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Post by Shelby & Lucy on Apr 15, 2017 13:22:31 GMT -7
Hello and thank you for letting me join the forum! I'm Shelby and my baby is Lucy, a ~6yo rescue beagle. I look forward to all of the advice here. Our beloved Lucy suffered a herniated disc literally overnight. Last week on Wednesday (4/5) she seemed a little lethargic but we thought she was just resting. Thursday morning she was a little wobbly on her back legs and seemed to have a hard time sitting comfortably. We recognized the symptoms of a back problem from a previous beagle we'd had so we took her to the regular vet. The vet did an x-ray and saw some swelling near the tail so he put her on IV steroids and kept her overnight. Friday morning we got an early call and she was not able to use her legs or tail at all, was incontinent, and seemed paralyzed. We rushed her to a specialty practice where we were devastated to learn that she did not respond to deep pain when her toes were pinched and did not flip her feet over when placed on their toes. We did an MRI which showed a herniated disc and immediately went into surgery. We were able to get her into surgery within about 12 hours of losing feeling in her legs. We were so worried and hoped for the best but knew the deep pain perception was not a good thing. She came through surgery well but was incontinent. The second day after surgery, she responded to deep pain! The third day she was able to retain urine and we got to bring her home. For the first day or two she had some leakage but was able to urinate when we took her out. As the days have gone by she has become fully continent. She has also started moving her legs when held in a towel-assisted position and is able to wag her tail a little bit. We are so happy because the prognosis had been so poor! We love our Lucy dog! She does well in the crate and was fully crate-trained prior to this, but whines and wants to be with the family, especially when we're eating or the kids are playing in the living room. I think her recovery is going well but she's REALLY a jumper and I don't know how we're going to handle that once we get her back on her feet. Thanks everyone for all of your help in advance!
☀︎1-- I'm Shelby and my sweet dog is Lucy, a ~6 year old rescue beagle. We live in Southern California ☀︎2-- Lucy is 40 lbs and large for a beagle ☀︎3-- Her surgeon is a specialist, ACVS focusing on neurology ☀︎4-- Surgery was 4/7/17 Strict crate rest 24/7 Passive home PT ☀︎5-- We were instructed to do home PT. Stand her up supporting her hind end with one hand, take a back leg and gently extend it forward, then backward, then in a bicycle motion, repeat on other leg, 5-10 minutes up to 4x daily. After 2 weeks she can wade in a tub of water, but she actually hates water so I don't think we'll be doing that. No unsupervised walking until after 8 weeks ☀︎6-- Strict crate rest for 4 weeks followed by additional crate rest for another 4 weeks with some towel assisted walking 15-20 minutes 2x daily and walking on inclines allowed ☀︎7-- No pain, thankfully
☀︎8-- 40 lbs Prednisone 20mg, 1/2 tab orally every 12 hours with food for 5 days (done), then 1/2 tablet orally every 24 hours with food for 7 days (now), then 1/2 tablet every other day for 2 weeks Buprenex 0.6mL every 12 hours for 3 days as needed (finished) Neurontin (Gabapentin) 100 mg 2 capsules every 12 hours for 2 weeks as needed for pain (current) Cephalexin 500mg 1 capsule every 12 hours with food for 2 weeks (current) Acepromazine 10 mg 1/2 to 1 1/2 tablets orally up to twice daily as needed for sedation (currently giving 1/2 tablet in the morning)
☀︎9-- She cannot wobbly walk but attempts to move the legs on a non-slippery surface. She can do some small tail wagging.
☀︎10-- Do you find wet bedding or leaks on you when lifted up? Not anymore, no. ☀︎11-- Eating and drinking OK? Poops OK - normal color no dark or bright red blood? Eating fine, drinking a lot, poops looks fine
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Apr 15, 2017 13:42:20 GMT -7
Welcome to Dodgerslist, Shelby. You've had quite a scary time of it but so glad to hear how well Lucy is doing only a week after surgery. Any time an anti-inflammatory such as Prednisone is given, a stomach protector should also be given to protect against the side effects of the anti-inflammatory. Please include the all important stomach protector such as Pepcid AC (Famotidine). Phrase the question to your vet this particular way:" Is there a medical/health reason for my dog not take Pepcid?" If there is no reason, we follow vets who are proactive against not eating, vomit, diarrhea, bleeding ulcers by giving (famotidine) 30 minutes before the anti-inflammatory. And be sure to give the Prednisone with a meal. Check with the vet about the dosage. My Jeremy weighs 33 lbs and takes 10 mg 2x/day for as long as he's on an anti-inflammatory, even during the taper. If there is pain or neuro diminishment, dogs can benefit greatly with acupuncture or laser light therapy. These therapies can be be started right away to help relieve pain and to also to kick start energy production in nerve cells to sprout. So if this therapy is in your budget, seek out a holistic vet. www.ahvma.org/find-a-holistic-veterinarian/Why Chiropractic is not recommended for IVDD dogs: www.dodgerslist.com/literature/chiropractic.htmI found the post-op exercises on this page to be very helpful in getting my Jeremy to walk again. Take a look to see if there are any here that you aren't doing and check with the surgeon to see if any can be included. www.dodgerslist.com/literature/massagepassiveexercises.htmWith this disease self-education is critical not just so you make sure the right things are being done for the best recovery but for your own emotions. The goal of our Forum is to support you, to teach you how to look up things at the original source point (a credible and authoritative resource), question everything and read so you become the most important part of your dog's health care team. Good place to start your self-education: www.dodgerslist.com/healingindex.htmHealing prayers for Lucy.
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Post by Shelby & Lucy on Apr 15, 2017 14:49:54 GMT -7
Thank you so much Marjorie! I will definitely talk to Lucy's doctor about Pepcid. I'm so glad I found this group, there's a lot to read through but I can already see how helpful it is. We were so devastated for Lucy when this hit but she's getting stronger every day and I know with patience and time we can help her reach her best potential.
Question--between laser light therapy and acupuncture, which is more effective? Finances are really tight right now because of this emergency but we might be able to pursue one of those. If you had to pick one, is there a recommendation?
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Post by Pauliana on Apr 15, 2017 21:32:56 GMT -7
Hi Shelby, I'm glad that Lucy is recovering so well after surgery, getting bladder control back quickly is very good sign! That means her nerves are already working hard at healing. I am sure the surgery was a financial strain as it is, crate rest and at home PT will help Lucy also. Our Tyler has never had acupuncture but we had a great experience with Laser therapy at our local vet. It did help in his last episode.. He had surgery 4 years ago and he recovered walking..We didn't do laser then and he still did very well.. He has had several milder episodes since his surgery that were treated conservatively with crate rest and medications.. and Laser twice a week during his last episode.. I suggest asking your Vet who they would recommend for Laser therapy and then call around to price as it can vary from practice to practice.. If it is a struggle for you financially after the surgery, just concentrate on crate rest and PT as recommended by your surgeon.. It takes two weeks for the surgical swelling to subside and after that time is when you will start to see the direction Lucy's healing will take. More info on Laser and Acupuncture: Laser light therapy, acupuncture and electro-acupuncture can be very beneficial to assist with re-establishment of nerve connections in the body. Any one of these therapies can be started right away if in your budget... they not only help relieve pain and inflammation but will kick start nerves to begin regeneration. CAUTION: Laser light therapy is contra-indicated with tumors. Xrays are used to rule out other disease mimicking a disc problem such as tumor, fracture, etc. When using conservative treatment which requires strict restriction of movement of the spine, the benefits of treatment must be weighed against the risk of transport, particularly when IVDD symptoms are mild, such as wobbly walking or knuckling, or when transporting a large dog that cannot be lifted. Sometimes acupuncturists can be found who will come to the home to administer treatment. With more severe neurological damage, these therapies work best when given together rather than separately. With more severe paralysis, electro acupuncture can be very effective. Our Laser is a 3B laser with a certain depth of penetration specific to the reach of the level of the spinal cord. There are all types of lasers with different strengths and uses, from barcode scanners to surgical cutting lasers. Laser therapy promotes healing because it simulates the cellular mitochondria (cell powerhouse) metabolism increasing cellular respiration, free radical scavenging and therefore promotes healing. It also helps to destroy bad bacteria and promote blood flow to tissues that need help and promotes healthy tissue growth! Amy Plageman U of FL Vet Tech Finding a veterinarian in pet acupuncture www.ahvma.org/find-a-holistic-veterinarian/ [holistic vets] www.aava.org/php/aava_blog/aava-directory/ [AAVA (American Academy of Veterinary Acupuncture] www.ivas.org/ [IVAS International Veterinary Acupuncture Society]
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