title: Canine hip dysplasia: reviewing the evidence for nonsurgical management.
abstract: OBJECTIVE
  To systematically review the evidence available for nonsurgical management of hip dysplasia (HD).
  
  
  METHODS
  Literature review.
  
  
  METHODS
  Databases (Pubmed, Veterinary Information Network) were searched for clinical studies on nonsurgical management of HD in dogs. The evidence in each study was reviewed and assigned a score (I-IV) based on previously reported levels of evidence.
  
  
  RESULTS
  Fourteen articles were identified that met the inclusion criteria, including 3 Level IV, 4 Level III, and 7 Level II studies. Methods of nonsurgical management reviewed included: activity restrictions, weight management, acupuncture, modulation of joint disease by polysulfated glycosaminoglycans, mesenchymal stem cell therapy, and extra corporeal shock wave therapy.
  
  
  CONCLUSIONS
  Weight management is an effective and important component of managing dogs with HD and associated osteoarthritis. Techniques that modulate the progression of joint disease may also be beneficial for treating dogs with HD. Further studies are needed to investigate other methods of managing HD such as hydrotherapy and physical rehabilitation.
authors.affiliation: Seattle Veterinary Specialists, Kirkland, WA 98034, USA. kakirkby@hotmail.com
authors.forename: Kristin A
authors.initials: KA
authors.lastname: Kirkby
authors.forename: Daniel D
authors.initials: DD
authors.lastname: Lewis
mesh_terms: D000818:Animals; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D004285:Dogs; D006619:Hip Dysplasia, Canine / Q000628:therapy*; D015207:Osteoarthritis, Hip / Q000628:therapy / Q000662:veterinary; D015431:Weight Loss
chemical_list: D000893:Anti-Inflammatory Agents