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ANIMAL CHIROPRACTIC LECTURE > Canine Sacro-Pelvic Pathology > Flashcards

Canine Sacro-Pelvic Pathology Flashcards

1
Q

Degenerative Myelopathy

A

progressive

no cure

onset between 8-14 yeras

large breed dogs - but have seen in small breeds - most likely german sheperds

NOT painful - there can be other diseases that are the cause of pain

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2
Q

clinical signs degenerative myelopathy

A

progressive ataxia

weakness

incontinence - fecal, urninary

leads to paraplegia

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3
Q

Causes of degenerative myelopathy

A

demyelination

axonal loss

genetic component

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4
Q

Diagnosis degnerative myelopathy

A

diagnosis of exclusion - MRI and myelogram

muscle testing

genetic testing - SOD1, univeristy of missouri

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5
Q

Degenerative myelopathy looks like

A

IVDD
Tumors
Cysts
LS disease

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6
Q

degenerateive myelopathy MRI to rule out

A

multiple other causes

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7
Q

Treatment of degenerative myelopathy

A

no proven treatments - antioxidant support and nutritional support

nursing care - keep them moving (underwater treadmills), disease progresses they weaken with exercise

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8
Q

Chiropractic care for degenerative myelopathy

A

careful - loss of muscle tone leads to increase in ROM of the joints

frequent care - weekly in advanced disease - early disease every 2-4 weeks

the only thing that I have found to help these patients (even better than acupuncture)

even needed after paraplegia due to increased work of the front end and weight balance

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9
Q

Lumbosacral disease/stenosis (cauda equina syndrome)

A

high motion joint

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10
Q

lumbosacral disease/stenosis (cauda equina syndrome) signalment

A

males more than females

large breed dogs more than small breeds

6-7 years onset - usually chronic use injury - degenerative process

overweight increases morbidity

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11
Q

L5 stenosis clinical signs

A

painful

trouble defacating

trouble posturing to defecate

incontinence

hind end weakness - MR for spinal cord compression - VLL to ligamentous change

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12
Q

L5 stenosis causes

A

chronic Hansen’s type II degenerative intervertebral disc disease of the L7-S1 intervertebral disc

hypertrophy and ventral folding of the interarcuate ligament

osteoarthritis and subsequent joint capsule proliferation of the articular facets of L7-S1 articulation

subluxation of the sacrum in relation to the L7 vertebra

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13
Q

L5 stenosis diagnosis

A

physical exam - rectal palpation

radiographs

myelogram

MRI

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14
Q

L5 stenosis treatment

A

pain management
weight management
stool softeners

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15
Q

L5 stenosis surgery

A

decompression

stabilization

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16
Q

weight management

A

should be 5

17
Q

L5 stenosis treatment

A

chiropractic care

careful - can damage and increase inflammation of the ventral ligament - x-ray before ever going to adjust this - NEVER adjust sever spondylosis

small - low velocity thrusting to this area and recheck quickly (2-4 days)

monitor inflammation resulting from adjustments

DO NOT adjust if there is LS instability

18
Q

L5 stenosis long term care

A

restriction of the SI and the damage/scarring of rest of the anatomy changes way of going

subluxation care - frequent after healing has taken place to restore normal joint mobility

rehabilitation - restore normal muscle function

19
Q

Hip dysplasia breed

A

German Shepards

20
Q

Hip dysplasia

A

puppy or young dog disease - causes pain and laxity causes stress and strain - use 1 leg more, rabbit hopping

conformation change - acetabulum and femur no good socket

tendon and ligament laxity - extra movement in the hip - causes OA from lack of congruency

21
Q

due to instability of the joint

incongruence of the acetabulum with femoral head

painful 6 mo to 2 years

large breed dogs

results in OA

A

hip dysplasia

22
Q

OA of hips isn’t always

A

hip dysplasia

23
Q

clinical signs hip dysplasis

A

resistance to jump

bunny hopping when running

24
Q

physical exam hip dysplasia

A

resistance to extension

resistance to abduction

can move the femoral head out of socket

25
Q

Coxofemoral joint OA diagnosis

A

physical exam - pain on extension and pain on abduction

radiographs - for young dogs they need to be in full extension (requires sedation usually) - older dogs still need sedation/pain medicaiton to allow good radiographs

26
Q

most breeding animals should be tested for this

A

coxofemoral joint OA

27
Q

coxofemoral joint OA surgery

A

pelvic osteotomy when younger

hip replacement

FHO

28
Q

coxofemoral joint OA pain management

A

weight management

exercise

medications

lifelong treatments - surgery early = better off long term

29
Q

coxofemoral joint OA treatment

A

chiropractic care - lifelong

usually SI and sacral issues due to compensation

frequency depends on severity and activity level of the dog

ANIMAL CHIROPRACTIC LECTURE (21 decks)

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