Bicipital tendinopathy is a condition that affects the bicipital tendon in dogs, which connects the bicep muscle to the shoulder blade and allows for shoulder extension and elbow flexion. Repetitive motion, especially in active or overweight dogs, can lead to inflammation and damage to the tendon, causing lameness and discomfort. This article discusses the causes, diagnosis, and treatment options for bicipital tendinopathy in dogs.
Causes of Bicipital Tendinopathy
Bicipital tendinopathy is often caused by repetitive activities such as running, jumping, and playing, which put stress on the tendon over time.
Overweight dogs may be more prone to this condition due to increased stress on the tendon.
- Certain athletic dogs, such as those participating in agility, racing, and lure coursing, may also be at higher risk.
- Weekend warriors, inactive during the week but engaging in strenuous activities on weekends, can also develop this condition.
- Underlying diseases like osteochondritis dissecans, medial shoulder syndrome, or developmental elbow disease can contribute to bicipital tendinopathy.
Symptoms and Diagnosis
- Dogs with bicipital tendinopathy may initially show stiffness or limping when rising or after play.
- As the condition progresses, lameness becomes consistent, worsening after vigorous exercise.
- An orthopedic examination is the first step in diagnosing bicipital tendinopathy. Pain associated with the biceps tendon is localized during the examination.
- Radiographs can rule out other issues but may not show soft tissue damage like the bicipital tendon. Ultrasound or MRI may be used to diagnose bicipital tendinopathy accurately.
Treatment Options
1. Conservative Management
For mild cases or first-time occurrences, conservative treatment may be sufficient. It includes rest, exercise restrictions, and nonsteroidal anti-inflammatories (NSAIDs) or pain medications. Healing typically takes around 4-6 weeks.
2. Rehabilitation and Injections
In more severe or recurrent cases, a formal rehabilitation program and/or intra-articular injection of a steroid or biologic may be recommended. Exercise restriction may extend for 8-12 weeks, and rehabilitation therapy aids in tendon healing and mental stimulation during this time.
3. Surgery
If conservative management fails, surgery may be considered. The surgery aims to cut the tendon from its origin inside the shoulder joint (biceps release) to relieve discomfort. Arthroscopic surgery is common for less tissue damage and quicker recovery. Post-surgery, activity restriction and rehabilitation are necessary.
Recommendations for Recovery and Aftercare
- With appropriate conservative management, most dogs return to normal function.
- Full recovery may take 4-6 months due to the gradual damage to the tendon.
- Weight control is critical after healing to avoid joint overloading and further damage.
- Avoid repetitive concussive activities and maintain a healthy weight to prevent recurrence.
Bicipital tendinopathy is a condition that affects the bicipital tendon in dogs, causing lameness and discomfort. It is often a result of repetitive activities and can be managed with conservative treatments or, in severe cases, with surgery. Following a proper recovery period and maintaining a healthy weight are crucial to ensure a successful outcome and reduce the risk of recurrence. If your dog shows signs of lameness or stiffness, consult with a veterinarian for a proper diagnosis and treatment plan.
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