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Post by Paige&Lola on Feb 7, 2014 9:28:41 GMT -7
Hi. My name is Paige. I'm here because of my baby, Lola. She is a 5 year old mini dachshund. This is her first episode and I never saw it coming. It started 1/28/14. She was walking funny and slower than usual. I thought it was her front leg. We decided to watch it and keep her off it to see if that helped. I never even thought it might be her back. Thursday, 1/30/14 when my husband got home from work and let her out of the kennel, her back legs were paralyzed. He rushed her to the vet. They diagnosed her with IVDD and said basically T10-13 were compressed. They said she needed emergency surgery and that even with surgery there were no guarantees. She had no deep pain sensation at that time. Surgery is not an option for our family at this time due to finances. They kept her overnight for IV steroids. And we prayed. Friday morning 1/31/14 the vet called my husband and said there was no progress overnight and the damage was permanent. She was not in any pain and still had no deep pain sensation. We picked her up and were handed our happy, paralyzed dog and a doggie wheelchair order form with measurements. No medications whatsoever. I'm a nurse and thought that was very odd. But by the time I got off at 7pm and got home, the vet's office was closed. I had called and left a message for the vet earlier that afternoon and she never returned my call. Over the weekend, I kept her still, watched her like a hawk, and researched. Lola still had full control over her bladder and bowels and would still wag her tail when we picked her up from the vet. I didn't understand. I noticed Sunday, Lola would withdraw to pain to her back paws. Not like normal by any means but it was still something! She was also licking her back paws. She had a bump on one of them and I scratched it and she made her "that feels good" face. By monday morning 2/3/14, I was calling the vet's office. She appeared to be pain, she was shaking and I could see the muscles in her back spasming. I left a message that morning and called back around noon when I never heard back from them. They said the doctor was out for the day. I asked if I could speak with someone else. She said I could talk to the doctor tomorrow. I was horrified. I calmed myself down and called back a few minutes later. I got another lady on the phone and said I could not look at my dog like this for another 24 hours. She had another doctor call her out tramadol to hold her over til the next morning when the other doctor who had been seeing her would be back. The tramadol helped overnight. I called the doctor the next morning and told her what was going on. She wanted me to bring her in. When I brought her in, she said she didn't send her home with any medications because she had no deep pain sensation and was not in any pain. She withdrew to pain for the vet. She didn't snap at her which is a normal reaction but she definitely pulled away. I asked about steroids and muscle relaxers for the spasms. We got them. She told me I could hold off on the wheelchair for now and try the steroids but she didn't want me to get my hopes up. I said if she has made this much progress, with absolutely no oral steroids or intervention other than rest. I have hope. She said at most she would "spinal walk" and told me to you tube it. She gave me information on laser therapy but couldn't tell me much about it. Other than the price, and that it helps some dogs. We came home with prednisone, robaxin, and tramadol. I set her up in a small crate. I carry her outside to potty. She does well but will only go if I'm holding her back legs up for her. I tried the sling and for some reason she hated it. But by the time I tried it, her and my husband had a routine of him holding her back end up for her and she would take steps, sniff, and do her business. I noticed she has more feeling in her back since we started the steroids and more energy. After I gave her the first dose of steroids and the robaxin, she started drinking a lot of water and was peeing like crazy. Even dribbling. Which she had not been doing. I bathed her at least 7 times that night. Went to the store and bought puppy pads and cried all the way there and home. Since that night she has had one accident (our fault for not getting her out in time) or zero leaking or dribbling. I feel completely helpless right now. And like a terrible mom because I feel like her case was mismanaged. I think she should have been given steroids to come home with. They didn't even give her a full 24 hours to respond to IV steroids. She is such a sweet girl. She's not very vocal. At all. Unless someone knocks on the door. Last night was her first time barking to let me know she had to go out. She's learning. We all are.
Lola 22 lbs, diagnosis of IVDD- yes started 100% STRICT crate rest 24/7? 2/4/14 At times [pain], the tramadol helps though
-- What are the exact names of meds currently given, their doses in mgs and frequencies? Prednisone 5mg every 12 hours for 7 days, then once a day for 7 days, then every other day until gone. 28 pills in bottle. Methocarbam 500mg 1/2 tablet every 8-12 hours as needed for muscle spasms. Tramadol 50mg 1/2 tablet every 12 hours as needed for pain. I have only given her the robaxin once. Although today I'm noticing more muscle spasms and am about to give her one. The tramadol and prednisone I have been giving every morning and every night at the same time. 7am and 7pm. The vet told me to only give her the medications as needed. Any thoughts on that?
She wags tail and withdraws to pain still. Seems to have more feeling but is still unable to push up with legs to walk. Can hold herself up briefly if put in the standing position and then wobbles over.
-- Do you find wet bedding or leaks on you when lifted up? No. Unless she drinks a lot of water and we don't get her outside in time. She had one accident last night on the puppy pad after she drank 2 bowls of water. She peed outside every time when we brought her.
-- Eating and drinking OK? yes, increased thirst from steroids. -- Poops OK - normal color no dark or bright red blood? Normal
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Feb 7, 2014 11:01:22 GMT -7
What a roller coaster ride you've been on, Paige! Obviously, Lola does have deep pain sensation. She wouldn't be able to wag her tail or have bladder control if she didn't. How awful that they told you the damage would be permanent. Lola has every chance of recovering with conservative care. You say you feel helpless but you certainly haven't been acting it! You've done a fine job advocating for Lola and getting her what she needs to recover. Kudos to you for researching and insisting on what was needed. 1. Pain. There should be no signs of pain from one dose of the pain meds to the next. Pain should not be allowed to surface so pain meds need to be given consistently. Tramadol has a short half life and works best when given consistently every 8 hours. If that doesn't keep the pain under control, the dosage can also be increased to 50 mg every 8 hours. Methocarbamol should also be given every 8 hours. The vet has room to increase the dosage on that, also. Also, Gabapentin can be added to the mix. 2. Crate rest. 100% STRICT crate rest 24/7 only out to potty for a full 8 weeks is the SINGLE most important thing you can do to help your dog-- it is the hallmark component of conservative treatment. Carried in and out to potty. No laps, no couch, no sleeping in bed with you, no meandering, scooting or dragging around during potty times. No baths, no chiro (aka VOM). In other words do everything you can to limit the vertebrae in the back from moving and putting pressure on the bad disc. www.dodgerslist.com/literature/CrateRRP.htmNo baths are allowed. A wet dog is a slippery dog and it's far too dangerous. You can use cooled down green tea to wipe Lola with. Green tea neutralizes urine and helps with urine burn and the odor. 3. Pepcid AC should be given to protect your dog from the excess acid produced by the anti-inflammatory. Please get your vet's permission to give 5 mg of Pepcid AC (generic is famotidine) 30 minutes before each dose of the anti-inflammatory and thereafter every 12 hours). Phrase the question to your vet in this particular way: "Is there any medical reason my dog may not take Pepcid AC?" If your vet says your dog has no health issues such as liver, heart, etc to keep her from taking Pepcid AC, then do get it on board. 4. The very, very lightest least aggressive range of motion and leg massage is necessary for paralyzed legs during conservative treatment once off all meds and there is no pain. The information highlighted in PINK 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.htm5. Laser light therapy, acupuncture and electroacupuncture which sends a microcurrent of electricity to and from acupuncture points (which are really big nerve bundles), can be very beneficial at helping to re-establish the 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. Find a holistic vet here: ahvma.org/Widgets/FindVet.html www.serenityvetacupuncture.com/index.php/faq_/ [one vet's overview/prices] NOTE: Chiropractic is not recommended for IVDD dogs. 6. 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.htm7. These vets do not sound comfortable in treating IVDD. You should find a vet who is more knowledgeable. Board-certified neuros (ACVIM) and ortho (ACVS) surgical specialists can be found at University vet teaching hospitals. You can locate others in your area here: www.acvim.org [neuros] online.acvs.org/acvsssa/rflssareferral.query_page?P_VENDOR_TY=VETS [orthos] Dodgerlist Members' vet recommendations - dodgerslist.boards.net/board/10/guidelines-postingIf you let us know your area, we might be able to help. Please let us know what the vet says after speaking to them. We're here for you and Lola. Healing prayers for Lola.
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Post by Jean & Mimi on Feb 7, 2014 11:18:26 GMT -7
Paige you are doing an AMAZING job of advocating for Lola. She is so lucky to have a mom like you Marjorie is right, have no tolerance for pain at all. Once she is pain free, she can concentrate on healing her nerves. Remember, there is no timetable anyone can give you when to expect nerve repair to happen. From our wonderful Dodgerslist.com page: "there is no time limit for nerves to heal...it can take weeks to more like a year or even longer. However, it is known that neurological function usually returns in the reverse order of the damage. The first big sign you want to look for is that wonderful tail wag - which she has! 1. Deep Pain Sensation (Only correctly identified by a specialist.) 2. Tail wagging with joy at seeing you, getting a treat or due to your happy talk. 3. Bladder and bowel control proved by passing the "sniff and pee" test. Take your dog out to an old pee spot in the grass. Let him sniff and then observe for release of urine. 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 placed paws. 6. Ability to walk unassisted and perhaps even run." I can tell you from personal experience that not all vets are the same, not even all vets in one practice! I had to go through each vet in our practice, and now I will only work with two of them for Mimi's IVDD. So if this one doesn't seem comfortable treating IVDD, then find one you like who can help you. Continue to be the amazing advocate your are being for Lola. She has already made worlds of progress because of your love and care. Let us know how she is doing, we are here to support both of you
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Post by Paige&Lola on Feb 7, 2014 11:41:49 GMT -7
Thank you so much! This site has been such a great resource for us. I was prepared for the appointment and asked about the pepcid as well. She said for me to call her if she started having any problems with her stomach or I could buy some over the counter if it became an issue. I haven't went and bought it yet. Does it matter what kind? Are there different ones? I also have adult pads instead of the puppy pads on my list too. I didn't even think about the scent. And no more baths! Green tea wipe downs for the next 8 weeks! I definitely need a new vet. I feel horrible about this whole experience, but my husband was panicked and just showed up with a paralyzed dog. So we didn't exactly get to chose who we saw. I even had to ask about crate rest!! She told me crate rest for 30 days with any back injury. But didn't really elaborate. Everything I have learned, I learned here on this site. She didn't say when or even if she wanted to see her again. She just wished us luck and told us to call if we have any problems. I definitely need a new vet. But do I need one right now? I have all the medications. Should she be following up with someone? And does she need to see a surgical specialist if she isn't having surgery? This is the part I feel lost on.
Thank you so much for your words of encouragement. We have a long journey ahead of us. If Lola needs a cart after all is said and done, then so be it. But if my girl has a fighting chance of walking on her own again, I'm going to do all that I can to make sure we give her a fair shot at it. And that includes her care being managed properly. And sadly, it hasn't gone as I would have planned so far. But despite all the odds being against her, she has done nothing but show signs of improvement every day. She makes it easy to fight for her.
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Post by Jean & Mimi on Feb 7, 2014 12:05:16 GMT -7
Paige, in my opinion, it would be a good idea to look for a new vet now. Yes you have all the medications, but what happens if Lola has a setback or is in more pain? You need a vet who is comfortable treating IVDD and will listen to your guidance. Sometimes dogs need more than just 7 days at the anti-inflammatory dose of the steriod. You need a vet who you can go to if you start to see a setback during the taper. If you have a good vet who can work with you, she can advise if you need to see another doctor or surgeon. You have the resources here from our moderators and from all the reading on dodgerslist.com to know what to ask a vet. Keep us posted
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,549
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Post by PaulaM on Feb 7, 2014 12:36:25 GMT -7
Paige, I agree fully with Jean, you do need a vet comfortable in treating a disc episode. Not just for this one, but also should another happen in the future (this is a progressive disease where a dog might have one or multiple episodes during a lifetime) With your quick study you have now moved yourself up to being the captain of Lola's health care team. As the captain you hire the the essential team member, the vet. This vet is someone whom you can discuss things with, who you will give feedback to and expect a timely response. You and the vet are a team. Finding a new vet approach: www.dodgerslist.com/literature/VetchkList.htmIf you are not able to find a local DVM vet who is comfortable in treating a disc episode, then you have the option to consult with a specialist because you want them to Rx meds a local vet is not comfortable doing. Pepcid AC (famotidine) for a 22 lbs dog is 5mg 2x/day. Please read up on it, so you confirm in your mind that Lola has none of the health issues mentioned: www.marvistavet.com/html/famotidine.html I keep this vet website bookmarked for all of my pet's meds…it's a good resource. During the time on the anti-inflammatory the pain meds do need to be adjusted so that there is no pain surfacing dose to dose of pain relief medications. Pain deters healing. Often it takes being at the anti-inflammatory dose of prednisone (5mg 2x/day) for 7-14 days or even for some dogs more like 30 days before all the swelling is gone. When the vet guesses swelling might be gone a taper will be called for. The dose is lowered to less than the anti-flammatory dose your job at home would be to assess just how well reduction of swelling is going by observing for any hint of pain. To have a clear picture on a taper, pain meds are also stopped or backed off too. Rule of thumb is: pain = swelling = more time on Pred, pain meds and Pepcid AC is needed. If there is no pain on the taper then it goes to completion. Then no meds at all are needed. Disc healing will continue for the remainder of the 8 weeks. Nerves can continue to self heal…think in terms of months. You are doing a good job, reading and advocating for what Lola needs. Lola is also doing a good job in going in the right direction of healing. Having bladder control means that Lola will likely also at some point regain leg function. Keep on keeping on with that 100% STRICT crate rest 24/7 only out at potty times for 8 weeks! Let us know that pain is fully controlled dose to dose of the pain meds (Methocarbamol/Tramadol) Pain is best controlled NOT on an as needed basis with a disc episode. Be prompt at dosing every 8 hours. Tramadol's half life is 1.7 hours…so not likely to control pain….speak with vet about using every 8 hours. Let us know how the search for a new vet goes, have you checked our vet recommendation directory: dodgerslist.boards.net/board/10/guidelines-posting
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Post by Paige&Lola on Feb 7, 2014 13:40:21 GMT -7
Thank you Paula! I actually sat down with the phone book. I made it down to number 3 on the list. I asked each one if they had experience with IVDD. They all said yes after putting me on hold for a few minutes. But I continued to go down the list. The third number I called put me on hold and the vet got on the phone. I told her our story. She worked at a clinic here in town for years along side the vets that did the surgeries. She doesn't have experience in the surgical aspect but is very experienced in the medical management. She asked what medications I had and the dosages. She offered to give me advice on medications over the phone and when I ran out then I could come in. She has already told me to up her tramadol to three times a day as well as the robaxin. And if this is going to work, she needs it scheduled not as needed. I decided to bring Lola in tomorrow morning. So she could lay eyes on her. That way she knows exactly what we are dealing with. She said we would come up with a schedule for her medications tomorrow. After she adds the pepcid and sucralate to protect her stomach. I didn't even have a chance to ask about it. I feel sooo much better after just talking with her! She sounded so hopeful since Lola still has full control over her bladder and wags her tail.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,549
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Post by PaulaM on Feb 7, 2014 16:51:37 GMT -7
Paige, way to go on interviewing and hiring what sounds like an IVDD knowledgeable vet. If over a period of time you find this vet to be the right vet, consider adding them to our "Vet recommendation Directory to help another member. dodgerslist.boards.net/board/10/guidelines-posting Name of Vet Name of Clinic Street Address City: State or country: Type of vet (general/board certified surgeon, acupuncture, etc.) Comments:
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Post by Paige&Lola on Feb 8, 2014 7:54:41 GMT -7
Lola's appt with her new vet is at 10:00am. Wish us luck! I'm going to ask her what she thinks about gabapentin or if increasing her dosage of tramadol is a possibility. I already went up to 3 times a day after I spoke with Dr.Briley on the phone yesterday. But she was shaking yesterday evening at 4 1/2 hours after her dose of tramadol. I don't know if she has built up a tolerance or since she is having more feeling now, she is able to feel the pain. But either way we have to get it under control so her body can heal! I will update y'all after her appt.
hour later: Lola's appt went great. Her new vet, Dr.Briley is very knowledgeable and compassionate. We chatted for well over an hour. She is 100% supportive. Team Lola has gained another new member. She added 22 lbs sucralfate 1gm 1/2 tablet twice daily in addition to the famotidine 5mg twice daily. She also bumped up her ▲prednisone dose to 10mg twice daily. tramadol 50mg 1/2 tablet three times a day scheduled and the robaxin 500mg 1/2 tablet every 8 hours scheduled a chance. If it [pain] doesn't seem to hold her then she said to call her. She said she could call out gabapentin but she wanted us to get in a routine of giving them scheduled and see if that helps her first. She stressed the importance of crate rest and keeping her pain under control. We are home and she is in her crate sleeping comfortably.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,549
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Post by PaulaM on Feb 8, 2014 12:40:35 GMT -7
Paige, Dr. Briley is obviously a vet who understands being proactive with GI tract issues while on Pred is important!
Pain should stay in control dose to dose now. If not I would let Dr. B know. There is room to move with Tramadol with a 22lb dog even up to a full 50mg tab 3x a day. So you need to verify that option for sure before Sunday when the vet is not open and may require an expensive ER visit.. Of course the hope is that the current pain meds will keep pain fully at bay.
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Post by Paige&Lola on Feb 8, 2014 13:11:29 GMT -7
Her pain is under control as of right now. She's asleep but I'm about to wake her up to give her pain medicine and muscle relaxer. I think the pain she was experiencing last night was from too much movement during her potty break when my husband took her outside. We sat down last night and I explained everything I have learned so far to him. I showed him the proper way to pick her up. He was doing it wrong! And we all have to be consistent if this is going to work. He wanted to come to the appt. with me this morning but we decided it would be best if one of us stayed behind with our son who is 2 years old rather than bringing him with us. I did more educating when I got home from the appt. Now we are all on the same page. I can't thank you enough for the guidance and support you all have given us! Lola has lost a full pound since being on crate rest. She is unable to chase after the 2 year old and steal his snacks now. She is 21 lbs. Where are you finding the information on the tramadol dosage? The information I have found states: For pain relief, the usual dose in dogs is 0.45-1.8mg per pound of pet's weight given by mouth every 8-12 hours.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,549
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Post by PaulaM on Feb 8, 2014 15:07:12 GMT -7
Paige, one of the benefits of reading posts and observing what 1000's of vets prescribe year in and year out, gives us some idea of how pain meds work. Then doing a little research we find confirming information, speaking with our own vets too has helped us to get a grip on pain control. Vets with more experience in pain, feel comfortable in going beyond basic published doses… as with all of medicine it is an art and top that off with pain control not being a one size fits all deal, there are will be differences in Rxing. We have a surprising number of guests who prefer to lurk. Just so everyone knows…. we are not vets and we do not prescribe drugs, but encourage members to do their own reading so they are in a position to participate in discussion with their vet. The vet is the one who knows your dog's medical history and has done an examination. In our article on "Looking up your dog's meds" dodgerslist.boards.net/thread/951/dogs-meds you will find the Veterinary Anesthesia & Analgeisia Support Group to provide good information on pain control in their alphabetical listing of drugs section. Hope the current pain med Rx will help Lola be pain free. Lola's recovery suite looks very fine-- like the attached bowls! And LOVE to hear that all family members are on board with conservative treatment principals. You might like to add this flyer to your frig, so everyone knows when signs indicate emergency: www.dodgerslist.com/literature/FridgeInfo81907.pdf
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Post by Paige&Lola on Feb 21, 2014 11:35:14 GMT -7
Just an update. On 2/14/14 we went back down on the prednisone from 10mg twice a day, to prednisone 10mg once a day. I called Dr.B today and gave her an update. She wants to continue another week on the ▼prednisone 10mg once a day. The plan after that is to wean to 5mg once a day the next week. As long as she is still doing well. Lola is wagging her tail more than she ever has. And she has even tried to push up with her back legs a handful of times. Her back leg muscles are so weak though. She can hold herself up in a standing position. When I'm holding her legs up and she's taking a few steps to potty, I can feel her back legs trying to make the motions to walk. She has become a very vocal little thing now that she is feeling better! She doesn't understand why she still has to stay in the crate. She is such a trooper! I know we are only a 1/4 of the way there on the crate rest but I feel like she has already come so far!! 100% crate rest DOES work!! She is in zero pain. We are still giving her the same dose of the pain meds and muscle relaxers, and she is still on the pepcid and sucralfate as well. I will ask Dr.B about the weaning plan for those when I call her next week.
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Post by Jean & Mimi on Feb 21, 2014 11:48:27 GMT -7
Paige, sounds like Lola is doing great. Keep an eye out for pain during the tapers. She should stay on the pepcid and sucralfate while she is still on the prednisone. Keep telling her to hang in there and she will be out soon enough
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Vita & Emmie
Helpful Member
Currently graduated for the 3rd time; walking and running!
Posts: 189
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Post by Vita & Emmie on Feb 21, 2014 11:59:46 GMT -7
Hi Paige - I just read Lola's story - an unfortunate situation that made the whole thing so much more stressful for you. I'm glad you are on the right track now. What kind of dapple is Lola? She looks lovely - I have an Isabella dapple that looks similar; just curious what Lola is (hard to tell in tiny picture)...
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Post by Paige&Lola on Feb 21, 2014 12:06:51 GMT -7
Thank you! We definitely had a rough beginning but it's been smooth sailing since then. I'm honestly not sure what kind of dapple she is. She looks like she does have some isabella in her color though. Thank you!! My girl is such a trooper! What is the typical weaning for the pain meds and muscle relaxers during steroid tapers?
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,549
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Post by PaulaM on Feb 21, 2014 13:03:27 GMT -7
To get a clear assessment of whether painful swelling still exists, on the test taper, the pain masking pain meds are also backed off or stopped. This is something you should discuss with your vet.
Rule of thumb is: pain = swelling = more time on Pred back on the high anti-inflammatory dose, pain meds and Pepcid AC is needed.
If there is no pain on the taper then it goes to completion. Then no meds at all are needed. Disc healing will continue for the remainder of the 8 weeks. Nerves can continue to self heal…think in terms of months. I can see Lola is on a VERY good track of self healing those nerves...already making walking motions and pushing herself up into a standing position.
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Vita & Emmie
Helpful Member
Currently graduated for the 3rd time; walking and running!
Posts: 189
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Post by Vita & Emmie on Feb 22, 2014 20:09:37 GMT -7
Hi Paige, Lola looks like a chocolate dapple to me - she's got a face just like my Hula - Hu is our baby - she's just 2 yrs old - versus Emmie the one with IVDD who is 5 yrs old - the smooth shaded red in my avatar. How did you post that picture of Lola for me to see - I would like to show you Hula but couldn't figure out the technology!
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Post by Paige&Lola on Apr 1, 2014 17:48:04 GMT -7
WE HAVE FINISHED 8 WEEKS OF STRICT CRATE REST!!!! But now what?!?! Lola is off all pain medicine and muscle relaxers and has been for quite a while now. She is still on Pepcid and prednisone 5mg once a day. I'm going to call Dr.Briley tomorrow and ask about the new weaning schedule. Lola has a lot of muscle atrophy in her back legs but she is still able to stand up on her own sometimes and I have seen her take a step or 2 but I've been trying to prevent her from doing so! It's become a habit for me too! I'm so excited about completing the 8 weeks and the progress we made but at the same time I'm so scared to let her start moving again.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,549
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Post by PaulaM on Apr 1, 2014 19:34:21 GMT -7
Crate rest is safely over after Lola has been off of Pred for a week to verify that all the swelling is really gone. Do let us know what the taper schedule will be and the end date. I know how anxious you must be, almost there!!! You may want to plan how you will re-introduce Lola slowly back into physical activity by reading over the "after crate rest then what" article here look to the column on the right: www.dodgerslist.com/literature.htm#afterrest
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StevieLuv
Helpful Member
Conservative Treatment 3x. It really does work!
Posts: 1,335
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Post by StevieLuv on Apr 2, 2014 5:44:54 GMT -7
You are almost done! You should be so proud of yourself for the excellent job that you have done. We are counting down the days with you.
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