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Rocky experienced a sudden, acute onset of tetraparesis (weakness of all 4 limbs) and could only mobilise by dragging his hind limbs behind him with great difficulty. Immediate referral to a neurology specialist, and subsequent MRI investigation revealed a C6/C7 disc extrusion with associated spinal cord compression. A decision was made to proceed with conservative treatment rather than impose surgery on the little dog, who was still recovering from a hernia operation carried out only 2 weeks earlier. Prognosis, at this stage, was guarded, and surgery was still an option if progress was poor within the next week. I received a physiotherapy referral from the specialist, and visited Rocky at home within 48 hours of the original event. Assessment
Treatment Unfortunately Rocky was also experiencing severe gastric problems at this time which hindered progress, particularly during the first week of treatment. Techniques used at this stage included joint and soft tissue mobilisations, positioning, standing/sitting practice, laser and electrical muscle stimulation. By the end of the first week, Rocky was able to roll over, and eventually sit up whilst eating, although his balance was still poor. Because of the progress made it was agreed by all parties that conservative treatment should be continued. Over the next week, the increased tone in his limbs began to normalise, and active movement improved. The end of the second week saw progress to the point where he could stand and even mobilise short distances, but balance was still a problem. Because of this, I increased his balance exercises, and before the end of the third week, Rocky was mobilising virtually normally. Because of the truly remarkable and rapid outcome, there was no need to continue my physio visits, although his owners continued rehab over the next week based on my advice. I revisited one week later to review Rocky’s progress, and in the words of his owner, he was back to normal. It really was a joy to treat Rocky, and a good deal of credit must go to his owners who diligently followed my instructions, and participated fully in his rehab. A wonderful result from total tetraparesis to normal mobility within 2½ weeks demonstrated the value of early, effective physiotherapeutic intervention. I just wanted to write and thank you for getting Rocky back on his feet once more. Quite a miracle considering that he was totally paralysed just two weeks ago! Without your expertise, gentle care, time and patience we feel he would not have achieved the level of mobility he has now achieved, which is virtually back to normal. He continues to make daily progress, and is back to his bright-eyed cheeky self!’ Mr & Mrs H-S (Pinner, Middlesex) |
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