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Post by Caitlin & Belle on Sept 27, 2017 6:05:18 GMT -7
Belle 1 1/2 year old Frenchie Surgery 9/19 Good Morning All, My name is Caitlin and my dogs name is Belle. In the very early morning of 9/18 Belle presented signs of what we later learned was IVDD.. she was panting, holding her neck up very stiff and could not walk very well (as the vet said she was "crab walking"). I met with the neurologists at the emergency vet later that day and they suggested the best course of action was surgery. Being it was a lot and I read a lot about dogs with the symptoms she had shown to us recovering I wanted to try the medical route. Once I got her back I had realized she lost complete use of her hind legs. Knowing that time was of the essence I drove her to her vet who had known her since I got her for a second opinion and they too said surgery was her best option at a full recovery. I left her vet on 9/18 at 6 pm and Belle had deep pain sensation. When I dropped her at the emergency on 9/19 vet I got a call from the neurologist that she had declined significantly from the previous day and her chances to walk again were now 50%. I was devastated, and felt that I had let her down. However, on the morning of 9/21 I got one of the greatest calls, Belle was showing progress signs which were small but given her prognosis earlier the neurologist was thrilled. I picked Belle up the afternoon of 9/22 and everyone was very optimistic she would be walking again. She still did not have bladder control, and couldn't stand for long but she had gained deep pain sensation back. They also left me with PT exercises to do. Since coming home Belle has shown great signs of improvement. We believe that she has gained full use of her bladder and has also regained bowel usage. On 9/23 I took her out in her sling and she did not start to pee until we hit the grass where she normally went. We had a couple accidents that day while trying to do her exercises as I think I pushed too hard on her bladder. On 9/24 she peed strictly outside, no accidents at all! She had not pooped since we brought her home which the vet said was normal given her pain meds and the fact she wasn't eating a lot. On the evening of 9/26 she pooped and it was on a peepee pad! We couldn't be sure that this wasn't a coincidence although, prior to surgery she was peepee pad trained. On 9/27 my mom walked her in the yard and she did 2 large poops and nothing in the house. We are now pretty confident she has gained full control back. With all the progress she has made we are hopeful that she will walk again. Her muscles seem to becoming stronger once more. She can put more pressure on her back legs sometimes, but does get very tired. She has also gained more feeling, she notices small brushes on her feet once more. Although optimistic it's still early but even without the use of her legs currently she's getting back to her mushy lovey self. My question is is this how it usually goes. Does gaining control mean she's on the right track? ★ 25 lbs, Prednisone 5 mg 1x daily (taper starts 9/27 to 1x every other day), cefpodoxime 100 mg 1x daily, phenoxybenzamine 5 mg 2x daily, tramadol 50 mg 3x daily, gabapentin 100 mg 3x daily ★2 French Bulldog, Belle, Caitlin ★3 Did you specifically get a diagnosis of IVDD? IVDD: herniated disk ★4 What was the date you saw the vet for surgery? Surgery date 9/19 ★5 No signs of pain! ★6 Eating and drinking is back to normal, poop is a little soft, normal color ★7 No walking, cannot move legs, no signs of happy tail. ★8 She is sniffing and squatting, and then releasing urine, no wet bedding or leaks when lifted.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,544
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Post by PaulaM on Sept 27, 2017 7:11:15 GMT -7
Caitlin, welcome to Dodgerslist. We are glad you’ve joined us on the support Forum ! While we are not veterinarians, we have lots to share with you. Our main goal is to help you become educated about IVDD so you can better work with the vet you’ve hired, protect your dog and give proper care during this episode, but also to be able to live many happy years ahead with the disease your dog was born with. Knowledge, is indeed, the power to fight this IVDD enemy and win! You may want to b ookmark so you can read the valuable info in the next days at the main Dodgerslist website: “All Things IVDD” page: www.dodgerslist.com/healingindex.htm
Did the surgeon say if the disc was in the neck or the back? It is still very early in the nerve healing department. The good news is that already she does have bladder/bowel control back! There is a classic textbook order that nerves usually return in for most dogs. Nerves heal typically in the reverse order of the damage to the spinal cord: 1. √Deep Pain Sensation (Only correctly identified by a specialist)2. Tail wagging with joy at seeing you or getting a treat or meal.3. √ Bladder and bowel control verified with the "sniff and pee" test.4. Leg Movement, and then ability to move up into a standing position, and then wobbly walking.5. Being able to walk with more steadiness and properly place the feet.6. Ability to walk unassisted and perhaps even run. More info: www.dodgerslist.com/literature/healingnerves.htm
For how many weeks did the Neuro want for crate rest which would include supervised PT at home or at a clinic? Which of these PT in the video below does the surgeon want you to do for Belle at home? Appropriate physical therapy can help maintain the muscles with lost nerve connection. Therapy keeps muscles in optimal condition while in wait to receive regenerating axon terminals. Post-op PT for the paralyzed IVDD dog At potty times, are you using both a sling to support the butt and a harness to control speed? Using a sling (long winter scarf, ace bandage, belt) will save your back and help to keep your dog's back aligned and butt from tipping over. A harness will ensure walking slowly and not stressing surgical sites. An ex-pen in the grass is an excellent alternative to controlling speed with the physical and visual to indicate there will be no darting off to chase a squirrel !
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Post by Caitlin & Belle on Sept 27, 2017 7:28:25 GMT -7
Hi Paula! Thank you for your response! Belle's herniated disk was in her back right below her front legs.
As far as crate rest the PT said 3 months (with the first 2 being the most crucial.) Belle is currently in a pen with an elevated water/food bowl and orthopedic memory foam bed 24 hours a day unless shes doing PT or going outside for bathroom breaks. This is proving more difficult as she gets her personality back and wants to be on laps but she quiets down after a while.
As far as PT goes we are doing muscle massages, brushing around the incision along with ROM movements, bouncing on hind legs, "dance moves", sitting normally and stretching the back (i forget the official name however Belle is in a sphinx position and enticed to stretch slightly for treats). I go back to see the neuro and PT on 10/2 with the possibility of updated PT.
For potty time we are walking Belle outside with a harness and fleece sling provided by the vet after surgery.
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Post by Caitlin & Belle on Oct 16, 2017 8:01:12 GMT -7
I wanted to give an update on Belle! We are just about one month post op and Belle is doing AMAZINGLY well. I took her to the PT and neurologist on 10/2 and they were so surprised with her progress. In the time since then Belle has really started to walk. Her back legs are getting so much stronger, her right over her left as she also has a l uxating patella, and she falls sometimes if she gets too excited but, overall her walking has greatly increased. She is going back to the PT today for her last follow up and is still strict crate rest (except for potty and exercising.) I'm so happy to have my little girl back although, keeping her in the crate can be a challenge because she wants to be out and about
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,544
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Post by PaulaM on Oct 16, 2017 9:48:40 GMT -7
Caitlin, wonderful news on Belle's .progress of walking!! Let us know what date the neuro wants her to be able to be slowly integrated back to family life.... allowed slowly more and more release time from the crate, under your supervision of course. Now is a good time to be determining how you are going to ease back into more normal activity at graduation when the surgeon directs it. The idea is to gradually give more freedom under controlled conditions. Not free reign of the house and yard immediately! LOL Take a look at our information and then come up with a plan to gradually increase activity over about a month's time following the end of crate rest. Also check out how to teach four paws on the floor! www.dodgerslist.com/literature/AfterCrateRest.htmNow is the perfect time if you haven't already to make those home modifications so that you can reduce the stress on the spine in the future. No more stairs, ramps up to furniture, or blocking furniture all together. All those ideas and more are in this link: www.dodgerslist.com/literature/protectback.htm
State: Hospital: Address: Cost: Date of surgery: What was included in cost (MRI?, days stay, ER? PT? meds for home, sling, etc.) Comments:
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Post by Caitlin & Belle on Nov 7, 2017 14:19:56 GMT -7
Belle update: Neuro and PT say she can start being intergrated into family life Nov 19th (2 months out of surgery). We will still be keeping a VERY close eye on her and getting ramps for couches to sit with us. She has also started underwater treadmill!
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Post by Romy & Frankie on Nov 7, 2017 15:29:29 GMT -7
The underwater treadmill has helped a lot of dogs and I hope it will help Belle also. Once my Frankie started the underwater treadmill he progressed very nicely. For him, it was the best form of physical therapy.
Ramps are definitely the way to go from now on. Jumping down from the couch just puts too much pressure on her back.
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