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Post by Trish & Rocky on Jul 1, 2017 4:37:34 GMT -7
Hi all I'm Trish. My Rocky is 8yrs old, he is an 18.5 lbs Standard Longhaired Dachshund. We are from Kentucky,USA. Rocky my retired champion was diagnosed with IVDD yesterday 6/30. This isn't the first time he has had an episode. He had one about 3yrs ago as well, the first time he never fully lost his ability to walk or lost deep pain sensation either. This time was different though, we laid down for a nap,woke up, he couldn't walk and has no deep pain sensation, he can still wag his tail & control his bladder & bowels, he also kicks his leg when his toes are squeezed but doesn't yelp and pays it no mind when you tickle his feet like he can't feel it. My vet is a General Vet Practioner. The vet wanted to do 3 days of meds & crate rest before going for surgery. Rocky saw the vet on 6/30 and is supposed to go back Monday for eval. & surgery if no improvement, I'm really hoping to avoid surgery. He doesn't seem to be in pain at the moment. He ate some fish skin treats & a few pieces of dog food that I handed to him but he hasn't drank anything yet. He's on Prednisone 10mg twice a day for 5 days then one a day for 5 days then every other day. He's also on Tramadol 50 mg 1/2 a pill 3 times a day. The vet didn't give him any stomach meds.
[Moderator notes: please don't edit 18.5 lbs Prednisone as of 6/30: 10 mg 2x/day for 5 days; taper starts 7/5 Tramadol 25 mg 3x/day no stomach protection]
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jul 1, 2017 6:25:28 GMT -7
Welcome to Dodgerslist, Trish. Since Rocky can still wag his tail and control his bladder and bowels, he must have deep pain sensation. I'm not sure from your post whether it was your vet who squeezed his toes and tickled his feet or whether you are doing that at home to check for DPS. If you're doing it, please do refrain from that as it's obvious that Rocky does have DPS and you don't want him kicking his legs unnecessarily. With conservative care, strict limitation of the movement of the spine is critical. Even if surgery may be done in a few days, you need to be very strict about movement of the spine now as too much movement and the damaged disc could tear more, causing loss of bladder/bowel control and DPS. You won't be able to determine anything by squeezing his toes or tickling his feet as even vets can find it difficult to determine DPS. SURGERY The purpose of surgery is to take the pressure off of the spinal cord by removing the disc material causing the compression. Surgical decompression allows a normal blood supply to return to the compressed spinal cord and for neurologic recovery to begin by the body self-healing nerves. CONSERVATIVE Seeks to relieve swelling/compression of the spinal cord with an anti-inflammatory (prednisone). Over time the hope is disc material where it should not be will shrink back enough so that pain is relieved and nerves can start to self repair. Reference reading conservative vs. surgery : www.dodgerslist.com/literature/healingsurgery.htmWhen taking an anti-inflammatory, it's very important that stomach protection be given. 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 doxie weight dogs 5mg Pepcid (famotidine) 30 minutes before the anti-inflammatory. Also give Prednisone with a meal. In order to help you more, could you please answer these questions? ☐ Let us know you are on the same page about crate rest. The hallmark component of conservative treatment is the crate rest part. With little blood supply discs are much slower to form good scar tissue than it takes a blood rich broken bone to heal. That 6 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: www.dodgerslist.com/literature/CrateRRP.htmSTRICT means: - no laps - no couches - no baths - no sleeping with you - no chiro therapy - no dragging or meandering at potty times. 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! www.dodgerslist.com/literature/slingwalk.jpg☐ Signs of pain to be aware of: shivering, trembling, yelping when picked up or moved, reluctant to move much in crate such as shift positions or slow to move, tight tense tummy, restless, can't find a comfortable position. Ears pinned back, arched back. Holding front or back leg flamingo style not wanting to bear weight, head held high or nose to the ground. Not their normal perky selves. Full pain relief is expected in 1 hour and stays that way dose to dose of correctly Rx/d pain meds. "There is medicine and there is healing. Healing requires rest and comfort, and all patients should be kept as comfortable as possible. Studies have shown a correlation between less pain and faster recovery from illness, surgery, or injury." Barak Benaryeh, DVM, DABVP. Identifying Pain in Geriatric Patients. Veterinary Team Brief. NOV/Dec 2015. ☐ Why Chiropractic is not recommended for pain for an IVDD dog www.dodgerslist.com/literature/chiropractic.htm☐ Eating and drinking OK? Poops OK - normal firmness & color -no dark or bright red blood? The unknown is simply too scary a place to stay in. The best thing you can do for Rocky and for yourself is to get up to speed on all things IVDD and fight the IVDD enemy. Excellent page to start with "Overview: the essentials" and then read all you can as soon as possible. Here's the link www.dodgerslist.com/healingindex.htmHealing prayers for Rocky.
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Post by Trish & Rocky on Jul 1, 2017 21:57:02 GMT -7
Marjorie,
It was the [my local] vet who pinched his toes to check for DPS and said he had none. He can control his bladder but has not pooped at all today. Yep I'm on the same page with crate rest, he stays in his crate except to eat, get a drink & go out to potty, I carry him out & in supporting his front with one arm under his front and his back end with the other arm under his back end. He will only eat when I hand feed it to him & he's drinking normally. He hasn't pooped since 6 am yesterday which is unusual for him, not sure if he just doesn't have to or if he can't as he can't get his bottom into the proper position & not sure how to help him to achieve the pooping position. He walks with me supporting his rear end until he urinates then looks up at me like ok pick me back up now.
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jul 2, 2017 5:23:50 GMT -7
Thanks for confirming that it was the vet who tested for DPS. Rest assured that Rocky does have DPS or he wouldn't be able to wag his tail or have bladder control.
Tramadol can cause constipation. Pumpkin can help firm up stools OR it can help to loosen stools. The amount of water in the diet makes all the difference. To loosen the stool, add equal parts water to each kibble meal along with a teaspoon of plain canned pureed pumpkin 1x a day. To firm up the stool, add 1 teaspoon pumpkin to kibble and no extra water 1x a day. Note alternatives for constipation: really ripe mashed fresh pear, just take off the peel; microwaved and mashed peeled sweet potato.
Be sure he has no pain (see signs of pain above) as pain can cause them to hold off on trying to poop. Or as mentioned, he could be a bit constipated and pumpkin will help make it easier for him to go.
Be sure to limit those steps at potty time to a very, very few to protect his spine from further damage.
It's doubtful that you'll see any improvement in the loss of neuro function in just a few days. Nerve healing is so very, very slow and can take months, even a year or more. If surgery is decided upon, will your vet be referring you to a specialist? It's always best to have a Board-certified neurologist perform such a delicate surgery.
As damage to the spinal cord increases, there is a predictable stepwise deterioration of functions. When nerve healing begins, often it follows the reverse order. 1. Pain caused by the tearing disc & inflammation in the spinal cord 2. Wobbly walking, legs cross 3. Nails scuffing floor 4. Paws knuckle 5. Legs do not work (paralysis, dog is down) <<Rocky is here 6. Bladder control is lost 7. Tail wagging with joy is lost 8. Deep pain sensation, the last neuro function
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 2, 2017 11:36:02 GMT -7
Trish, can you help us? The only eating when hand fed can be a red flag sign of GI tract damage. Pred is on board but nothing to protect against the extra acids pred causes. Can you verify if Pepcid AC (famotidine) is now on board. 5mgs every 12 hours. And that you give Pred with a meal as added protection. Can you verify there is no current pain as the dose of Tramadol is pretty low. No pain nearing the next dose of Tramadol nor when having to move? Signs of pain: shivering, trembling, yelping when picked up or moved, reluctant to move much in crate such as shift positions or slow to move, tight tense tummy, can’t find a comfortable position, Arched back, pinned back ears. Holding leg flamingo style not wanting to bear weight, head held high or nose to the ground. Not their normal perky interested in life selves.
Let us know if Marjorie's Pumpkin tip in above post helped with constipation. 18.5 lbs Prednisone as of 6/30: 10 mg 2x/day for 5 days; test-for-pain taper starts 7/5 Tramadol 25 mg 3x/day no stomach protection?PEPCID ACPrednisone, Prednisolone, Dexamethasone, etc are involved with stimulating gastric acid secretion causing GI upset of not eating, vomit, red or black bloody diarrhea which can quickly lead to bleeding ulcers or life threatening holes in the stomach or intestine. Phrase the question to your vet in this particular way: Is there a medical/health reason my dog may not take Pepcid AC (famotidine)? If there is no reason, we follow vets who are proactive in protecting the stomach. Good link to bookmark and read about Pepcid AC:www.marvistavet.com/pharmacy-center.pml
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Post by Trish & Rocky on Jul 2, 2017 13:17:46 GMT -7
Marjorie, I've already given the go ahead on the surgery unless my vet Dr. Tapp says he doesn't need it or that it won't do any good to have it done. My vet said something about possibly having to send him to Nashville,TN for the surgery if he has to have it, so I'm assuming a board certified neurologist will be on board, I'll ask him about that in the morning when Rocky goes for his re-eval & surgery. His steps are being limited, actually he limits them himself, he quickly goes then looks up at me as if he's saying ok I'm done pick me up now lol.
Paula yep Pepcid is now on-board & yep I have him eat some before giving him his meds. Nope no signs of pain, he's actually starting to try to become more active,he can't use his rear legs but I do have to keep him from trying as he does try when he comes out to drink & eat,and he barks in his crate as if he's saying let me out mom,I want out. The pumpkin worked, he pooped when I took him out to potty before I left for work. He lifts his head high when being picked up but he's always done that even before IVDD happened to him.
[Moderator notes: please don't edit 18.5 lbs Prednisone as of 6/30: 10 mg 2x/day for 5 days; taper starts 7/5 Tramadol 25 mg 3x/day Pepcid AC ?mgs ?x/day]
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 2, 2017 16:37:50 GMT -7
Trish, with any necessary vet visits, do pad out the crate with a rolled up blanket or towel so that Rocky's back does not shift when you have to break or come to a quick stop. Keeping movement of the back is critical to avoiding worsening of the bad disc and further impact to the spinal cord. If your vet tells agrees with you that Rocky still has bladder control, still has the ability to wag his tail with joy because of seeing you or seeing a treat, then what changes to the conservative treatment plan would be offered by the visit? He is not in pain, so meds therefore are right. You are already doing 100% STRICT rest 24/7 only out for a very, very few footsteps at potty time. He even must eat and drink inside of his recovery suite because any time out of the crate can be a real danger to that disc. What amount of transport risk might there be to the bad disc? With conservative treatment, one would expect that it may take anywhere from 7-30 days on prednisone (test-for-pain taper days are excluded in the count) to resolve all the painful pressure & swelling. With surgery, the disc material is immediately removed. Conservative treatment is all about getting the disc to heal. Using meds to provide comfort while the Pred works on getting all spinal cord inflammation full gone. Here is a good review on the points about conservative and surgery you will want in your mind as you think things through: www.dodgerslist.com/literature/healingsurgery.htmIf surgery is what you feel most comfortable with since Rocky no longer has any abilities to move his back legs at all (can't use even one of his back leg to help reposition himself?, not able to even attempt a try to scratch an ear?), it may be worthwhile to call your vet and ask for referral to U of T and get on the road to directly go into getting surgery underway. Do know that any back leg movements at potty time discounted because they are most likley reflexes and are not brain to limb messages. Deep pain sensation, the last neuro function, is a critical indicator not just for nerves to heal under conseravative treatment but also after a surgery. Once nerves have been damaged they can take a longer time than the short time of 8 weeks for a disc to heal. Often we look more at months rather than days/weeks for the body to self heal nerves. There is a window of 12-24 hours from loosing DPS after a dog has lost bladder control, happy tail wag that surgery to decompress the cord could STILL be successful--even hours after that time surgery is often successful. Unfortunately, general vets do not see enough cases of IVDD daily, to become really proficient in giving the neuro exam and correctly interpreting what they see regarding DPS. Therefore precious time is lost in wrongly identifying deep pain sensation. Only take the word of a board certified neuro (ACVIM) or ortho (ACVS) about DPS. As you can see Rocky still does have deep pain sensation (DPS) because he does still have bladder control, still can do a happy tail wag if you specifically do some happy talk to him. Sequential indicators of neuro function diminishment which need to be monitored: 1. √ Pain caused by the tearing disc & inflammation in the spinal cord 2. √ Wobbly walking, legs cross 3. √ Nails scuffing floor 4. √ Paws knuckle5. √ Legs do not work (paralysis, dog is down) <ROCKY6. __ Bladder control is lost 7. __ Tail wagging with joy is lost 8. __Deep pain sensation, the last neuro function, only take the word of a specialist on this one.
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Post by Trish & Rocky on Jul 3, 2017 15:23:25 GMT -7
Paula,
Nope he's not able to use his back legs. He scoots to re-position himself, he can't scratch his ear either. Just took him for his re-eval, he had his surgery. The vet said the lesion was small but unfortunately it was more than a compressed disk, the disk had ruptured and only time will tell if he'll be able to walk again. Yep he does do the happy tail wag particularly when I call him Rocket-man lol.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 3, 2017 15:53:29 GMT -7
Trish, did you end up going to U of Tenn today? Was it a neuro (ACVIM) or an ortho (ACVS) who did the surgery? Post op, if Rocky can still do a happy tail wag that bodes VERY well for at some point being able to walk again. Nerves are the slowest part of the body to heal so it will take patience on your part to see what Rocky'd body does. When is he expected to be discharged from the surgical hospital? Nail down all those question flooding your mind. That way in the excitement of Discharge day all questions will get an answer. Here is a starter list where you can add in your own: www.dodgerslist.com/literature/dischargequestions.htmThis page is good reading by Dr. Isaacs, ACVIM (neurology) as he explains many post-op questions for our IVDD community: meds, crate rest, PT and discharge day. www.dodgerslist.com/literature/surgery.htm#medsWhen you get the next update, don't forget us, we anxiously await news of Rocky.
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Post by Trish & Rocky on Jul 4, 2017 4:26:29 GMT -7
Paula, Nope not UT, my mom refused to take him all the way to Knoxville to go there. It was my local vet who did it [surgery]. I hope he can still wag his tail when he comes home & still control his bladder & bowels. Dr. Tapp didn't say exactly when, just he'd have to be there for a few days. Gonna go see him tomorrow & bring him some treats, a shirt of mine with mine,Flair,Gina,& Calamity's smell on it for him & some food from home if the vet will let me I'll find out then .
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 4, 2017 7:47:06 GMT -7
Trish, let us know how Rocky is doing when you get an update from your vet today and when you see him on Wed. I bet your mind is wondering alot about various things right now. Be sure to jot down those things so that in the excitement of discharge day each question will be getting an answer. . Here's a starter list of questions to which you can add some of your concerns to ask your surgeon: www.dodgerslist.com/literature/dischargequestions.htmThis page is good reading by Dr. Isaacs, ACVIM (neurology) as he explains many post-op questions for our IVDD community: meds, crate rest, PT and discharge day. www.dodgerslist.com/literature/surgery.htm#meds
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Post by Trish & Rocky on Jul 5, 2017 17:07:13 GMT -7
Paula, Talked to my vet today. He said Rocky has deteriorated since the surgery. Said they were having to express his bladder.Wonder if they were even giving him a chance to go outside to urinate on his own? Said he could still wag his tail. However they didn't know if he has been eating or pooping on his own what the :/ Said if I want to learn to express him he can come home tomorrow.
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Post by Julie & Perry on Jul 5, 2017 17:54:36 GMT -7
Trish, Rocky's probably experiencing post surgery swelling. It can take 2 weeks for that to go down so don't be alarmed. You can learn to express. Best wishes for Rocky.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 5, 2017 18:54:16 GMT -7
Trish the criteria for a dog to be discharged is that he is medically stable and that pain control has successfully been transitioned from IV to oral pain meds that he can be sent home on. If your local DVM who did the surgery does not have the clinic staffed at night to monitor post op patients it would seem to be better that is at home where someone will be there to monitor him. You will get more out of the expressing lesson, by calling them about an hour before you get there and ask that they give him a drink of water. That way you will have something to practice on. First reviewing the tips and the video will allow you to get more out of the hands-on-top-of-your-hands type of lesson: www.dodgerslist.com/literature/Expressing.htm Often it may take another lesson. So discuss ahead of time about expressing Rocky in the clinic and having a vet tech check your work if you feel you need a bit more guidance. Make sure you have contact phone numbers if pain should surface once home, who do you contact to get the meds adjusted at night or weekend when vet is closed.
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Post by Trish & Rocky on Jul 7, 2017 20:52:54 GMT -7
Rocky is home. Poor boy he can't control his bladder, he pooped by himself but it just came out, I don't know if he even knew he was doing it . Haven't seen him wag his tail yet. Tried to express him but only got a little bit not sure if I did it right, gonna have them show me again tomorrow & gonna re-watch that video as well. Had them teach my mom too as she'll need to express him while I'm at work, of course she didn't do it so he went 4 hrs without being taken out & being expressed :/.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 8, 2017 10:36:22 GMT -7
Trish, expressing is a new skill to learn. So have patience with yourself, good as you are doing to see another lesson. You express in the clinic and then have the vet tech check your work and give you additional pointers. Let us know how the lesson went.
Depending which meds he is taking he may need to be expressed every 2-3 hours or 4-6 hours. I'll ask more about his med list later on in this post.
You can also express for poop. It's not the health issue bladder expressing is. But more that Rocky is not aggitated by finding poop where he sleeps.
Is his pain fully in control dose to dose of meds?
What is the med list. Name of each med? How many mgs is each dose? How often do you give
For how many weeks does the surgeon want for post op crate rest that includes his directives for at home PT? Some want 4 weeks and depending other 6+ weeks.
What PT did the vet want you to do at home? Which of the ones shown in the video below? 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.
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Post by Trish & Rocky on Jul 8, 2017 18:50:58 GMT -7
Pauline,
The [expressing] lesson went well.
He's taking Tramadol-50mg 1 tablet 3x a day Prednisone-10mg- 1 tablet every day for 3 days (that passed during his stay at the clinic) then 1 tablet every other day. Clavamox-125mg- 1 tablet 2x a day Pepcid 10mg- 1 tablet 2x a day
[Moderator notes: please don't edit 18.5 lbs Prednisone as of 6/30: 10 mg 2x/day for 5 days; taper starts 7/5 Tramadol 50 mg 3x/day Clavamox 125mgs 2x/day Pepcid AC 10mgs 2x/day]
His pain seems to be under control, no signs of pain between doses. My vet didn't give me any exercises to do with him yet then again he wasn't there (it was a new vet who just got her license who discharged him). We are going to do 6wks crate rest and then see where we stand after that.
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Post by Trish & Rocky on Jul 9, 2017 18:58:05 GMT -7
Good news, we have progress . Rocky can now control his bladder & his bowels on his own, I also saw a tail wag .
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 9, 2017 19:03:54 GMT -7
Trish, you know we are a group who LOVE the detail. Did you see Rocky sniff and then mark or release urine giving proof of bladder control?
What about the tail wag. Did he do a happy tail wag specifically because you did some happy talk or he saw a treat coming his way?
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Post by Trish & Rocky on Jul 10, 2017 0:44:36 GMT -7
Paula,
He walked with support to his usual spot, stopped & released a big puddle of urine and tried to walk further when he was finished I was behind him looking at the ground under him watching for a urine stream so yep I saw him pee. Yep he did the tail wag when I said to him "You wanna go outside Rock, you wanna go outside boy" in an excited happy tone like I always have, he loves going outside and always gets excited about going outside.
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Post by Trish & Rocky on Jul 30, 2017 12:52:50 GMT -7
Rocky update. Rocky had his staples removed and his recheck. He surprised us both when he stood on his own on the table for a few seconds . Dr. Tapp released Rocky from crate rest & put him on restricted movement w/ PT & WT, Rocky will not cooperate in the tub, he just sits there in my hands looking at me like nope not gonna do it so I don't make him, he does however cooperate with his massages & his short walk exercise (about 2 mins of walking, stop when he wants,walk about 3 steps,stop, three more then I pick him up and carry him inside). Rocky is now able to get himself up on one leg & walk a few steps on his own. The other he doesn't seem to be able to use as much, it sometimes dangles behind him or crosses the other making him sit.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,567
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Post by PaulaM on Jul 30, 2017 14:20:06 GMT -7
Trish, thanks for the update. It's a good one! If it is warm enough outdoors, then using a $10 kids plastic pool can be a very good place to have Rocky walking the perimeter with the water providing resistance for his muscles. Higher the water level, like under his arm pits is easier walking, As he gets stronger, then lower the water level so bouyancy of the water is not suporting him as much. Use a carrot or other treat as incentive to get him walking to reach the treat. More ideas on at home water therapy: www.dodgerslist.com/literature/watertherapy.htmNow is a good time to be determining how you are going to ease back into more normal activity at graduation. 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.htmAlso if you haven't already, 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.htmWe love it when members have a mind to pay forward and help another. We invite you to hop on to our educational bandwagon team in any way that makes you happy. Education about disc disease is our number one mission! We wish we did not have to hear of another dog that was put to sleep because of disc disease nor one denied the correct principles of crate rest to help them heal.
See if any of these ideas would be a fit for you: -- "Share" our FB/twitter/ posts to widen the reach of IVDD knowledge www.facebook.com/Dodgerslist twitter.com/DodgersList-- Hand carry our literature and introduce us to your vet. When in conversation at the grocery store line or wherever you meet breeds most prone to IVDD (Dachshunds, Beagles, Poodles, Spaniels, Shih Tzus, Pekingese, and Chihuahuas) to give out our little cards. Ask Linda to send you our free packet: www.dodgerslist.com/literature/litorder.htm
-- We have store where you might find something you absolutely need! Our earnings go to paying for our webpage and literature to hand out. www.dodgerslist.com/store.htm-- Help another trying to make quick decisions about surgery… We have a directory where you can share surgical costs. Click to go to the directory: dodgerslist.boards.net/board/10/guidelines-postingState: Hospital: Address: Cost: Date of surgery: What was included in cost (MRI?, days stay, ER? PT? meds for home, sling, etc.) Comments: -- Don't forget to add a photo to the gallery and 1-2 sentences. Give inspiration to others just starting a scary IVDD journey. Directions to u/l here: dodgerslist.boards.net/thread/2262/put-dodgerslist-photo-gallery-calendar
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