Acute neck pain - in my own dog!

Discussion related to the musculoskeletal system - injuries, post-op, lameness, extremity issues (joint, muscle, tenon, fascia...), axial skeleton issues, etc., as it relates to canine rehabilitation.
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KKelly
Posts: 12
Joined: Mon Sep 12, 2016 8:09 am

Acute neck pain - in my own dog!

Post by KKelly »

Hi Laurie and members, time to get your valued input for my own doggy!

Evie is a 7yo English pointer who was already receiving long term nsaids for suspected cauda equina

I came home one afternoon last week to find her outside shaking and crying, i went out with food realising I had not fed them, she backed away from the food and screamed in pain then backed into the corner of the fence and howled. In the car to the vet she went.

On exam she would not allow movement of her neck to the left. She was then sedated for the pain and had radiographs which are attached.

Here are the comments from the specialist who looked at the rads:

We are concerned about a circular lucency visible at the rostral end plate on C4 to the right hand side

I don't think that's a real finding, it's rotated as you say. The cervical disc spaces should get wider from C2/3 through C6/7. In these (post #2) 4/5, 5/6 and 6/7 aren't as wide as they should be in an anesthetized dog. She may have collapse or still have muscle spasm. There is abundant caudal cervical spondylarthritis (arrowed below). That can impinge on the meninges and cord.

Mike Harter
VIN Associate Editor
Diagnostic Imaging,
Parasitology "

She was sent home with gabapentin x 3 bid, tramadol x 3 bid, metacam oral 26kg dose sid and alpraz x 1 bid and is now better than her normal self! Also to rest for 6 weeks and CT recommended for diagnosis, however this is unfortunately out of my price range :(

Thank you, I look forward to hearing from you
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KKelly
Posts: 12
Joined: Mon Sep 12, 2016 8:09 am

Re: Acute neck pain - in my own dog!

Post by KKelly »

More rads
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KKelly
Posts: 12
Joined: Mon Sep 12, 2016 8:09 am

Re: Acute neck pain - in my own dog!

Post by KKelly »

One more! - arrows placed by specialist :)
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lehughes
Site Admin
Posts: 1664
Joined: Mon Jun 22, 2015 3:25 pm

Re: Acute neck pain - in my own dog!

Post by lehughes »

Hi Krystle,

So nothing in these x-rays puts my 'knickers in a knot'! And it adds to my perpetual concerns of diagnosing via radiographs. Additionally, especially as I'm a physio and have experience both in human and animals in this areas, a course of conservative management is equally valid (and I'd bet in this case, more so) as a diagnostic confirmation.

Sound like a classic pinched nerve.
Assess with manual techniques.
Treat with traction, side glide mobilizations on the non-painful side. Laser especially and PEMF slightly would be beneficial. Alpha-stim ear clips are great in acute pain cases.
Exercise: Cookie exercises from side to side, and up and down in the non-painful range (i.e. small movements).
NSAIDS are recommended as well... (looks like they went all out for pain management however).

NOW, even though she's better, I'd still do a week or so of traction and laser and mobilizations. In my opinion a CT is over-reacting unless something recurs and you are unable to work with it via the protocol above.

Cheers,

Laurie
LAURIE EDGE-HUGHES

KKelly
Posts: 12
Joined: Mon Sep 12, 2016 8:09 am

Re: Acute neck pain - in my own dog!

Post by KKelly »

Thanks heaps Laurie, would you rest her from normal activity and for how long?

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

Re: Acute neck pain - in my own dog!

Post by lehughes »

I'd rest from rough housing, sporting activity, and jumping activities. Walking should be fine.
By now, she may very well be completely fine again!
I'd continue with neck tractions, mobilizations & laser for a week or so after the pain is gone.
Cheers,
Laurie
LAURIE EDGE-HUGHES

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