Wobblers dog with dropped Tarsus
Posted: Sun Feb 13, 2022 7:29 pm
Hi Laurie!
My name is Sarah. I am an animal health technician who completed my CCRP in Dec 2019 and have been doing rehabilitation out of a small animal hospital ever since.
I'm hoping you can offer your input on one of my patients.
Jamon is a 10 yr old Rott X who was diagnosed with Wobblers back in October 2019.
Summary of the MRI:
1. Severe vertebral canal stenosis at C6-C7 with deformity and compression of the spinal cord. The stenosis at C6-C7 is believed to be caused by remodeling of the articular facets.
2. Inflammation of the meninges at C6-C7 suspected due to the compressive nature of the lesion.
3. Mild intervertebral disc extrusion exacerbating the canal stenosis and cord compression at C6-C7 is also possible; mild disc protrusions at C2-C3 and T3-T4 without significant spinal cord compression
I have been seeing him in for rehabilitation regularly ever since and implementing a lot of your protocol since the beginning. He was doing very well!
Now for a few reasons outside of my control, I was unable to see him for about 6 weeks (he was coming every 2 weeks for laser, traction, proprioception work and strengthening). The owner reports a large decline in the past 2 months, notably decreased proprioception on the left him, he will often knuckle. I attached a photo and video I was sent of his gait.
I was wondering if you had any suggestions for his left tarsal joint that appears to have dropped quite low. Can this be weakness only?
To complicate things - due to covid, I am unable to be in office and have a colleague of mine implementing my treatment plans (she is an experienced animal health technician who is currently completing her CCRP), but I can't physically put my hands on him, I guide her and modify treatment plans remotely.
Thank you for your time and expertise!
S
Video Link (right click to open in separate window / tab)
https://youtu.be/DtI84d3FJtw
My name is Sarah. I am an animal health technician who completed my CCRP in Dec 2019 and have been doing rehabilitation out of a small animal hospital ever since.
I'm hoping you can offer your input on one of my patients.
Jamon is a 10 yr old Rott X who was diagnosed with Wobblers back in October 2019.
Summary of the MRI:
1. Severe vertebral canal stenosis at C6-C7 with deformity and compression of the spinal cord. The stenosis at C6-C7 is believed to be caused by remodeling of the articular facets.
2. Inflammation of the meninges at C6-C7 suspected due to the compressive nature of the lesion.
3. Mild intervertebral disc extrusion exacerbating the canal stenosis and cord compression at C6-C7 is also possible; mild disc protrusions at C2-C3 and T3-T4 without significant spinal cord compression
I have been seeing him in for rehabilitation regularly ever since and implementing a lot of your protocol since the beginning. He was doing very well!
Now for a few reasons outside of my control, I was unable to see him for about 6 weeks (he was coming every 2 weeks for laser, traction, proprioception work and strengthening). The owner reports a large decline in the past 2 months, notably decreased proprioception on the left him, he will often knuckle. I attached a photo and video I was sent of his gait.
I was wondering if you had any suggestions for his left tarsal joint that appears to have dropped quite low. Can this be weakness only?
To complicate things - due to covid, I am unable to be in office and have a colleague of mine implementing my treatment plans (she is an experienced animal health technician who is currently completing her CCRP), but I can't physically put my hands on him, I guide her and modify treatment plans remotely.
Thank you for your time and expertise!
S
Video Link (right click to open in separate window / tab)
https://youtu.be/DtI84d3FJtw