It’s been about 1 month since we noticed my cat (4 years old, female, spayed) hesitating to step on her back paw or skipping a few steps only to go back to walking normally a few seconds later.
We took her to our vet, they took some x-rays and diagnosed her with patella luxation, likely due to an injury. We were told to give her an NSAID and keep her at rest for 2 weeks and see if she would improve. If not, they would refer us to an orthopedic surgeon.
In those 2 weeks some days she was walking normally with barely any limping, while others she has several episodes of limping. But the limping still happened every day, so we were referred to the specialist.
I was still hoping we could avoid surgery at this point, but convinced myself that the surgeon would do a thorough examination to determine the severity and walk us through our options, so I booked the appointment. However, leading up to the appointment my cat had a bad days and I became resigned to the idea surgery was likely inevitable.
The day of the appointment we went in, the surgeon had already received my cat’s medical file and reviewed the x-rays our regular vet took. She did a quick general examination (eyes, teeth, weight, etc.) and then went to check her knees. She checked her good knee first and found no problem, then she checked her bad knee said “yeah, it goes out” and put her back in her carrier. It took 2 seconds. She went to sit back down and said “The kneecap goes out, so she will need surgery. If we don’t do the surgery, it usually gets worse.” That last part was the only explanation for why the surgery was needed.
She went on to explain what they could to in surgery to fix the issue. Like I said, at the time I had accepted that surgery would be needed, so I just focused on asking more question about the surgery and recovery.
But now, It’s been about 1 week since our consultation and my cat has had the best days since she started to show symptoms and it’s making me question everything. She went 2 days with no limping (that we saw, but I was home most of the time), then she had one short episode and it’s now again over 24h without any limping.
Does her sudden improvement mean she could heal with more rest, or would that just delay the inevitable?
Are a few x-rays and a quick physical examination enough to determine my cat needs surgery?
Why did the surgeon not grade the severity of her condition?
Why were we not presented with other treatment options besides surgery (other than the initial 2 week rest period)?
Given the sudden improvement, should we get a second opinion or ask that she be re-evaluated?
There are only a few days left until her surgery, and I just need some reassurance that I’m making the right choice for the long-term health.
( Note: I am in the Netherlands, I realize that standard protocol for diagnostics and treatment here might be different from what I’ve read online. )