Welcome to Dodgerslist. You name is Tobie or it's your Yorkie's name? For more info on surgery vs. conservative treatment--- good reading in helping you to make a decision either way:
www.dodgerslist.com/literature/surgery.htmand....
www.dodgerslist.com/literature/healingsurgery.htmQUESTIONS
It will help us work together with you and avoid offering ideas that could cause harm or lead the discussion in the wrong direction delaying help for your dog — please share a bit more detail with us:
any SIGNS OF PAIN ?
◻︎ shivering-trembling ◻︎ yelping when picked up or moved
◻︎ slow to move ◻︎ tight tense tummy
◻︎ arched back, ears pinned back ◻︎ head held high or nose to the ground.
◻︎ restless, can't find a comfortable position
◻︎ slow or reluctant to move much in crate such as shift positions
◻︎ not their normal perky interested in life selves
+ pain from neck disc:
◻︎ looks up with just eyes and does not move head and neck easily.
◻︎ not eating due to painful chewing or in too much overall pain
◻︎ holds front or back leg flamingo style not wanting to bear weight
If the pain meds are not yet right, as the eyes and ears for your vet, please contact your vet ASAP to report your observations so meds can be adjusted. Advocate for any of the pain meds be given 3x/day (every 8 hours) for round the clock coverage, dose to dose coverage.
— Methocarbamol works on the pain of muscle spasms.
— Tramadol is the general pain reliever.
— Gabapentin works on nerve pain.
There should be no sign of pain from one dose of meds to the next. Have no patience with pain as it does hinder healing. Look for your dog to be acting their normal, perky self when pain is fully under control round the clock.
◼︎ BE AWARE of phantom pain
Neuropathic pain is abnormal, phantom pain sensations with severe spinal cord damage. Signs are obsessive licking of paw, leg, genitals, tail. Escalates to biting, life-threatening chewing off parts. Immediately put on an e-collar (or lengthwise folded towel around neck and duct taped closed) to prevent access to lower body. Contact vet immediately for Gabapentin or stronger Lyrica (pregabalin) for this type of pain. Dodgers Digest article on neuropathic pain:
www.dodgerslist.com/literature/neuropathy.pdf ❖2 How much does your dog weigh?
…A Please list the exact names of meds currently given, their doses in mgs and times per day given.
…B If on a steroid….what was the start date & dose? Date of steroid taper? If on a NSAID, for how many days has it been prescribed for?
…C PEPCID AC: Ask if your dog has any health issues to prevent use of Pepcid AC (famotidine)? (doesn’t need it, we wait til there is problem…are NOT answers to your question!) If you get a “no health issues” answer, then go to the grocery store to purchase over the counter Pepcid AC containing one single active ingredient (famotidine).
NOTE: Pepcid AC (famotidine) for dogs is 0.44mg per pound, 30 mins before the anti-inflammatory and thereafter every 12 hours for as long as your dog is on the anti-inflammatory.
www.1800petmeds.com/Famotidine-prod11171.html❖3 GI Tract problems?
—Eating and drinking OK? No nausea/not eating, no vomit?
—Poops OK? Normal firmness & color -no dark black or bright red blood indicating bleeding ulcers? No diarrhea?
❖4 What was the date you saw the vet for CONSERVATIVE treatment?
The hallmark component of conservative treatment is the very STRICT crate rest part (no PT, little movement). With little blood supply discs are much slower to form good scar tissue than it takes a blood rich broken bone to heal. Those weeks of a cast for a broken arm to heal is similar to the recovery suite being a kind of cast for the disc. 100% STRICT crate rest 24/7 for 8 weeks provides limited movement to allow good strong scar tissue to form.
Super tried and true tips for setting up the recovery suite, the mattress and more! —>
www.dodgerslist.com/literature/CrateRRP.htmSTRICT means:
◼︎no laps ◼︎no couches
◼︎no baths ◼︎no sleeping with you
◼︎no chiro therapy "whys": __
www.dodgerslist.com/literature/chiropractic.htm ◼︎no dragging or meandering at potty times.
◼︎no PT for conservative dogs during 8 weeks to heal disc
◼︎laser or acupuncture for severe neuro damage is best at home via a mobile vet. Transports are always a risk to the disc of too much movement. Vet visits must be weighed risk vs. benefit for dogs with little to mild neuro diminishment.
❖5 Can your dog specifically sniff and squat and then release urine which is bladder control – OR- do you find wet bedding or leaks on you when lifted which are indication of an overflowing bladder and loss of bladder control?
Overflowing bladders need to be expressed to avoid UTIs. Review video then get a hands-on-top-of-your-hands expressing lesson.
www.dodgerslist.com/literature/Expressing.htmDOGs with BLADDER CONTROL: Carry to and from the recovery suite to the potty place and then allow a very few limited footsteps. Using a sling (long winter scarf, ace bandage, belt) will save your back and help to keep a wobbly dog’s back aligned and butt from tipping over. A harness and 6 foot leash is to control speed and keep footsteps to minimum as you stand in one spot. An ex-pen in the grass is an excellent alternative to minimizing footsteps with the physical and visual to indicate there will be no sniff festing going on!
❖6 Currently can your dog wobbly walk? move the legs at all? or wag the tail when you specifically do some happy talk?
❖7 What is your dog’s name? Your name, too?
❖8 Did you specifically get a diagnosis of IVDD, aka: a disc problem, a disc herniation, a bulging disc, slipped disc?
— Is the vet a general DVM or a specialist surgeon: ACVIM neurology or ACVS ortho?
Education is the key to IVDD! Our goal is to help you maneurver things that can be overwhelming with an IVDD diagnosis in caring for your dog. Getting quickly up to speed on intervertebral DISC disease helps you in understanding the why of what your vet advises and the ability to bring the right things to the table in working together to help heal the disc. You will be very amazed how quickly you can learn a lot about just one disease which a vet is not able to know in great detail for every single disease known to cats, dogs, birds, and many other species they treat.
Keep in mind the key word in the name of the disease is DISC. I encourage you to take a 4-prong approach to become an IVDD savvy pet parent. With knowledge you’ll be able to dialog with your vet in a way that allows understanding a prescribed treatment (meds, rest, etc), and when you do not understand, the ability to ask good, pertinent questions on behalf of your furry loved one.
#1 Dr. Thomas, Neurology (ACVIM) addresses veterianrians explaining why crating is the single most important care for a disc episode:
“The most important aspect of conservative therapy for disc extrusion.
The most important aspect is cage rest. For the disk to extrude, the annulus must tear. The annulus is a ligament. So, just like a sprained ankle will often heal if you stay off it, the annulus can heal if we can minimize the stress on the ligament. There is no medication that will speed this up. Medication treats only the symptoms, i.e. the pain.” Acute IVDD treatment. William B. Thomas, DVM, DACVIM, October 1, 2000. Veterinary Information Network Conference.
#2 How/why meds are used while the DISC is healing. A good review of the many things your vet mentioned about his diagnosis, the meds, rest, the rest that you may not have fully processed during that short vet visit.
#3 The very best thing you can do for YOU, the caregiver, and for your dog is to read and learn. Calm your mind about how long each of the 4 phases of healing will take. What treatments for which phase? At what point would a surgery be considered? This is the page to bookmark and return to in the next days to have a full understanding of the now and the future of living many happy years ahead with your IVDD dog. Here is the link to bookmark:
www.dodgerslist.com/healingindex.htm#4 Social media is full of misinformation mixed in with quality information. Always qualify the source of information! Don’t fall for harmful-to-your-dog advice from anyone! So vet us, PLEASE!! See who we consult with and what veternary professionals say about us:
www.dodgerslist.com/index/education.htm
