Kate, welcome to the Forum. So glad you've joined us. First off is to let you know about some concerning things that you should take care of before the vet closes.
-- If Jameson is knuckling under his paws (either if can right them even if slowly or can't right the paw at all) that is neuro diminishment no one can mistake. It needs your immediate connection with the vet.
i.postimg.cc/V6X4H88V/paw-knuckls-under-nerve-damage.jpg **
For a disc episode (could be a new disc or same as surgery disc) that may have happened on 9/9, prednisone would be used at the anti-inflammatory level dose.
DO NOT ever adjust the steroid hormone prednisone yourself. This is one med that MUST be used under the supervision of a vet.
This dose information is only for purposes of discussing things with your vet and to know what might be expected. With a disc episode the dose use is typically at the higher end of the range.
This vet may not be fully up to speed on IVDD. It is not possible for a vet to know fully every disease for all the species they treat (dogs, cats, birds, farm animals, etc.). But you can certainly know one important disease to you!
IF a dog can walk, then there would be no need to test with hemostats if there is deep pain sensation (DPS). By definition a walking dog could not walk unless there was DPS. This means you'll need to be on your toes and get up to speed on IVDD.
LEARN how prednisone is used during conservative treatment so you are prepared to do your job at home when the taper starts one 9/16:
dodgerslist.com/2020/04/18/steroids-vs-nsaids/MONITORING for NEURO DIMINISHMENT
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. Accurate details help us understand.
Describe for us if Jameson is wobbly walking, do his paws actually knuckle under or more of toes scuffing or dragging?1.
√9/9 Pain caused by the intial disc tear & inflammation in the spinal cord
2. _?_Wobbly walking, legs cross
3. _?_Nails/toes scuffing floor
4. _?_Paws knuckle under. Can be slow to right, or can't correct paw position at all
5. ___Weak/little leg movement, can't move up into a stand
6. ___Legs do not work at all (paralysis, dog is down)
7. ___Bladder control is lost. Leaks on you when lifted. Can no longer sniff and then pee on that old urine spot outdoors.
8. ___Tail wagging with joy is lost.
9. ___
Deep pain sensation, the last neuro function, a critical indicator for nerves to be able to self heal after surgery or with conservative treatment. If surgery is not an option (for whatever reason) then the best option is conservative therapy.
Surgery can still be successful in the window of 12-24 hours after loss of deep pain sensation (DPS). Even after that window of time, there can still be a good outcome. Each hour that passes decreases that chance. Precious hours can be lost with a vet who gets the tricky to correctly identify DPS wrong.
Trust only the word of a neuro (ACVIM) or ortho (ACVS) surgeon about DPS.
A quick overview of conservative treatment vs. a surgery:
dodgerslist.com/2020/02/10/surgery-vs-conservative/Please get the OK from the vet to adjust his meds. Then let us know what you are actually giving in mgs and frequency.
The single most important care is the limited movement of the back. Much less movement than after a surgery.
Conservative vs. Surgical crate rest
** PEPCID AC
The usual dose of 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. Make sure with your vet, that Jameson has no health issues to prevent use of acid suppressor Pepcid AC.
--The dose of famotidine may require reduction in patients with liver or kidney disease.
-- It may be prudent with heart patients to choose another class of acid reducer.
As long as Jameson is walking even if wobbly, AND you can commit to 100% STRICT rest to limit movement of the back's vertebrae, there is a good chance his disc can heal under conservative treatment.
Will be watching for your answers so we know better how to help.