Guest guest Posted November 3, 2011 Report Share Posted November 3, 2011 Hi Nathalie,I've had really good success with LS cases using electro-acupuncture, laser and gabapentin +/- adequan (if owners can afford it) for pain management. About 2 weeks after starting pain management, I start rehab using home exercises (like sit to stands, 3 legged standing, cavalettis, weave poles, side stepping) and UWTM or swimming if they're really weak in the pelvic limbs or still painful. I also tell the owners to do leash walks and stretching before and after the walks and ice the LS after exercises. I have a similar plan for cats with LS: same pain management protocol. The rehab plan depends on the cat! I have 1 cat I starting putting on the land treadmill ans he walks well on it Cat exercises would be putting treats on counters/chairs/bed/other high surfaces so they have to jump to get it or calling the cat to the bed etc... Putting treats in a zig zag along a hallway so cat has to walk to get each one.Hope this helps!Carolina Carolina Medina DVM, CVA, CVCH, CCRT Clinical Assistant Professor, Acupuncture and Rehabilitation Chief of Service, Acupuncture and RehabilitationUniversity of Florida Veterinary Medical CenterTo: VetRehab Sent: Thursday, November 3, 2011 2:55 PMSubject: Lumbosacral stenosis I just saw a 6 year old female spayed german shepherd which has been showing signs that are consistent with lumbo sacral stenosis. She is reluctant to jump in the truck, has tail pain and walks in a way to "protect" her lumbar area ie looks hunched over. She is reluctant to extend her left hind,has tail pain on elevation, normal rectal though, normal neurologically. She has pain when trying to defecate and is unable to get in the position to defecate. Radiographs show spondylosis at L1-2,L2-3 and some degenerative changes at L7-S1 on both right and left side. I understand that she needs an MRI for proper diagnosis but this is not an option in this case. What are my options in treating this dog with rehab techniques and modalities? Nathalie Fortier nfortierc514@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 Questions I would have re: this patient lie in alignment of the sacrum, ilium, and lumbar vertebrae. I've had a bit of success with manual techniques and traction followed by stabilization exercises to reinforce the corrected position. Also ice and laser help with post-mob soreness. Amie Amie Lamoreaux Hesbach, MSPT, CCRP, CCRT Physical Therapist Massachusetts Veterinary Referral Hospital 20 Cabot Road Woburn, MA 01801 Phone: Fax: E-mail: ahesbach@... Website: www.IVGMassVet.com > > Hi Nathalie, > > I've had really good success with LS cases using electro-acupuncture, laser and gabapentin +/- adequan (if owners can afford it) for pain management. About 2 weeks after starting pain management, I start rehab using home exercises (like sit to stands, 3 legged standing, cavalettis, weave poles, side stepping) and UWTM or swimming if they're really weak in the pelvic limbs or still painful. I also tell the owners to do leash walks and stretching before and after the walks and ice the LS after exercises. > > I have a similar plan for cats with LS: same pain management protocol. The rehab plan depends on the cat! I have 1 cat I starting putting on the land treadmill ans he walks well on it Cat exercises would be putting treats on counters/chairs/bed/other high surfaces so they have to jump to get it or calling the cat to the bed etc... Putting treats in a zig zag along a hallway so cat has to walk to get each one. > > Hope this helps! > Carolina > > Carolina Medina DVM, CVA, CVCH, CCRT > Clinical Assistant Professor, Acupuncture and Rehabilitation > Chief of Service, Acupuncture and Rehabilitation > University of Florida Veterinary Medical Center > > To: VetRehab > Sent: Thursday, November 3, 2011 2:55 PM > Subject: Lumbosacral stenosis > > > I just saw a 6 year old female spayed german shepherd which has been showing signs that are consistent with lumbo sacral stenosis. She is reluctant to jump in the truck, has tail pain and walks in a way to " protect " her lumbar area ie looks hunched over. She is reluctant to extend her left hind,has tail pain on elevation, normal rectal though, normal neurologically. She has pain when trying to defecate and is unable to get in the position to defecate. > > Radiographs show spondylosis at L1-2,L2-3 and some degenerative changes at L7-S1 on both right and left side. > > I understand that she needs an MRI for proper diagnosis but this is not an option in this case. > > What are my options in treating this dog with rehab techniques and modalities? > > Nathalie Fortier > nfortierc514@... > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 What would be the laser dose and frequency? I believe her sacrum is normal in terms of alignment. Thanks Nathalie > > Hi Nathalie, > > I've had really good success with LS cases using electro-acupuncture, laser and gabapentin +/- adequan (if owners can afford it) for pain management. About 2 weeks after starting pain management, I start rehab using home exercises (like sit to stands, 3 legged standing, cavalettis, weave poles, side stepping) and UWTM or swimming if they're really weak in the pelvic limbs or still painful. I also tell the owners to do leash walks and stretching before and after the walks and ice the LS after exercises. > > > I have a similar plan for cats with LS: same pain management protocol. The rehab plan depends on the cat! I have 1 cat I starting putting on the land treadmill ans he walks well on it Cat exercises would be putting treats on counters/chairs/bed/other high surfaces so they have to jump to get it or calling the cat to the bed etc... Putting treats in a zig zag along a hallway so cat has to walk to get each one. > > > Hope this helps! > Carolina > > Â > Carolina Medina DVM, CVA, CVCH, CCRT > Clinical Assistant Professor, Acupuncture and Rehabilitation > Chief of Service, Acupuncture and Rehabilitation > University of Florida Veterinary Medical Center > > > ________________________________ > > To: VetRehab > Sent: Thursday, November 3, 2011 2:55 PM > Subject: Lumbosacral stenosis > > > Â > I just saw a 6 year old female spayed german shepherd which has been showing signs that are consistent with lumbo sacral stenosis. She is reluctant to jump in the truck, has tail pain and walks in a way to " protect " her lumbar area ie looks hunched over. She is reluctant to extend her left hind,has tail pain on elevation, normal rectal though, normal neurologically. She has pain when trying to defecate and is unable to get in the position to defecate. > > Radiographs show spondylosis at L1-2,L2-3 and some degenerative changes at L7-S1 on both right and left side. > > I understand that she needs an MRI for proper diagnosis but this is not an option in this case. > > What are my options in treating this dog with rehab techniques and modalities? > > Nathalie Fortier > nfortierc514@... > Quote Link to comment Share on other sites More sharing options...
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