry, and find someone who will remind you that what you’re feeling is normal. Because it is.

Make the Most of the Bonus Time
A friend of mine once told me the lesson she learned after she lost her soul dog. She spent so much time fearing his death, that she realized after she lost him that she didn’t make as much of the time she had with him in the end. Her painful lesson became a mantra, “I will have the rest of my days to mourn you. I choose to not do it while you’re still here.”

That doesn’t mean she doesn’t battle anticipatory grief, but she allows herself to feel it, then lets it go to focus on her time with her dog. Connecting with our gratitude to have those precious moments and finding enjoyment in them is one of the purest displays of love there is.

Here’s the thing: dogs don’t have much of a concept of the future so they don’t fear death. They live very much in the moment. We have an opportunity to learn from our dogs and to force ourselves into the present moment.

Unfortunately, we and our dogs can’t live forever. But, we have the opportunity to continue making precious memories while they are still with us that we can cherish for a lifetime.

There Isn’t a Right (or Wrong) Way to Grieve
Death and dying are tough for most people to handle, and we each grieve in our own way. There truly isn’t a right or wrong way to do it. We each have our own ways of dealing with it, and that’s perfectly normal. Take a page out of your dog’s book and live in the moment—enjoy the bonus time and feel the grief. Take the time you need then open your heart again when you’re ready.

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