Neuro Non surgical treatment

At West Midlands Referrals, we see several cases of chronic degenerative joint disease (DJD) where surgical treatment like joint replacement or salvage surgery is not an option.

Stem cell therapy is a new treatment for the degenerative joint disease (DJD), and we have started our first cases in July 2014.

Bone, tendons and ligaments respond to stress and pressure by reinforcing and remodelling. They can be tricked into doing this repair and remodeling with the application of ultrasound.

Flexor tendon contraction in pups is reasonably common and can be pretty upsetting for owners as the pups look “crippled”.

An 8-year-old male border collie presented at West Midlands Referrals with ever-worsening use of his back legs. This had progressed over a few weeks. A needle was inserted into the fluid sac surrounding his spinal cord just before his pelvis.

Gizmo presented to us suffering from an acute paralysis of the hind limbs. He was completely off his back legs and the referring vet suspected that one of the intervertebral discs, the soft tissue spacers that sit between the bones of the spinal column, had ruptured. One of our nurses recognised this dog and its owners. She had actually been at his birth (by caesarean) five years before in a previous employment!

Rusty, a Staffordshire Bull Terrier presented to us “off his back legs”, with total loss of sensation of his hind feet. An intervertebral disc had ruptured in his spine.

A 15-week-old spaniel pup presented to us at West Midlands Referrals with progressive ataxia (wobbliness) affecting the hind limbs. The referring vets had spotted a transitional vertebra between the lumbar and the sacral vertebrae at the bottom of the back.

Flynn, a 5-year-old Doberman, was seen by us in Burton-Upon-Trent a year ago with modest ataxia (wobbliness) affecting his hind limbs. It was thought that given his breed, this was very likely to be “wobbler syndrome” relating to cervical (neck) vertebral canal issues.

A 10-year-old Dalmatian presented with mobility issues affecting the hind legs. These had progressed in the previous weeks and months, and at presentation to us the patient was knuckling on both back legs and looked “drunk”.

Disc disease occurs when pathology affects the intervertebral discs – the soft tissue spacers found between vertebrae of the spinal column. The intervertebral discs are a bit like doughnuts with a fibrous surround (the annulus fibrosus) and a gel centre (the nucleus pulposus).

A 9kg, Sealyham Terrier presented with acute paraplegia (paralysis of the hind limbs). The condition was painful, and there was still enough nerve connection between drain and feet to allow some response when the toes were pinched.