My pet has the following symptoms:
Proprioception Difficulty
This is long... sorry. But we’re all scratching our heads, even our veterinary neurologist with 40+ years of experience.
2 weeks ago during our normal morning walk Julia very suddenly lost back leg function. She couldn’t hold up her body to go to the bathroom and appeared to be in pain/distress so I took her to the ER immediately. They advised it was a likely a back issue and prescribed meds/rest. By the next day (Monday) she was a little better. On Tuesday she was much better, walking again even. I took her for a short stroll outside, and her symptoms deteriorated slightly but she could still walk. Come Tuesday evening everything took a sharp downturn. From my observation, it seemed she re-tweaked something on a slippery floor when a UPS driver knocked. Back leg function went away again and she started having another painful episode: panting, leg spasms, moaning, stretching legs and lifting back end off the ground. We went to the ER again, and they gave us heavier meds and again said it was definitively a spine issue and to get to our Primary vet right away.
I finally got to my Primary on Wednesday. He agreed with the back issue theory and sent us to a Veterinary Neurologist.
At this point she was having very intense painful episodes like the ones described above, several times a day. The Neurologist, after examining her, agreed the spine was likely the culprit as her symptoms seemed "all neurologic." We sent Julia in for chest/spine X-rays and MRI. I authorized immediate surgery on any disk herniation he would find. Much to the Neurologist's surprise, her MRI came back completely clean with no disk compressions whatsoever. The MRI was sent for further review on the odd chance the doc missed something on the image and it, too, came back completely clean. To quote the report itself, it says: “Very minor degenerative disk changes… no spinal cord compression. No obvious vertebral or spinal cord lesions seen.”
(Side note: These images have been sent for a 3rd review, biased this time, to get the radiologist to look closer.)
We were instructed just to medicate, keep her comfortable and rest. Several painful episodes continued every day, back leg function never really restoring. She was on maximal medications at this point and sometimes nothing even touched the pain she was in. The only thing I could do was stay calm and help her through it.
We went back to the Neuro on Tuesday June 4 (yesterday) for a follow-up and re-check. There were some newly found painful spots on her back end as well as massive painful reactions (almost bit the doc) with certain movements/pressure on the legs and hips. Hopeful at having any sort of lead, we sent her to have more X-rays done—on her hips and pelvis this time. Everything came back clean. Structurally she’s very sound—per the doctor, no signs of early bone cancer or anything more than mild arthritis in her hip joints.
He asked me to admit her for the day so he could do some more examining and ‘palpating’ of her hips, rectum, etc., and sedated her so she wouldn’t be uncomfortable. He found nothing out of place.
I then got a call from a Texas based vet who had seen a social media post I did about Julia and had some suggestions based on his success with similar patients. He shared his protocol with me and I connected with another local vet here and scheduled us to start that protocol stat: Adequan injections + cold laser therapy.
I picked her up from neuro that evening. She came home with me and has had only a couple small painful episodes since. I’ve been able to reduce her pain meds however her hindquarter function is still a major issue.
She's a Cushing's pup but all symptoms have been successfully managed and gotten under control. She is a senior but her health is actually quite good.
So, in summary:
We have acute onset of neuro symptoms and no neuro diagnosis. Nevertheless, I am using natural and non-harmful therapies in an effort to help her regain some function and quality of life. I have been told this is definitively NOT and FCE due to the involvement of pain but I’ve also heard it can happen in rare cases. We are seeing a physical therapist next week...
Just curious if anyone had any insights or a similar experience. Sorry this was so long and thanks for reading. Desperate for a diagnosis so I can better help her!