Hello,
My 18 and 1/2 year old lab mix just suddenly lost about 50-70% use of his hind legs few days ago. The vet recommended MRI which was financially not feasible nor did I think giving him anesthesia given his age was a good idea. He sent us home with prednisone and to call back with updates. I took him to a vet acupuncturist but she said that probably won’t be very helpful. I’m going back tomorrow to see if I can convince her to do acupuncture. Boston has otherwise been a super happy and healthy dog (sans nerve sheath tumor surgery 7 months ago from which he has made 100% recovery).
It’s been 5 days and since I wasn’t told about crate rest, I allowed him to wonder/wobble short distances around the house to go potty and to/from bedroom and living room and he has fallen few times when his back legs gave out. Given his age, I just don’t think surgery is an option. If he doesn’t get better in a couple of weeks, is euthanasia pretty much the only option? How much time should I give him? I just hate seeing him in pain but my husband is on deployment and I really want him to hang on until he comes back as it was my husband who rescued our dog 16 years ago. He is currently on prednisone and tramadol. Please advise. I just cannot make any drastic decisions on my own right now but I also want to do the right thing by our loyal and loving baby. Thank you.
Did the vet provide some preliminary diagnosis? Do they think it’s a disc injury or something else? For example, Jasmine had neck problems resulting in pain and mobility issues,while JD had similar symptoms from what was likely a brain/spine infection or cancer. I know of a number of cases where acupuncture help with spinal or disc problems a great deal. Might be effective to address pain regardless of what is happening. Which makes me wonder why your vet is hesitant to try.
The preliminary diagnosis was disc issue, moderately advanced. But without mri I guess they couldn’t say for sure. I don’t know why the holistic vet didn’t want to give him acupuncture but I’m going back tomorrow and going to demand one. We did do cold laser but not sure if that’s doing anything. Given his advanced age I just want to know what the “right” thing to do is by a dog who has been so loyal through so many of our lives’ difficult moments. The regular vet (and I agree) that surgery is not really an option for a lab his age. But not sure if I want to give up on him yet especially before my husband’s return. Thank you.
Yes. Jana. There are many questions I have about this case? That’s why I listed everything I could think of to look at.
Krista, wouldn’t acute onset make DM much less likely? Surely there would be some gradual signs? Jasmine was 9 when her neck issues started; one day she was fine and the next day she wasn’t. Though same thing happened with JD. He was perfectly fine, then started having problems with hind legs in the morning and by evening was pretty much unable to use any legs successfully.
The upside of DM is that it is non-painful, isn’t it? So unless further issues crop up, either secondary or it ascends, the dog should be able to hold up until the master returns?
http://dawgbusiness.blogspot.ca/2011/08/what-acupuncture-did-for-intervertebral.html
Hello Linda,
I think a few things should be discussed;
First, I agree with Jana that it is really helpful to have a preliminary diagnosis to start the treatment options from. I hope that the vet did some basic diagnostics like full blood work (CBC, full Chem panel, thyroid (T4), urinalysis AND radiographs of the chest (3 view) and spine if they suspect IVDD. I also think a rectal exam is in order. I worry about the following.. many of which can be quickly and easily ruled out with the exam and diagnostics.. I am also very worried about DM, degenerative myelopathy as it is common in older labs and presents as ascending paralysis of the back legs. I also worry if it is one of the neuromuscular or muscular diseases that the prednisone might exacerbate or worsen or accelerate the peripheral (back leg) muscle loss. Also if a practitioner tells you that they are concerned a treatment option wont help my inclination is to believe them and ask for guidance to something that might.
Try to get the vet to give you something for pain, especially if it appears there is any signs of joint disease on the radiographs. Labs are also very commonly struggling with old bad hips.
Lastly, IVDD is unlikely in older dogs simply because the spine tends to bridge with spondylosis which makes disc disease less likely. A radiograph of the spine may help with identifying these.
Please let me know.
My advice is to speak to your vet about all of this and then get a second opinion.
Good luck
Krista