Therapies for osteoarthritis in dogs – a step-by-step approach
The treatment of osteoarthritis in dogs should be tailored to the stage of the disease. This allows for the best clinical results and improves the animal's quality of life. There are three main therapeutic approaches:
Stage 1: Early osteoarthritis – PRP (platelet-rich plasma)
At the onset of the disease, stiffness and joint pain appear, usually after exercise. In this phase, the most effective treatment is PRP – platelet-rich plasma. The preparation is made from animal blood and contains a high concentration of growth factors that:
reduce inflammation,
support the regeneration of periarticular tissues,
improve comfort of movement.
PRP is a fast, safe and autologous method (i.e. using the patient's own material).
Stage 2: Progressive osteoarthritis – mesenchymal stem cells (MSCs)
When the disease progresses and cartilage damage becomes more apparent, the only viable option for reconstruction is therapy using mesenchymal stem cells (MSCs). These cells:
support cartilage regeneration - after being administered into the joint, mesenchymal stem cells migrate to the damaged areas, differentiate into chondrocytes (cells that build joint cartilage), secrete an extracellular matrix rich in type II collagen and aggrecan, which promotes the reconstruction of the cartilage layer and improves the elasticity of the joint surfaces.
They inhibit inflammatory processes,
reduce pain and stiffness,
and allow for long-term improvement of joint function.
MSC therapy requires the collection of the dog's adipose tissue, isolation of cells in a GMP laboratory, and their re-administration into the joint.
Podsumowanie
Biological therapies are extremely effective in all cases where cartilage tissue remains in the joint:
PRP – early stage: rapid improvement and reduction of inflammation.
MSC – progressive stage: the only method enabling cartilage regeneration.
For more severe cases where joint degeneration and cartilage loss have occurred, IL-1 can help alleviate the animal's pain, improving its quality of life.
Each case should be assessed individually by a veterinary surgeon.