Feline Hyperaesthesia

Discussion related to the nervous system (spinal cord, brain, or nerves), or other odd neurological issues as they pertain to canine rehabilitation.
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RadicaRaj
Posts: 2
Joined: Tue Jul 17, 2018 3:21 pm

Feline Hyperaesthesia

Post by RadicaRaj »

Hello,
So I have a 9 y.o. FS feline patient with a Hx of seizures.
She was still seizuring while on Phenobarb but we have managed to bring it under control with Chinese Herbs and are currently weaning her off the Phenobarb.
However, she has the hyperaesthesia syndrome down her thoraco-lumbar spine which can get pretty intense. when it happens she goes manic and bites the owner.
The episodes are increasing and happening several times a day.
any rehab ideas? She is not a good candidate for acupuncture :(
Cheers,
Radica Raj

lehughes
Site Admin
Posts: 1664
Joined: Mon Jun 22, 2015 3:25 pm

Re: Feline Hyperaesthesia

Post by lehughes »

Hey Radica!

Okay, so here are a bunch of ideas, in no particular order:

Laser for sure if you have it. If the area is always hypersensitive to touch, then hover over the area to laser (class 3b) or wave your wand over the area as per usual protocol (class 4). Aim for at least 10J/cm2.
I’d try CBD as well. I don’t know what the specific rules are in BC for vets… but you could direct them to an online source of Hemp sourced CBD - we sell the products from www.Earthmade.store (Pettanicals Daily for Dogs).
We’re seeing great results!! (And for what it’s worth the Serenity / Anxiety Cookies are fabulous for dogs with thunderstorm issues… so, if there is a component of anxiety / stress, that could be an adjunct or side-product to think about as well.)
Assuming the nerves are irritated, have you tried any manual therapies? Chest lifts in particular and/or tail pulls. Chest lifts could help open / flex the facet joints and the tail pulls could have a bit of a myofascial release aspect.
Along the lines of thinking about myofascial components, would she tolerate anything like gentle skin pulling in a caudo-ventral direction away from the spine? Or even simple petting in that direction? This can help to stimulate the nerves in the direction in which they exit the spine.
You / the owner could also try simple skin lifting over the spine - again for nerves & fascia.
Would she tolerate hanging traction? Holding her under the forelimbs / scapula and just allowing her to dangle. Thus allowing her body weight to traction the spine?
In some human cases, we would sometimes try de-sensitizing an area by rubbing the skin with different textured fabric - starting with smooth and soft fabrics / items, and building up to rougher textures. Along those lines, perhaps using a blow dryer on a cool setting… maybe wetting the area first with a spray bottle, to achieve a cooling effect. (Cold may help slow nerve conduction. Although, I’m not sure if cool water and a cool setting on a blow dryer would be cold enough.) Just something to try… might simply help with desensitizing.

If we’re lucky, perhaps someone else will have a great idea to share!

Best of luck!

Laurie
LAURIE EDGE-HUGHES

David Lane
Posts: 164
Joined: Mon Oct 24, 2016 10:51 pm

Re: Feline Hyperaesthesia

Post by David Lane »

Hey Radica,

I've accumulated n=4 of these cases in cats (all of them being tail mutilation cases, not TL origin though). So far, with such a ridiculously low sample size, I've got a 75% success rate. Manual therapy (see LEH's comments above) was the therapy that worked best for me. If acu isn't an option, combine the manual therapy with laser +/- PEMF, and copious crossed fingers. Gabapentin is the other potential tool.
David Lane DVM
ACVSMR, CVA, CVSMT, CCRP

drwall
Posts: 13
Joined: Mon Oct 23, 2017 1:35 pm

Re: Feline Hyperaesthesia

Post by drwall »

Radica,

I think that is important to attempt to make a diagnosis as to the possible cause of feline hyperesthesia syndrome. Numerous feline disorders affecting the skin, muscles and/or nervous system have been implicated. My most recent case was related to fleas and flea allergic dermatitis. I would also immediately start Gabapentin 10mg/kg q12h and Amitriptyline 1mg/kg q12h.

Rick Wall, DVM

RadicaRaj
Posts: 2
Joined: Tue Jul 17, 2018 3:21 pm

Re: Feline Hyperaesthesia

Post by RadicaRaj »

Thank you all for your replies.
I am working on all the suggestions.
This cat has been on Gabapentin for nearly 2 years for this and it did not help.
I'll try the laser and the exercises.
Radica

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