Pet dogs are becoming more and more popular, and different breeds of dogs have different genetic diseases. Take common musculoskeletal conditions as an example, curly dogs are prone to disc degeneration, Akita, Bulldogs, Chow Chow, Samoyed and other dogs are prone to hip dysplasia, and golden retriever are also affected by elbow dysplasia.
The pet in today's case is a bulldog with congenital hemivertebral deformity. Let's follow the doctor's diagnosis and treatment process to understand the treatment of hind limb paralysis caused by this genetic disease.
1.Case presentation
1.1 Pet Information
Name: Board
Variety: Bulldog
Age: 2 years and 11 months
Weight: 12kg
Gender: male
Whether sterilization: yes
1.2 Disease Description
When the dog was in the pet store, it became paralyzed after just one night. Imaging examination showed no orthopedic problems such as obvious fracture, no abnormalities in blood examination, neurological examination of spinal nerve conduction abnormalities, deep pain but no retraction in the hind limbs, and no proprioception.
Pet has an acute onset during the treatment of pyoderma, oral cephalosporin 300mg, twice a day, taken for three consecutive days, some anorexia soft stool symptoms. He has a medical history of bladder stones and vomiting, and is still eating prescribed food in the urinary tract. Tongue light red, dark red, urine closed, pulse count.
The hospital diagnosed the affected dog because of the congenital hemivertebral deformity of the bulldog with external pressure, which compressed the nerves and caused acute paralysis. At the same time, the dog found bilateral patella dysplasia, and the internal dislocation of level 3 and level 2; the muscle circumference of the two hind legs was different, indicating that the dog usually had uneven weight bearing and needs to be adjusted and improved. Comprehensive clinical neurological examination and imaging localization were preliminary at T12-T13, T13-L1. Chinese veterinarian dialectics: local blood stasis, light paralysis.
2.Treatment Plan: Medicine + laser therapy
2.1 Medicine
DoubleP (JT) paralysis prescription, TendonLigament (JT) tendon, mainly for the treatment of patellar dysplasia and cruciate ligament problems; blood activating and nourishing nerve drugs (magic peptide, B1, B12, CO-VB, Angelica); articular cartilage nutrients, chondroitin, etc.
2.2 Laser therapy
Treatment location: waist and posterior knee
Probe: 25mm
Radiation modality: contact
Frequency of treatment:
Acute phase: Once each day for three consecutive days; then once the other day for three times.
Maintenance period: Twice a week for 3 consecutive weeks
Total number and courses: 12 times, two courses
Pay attention to:
The waist range is mainly in the part between T10 and S3, and the ray direction targets the different faces of the vertebral body, mainly the upper / left / right sides.
The ray direction of the posterior knee treatment targets the different faces of the knee, noting the uniform distribution of the head / caudal / lateral / medial.
3.Therapeutic Process
4.Conclusion
Due to the onset during the foster care in the adjacent pet store, the hind limbs were weak and weak the previous day, and he was completely paralyzed and lost proprioception the next day.
After X-ray confirmed no orthopedic trauma, he immediately came to the hospital, and laser and acupuncture treatment were done on the same day. The next day, the hind limbs can move back and forth with the help of the auxiliary belt but still not loaded, the standard feeling has signs of recovery. After the second laser treatment, the affected dog has started to try to stand independently and recover some weight-bearing walking with the end of the basic rehabilitation and the second session mainly to adjust the motor rehabilitation posture and posterior knee joint.
Because this case had adverse gastrointestinal reaction to cephalosporin before the onset of the disease, the drug was stopped after the hospital. Generally, if the same pet case needs acupuncture, injection, massage or exercise rehabilitation and laser at the same time, it is generally recommended to do laser first, and then do other cases. This case has timely treatment, proper methods, achieved good prognosis, and achieved great recognition from the owner of the pet.
5.Discussion
The rapid recovery in this case can prove that nerve compression is ideal if the compression is relieved within 48 hours. On the contrary, remove compression eliminate edema or inflammation, the primary secondary injury will be more serious, poor prognosis, especially if the pet itself is similar to hip dysplasia / patellar dysplasia / cruciate ligament abnormalities / half vertebral deformity orthopedic problems, the longer the paralysis caused by nerve compression, the joint damage will be more serious, may even occur permanent irreversible damage.
For young animals acute paralysis, in the exclusion of organic trauma such as fracture, for the compression of acute paralysis caused by nerve, usually accompanied by inflammation / edema / pain, etc., the timely application of laser therapy for local repair is very important, if accurate positioning, timely treatment and correct method can create 48 hours to stand again.
6.Physician
Wu Chunyu
Zhuhai city, a pet medical hall attending physician
In July 2009, he graduated from Jiangsu Animal Husbandry and Veterinary College, majoring in pet medicine
In July 2016, he obtained his bachelor's degree in Animal medicine from China Agricultural University
In 2012, he obtained the qualification of national registered practicing veterinary physician
In May 2018, he obtained the international Veterinary acupuncturist license
In 2019
Specialty: veterinary dialectical treatment and acupuncture of dogs, cats and small animals, juvenile elderly rehabilitation animal massage, food therapy, common internal diseases and various clinical combination of Chinese and western diagnosis and treatment, paralysis, postoperative rehabilitation, geriatric diseases and other chronic diseases; members of International Veterinary Acupuncture Association / World Veterinary Association / Asia and Guangdong Veterinary Society.