Your dog may have been diagnosed with “IVDD” if he has back or neck pain with or without difficulty walking. Severely-affected dogs may be unable to walk at all. Treatment is surgical or non-surgical

Above: Difficulty walking due to IVDD

Intervertebral disc disease (IVDD) is an umbrella term that is used by many clinicians, dog owners and breeders. IVDD includes disc degeneration,  any type of herniation that this may cause, and all the pain and other problems caused by this.

Just like people, dogs have discs between the bony vertebrae of their spine. Disc herniation or IVDH (Intervertebral Disc Herniation) involves part of the disc moving away from its correct position. This can be a:

  • disc “extrusion” (similar to a “slipped disc” in humans, and sometimes also called Hanson Type 1 herniation, or a disc “prolapse”). The centre of the disc explodes outwards through the disc’s outer fibres. Disc debris then presses against the spinal cord or nerve roots. Pain and other signs start quite suddenly
  • disc “protrusion”, in which the centre of the disc shifts outward more gradually, stretching the disc’s outer fibres as it goes; or
  • disc “bulge”, in which the outer fibrous part of the disc hypertrophies (becomes over-developed) making the disc bulge outward a little.

Extrusion, protrusion and bulge can all cause the disc to put pressure onto the spinal cord and nearby nerve roots. This causes the neurological signs (e.g. weak or paralysed legs, changes in skin sensation) and contributes to the pain. In severe cases of extrusion, the centre of the disc may explode out and hit the spinal cord so suddenly that this section of the cord is left concussed (damaged after being knocked), contused (bruised), or oedematous (swollen).

Above: an MRI scan of a dog’s spine. The spinal cord is the long structure marked by an asterisk. The disc extrusion is marked by a white arrowhead. In this case the disc extrusion is squashing or compressing the spinal cord. Many thanks to Canada West Veterinary Specialists for the use of this image. 

Some breeds of dog are “chondrodystrophic”, e.g. the dachshund, beagle, Pekingese, French bulldog, miniature schnauzer and cavalier King Charles spaniel. This means that their cartilage develops differently to that of other dogs. In these chondrodystrophic dogs,  discs degenerate while the dog is still young, i.e. the centres of the discs harden and may calcify. This hardening of the discs doesn’t itself cause the dog any pain or clinical signs but can eventually cause the disc to herniate. These breeds of dog have increased chances of getting disc extrusion, though protrusion and bulge may also occur.

Breeds of dog that are not chondrodystrophic tend to get disc protrusion or disc bulge (both of these are Hanson Type 2 herniation) rather than disc extrusion (Hanson Type 1 herniation). These dogs, e.g. Labradors and German Shepherd dogs, tend to get the problem later in life once discs have degenerated over some years.

Signs of IVDD

IVDD is a painful condition. Dogs who have a mild (grade 1) version of the condition are able to walk normally, but may show one or more signs of pain as listed below.

             SIGNS OF PAIN REPORTED IN IVDD-AFFECTED DACHSHUNDS

Reluctance to walk, jump up or stand upright on hind legs
Crying or flinching when touched
Trembling, shaking and/or panting
Arched back
Crying or yelping when picked up
Refusal to go down a small step or kerb
Change of mood or temperament
“Swollen” or hard abdomen
Reduced appetite
Unable to do a full body shake

Some of the signs listed above can be easily confused with those caused by a gastric upset, cystitis, pancreatitis or other problems. It’s important that your vet checks your dog carefully as these dogs can be tricky to diagnose correctly. Dogs with a gastric upset certainly won’t want to be sent to a neurologist for spinal imaging. However, to be on the safe side, if there is a possibility of pain being due to IVDD then it is sensible to avoid running and jumping until your vet gives you the all-clear. 

In addition to signs of pain, more severely-affected dogs also have difficulty walking. It is most common for only the rear end of the dog to be affected in short-legged breeds such as dachshunds, i.e. the front legs work normally but the hind legs are weak or paralysed. Your dog may walk with a staggering gait rather like a drunken sailor, and he may cross his paws over or place them upside-down at times. Some dogs are unable to walk at all, but may try to pull themselves along with the front legs while dragging the rear end along behind.


Above: Standing posture often seen in IVDD-affected dogs. Thanks to Claire Murphy for this picture of her dog Jakes.

Above: This video shows Sybil when she had a painful back. Thanks to M.Lucas for sharing this video.

Above: Ernie with quite a wobbly (ataxic) walk. Thanks to E.Brechin for sharing this video.

 

Further information and getting in touch

For general information on IVDD, feel free to explore the owner resource section of this website. In browsing this website, a good starting point for owners of IVDD dogs is here. For general advice on IVDD treatment options, click here. You may also be looking for information on setting up a crate or pen for your recovering dog, 

For bespoke supervision of your own dog’s recovery, contact me to arrange a video consultation appointment: As a vet and a physiotherapist, I provide an IVDD care and recovery program unique to your dog’s needs and to your home situation.

This is an advice-based service: I teach you therapeutic handling and physiotherapy techniques to use at home with your dog each day. You then let me know how you’re getting on and send me video footage of your dog between sessions. I adjust the home care program accordingly and guide you through next steps at each zoom appointment. IVDD consultations are each up to an hour long, offering plenty of opportunity for me to answer your questions related to your dog’s IVDD situation, e.g. regarding pain management, quality of life, recovery rate, toileting, diet and setting up and using a recovery area. 

Booking

To book an appointment, please phone or text me on 07852 625317 or get in touch using the contact form here . I’ll get back to you as soon as I can. Please note that this phone number and contact form are for appointments only. If you are looking for general advice, then I recommend that you explore the advice for dog owners section of my website.

Consultation fees

First zoom consultation (1 hour): £60

Follow up zoom consultation (40-60mins): £43

Cost includes my initial written report back to your vet, further communication with your vet if needed (e.g. discussion of painkiller doses), and links for you to download labelled chunks of our discussion for your future reference. You can find more information about my video consultations by clicking here. Depending on the current covid situation, home visit consultations for IVDD dogs of grades 2-5 can also be arranged for those living near to me in North Herts, UK. I look forward to hearing from you. 

 

 

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