What am I missing? Senior dog with hind end issues

Sorry for the novel - I have an 11.5 year old female Chessie. She has a host of other medical issues, but has always been quite sound joint and limb wise. Three weeks ago, I came home and her hind end was falling out from under her. She wouldn’t go up and down the few stairs to the yard at all.

She had x-rays recently, and her hips and spine look “better than the average senior retriever” according to the vet; some arthritic changes, but nothing terribly ugly. He thinks she has some kind of neuropathy causing painful muscle contraction, possibly some numbness, and these are causing her issues.

The treatment - we started Adequan injections, 2x weekly for 4 weeks, then 1x weekly; gabapentin (with tramadol for the first week); twice-weekly physical therapy sessions that include underwater treadmill, moist heat, laser, massage/extensions and some cavaletti work.

She’s much better, but still pretty markedly stiff in the right hind. After one therapy session last week, she was very lame in the right hind; other sessions haven’t gone that way. I discussed with the vet, who wanted to continue to see if she was still painful after her next couple sessions, and maybe add tramadol back in if so.

My concern now is that she is now decidedly anxious when I drop her off for therapy, and this is a dog that normally loves the vet visits. Truly loves it. I’m concerned that she’s now painful during therapy and that she’s associating each drop-off with that, thus the anxiety.

So, what else would you all do in my shoes? Would you stop therapy and see how it goes for a couple weeks? Try something else med-wise? I’d love some ideas, as I hate to see her anxious or painful.

Oh, and she’s not presenting as typical DM at this point, though my mind went there. I lost my last Chessie to that. But even if DM, I think the treatment she’s getting now would be the same for DM.

Have you tried Previcox?

Question for you…does she have difficulty breathing with exertion as well? Or when excited? Any hind end muscle wasting?

I’m not a veterinarian. But my (now deceased) lab started exhibiting some hind end weakness when he was about 11/12. He also developed some “roaring” type breathing when exerted or excited. His hips were in great shape based on rads but it was originally dx’d as arthritic changes anyway and we did tramadol for a time.

After a few more vet visits, came to find that he actually had laryngeal paralysis–like roaring in horses–and based on my research, it’s something that many large breeds will get if they live long enough. Thing is, it is a neuro degeneration that affects things that seem like they’d not be tied together. So the hind end weakness was the first thing I noticed, but the rest devolved rather quickly over the last 2 years until he finally had to be euthanized for the breathing side of things. GOLPP was the final dx.

But the hind end weakness was the first symptom I noticed. Difficulty with stairs and on slick surfaces. Bilateral though there were times when it seemed like one or the other leg was more affected.

http://cvm.msu.edu/scs/research-initiatives/golpp/living-with-golpp

It sounds like this was sudden- has she been tested for tick disease?

We have not tried Previcox. Not sure if it just hasn’t been considered, but she also has only one damaged kidney, so maybe that’s why not? I’ll ask.

No breathing issues I’ve noticed but that’s something I’ll pay attention to.

Have not tested for any tick-borne diseases. She’s on regular flea and tick control though. Any disease specifically?

Here in the Bortheast we regularly test for Lyme, Anaplasma, and Ehrlichia.

[QUOTE=horsenut_8700;8613049]
Here in the Bortheast we regularly test for Lyme, Anaplasma, and Ehrlichia.[/QUOTE]

There’s a snap test for this that also includes HW and is pretty standard at most clinics. That doesn’t mean you might not need to send out more bloodwork, but it might not hurt for a baseline. Usually runs about $30 and is done in a few min with a very small sample of blood and no fasting necessary.

[QUOTE=BuddyRoo;8612450]
Question for you…does she have difficulty breathing with exertion as well? Or when excited? Any hind end muscle wasting?

I’m not a veterinarian. But my (now deceased) lab started exhibiting some hind end weakness when he was about 11/12. He also developed some “roaring” type breathing when exerted or excited. His hips were in great shape based on rads but it was originally dx’d as arthritic changes anyway and we did tramadol for a time.

After a few more vet visits, came to find that he actually had laryngeal paralysis–like roaring in horses–and based on my research, it’s something that many large breeds will get if they live long enough. Thing is, it is a neuro degeneration that affects things that seem like they’d not be tied together. So the hind end weakness was the first thing I noticed, but the rest devolved rather quickly over the last 2 years until he finally had to be euthanized for the breathing side of things. GOLPP was the final dx.

But the hind end weakness was the first symptom I noticed. Difficulty with stairs and on slick surfaces. Bilateral though there were times when it seemed like one or the other leg was more affected.

http://cvm.msu.edu/scs/research-initiatives/golpp/living-with-golpp[/QUOTE]

Did your dog have any digestive issues? Good info.

[QUOTE=pezk;8613099]
Did your dog have any digestive issues? Good info.[/QUOTE]

Yes. But I/we attributed those issue to his multiple GI surgeries. He’d had small intestine resections and anastamosis 3 times. all seemed fine then…loose stools.

I think I posted here at one point when I was literally cleaning up loose stools again for the 3rd time in a day at about 2AM and in tears because it had been months of not being able to be gone for more than maybe 2 hours. I was just beside myself and totally exhausted with it.

I LOVED that dog. So much. But I think the GOLPP probably started around 10YO and just didn’t get dx’d til closer to 12 1/2. I maybe would’ve even taken some action surgically if I’d had the dx sooner.

Had to be so careful with him towards the end. But the hind end stuff just seemed to come on board real fast and also kind of intermittently. It didn’t maintain consistency. The variable “lameness” was there but I think in hindsight, it was weakness.

But yes…GI issues too.

Thx Buddyroo for the explanation. Between your story and the OPs, it makes me suspicious of what is really wrong with my 10yr old GSD. Everything wrong can be explained ,but you put the symptoms together and I wonder if the vets really have the right dx. Thx for the info. I hope OP’s dog will be ok.

[QUOTE=pezk;8613164]
Thx Buddyroo for the explanation. Between your story and the OPs, it makes me suspicious of what is really wrong with my 10yr old GSD. Everything wrong can be explained ,but you put the symptoms together and I wonder if the vets really have the right dx. Thx for the info. I hope OP’s dog will be ok.[/QUOTE]

I’m not a vet and I don’t play one on TV or stay at a Holiday Inn Express so I don’t want to give you the wrong idea. But GOLPP is a degenerative nerve condition that affects multiple systems and it seems like a lot of what people equate to “just being old” falls under this.

Thing is, not much you can do. You can certainly address the LP part with tie back surgery but that’s often risky by the time a dog has that symptom and it does nothing to address the rest of the polyneuropathy.

What I think was most helpful to me with the dx was knowing what to expect and being a bit more ready to euth before we had a crisis. We had a blue tongue, me giving mouth to mouth crisis a few weeks before I euth’d and it scared the crap out of me and the dogs. I didn’t want life to end in a panic like that.

From my understanding, this is kind of a “it’s going to happen if your large breed lives long enough” thing. That’s from MSU. Most vets don’t see it because most dogs don’t make it so long. Your dog for example is really pushing it in age for a GSD, right? My lab was 13 when we finally pulled all the pieces together. That’s OLD for a lab. And he was still a really happy, active lab.

So please don’t focus on this per se, just make a note. And if there are any questions I can answer or resources I can point you to, don’t hesitate to ask! I spent a lot of time trying to sort out options for us. In the end, the best option was to make sure that the good days outnumbered the bad and to make a choice before we had a crisis. It SUCKED. And I miss my dog every. single. day. But I know I did right by him. It just hurts me.

Thx Buddyroo. I appreciate the advice. I know how you feel. I really do. Been there and done that as they say. Never gets any easier either. I’m sorry.