The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:
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Requests for advice and / or encouragement. On basically any topic and for any scale of problem.
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Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.
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Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.
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Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).
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I've only ever heard of that being using for kidney stones, at least in humans, I appreciate the suggestion and I'll look into it! I sadly suspect it's not easily available as a therapy.
Have you heard about surgery or any other common intervention being a significant help?
ESWT started as a way to shatter kidney stones, but really cool regenerative effects were noticed as a side effect. The inter and extracellular microtrauma it causes seems to be very minimally damaging, but nonetheless elicit an outsized and broad-spectrum healing effect on the area. It's been really cool seeing what we can do with it! Lots of irrecaletrant issues just...gone. But the therapy fits poorly into the pharma ---> surgery model we typically see at least here in the States, so yeah, most doctors haven't heard of it and it's hard to find.
Unfortunately I tend to only see canine patients that have undergone unsuccessful surgeries, or whose owners are trying to avoid surgery in the first place, so I can't offer much insight past what you could easily find yourself via Google. At nine years you could certainly get a few more years with your dog, but that is getting a bit on for a larger breed. I think the least invasive therapy where they hew off the acetabulum and just kinda hope the joint re-forms would be the route most taken there, and it can reduce pain a lot in some cases even if it doesn't restore full function. Recovery is rough though, they need to be on painkillers and you need to keep them moving even if it hurts them :( If it were my dog and I had the ability I might give it a try though, Shepherds can live to 12 easy.
Sorry I can't be of more help here.
Edit to add - veterinary ESWT is currently most commonly performed on horses; it's possible you could find an equine vet who does it that would be willing to work on dogs.
A real vet? Not from Iraq or a flea-bitten African merc? I'm honored haha. No really, I appreciate the advice, 9 years is getting on for a big dog, it's just the sheer abruptness of the transition from "as healthy as ever" to the situation he's in now that's painful.
I am aware of ultrasonic therapies for enhancing healing, not that I've ever seen them in practise, the main issue is simply finding a provider for my dog, humans hardly get them here in the first place.
The vet I saw said much the same thing regarding lifespan, I suppose I'm succumbing to the same urge I see in a lot of human patients, which is prioritizing aggressive intervention when something gentler might work too. On the topic of vets specializing in horses, sadly that's even less of a thing here since we don't have a recreational riding culture. Thank you for helping me out!
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