The following two articles were  taken from the book  -

"How to Have a Healthier Dog"
by Dr. Wendell. O.  Belfield D.V.M.,

about his research and experiments on hip dysplasia and  vitamin C.
 

A) HIP DYSPLASIA
Symptoms: An affliction of puppyhood marked by the rather sudden appearance of limping, several hours after vigorous activity. Lameness in  the rear legs, and usually one leg is favored. The dog may be in pain and  may whimper as it walks. It may drag itself up from the lying position.  Appetite and activity often decline. Five to six months of age is the  critical period, although general incidence ranges from three months to  two years. Common to larger breeds but can strike smaller breeds as well.

 Increasing numbers of breeders and veterinarians are effectively  warding off this dreaded puppy crippler with a very simple potion: Vitamin  C. By following my suggestions in Part Three for supplementation of  pregnant b###hes and growing puppies you can also put a stop to hip  dysplasia among your animals. How this is possible is explained by the relationship of vitamin C, collagen and stress. Collagen, you will remember, is the intercellular cement that binds tissues, that makes tendons and ligaments strong and strengthens all other structures in the body. Good quality collagen is dependent on an ample  source of vitamin C. Stress is the scourge of both man and dog. Stress undermines resistance to disease and germs in part by depleting the body's stores of  water-soluble vitamins, namely vitamin C and the B-complex group.  Work-stressed dogsled teams have displayed signs of scurvy, the disease  that results from a vitamin deficiency. Sickness diminished when the dogs  were given food containing vitamin C.

Consider now the puppy, a tiny and vulnerable animal undergoing  constant assault from stress: environmental and emotional stress when the  puppy is separated from mother and littermates and placed in new  surroundings; toxicologic stress from deworming; immunologic stress from  vaccinations; physical and mental stress from conformation and obedience  training; stress from cosmetic surgery such as dewclaw removal, docking of  tails, and cropping of ears; stress from teething; and stress from  growing. Pups of the larger breeds grow especially fast and this puts an  added load of stress on their developing bodies. The chart on page 51 shows the low rank that dogs have among the animal kingdom's producers of vitamin C. For the size of the German Shepherd, Great Dane, Saint Bernard, and other large dogs, canine liver production  of vitamin C is paltry. This poor production, along with the nonstop stress, results in chronic subclinical scurvy. The animal may not lapse into terminal scurvy but he will often become ill with some of the symptoms. Hypertrophic  osteodystrophy (HOD or panosteidis), which was mentioned earlier, is one  example. And so is hip dysplasia. Both conditions are related to deficient  vitamin C and poor collagen.  The big-breed pup has an extraordinary need for large amounts of  vitamin C. The vitamin is needed in laying down the collagen. He needs  strong ligaments and tendons to hold the bones and a heavy muscle mass in  place. He gets no vitamin C in his food. If his liver doesn't produce  enough, the animal is at risk, and from the worldwide incidence of hip  dysplasia, it seems obvious that the liver of the domesticated dog is not  up to the task. The problem is located in the area of the hip socket, where the head of the long thighbone (the femur) is shaped like a round ball and fits neatly and snugly into the concave hip socket (the acetabulum). The joint is held  in place by a short, elastic, round ligament, supported by adjoining  muscles. The fitting ensures rigidity and the synovial fluid between ball  and socket provides lubrication for mobility. On the inner side of each  leg is a tendon like muscle, called the pectineus, that connects the lower  end of the thighbone to the pelvis above. When the young dog is undergoing  constant stress and not producing enough vitamin C, the quality of the  collagen is below par. The  pectineus muscle doesn't develop as it should  to keep pace with the skelatal growth. The ligaments are not enough to  hold the bulk of muscle and bone in place. On the surface, all appears normal. The dog is a picture of health. The next minute he is a cripple. It can happen that fast. The dog is jumping, running, chasing a Frisbee or a tennis ball, doing what young dogs do. There is tremendous pressure -- the weight of the  entire body -- on the muscles, bones, tendons, and ligaments of the rear  legs each time the dog pushes off or springs. The pectineous muscle has  become taut as the bones grow larger. Tension is transferred to the head  of the femur in the form of an outward lateral pressure. One vigorous leap  and the ball is tugged away from the natural cradle of the socket. A small  gap of varying degree is created in both right and left hip joints. You  now have what is medically known as congenital coxofemoral subluxation and  commonly called hip dysplasia. Rapidly, from a few minutes to a few hours, the synovial fluid leaks  out of the joints, causing inflammation in the adjacent tissue. There is  now little or no lubrication in the joints. The rotation of the ball in  the socket becomes grating and uneven. An inflammation occurs there too  because of the lack of oil and irregular movements of the parts. Soon the  animal is limping. With time, scar tissue and ossification build up in the  gap. This is nature's way of filling the vacancy. An osteo-arthritic  condition develops and contributes, I believe, a good deal of the pain.  Sometimes the pain is so bad a dog will roach up his back in an attempt to  alleviate the pressure on the joints. Continued activity of the animal means continued irregular wearing of  the affected joints. Thus there is more inflammation, more scar tissue and ossification. The effect is to push out the head of the femur even more, a process that doesn't stop until either the animal has stopped growing or  the gap has partially or totally  filled.

It is important to bring a young dog to the animal  hospital at the first sign of limping. Many people will wait weeks before  acting, hoping the limp is only a temporary thing. The delay only allows the  arthritic condition to progress. Hip dysplasia can be diagnosed only through X-ray. The degree of severity, that is the extent of joint separation, is defined through a numbering system from zero to five. Zero means good, flawless hips. Five means the worst has happened. I have one set of pictures on my office wall of the worst case of grade-five hips I ever saw. Both joints had separated so far that the entire bowl of the acetabulum had filled solid with bony tissue. The damage, once done, is permanent. Many animals are put to sleep. Many vets  will tell the owner there is nothing that can be done except to put the animal  on aspirin or cortico-steroid drugs. This will keep the pain and
inflammation  down. After a time, however, the drugs lose their effect. Such prolonged treatment in fact may be inviting more trouble. Aspirin is known to destroy huge  quantities of vitamin C. Steroid therapy can cause a potassium deficiency, water  retention and high blood pressure over the long haul. It can also interfere with  collagen production. I have seen dogs become lethargic and develop poor hair  coats after prolonged use of steroids. The effect of either of these approaches  is to invite a deterioration of the immune system and collagen quality. It has  been found in humans that vitamin C supplementation can prevent or reverse the  disturbances created by extended usage of steroid drugs. In my practice I will put the dysplastic dog on a good dose of vitamin C and all the other vitamins and minerals. Vitamin C has analgesic powers. It makes  the animal more comfortable. High doses of vitamin C have been determined to  ease the pain and swelling of human sufferers of osteo-arthritis. The other nutrients will support the animal in many ways. One of them is to prevent the  arthritic condition from advancing due to any possible vitamin or mineral deficiency. Many veterinarians today will suggest to a dog owner at this stage that the animal undergo a pectinectomy, a surgical procedure I pioneered in 1968. The operation entails snipping the pectineus muscle, which is as taut as a piano wire. This procedure eliminates the outward tension of the head of the femur. It  also eliminates some of the pain and the limp, depending on how far the osteo-arthritis has developed. There is no technique, however, to restore the ball and socket to its pre-dysplastic state, because inflammation has occurred  and calcified scar tissue and even bone tissue have begun filling up the socket.

B) VITAMIN C VERSUS THE GENETIC THEORY OF HIP DYSPLASIA The reigning myth - which unfortunately still clouds much of veterinary hinking to this day - is that hip dysplasia is an inherited condition. A limping, dysplastic dog, so the reasoning goes, begets other limping, dysplastic dogs. The protocol calls for drastic action: Destroy the dysplastic puppies or have them neutered, so there is no possibility to pass on dysplastic genes. I know of breeders who, even before the X-ray was dry, would ask the vet to put the dog down. So severe has been the stigma, they were afraid to let it be known  that their b###h or their sire had produced dysplastic puppies. If you were a  breeder and word got out that your b###h was giving dysplastic puppies, you  couldn't sell the offspring. You quickly and quietly brought afflicted dogs to  the vet and had them put away. When hip dysplasia was involved, people talked in  whispers. Behind this proprietary stealth is a residue of heartache. Many breeders would provide a guarantee when they sold a puppy. If the dog turned up lame and was found to be dysplastic, they would give you another dog. But it doesn't take  long to develop an attachment to a puppy, and I have seen many a grown-up sitting and crying over a young dog that was put to sleep. The story of hip dysplasia is written in tears. An East Coast veterinarian connected to the Seeing Eye Dog-program says that animals with zero-, one-, and two- degree hip dysplasia can be approved for training. Dogs with three degree hips are not to be trained. They are neutered  "to keep them from producing" and are handed over to individuals for pets. The  four- and five- degree dogs "have to be put to sleep", according to this veterinarian. Furthermore, he recommends that only zero-rated dogs be allowed to  breed and reproduce. Over the years I would hear of something like one hundred dysplastic puppies being put to sleep every year in the San Jose area alone. There probably were  many more I wasn't aware of. Projected over the nation, there must be thousands  of Saint-Bernards, German Shepherds, Great Danes, Great Pyrenees, and other  large dogs that are destroyed each year because of the genetic concept. Personally, I refuse to euthanize any animal I feel can be helped, and most of these animals can be helped. The first medical observer of canine hip dysplasia was Dr. Gerry Schnelle, a radiologist at the Angell Memorial Animal Hospital in Boston. He published a paper in 1945 theorizing that this condition was genetically based and suggested  sterilization of all pups in a dysplastic litter. A recessive gene was
responsible, he believed, and it should be simple to breed away from this gene so you wouldn't have the problem anymore. The veterinary and dog world jumped on the genetic bandwagon and everybody began trying to breed out the recessive genes. But it was apparently still there, as prevalent as ever, no matter what anybody did. One Swedish doctor X-rayed army dogs and concluded that dysplastic animals produce 10 percent more dysplastic puppies than non-dysplastic animals. More recently, some of the authorities who championed the genetic argument for years  are slowly doing an about-face and talking about hip dysplasia being a biochemical problem. Out of this transformation came one of the most unusual statements I ever heard. A university specialist, a die-hard supporter of the genetic theory, now felt the problem as he saw it was 42 percent genetic! A 1973 report from Australia talked in terms of 25 percent.

In the sixties, the  Orthopedic Foundation for Animals (OFA) came into existence, an  organization established to gather data on dysplastic dogs and to issue  certificates to non-dysplastic animals. It was hoped this would facilitate  selective breeding and help eliminate the problem. An individual had his animal X-rayed at the pet hospital. Then he submitted the film and a $10 fee to OFA. The X-ray was reviewed and if the animal was found to have  flawless hips, the owner was issued an OFA certificate. In an era of  general acceptance of the genetic theory, possession of such a certificate  greatly enhanced the marketability of a stud and breeding b###h and their  offspring. I was never able to find a genetic pattern. I saw males and females certified by OFA produce dysplastic pups and dysplastic parents produce normal offspring. My own experience was telling me that the genetic theory  was wrong. In 1968, an interesting paper was published examining hip dysplasia  from the cellular level. The article focused on the involvement of the  pectineus muscle, that suffers from a state of atrophy in potentially  dysplastic puppies. The vitamin C-collagen connection may be responsible, I suspected. I  then set out to test my hunch. It wasn't difficult to find breeders willing to cooperate in an  experiment. Enough of them came to my office angry and frustrated over  their hip dysplasia problem, which OFA certification was not helping at  all. My idea was to fortify the b###h and the newborn puppies with vitamin  C. I hoped in this manner to prevent hip dysplasia by building stronger collagen. The first animal in the experiment was a two year old German  Shepherd with grade three hips. She should have been neutered, according  to the Seeing
Eye Dog standard. The b###h was bred and immediately placed  on 2000 milligrams daily of sodium ascorbate, no difficulties were  reported. The pregnancy proceeded uneventfully and the dog whelped much  faster than usual. This, as I mentioned earlier, is one of the benefits of  vitamin C during pregnancy. The dog produced eight normal pups, who in  turn were placed on 50-100 milligrams daily of liquid vitamin C during  early puppyhood. When the puppies were weaned, the liquid was replaced  with powdered vitamin C providing 500 milligrams daily. This dose was  maintained until the animals were four months of age. At that time the  dosage was increased to 1000 milligrams daily, then gradually to 2000 milligrams over the next couple of months and kept at that level  throughout the growth period. Since those early days I have adjusted the amount of vitamin C I  recommend for growing puppies, especially for young animals put under  stress conditions such as training programs or work. See the chart for  weaned puppies in Chapter 13 for precise dosages. The original shepherd b###h was bred three different times, and out of thirty puppies there was not a single case of hip dysplasia. During a five-year period, I similarly monitored two other b###hes. At  the end there was a total of eight different litters where both mother and puppies were supplemented with vitamin C. In each case, one or both of the  parents were dysplastic or had previously produced dysplastic puppies.  Through all eight litters, not one puppy showed any dysplasia as  determined by X-rays. One of the litters I worked with belonged to a breeder friend who  raised tracking German Shepherds, dogs trained for mountain rescue work.  The woman had one particularly handsome and fertile female, who  unfortunately had grade-three hip dysplasia. She bred the b###h twice to  two different OFA-certified males and both times half the litter developed  hip dysplasia. She didn't want to breed the dog any more because she said  she didn't want to bring any more cripples into the world. I badgered her  into trying the vitamin C experiment and breeding the animal again. We went to a third OFA-certified male because neither of the previous  two were available. The b###h was bred and eleven puppies were whelped.  The woman sold the offspring after they were weaned and provided the new  owners with a supply of vitamin C for each animal. A stipulation of the  sale was that the new owners had to supplement the puppies with vitamin C  and bring them in for X-rays when the animals were between eighteen months  and two years of age. The time passed. The x-rays were taken. To my  delight, I found eleven pairs of perfect hips. I took the pictures over to  a veterinarian at a Seeing Eye Dog center and showed them to him. He  looked first at the X-rays of the b###h and said that at the center they  would either have neutered the animal or put her to sleep. He looked at  the X-rays of the OFA-certified father and praised the hips. Then he began  looking at the X-rays of the puppies, and as he got to the end he was  amazed. It was hard for him to believe that these eleven dogs came out of  the dysplastic b###h who previously had produced dysplastic litters. In 1976, I published an article in a leading veterinary magazine about vitamin C and hip dysplasia and, like most new ideas that tend to explode popular theories, my hypothesis came in for much criticism. But eventually  I began receiving very positive feedback, particularly from breeders. Some  of them told me that the program with vitamin C was so successful that  when they sell their puppies, they incorporate into their sales agreements  a clause stating that the pups are guaranteed dysplastic-free only if they  are kept on the prescribed regimen of vitamin C. In bygone years, breeders were reluctant to admit they had a hip  dysplasia problem. It could affect their business. Now, people were  admitting for all to hear: Yes, I had hip dysplasia in my kennels but I  don't have it anymore. A Great Dane breeder in Australia wrote a letter to  a veterinary journal proclaiming he had controlled his hip dysplasia  problem by feeding vitamin C daily. A breeder of Saint Bernards in Seattle  reports similarly he has totally eliminated hip dysplasia. I hear from  other veterinarians who have tried the vitamin C approach that they too  are overcoming the problem. What I am observing with my own clients and  hearing from others convinces me that hip dysplasia is preventable with  vitamin C. For me, the problem is solved! The idea is to prevent hip dysplasia if you can, rather than to look  for ways to help a limping dog in pain that already has the condition. Remember that pet food manufacturers believe that dogs produce  sufficient vitamin C and so they don't fortify their food with vitamin C.  Remember that a dog may not produce enough vitamin C to cope with stress  and excess lead levels in his diet. This is particularly true of the  fast-growing, large breedpuppies. You need to bolster their ability to  produce good collagen that is needed for strong ligaments and tendons. You  need to supplement. Carefully follow the prevention plan. If your b###h is being bred,  start her on the vitamins and minerals immediately. If you have to  purchase a young puppy, start the animal on supplements without delay. If it is too late and your animal is limping, he should still be taking plenty of vitamin C for its pain-killing and other beneficial powers. The regular preventive dosages, as I have outlined in the charts in Part  Three, will be helpful to your dog. Hip dysplasia is a problem that has anguished dog owners and breeders  for years. The day has come that it no longer has to affect you and your  dog