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Post by Allison & Pixie on Jan 7, 2014 21:21:30 GMT -7
Pixie is a 9 year old mini doxie. My husband and I adopted her from an interim family on Craigslist in August. We were smitten as soon as we met her and she's so sweet and funny. She adds a lot of joy to our lives. She traveled with us a bit for the holidays, and was completely fine, then when we pulled into our driveway Friday night (12/27) she couldn't use her hind legs. My husband thought they were just asleep, but as soon as I saw, her I knew we had to go to the emergency vet. The emergency vet put her on a 15 lb dose of meloxicam once a day for the rest of her life, and 1ml methocarbamol 3x daily every eight hours for 2 weeks. She's been on crate rest since we brought her home on the 27th. Only out to use the bathroom. We've been using a towel, theb we bought a sling to support her better. She's getting laser light treatments and acupuncture form our regular vet. She has control of her bladder and bowels, and up until today, her tail was functional. I'm really discouraged that she isn't wagging anymore, that was one thing I was extremely grateful for. We haven't seen any improvement, and she is apparently getting slowly worse. Has anyone gone through this and had their friend get worse before they get better? Otherwise she seems fine and not at all in pain. She's a pretty lazy dog in general. so at least the crate rest isn't driving her nuts
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Post by Pauliana on Jan 7, 2014 22:16:21 GMT -7
Welcome to Dodgerslist Allison! Please let your Pixie know with your utmost confidence that things are going to be ok…because they will. With 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 unknown is simply a scary place. Get ready to fight this disease now and in the future by knowing all things IVDD. There is no better place to start than on our main web page with "Overview: the essentials" and then read all you can as soon as possible. Here's the link: www.dodgerslist.com/healingindex.htmSo sorry to hear about Pixie's IVDD episode. Very glad you got her to emergency right away and began crate rest quickly. Very glad to hear she is getting Laser and Acupuncture,both are excellent for IVDD. I am concerned however that your Vet wants to keep her on Meloxicam for the rest of her life. Normally it is only necessary to use a NSAID for only as long as the swelling is present in the spinal cord and no longer. All drugs have side effects so it is best only to use as long as there is swelling present. When the Vet thinks the swelling might be gone, you stop the Meloxicam and Methocarbamol and if pain returns, restart it again and test with a stop again later.. If no pain, the swelling is gone and no further medications are necessary. Just continue the crate rest for the duration of the 8 weeks. Here is more info on Anti Inflammatories and swelling. www.dodgerslist.com/literature/healingsweling.htmIs Pixie currently taking Pepcid AC to protect her stomach from the side effects of the Meloxicam? The FDA and manufacturer pkg insert indicate gastrointestinal problems are side effects of using NSAIDs. The natural defenses of the stomach to shield against stomach acid is hindered when taking NSAIDs. Serious gastrointestinal toxicity such as bleeding, ulceration, and perforation, can occur at any time, with or without warning symptoms. 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 in stomach protection by giving doxies 5mg Pepcid (famotidine) 30 minutes before the NSAID. Pepcid is generally considered a safe-over-the-counter suppressor of stomach acid production for a healthy dog and good insurance. Dogs don't speak up at first signs of trouble like a person would. By the time we notice black or red blood in the stools, things can quickly go from bleeding ulcers to a life threatening perforated stomach. We ask that all members read about each med their dog is on or may take as a safety measure. This directory is in alpha order: www.marvistavet.com/html/pharmacy_center.htmwww.dodgerslist.com/neurocorner2/stomachProtection.htmYes some dogs get worse before they get better so keep hope alive. My Tyler has had two episodes.. He had surgery the first episode and recovered very well with 6 weeks of post op crate rest. It was very traumatic to wake up in the morning and find he couldn't use his back legs and off to ER we went, so I know all too well what you and Pixie are going through. 6 months later he had a mild episode that we treated with 8 weeks of crate rest and medications.. Meloxicam and Tramadol. You wouldn't know to look at him that he has IVDD.. He is playful and enjoys his new normal. He knows he isn't allowed to use stairs or jump on furniture..He waits for us to carry him upstairs. REGAINING NEUROLOGICAL FUNCTION has no time limit for nerves to heal. Nerve repair is individual as each injury is different and each dog’s ability to heal is different. If deep pain perception (DPP) is present, even in paralyzed legs, there is a chance your dog may be able to walk again. For those dogs who have lost DPP, do know nerve regeneration can take place and that function may return. Once deep pain perception is regained, your dog has a chance at a walking recovery. Thousands of dogs on Dodgerslist have regained functions in as little as 2 weeks, others 11 months, and still others 3 years later. IVDD is a disease of patience to allow the body to heal on its own terms. Add this comprehensive "must-have" $3 DVD on IVDD to your arsenal of educational resources. Friends, family and those who will be caring for your dog should also watch this DVD; plus don't forget to order one DVD for your vet. www.dodgerslist.com/store/DVDorder.htm Yes your dog can still have a great quality of life: www.dodgerslist.com/index/SDUNCANquality.htmSending comforting thoughts your way and healing prayers for Pixie..
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Post by Allison & Pixie on Jan 7, 2014 22:22:02 GMT -7
Thank you for your kind words of hope I am extremely thankful she is not in pain. The emergency vet that prescribed the meloxicam is not our regular vet, so I will ask our (holistic) vet what she thinks of the lifetime prescription. I am extremely grateful that this site exists, and have been reading everything I can find about treatment, prognosis, and other people's experiences to help stay positive.
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Post by Pauliana on Jan 8, 2014 18:02:08 GMT -7
Hi Allison,
We will be looking forward to hearing about what your Holistic Vet has to say. How is Pixie doing today?
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Post by Allison & Pixie on Jan 8, 2014 21:22:18 GMT -7
I worked most of today, but my husband spent the day with her and said her tail wagged a bunch, so she's either improving a bit, or she's just not that into me
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Post by Allison & Pixie on Jan 15, 2014 20:58:54 GMT -7
So it's been almost 3 weeks since Pixie went down, and still no signs of improvement. A couple nights ago, I could have sworn that she placed her left foot correctly and did some spinal walking when I took her out to go to the bathroom, but she hasn't done anything since then, so I don't know if it was just wishful thinking or what. I told the vet about that and she seemed skeptical about it and said even if that happened and it wasn't accidental placement, she would expect to see recovery happening a bit quicker... I'm having a hard time remaining hopeful right now. I'd like to get her some wheels so that she can go out and enjoy the world again, but I'm committed to giving her the 8 weeks of crate rest to give her the best chance of recovery I can. I guess I'm just having a hard time remaining hopeful and positive that Pixie will walk again :/
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,595
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Post by PaulaM on Jan 15, 2014 22:11:43 GMT -7
Allison, can you update us on Pixie's med list, is she now off all meds or ? 15 lb meloxicam 1ml methocarbamol 3x daily every eight hours for 2 weeks
Is she still able to sniff an old pee spot in the grass and then decide to release urine?
This is an age of instant everything. Unfortunately dealing with nerve healing is just not instant. It takes time and patience. Pixie is busy improving the disc scar tissue…so that is a good thing and you are doing a good job in supporting that kind of healing with your commitment to the 100% STRICT crate rest 24/7!
During crate rest the focus is on disc healing. Nerve healing may or may not come during those 8 weeks. Upon graduation, then you can best assess whether to go for the wheelchair or spend $ on underwater treadmill for example. For right now Pixie needs to see your happy face and positive attitude. She's a smart girl and will pick up on your body language, not understanding why but mirror her leader's emotions. Pixie won't give a thought to how she gets from point A to point B, if she needs a bit of assist from a wheelchair whlle waiting on more nerve healing to take place. Dogs think they are handicapable! It's people who have all those hang ups about disabilities.
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Post by Allison & Pixie on Jan 16, 2014 0:12:19 GMT -7
She's still on the Meloxicam, but she's done with the methcarbamol. The vet suggested we start doing some light massage and range of motion activities with each leg, so we've started doing those with her. She doesn't sniff and go to the bathroom in a specific spot, but she does still have control of her bowels and bladder. Thank you for the pep talk!
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 16, 2014 5:22:19 GMT -7
Hi, Allison. It's truly not a good thing to start doing range of motion exercises while Pixie is still on the Meloxicam. Until all meds are stopped, it's unknown whether Pixie still has swelling around her spine or not. As long as there is swelling, there is the potential for more nerve damage. Once all meds are stopped, then the very, very lightest least aggressive range of motion and leg massage can be done. The information highlighted in PINK on the following link pertains to a dog who can't walk but only after all meds are stopped and there is no pain. www.dodgerslist.com/literature/massagepassiveexercises.htmMy Jeremy was completely down two years ago and had surgery. It took months before he had any movement in his hind legs or feet at all but within six months, he was walking. And he continued showing improvement for over a year after the surgery. So hang in there and stay committed to the strict crate rest with very limited movement. Try to take it one day at a time and enjoy each day with Pixie. Blessings to you both.
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Post by Allison & Pixie on Jan 23, 2014 13:55:32 GMT -7
Pixie is now off all meds. We're continuing acupuncture every 2 weeks, and she has her last laser therapy on Saturday. She's not in pain as far as I can tell, except when we do her leg massage and gentle rang of motion activities; she seems slightly uncomfortable, but no yelping or shaking or anything. I'd like to supplement her diet with B12, but I'm not sure what her dosage should be. She's about 13 pounds
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 24, 2014 8:20:03 GMT -7
When you say that you feel that Pixie is slightly uncomfortable when doing the range of motion activities, do you think it's just that she doesn't like the exercises and is objecting or do you think she's experiencing some pain? If there is any sign of pain, that would indicate that there is still swelling and more meds are required. Pain is pain, whether it's slight discomfort or severe. Has the vet examined her since she went off all meds? I think it would be a good idea to have a vet check her out to be sure she has no pain upon exam. Dogs can be very good at hiding pain and it's very important to be sure that all swelling is gone before doing the range of motion exercises. You should check with the vet about the dosage of the B12. Here's our supplements page if you'd like more information on that: www.dodgerslist.com/literature/Supplements.htm
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Post by Allison & Pixie on Jan 30, 2014 17:41:22 GMT -7
I am SUPER excited to report that yesterday Pixie started moving her legs on her own! She can support herself for a few seconds and has started to correct her right foot when it is knuckled (very slowly, but it's a start!) I had been researching dog wheelchairs since it seemed like there was zero progress, so even a little bit is very exciting
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Post by Pauliana on Jan 30, 2014 21:16:58 GMT -7
Allison,
That is a wonderful update. So glad Pixie is moving her legs on her own.. Healing happens, not always as fast as we'd like. It's very exciting to see every little improvement on the road to recovery.
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Post by Allison & Pixie on Mar 1, 2014 17:56:41 GMT -7
SO! Pixie has shown a major improvement from when she first started moving her legs. She will now push into a standing position in her crate. She's still wobbly when standing, though. She can also take a couple of "drunken" steps on her own. She attempts to walk every time she's in her sling, and her legs are crossed, which I think is a sign of nerve repair(?) It's massive gains since for a solid 6 weeks there absolutely no movement from the hindquarters. It's absolutely amazing. Our vet was also impressed, since she had given up on any chance of improvement. I guess I'm not sure where to go from here? It's now been the solid 8 weeks of crate rest, should she stay in it for longer, or should we be letting her get up and move around more? How should we go about strengthening her legs back up? Thanks for all the support and well wishes!
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Post by Pauliana on Mar 1, 2014 21:14:23 GMT -7
Hi Allison! Great to hear that Pixie can now stand and wobby walk a little. Here is our article about how to ease back into life after crate rest: www.dodgerslist.com/literature/AfterCrateRest.htmCongratulations on graduating crate rest Pixie and Allison! Take it easy and enjoy your new normal!
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