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Something amazing often happens to a limp at the first sign of an impending vet visit. Fluffy and Fido are suddenly “healed.” If not upon recognition of the carrier or when hoisted into the car, then magically…after beholding the sights, smells and sounds of their veterinarian’s establishment.

It invariably infuriates my clients. “I tell you, she’s been limping all weekend!” The frustration evident on a client's face is proof enough of the claim’s veracity—as if I needed any.

After all, I can usually find the ouchy spot. And if I can’t, all evidence is not lost…it’s still a valuable piece of the puzzle we use to sort things out. X-rays might still be in order…or (depending on the state of your bank account, usually) we’ll try rest and have clients keep a log of once and future lameness.

But never fear, Munchausen’s-by-Proxy is not on our short list of diagnoses. In less snarky words, I’m just saying I'm pretty sure you’re not spending $48 on an office call just for the pleasure of my company.

When working with our non-talkers, it’s critical to understand that apprehension (more so flat-out fear) initiates a crusade of hormones and other fun chemicals that blunt pain and discomfort for a period of time—often for as long as the stressful stimulus lasts.

That means that for most minor ouchies—major ones, in some cases—no evidence of pain may be the norm in a stressful hospital setting.

We’re used to that. And no, we don’t think you’re crazy should your charge fail to display an appropriate limp. Sure, if you make a habit of bringing Fluffy in every time she looks at you sideways we might start to wonder about you (we’re only human).

But the vast majority of “he stopped limping in the parking lot” cases will not earn you a neurotic client designation. (Trust me, it takes a lot more than that to label you thus.)

I impart these words of wisdom here not merely for the benefit of your potentially bruised ego should Fido throw you under the bus in this manner. It’s also important to note that this scenario’s corollary also holds:

Just because she’s not limping doesn’t mean there’s no pain—or that nothing serious is amiss. Limping, however occasional, intermittent, mild or minor it may seem, is a sign of discomfort and therefore deserves your attention…and ours.

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Comments
This happened last week. My mom's elderly dog, who I have been caring for because she can't handle his care, was -- I swear, in the process of checking out of here. Stopped eating, stopped drinking, just . . . dying as far as I could see.

We discussed it and made "the appointment." He's ancient, blind, deaf, kidneys not totally shot but on the way, got something neurologically wrong with him, recurrent UTIs, etc etc. He could have cancer for all we know (vet suspects brain tumor, but he wouldn't survive an MRI she says)

Well, at the vets, as we were discussing whether or not to go through with the euthanasia, he was walking around, shaking, barking. She said he'd gained weight (I was shocked, but maybe it's because I was giving him fluids). My mom and the vet looked at him and didn't necessarily think he needed to be euthanized. And frankly, he was freaking out so hard I couldn't have gone through with it with him so upset like that.

I swear, it was the adrenaline making him look perkier. He seriously was looking like a dying dog till we got to the vets.

Now he's back in hospice at my place.
# Posted By Stefani | 4/28/08 9:22 AM
Reading this gave me an 'aha!' of recognition. Our big, goofy Labrador did this on one occasion. At home he was holding the paw out as if it was going to fall off any moment and groaning piteously and we rushed him to the vet... and he joyfully greeted the vet, bounded around the little room, promptly picked up all of the toys she had in the toy bin, threw them all over the room, and then put three in his mouth at once in sheer glee. We were reduced to, "He was really in a lot of pain at home... or so it seemed..."

For the record, she recommended rest, and after a few days he was fine. All of that Labbish exuberance takes it out of a guy, apparently!
# Posted By Stacey | 4/28/08 10:11 AM
Nice to know that y'all understand that we're not seeing things when the dog is limping! :)

Of course, then you also have the occasional "faker" - which we had in our old dog Doc years ago. He stepped on a bee in the yard, and obviously, had a bit of a sore paw. Mom fussed over him, put a bit of baking soda paste on it and kept an eye on him. Well, he figured out "the more I favor my paw, the more she fusses over me" (he was smart that way!)

Well, after a while, she looks at him and decides it's time to head to the vet for a closer look since he's still favoring the foot. Well, he saw the leash and got so stoked that they were going somewhere, oh, he forgot about his foot. She stops and looked at him and said, "You little faker!"

He stopped. He started favoring a paw again. She looked at him and said,

"It was the other foot that had the bee sting. Nice try."

The scam was up, and he walked completely fine the rest of the day.
# Posted By Cindy | 4/28/08 10:15 AM
I hear tell of these fakers all the time. I've never had a dog smart enough for that, I guess. ;-)
# Posted By Dr. Patty Khuly | 4/28/08 10:45 AM
Almost every pet owner I know has had this happen at least once. Many years ago, my elderly at age 13 (and now deceased) Afghan hound Omar one morning was unable to get up. He'd try, but his back legs wouldn't support him, and over he'd go with a thud. He had several long-standing problems that were under treatment, and I figured that at his age, it was finally time. So I made "the appointment" and laboriously carried him and placed him gently in the car. Of course I sobbed hysterically all the way to the vet's. When we arrived, I opened the car door to carry him in, and he jumped out of the car with no trace of the paralysis he'd showed all morning. My vet surmised that he'd had a TIA, or "mini-stroke" (this was before the days of easily available CAT scans or MRI's). He went on to live another two fairly active and healthy years, and died in his sleep, at home, at the age of 15.
# Posted By Shellie | 4/28/08 12:28 PM
It's so painful to see clients bring their near-death's-door patients in to be euthanized - it's usually been coming for a while and the client has called and re-scheduled multiple times. It's obviously the pet's time to go and the owner finally gets the courage/peace/etc. and brings them in...and then they perk up, start walking around the room, etc. We had a client bring in a german shepherd/border collie mix a few weeks ago who had bottomed out to 28 lbs. and was totally down in the hindquarters - they carried her in. During the phsyical exam, she managed to struggle herself up from the floor, walk over to the door, and started pawing at it. Then she walked over to her owner and put her chin on her leg. I almost lost it. I really hope my pets don't do that when it's time.
# Posted By anna | 4/28/08 3:21 PM
Thank God I am not alone! My rescued pitbull, Beaner, wouldn't jump off the bed one day. I called and called, and he sat. Now, mind you, this guy is HYPER. But he wouldn't budge. So then I caled some friends and started crying, saying something was reeeeallly wrong..Beaner wouldn't move. My friends come over, to help carry Beaner to the car. They come in the house, and KLUNK! Down jumps Beaner and he runs over to greet them. Now mind you, I have already called the after hours vet out...we were suposed to meet her 12 miles away in 15 minutes. So off we go, since we already got the doc out. Beaner jumps out at the vet, all fine and dandy, and is happy to have all the attention. He did go back to limping once we got home.... vet said more than likely a pulled muscle....... a $102 pulled muscle..... ya gotta love em!
# Posted By agadore's mama | 4/28/08 8:23 PM
I've got a "faker" as well. Only mine is a cat. She tore a nail off of her left rear foot and leaving the quick exposed. It was quite painful for her. She had a very pronounced limp. She was seen by her vet, had the quick trimmed and cleaned (under sedation), and was given antibiotics. She continued to limp for several days. I felt so bad for her. Then I noticed that the "limp" was rotating. She'd run after a thrown toy with no limp and then walk back to us limping on her right front foot. Or her right rear foot. Rarely was she limping on the affected foot. Once we caught on it was pretty funny.
# Posted By LT | 4/29/08 12:21 AM
i've seen it happen all the time. my favorite cat used to play "hurt paw" at home to get attention...until we realized he kept switching paws. but my predicament of the day is my rabbit!! i know birds and rabbits don't like to show signs of illness and all and often don't until they are despearately ill. mine had all sorts of fun romping around my apartment this weekend. last night i took her out to play and she was limping on her right rear leg. she was kinda tipsy and i worried she might even be neurologic. this morning it had gotten so much worse that i was expecting to have to put her down. clot? fracture? what? whatever it is, it can't be good. well, at the clinic she hopped without any problems but is showing signs of respiratory distress so she's now hospitalized. what is going on? pets. can't live w/o them but they are really stressful sometimes.
# Posted By Sarah | 4/29/08 10:30 PM
my family's Persian cat used to do this anytime we went out of town. He hated us leaving him at home for any length of time, and got to a point where he'd pee on anything that resembled luggage. anyway, when we returned he'd greet us at the door just fine, but within an hour or two of us being home and running around unpacking, returning phone calls, etc, he'd start limping. he'd limp with a back paw, then a front paw, and the more you watched him, the more he was determined to put on a good show. i think he was trying to figure out how to limp on both a back paw and a front one at the same time.
# Posted By charity | 4/30/08 2:51 AM
OMG, Anna, how did you keep it together? That made me choke up just reading it.
# Posted By Creature of Habit | 4/30/08 8:52 AM
Just one word: videotape
# Posted By Janeen | 5/1/08 12:24 AM
(anna) Educated and trained human hospice workers describe a "surge" of energy shortly before impending death and it is my belief that animals have this also. It gives the human caregivers and loved ones , that shred of hope that all may "reverse" and "recover". It has to be some physical built-in defense mechanism that I would love to know more about.

My old 15 1/2 yr. Sealyham had refused canned food, decreased water consumption, could barely stand or get up----yet on the morning of her last car ride, sat with the other 5 canine housemates and ate all the sliced turkey, pear & bananna slices she was offered, walked around the euthansia room to investigate, squatted to pee yellow urine---yet calmly and willingly sat down on the table and offered her front leg ( which was so out-of-character for her). I still feel so very blessed for the peaceful experience that occured.
# Posted By Barbara A. Albright/New Hampshire | 5/1/08 12:12 PM
What about the owners who have a limping dog, have some Rimadyl or other painkiller at home, and decide give a whopping dose to the dog on their way in to the exam. Once they arrive -- surprise, no limping. Did you ever think that maybe the doctor wanted to see the limping??????
# Posted By Marc | 5/2/08 1:25 PM
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