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Discussion Starter #21
Update #3!

Upon waking up this morning, I immediately checked his paw again and the swelling has gone down. Called the vet's office anyway and told them what was up. The vet said that since the swelling wasn't seen yesterday when she examined him, I could bring him back in again today and possibly get X-rays done, or I can give his medication another day to work to see if it helps the swelling to continue to go down on its own. Since the swelling looked less today and he's not limping as much as yesterday, I am going to try to wait it out and give his medication a little time to work its magic. Here's a picture for reference of yesterday to today. He's still moving around normal, though for most of the day yesterday I had him resting on the couch. Today is more of the same, but I can tell he wants to run around because he keeps getting up to walk around.

Paw Swelling by Crystal Robinson, on Flickr
@dobebug Thanks for the info regarding growth and muscular maturation! They didn't do X-rays yesterday as she didn't think it was necessary, but I could elect to do so if I don't see any improvement. I looked at the area where his nail meets his toe (is that the nail bed?) and it looked the same as his other nails. I tried to get pictures, but I don't think they're the best.

20191219_142319 by Crystal Robinson, on Flickr

20191219_142412 by Crystal Robinson, on Flickr

If the swelling continues to resolve, I'll leave it be. But if it flares up again, I'm taking him in first thing tomorrow. Today, they closed early for their company Christmas party at 2pm, so they advised that if I wanted to bring Zeus in after 2, I'd have to go to a different ER.

I hate that it costs $90 per ER/walk in visit, but it's definitely worth making sure that he's ok. Thank goodness for pet insurance.
 

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I'm looking at that little pinkish area where the hair looks a little thin, on the inside of his toe where it joins the rest of his foot. Does that part look like that on his other foot?

Anyway, it does look quite a bit better than yesterday.
 

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Discussion Starter #23
I'm looking at that little pinkish area where the hair looks a little thin, on the inside of his toe where it joins the rest of his foot. Does that part look like that on his other foot?

Anyway, it does look quite a bit better than yesterday.
It does not look like that on his other foot. That's the area where the swelling is coming from. I looked to see if there was some sort of bug bite there, but I don't see any sort of puncture, nor is there anything embedded from what I can tell. Going to keep monitoring. He's not licking the area or biting at it in any way, and he's continuing to walk on the paw with no indication of distress. .. Ugh, if only I could go into his mind and feel what he's feeling so I know what it is exactly!
 

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Gamer,

the nail bed is behind and under the hair covered skin that slightly covers the nail. One of my vets was a dental specialist as well as a general practice vet and he had x-ray equipment for doing dental x-rays (now with digital more clinics have the kind equipment that you need to get very good individual toe s-rays. A lot of nail bed infections are dx'd when cause of a foot problem can't be determined and they do an exploratory and take tissue from the nail bed to sent out to a pathologist.

Sometimes x-rays can show an area of infection but it looks to me like that swelling is resolving. Feet on dogs (and cats) are so well laced with nerves that it doesn't take much swelling to make things painful. And conversely it means that when swelling is reduced-(sometimes only slightly it makes things feel a whole lot better fast.

OstiMax sounds like it's some class of NSAID--did your vet say? They are used for a whole lot of stuff--they reduce pain--essentially they reduce pain by reducing swelling. The swelling often is the actual cause of the pain. So that may take care of the problem--without actually knowing what the problem was.

There are now so many NSAID's (non steroidal anti inflammatory drugs) in so many classes I can hardly believe it. Plain old aspirin is actually a NSAID. And one of the very common early ones was (and still is) Rimadyl (the generic is Carprofin) and I know people who are so spooked of some of the side effects (gastrointestinal irritation is one common one) they won't give anything that is called a NSAID.But I know so many ancient Labradors and Goldens who have gotten years more of pain free life taking them that if owners foilow direction and check liver function every six months they are life savers and quality of life providers.

Keep us posted.

dobebug
 

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Discussion Starter #25
I have no idea if the meds he's taking is a class of NSAID or not. The vet didn't specify. Whatever they are, they seem to be working as today he's not limping at all, though his toe remains a little swollen. I've been back and forth about going back to the ER. I feel like I'm overreacting and am hyper focusing on his paw so much that things that are probably normal or have always looked a certain way seem off to me.

I feel like I needn't worry so much since he's doing everything normally. Jumping on the couch and bed. Walking. Going up and down stairs. He hasn't cried out or yelped except for that one time when I initiated this thread three days ago. I've been touching his toe and paw, pressing on him, and he doesn't cry out or pull away (or at least, he doesn't pull away more than he normally does with both front paws). Sigh! I don't know!


Screenshot_20191220-121716_Gallery by Crystal Robinson, on Flickr


Uninjured paw. Front left (Front right if facing him)
20191218_230645 by Crystal Robinson, on Flickr
 

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Well, I guess if he's not reacting to squeezing and poking and prodding, it is a wait and see thing. A little tough on mom, but it doesn't seem too awful for him??

I know what you mean about wondering if this is a "is this normal, or has it always been a bit off?" over-fixation kind of thing...I know once I see something, even if it is only a little spot on the wall or a scratch on the furniture, that's ALL I see when I look at them. It's like that mistake you make when you're playing the piano in front of people...you cringe; no one else even notices.
 

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Hi gamer
Looks like swelling going down
Keep him low key as much as you can for a week or so
Meds appear to be working via pic comparison
Give a good chance to heal inside
Keep taking PIcs ......good practice during times like this......
 

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Discussion Starter #28
Update! 12/31/19

We took Zeus to a Texas vet to see about his paw, as it still looks off to me. A little swollen, but still no limping or tenderness. The vet noticed the swelling, and they took him for X-rays. Nothing was found! No fracture or dislocation or anything. She checked his nail bed to see if something hd gotten lodged in there or if there was any injury. Apparently, he's perfectly fine. Nothing was seen in the X-ray. So weird! She did give us Rimadyl to take for 10 days, so hopefully that helps with the swelling. No idea what's causing it, but I feel better knowing that there's nothing going on with his bones.
 
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