Cases pertaining to spinal issues in the canine
and feline are rather problematic and often
difficult to diagnose without benefit of an MRI.
Myelograms are often used with radiography to diagnose
spinal compression. Myelography is invasive because
of a spinal tap and infusion of radio-opaque material
into the subarachnoid space. An MRI is costly and this
equipment is usually only available at large veterinary
medical hospitals. Many clients face the unfortunate
decision that back injuries in both the canine and feline
are often too expensive to properly diagnose, and animals
are euthanized. Steroids are used to stop spinal cord
congestion, but they are not without side effects. NSAID
(Non-steroidal anti-inflammatory drugs) narcotics or
opioids are used for pain management. These too have
numerous side effects. In the September 2008 issue of
the Compendium, a well respected Veterinary journal, their
conclusion in a Continuing Education article “Managing
Acute Spinal Cord Injuries,” stated, “At this point, there
is no proven treatment for SCI (Spinal Cord Injuries)
other than decompression or stabilization surgery when
indicated.”
Over the years, I have found that treating back problems
with a combination of acupuncture with electric
stimulation, ultrasound and laser therapy, with added
supplements, has saved at least 75% of my back cases
from needing surgery. This usually is an ongoing therapy
treatment that, in many cases, continues for the remainder
of the animal’s life. In the past several years, I have
combined these modalities with Prolotherapy. In many
cases, I have seen the cessation of clinical signs, including
pain, on a more conclusive basis—over several months,
rather than multiple treatments encompassing years.
This article cites two cases I have treated. But first, I will
mention one case that, in fact, was not successful. The
case was a 9-year-old male, neutered boxer with severe
spondylosis. He improved dramatically with ultrasound
and Prolotherapy initially, but within several weeks
reverted back to the initial presented pain. I suspect that
the severity of the spondylosis is an issue, since many
other back cases have responded. I would like to see more
Veterinary comments on this particular subject.
Bella, a 3 1/2-year-old female, spayed shih tzu came to the Humane Society for euthanasia. The owner had been told she had only a 10% chance of walking again. She was paralyzed (hind limbs) and in pain along the back and neck areas. The owner reported that there had been prior incidences of back problems and that had progressively worsened over time.
Radiographs indicated and read by Dr Van Knox of Susquehanna Veterinary Imaging indicated "C6 vertebral body tipping and C4–C5–C6–C7 intervertebral spaces slightly wedged. C4–C5 is narrower than C3–C4 and C5–C6. Mineralized disc material occupies the C3-C4–C6–C7 spaces." And his diagnosis read as "possible
cervical spine intervertebral disc disease C4–C5 > C5–C6 > C6–C7." His recommendation; "Myelography, CT and /or MRI would be needed to evaluate the spinal
cord compression from the ligamentous hypertrophy or intervertebral disc extrusion."
Bella’s family was not in a position to afford further diagnostics much less the estimated $10,000 dollars for back surgery. On November 29, 2009, we started treatment of laser therapy and Prolotherapy under light sedation (.3cc Telazol®). Small amounts (1/8cc) of Prolotherapy solution (1/4 dextrose, 1/4 lidocaine, 1/4 traumel, 1/4 Vit B12), was injected in the intervertebral spaces from C3–L3 on either side of the spine. This was followed by acupuncture and electric stimulation for 30 minutes while Bella was still waking up. This procedure was followed up by a supplement regimen of bromelain,
omega 3, and probiotics, along with physical therapy
(hand held neuromuscular stimulation and exercises).
We repeated this procedure four times at weekly intervals,
adding Prolotherapy of the right knee on three of those
sessions. We then waited three weeks and did sessions five
and six supplemented by ACell’s Matristem® injections.
The dog’s progression was quick. By the second treatment
session she was standing, albeit wobbly. By the third
session she was walking a few steps on her own and by
session four, it was evident she was well on her way to total
repair. She was cage confined all of this time. By session
six, which was two months later ( January 29, 2010), we
confined her one week after the last treatment and then
let her loose to resume her life.
|