Re: Re: Flaccid hind limbs - any hope?

[Guest guest]

We do have an acupuncturist (veterinary) on staff, I will speak to the owners about it (although the way we charge, it more than doubles the cost of therapy). I am familiar with the JAVMA article but if I recall correctly those were typical IVDD dogs -- this was (according to MRI) a type III which isn't really the same as I understand it.

 

We haven't been doing NMES because of the thick husky hair. We would have to shave. Where would you recommend to stim -- quads and hamstrings? quads and epaxials?

 

To answer Amie, no withdrawal, no response to sensory stimulus.

 

Pam

[Guest guest]

Hey can you tell me what Estim settings you use?

thanks pam

[Guest guest]

Just checking in on my email, still on vacation, and I apologize, I

don't have all my articles here. But there was a research study, I

believe it was done in Greece, and it showed that delaying treatment in

back cases did not alter the outcome. From my own personal experience,

I had a C6 rupture and three years later still had zero feeling in my

left forefinger. Dr. Narda , who teaches medical acupuncture

and is also a D.O., needled me and within two hours I had some of my

feeling back. Dont give up!

> Hi Pam,

> Tough case.

> The best way to prognosticate is by assessing deep pain. If the dog

> has no deep pain perception in the pelvic limbs or in the tail - and

> it has been greater than 2 weeks, the likelihood of it returning is

> minimal (less than that, really) and the owners should know that! If

> there is pain perception - without a doubt - keep trying!! do

> everything you can!!! The chance of return to function is

> significantly better.

> I hope that helps.

>

>

> Kube, DVM, DACVIM (Neurology)

>

>

> >

> > Hi,

> > We have been seeing a 7 yr old Husky for a month; she went acutely

> down and

> > was diagnosed on MRI with Type III disc (the issue I asked about

> > previously). She has absolutely no motor or pain in hind limbs and

> is

> > incontinent. We have been doing everything we can think of (which

> does not

> > mean we have done everything) -- we do exercises over balls, we

> laser her

> > spine, we pattern her legs including for 20 min at a time in the

> UWTM -- and

> > have seen no improvement at all, she is just getting more

> atrophied. She

> > cannot get into or maintain a sitting position. She has a cart and

> does well

> > in it. Her owners wonder if we should continue rehab or just

> devote

> > themselves to her life in the cart. I hate to give up but I just

> don't know

> > if there is any chance with her. We have recently had several dogs

> that had

> > IVDD surgery and remained without motor for in one case four

> months that are

> > now walking, so I feel like you never know. But those were post

> surgical and

> > they were spastic, not flaccid paralysis.

> >

> > Has anyone seen dogs like this turn around? Is it worthwhile to

> just carry

> > on with the water work even thought there is no response?

> >

> > Pam Mueller PhD DVM

> >

>

>

>

>