Treatment FAQ

ivd conservative treatment when is cage rest necessary

by Marcellus Weimann Published 3 years ago Updated 2 years ago

If your dog suffers from an injury to a joint or ligament, they will most likely be prescribed crate rest during the recovery process. Crate rest is THE #1 thing you need to do if your Dachshund is suddenly paralyzed or suffers a spinal injury related to Intervertebral Disk Disease (IVDD). (Hover Over This Image to Pin)

Conservative – The rule of thumb is that dogs who have a suspected IVDD episode, and have no neurological involvement, should be crate-rested 5 to 6 weeks. Dogs who have any level of neurological involvement should be crate rested AT LEAST 8 WEEKS. Not 10 days, not 2 to 3 weeks.

Full Answer

Is crate rest the only treatment for IVDD?

of IVDD, treatment should generally be restricted to therapies that do not require active involvement from the patient (i.e. cage rest and pain management) for the first 10‐14 days in order to avoid exacerbating the injury. This may include some of …

What are the goals of non-surgical treatment for IVDD?

Conservative Treatment Cage rest (typically over 6-8 weeks) combined with anti-inflammatory medication and painkillers are the main conservative treatment approaches likely to be recommended by your vet, where surgery is not felt to be necessary. Cage rest may be appropriate if your dog only has mild pain and no incoordination (ataxia).

What are the regulations for IVDS?

Conservative treatment with cage rest, confinement, and pain medications is often only offered to patients that have recently begun their first episode and the neurologic deficits are mild. Further consultation with your veterinarian may result in a referral to …

What is the best treatment for IVDD?

 · Conservative treatment depends on owner’s commitment to 8 weeks of little movement to allow the disc itself to heal and form good scar tissue. Wait until after the 8 …

How long should crate rest?

Depending on the condition that your dog is recovering from, your veterinarian may set a period of crate rest anywhere from a week or two, up to 8 weeks or more. Our survey found that 8 weeks was the most commonly prescribed length of crate rest for dogs recovering from IVDD.

What is cage rest?

The phrase “cage rest” is used to describe a period (usually 4 weeks) of confinement following spinal injury. Animals are typically kept in the cage at all times, except when they are under the immediate supervision of owners or need to eliminate. Running, jumping, and rough play are prohibited during cage rest.

How long should a dog crate rest for Ivdd?

around six to eight weeksYour dog will need to calmly rest in a den/crate for around six to eight weeks. You will need to carry your dog to and from potty breaks and permit just minimal steps during them. Running, jumping or any other forceful movements are a huge no-no.

Should dog sleep in crate after surgery?

Your veterinary care team may recommend crating your dog after veterinary surgery to ensure a peaceful recovery and avoid further injury. While some guardians find crate rest difficult, it can help your companion avoid tearing out stitches or straining sensitive muscles or joints.

How does crate rest help Ivdd?

Crating your dog will prevent further damage to the spine and and most importantly allow much needed time to heal. Without any doubt, following strict crate rest is definitely about tough love on our part, but it must be done if you want to give your dog the best opportunity to get better.

How do you set up a crate rest crate?

Set it up comfortably with bedding, toys, food and water before showing it to your dog. Introduce your dog to the crate gradually (over several days if possible). Cover the base of the crate with non-slip matting. Put comfortable bedding on top of this.

Can a dog on crate rest walk?

Most dogs on veterinarian ordered crate rest are unable to take walks, but this should not stop your dog from enjoying the fresh air and smells of outside. However, you will have to get creative, especially if you have a large dog.

Should I let my dog with IVDD walk?

Although an IVDD dog may have limited mobility, they still need to be able to stand and walk to maintain their strength. It's ok for a dog with a back injury to go for a gentle walk. Your walks should be short, no longer than 5 minutes and never strenuous.

What does strict crate rest mean?

Few things are worse than hearing the vet say those dreaded words: “Cage Rest.” Most often the consequence of an injury or major surgery, it means your dog must be kept under tight restrictions – in a crate, out to relieve herself on leash only, and then back in her crate.

Can dog sleep in bed after surgery?

After your dog has had surgery it is important to provide them with a comfortable and quiet place to rest, away from children and other pets. If your dog typically curls up on a small bed to sleep you may want to invest in a larger bed so that the incision site isn't pulled.

How do you keep a dog in a crate after surgery?

Plan to use a crate size that will accommodate the plastic head cone (Elizabethan collar) that your dog will likely require. Set up the crate near an active spot in your home, or a large window or sliding door. Crates can be moved outside on nice days to provide additional stimulation.

Where should I let my dog sleep after surgery?

After arriving at home, you should keep your dog warm and comfortable by providing a soft clean bed, ideally in a quiet and draft-free room at a comfortable room temperature (68-75°F or 20-24°C).

How do I entertain my dog with IVDD?

3 Vet-Approved Playtime Activities for your IVDD DogEase back into walking. Take it slowly, but do encourage short walks with your dog to help build those muscles back up. ... Take her for a drive. ... Have a scavenger hunt.

How do you lift a dog with IVDD?

2:515:09How to handle and care for a dog with IVDD. How to carry, pick up and ...YouTubeStart of suggested clipEnd of suggested clipI come in between the back legs I'm supporting the pelvis. So the pelvis is attached to the spine.MoreI come in between the back legs I'm supporting the pelvis. So the pelvis is attached to the spine. So it should pick him up you know I'm trying to pick him up evenly.

How do you crate rest a dog?

You should stick to the tricks that require the lowest amount of energy while your dog is on bed rest such as sit, down and leave. You can also teach them to place their nose on your hand through the crate and reward them with a treat, keeping them on their toes.

How can I help my dog with IVDD?

If your dog is diagnosed early with a mild to moderate IVDD injury, your vet may try treatment with steroid and anti-inflammatory medications (to help reduce pain and swelling), combined with strict crate rest for approximately 4 -6 weeks.

How long does it take for a dog to recover from a cage rest?

Your vet will probably want to check on progress regularly and, if your dog has improved after 4 weeks, it can gradually return to a more normal routine over the next 1 to 4 weeks. If your dog has shown no signs of improvement from cage rest/medication after 4 weeks, you may then need to consider surgical treatment.

How long should I rest my dog?

Cage rest (typically over 6-8 weeks) combined with anti-inflammatory medication and painkillers are the main conservative treatment approaches likely to be recommended by your vet, where surgery is not felt to be necessary. Cage rest may be appropriate if your dog only has mild pain and no incoordination (ataxia).

What is an ACVS diplomate?

The term "ACVS Diplomate" refers to a veterinarian who has been board certified in veterinary surgery. Only veterinarians who have successfully completed the certification requirements of the ACVS are Diplomates of the American College of Veterinary Surgeons and have earned the right to be called specialists in veterinary surgery.

How is the extent of nerve damage determined?

The extent of the damage and nerve cells loss is determined by: Type of force. Degree of force applied to the spinal cord. Length of time that the force was applied . Relatively minor spinal cord damage can lead to loss of coordination and a "drunken sailor" type of walk.

Can a dog walk with a herniated disc?

Many patients have another disc herniated later in life. Continued wobbly walk or dragging hind toes when walking. Prognosis varies significantly with the degree of injury and the location of the injury. Most disc ruptures that present in dogs, still walking, have an excellent chance to return to walking.

Can you give a patient a cage rest?

Conservative treatment with cage rest, confinement, and pain medications is often only offered to patients that have recently begun their first episode and the neurologic deficits are mild. Further consultation with your veterinarian may result in a referral to a veterinary surgeon to fully explore your options.

Can a dog walk after a disc rupture?

Most disc ruptures that present in dogs, still walking, have an excellent chance to return to walking. However, if the pet has lost the ability to sense pain in their legs before surgery is performed, they may never walk again. Left untreated, disc rupture can lead to permanent loss of the ability to walk.

How to diagnose disc episodes?

Most often, a vet diagnoses a disc episode by considering four things: 1) The dog’s history of a previous disc episode. 2) The way the dog acts at the vet visit. 3) If the dog is a breed prone to IVDD. 4) The hands-on neuro exam.

What is escaped disc material?

The escaped disc material is compressing the spinal cord (see the narrowed section of the cord). Owner education is vital to make the right decision for which IVDD disc disease treatments: Conservative or a surgery.

Is surgery invasive or conservative?

Surgery is an invasive treatment with trauma to the body and includes risks; there are no guarantees of a return of neuro functions. Conservative is not invasive, avoids surgical risks; there are no guarantees of a return of neuro functions.

Can an X-ray show a disc episode?

If there is a high suspicion of another disease rather than IVDD, your vet will rule those out with an X-ray. For example: dog fell and may have fractured vertebrae, a tumor, bone infection, etc. X-rays do not show soft tissue such as disc or the spinal cord and therefore can not prove a disc episode.

Do all veterinarians treat the same way?

Not all veterinarians will treat the same way. Follow the advice of your board certified surgeon when surgery is to be considered.

Is mineralized disk radiograph reliable?

Although radiographs may show mineralized disks, they are not reliable because they are unable to definitively diagnose which disk is causing the problem and are unable to show the extent of any spinal cord compression.”. O’Sullivan, VMD, Glass, MS, DVM, DACVIM (Neurology) and Silver, MS, DVM, DACVIM (Neurology).

Can a vet see IVDD?

The spinal cord is very fragile; the more hours after the window, the less chance of a complete recovery. Unfortunately general vets do not see enough cases of IVDD daily. It takes practice to become really proficient in giving a neuro exam and correctly interpreting what is observed.

What is non surgical treatment for IVDD?

What is non-surgical treatment? For IVDD, non-surgical treatment is sometimes also called conservative treatment or management. The goals of non-surgical treatment are to help get the dog as comfortable and pain-free as possible, to get the dog standing and walking again, and to help restore bladder and bowel control.

What is non surgical IVDD?

Non-surgical treatment also helps to prevent or treat other problems that the IVDD may cause, e.g. skin sores, behavioural issues and breathing problems. Above: A pen or large crate helps the recovering dog avoid risky activities, and prevents her from dragging herself about the house.

What is the best medication for IVDD in dogs?

Vets now have various medical options for helping IVDD dogs to feel better. These include the various NSAIDs (non-steroidal anti-inflammatory drugs), gabapentin and, in the hospital, various opiates, ketamine and lidocaine.

Can you leave a dog in a cage 24/7?

Times have changed, and non-surgical treatment can now be offered as a positive recovery plan for dogs. Leaving these dogs in a cage 24/7 is no longer considered best practice. Yes, a recovery crate or pen increases safety, and the dog should be on a lead or carried whenever outside this safe space.

What to do if your dog has IVDD?

If your dog has just been affected very suddenly by severe IVDD, then he may benefit from being admitted to a vet hospital to be given oxygen and intravenous fluids for a day or so. This helps to keep the recovering spinal cord well-supplied with nutrients and oxygen.

What is the treatment for IVDD in dogs?

If your dog has IVDD, then the main treatment options are surgical and non-surgical. You might be starting non-surgical treatment if:

Can dogs take steroids for IVDD?

Steroids used to be given routinely to dogs presenting with IVDD. More recently, studies have shown that steroids are unhelpful in this situation and are generally best avoided for these dogs6,7,8,9,10. Pain-relief medication for dogs has improved dramatically over the past couple of decades.

What is the code of federal regulations for IVDs?

The Code of Federal Regulations lists the classification of existing IVDs in 21 CFR 862, 21 CFR 864, and 21 CFR 866.

What is IVD class?

The FDA classifies medical devices, including IVD products, into Class I, II, or III according to the level of regulatory control that is necessary to reasonably assure safety and effectiveness. The classification of an IVD (or other medical device) determines the appropriate premarket process. Class I. Class II. Class III.

What is 510k FDA?

A 510 (k) is a premarket submission made to the FDA to demonstrate that the device to be marketed is at least as safe and effective, that is , substantially equivalent (SE), to a legally marketed device [ 21 CFR 807.92 (a) (3)] that is not subject to premarket approval (PMA).

What is an IDE in clinical studies?

An IDE allows an investigational device to be used in a clinical study to collect safety and/or effectiveness data to support a subsequent submission for marketing authorization.

When is a pre-submission appropriate?

A Pre-Submission is appropriate when the FDA's feedback on specific questions is necessary to guide product development and/or application preparation. The FDA encourages use of a Pre-Submission under circumstances such as the following:

Where to find classification information for GPRs?

Classification information for GPRs can be found in 21 CFR 864.4010 (a).

What is an in vitro diagnostic?

Definition: In vitro diagnostic products are those reagents, instruments, and systems intended for use in diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae.

When does IVDD occur in dogs?

If your dog is going to have an injury that leads to a diagnosis of IVDD, It’s most likely to occur between the ages of 4 – 8 (more typically 4 – 6) no matter of how active or sedentary of life your dog leads (in fact, a dog that is more out of shape and overweight is way more likely to have a problem).

Why is Gretel's case an advantage?

In Gretel’s case, it’s absolutely been an advantage because she doesn’t have that extra weight on her spine to deal with.

How much recovery does a dog have from surgery?

Depending on the severity and location of the condition, a more reasonable estimate of recovery chances is 50-70%.

Why is crate rest important for dogs?

Crate rest is important so the body can heal itself to help prevent a re-occurrence of injuries.

Is IVDD a death sentence for dogs?

The good news is that not only is IVDD not a death-to-all-fun sentence for your dog, but modern medicine has allowed dogs to make full recoveries and thrive. At the very least, helped dogs manage their condition to a level that still allows them to be active, even if it’s at a lower capacity than they were before.

Can an intervertebral disk disease affect a dog?

A diagnosis of Intervertebral Disk Disease for your dog is scary. It doesn't have to mean a lower quality of life for your dog though. Consider these things.

Is Gretel fully recovered?

Let me also be clear: Gretel is what I would describe as “fully recovered”. She has no significant mobility issues.

How to help a dog with IVDD?

Physiotherapy is particularly important for IVDD-affected dogs who cannot walk. These dogs recover mainly through neural plasticity (the ability of the central nervous system to adapt to meet functional demands) Fouad & Tetzlaff 2012. Improvement will therefore not happen while the dog is lying in a cage or dragging himself about, but will be triggered by practice of coordinated movements and postures. Exercises aim to achieve this improvement, but must be performed correctly and safely. Physiotherapy referral is certainly recommended during the first week. Tip: Ask your physiotherapist to start teaching you how to do the exercises with your dog, so that you can continue the good work between physio sessions. To get in touch to book your dog’s IVDD assessment and supervised home physiotherapy and rehabilitation program, click here .

How to remove a herniated disc?

These days, most spinal surgery procedures involve the removal of disc material that is pressing on the spinal cord. An example of this is the “hemilaminectomy” procedure. To surgically decompress the spine, the surgeon removes a section of vertebral bone overlying the spinal cord and then very carefully removes herniated disc material so that it no longer presses on the spinal cord. In some cases, a “fenestration” procedure is also performed on the affected disc and/or adjacent discs. Fenestration aims to reduce the risk of the problem recurring, and involves removing the centre of the disc (the nucleus pulposus) via a little window cut out of its side.

What to do if your dog has an operation?

Whether or not your dog has had an operation, good recovery requires a combination of medicine (including painkillers), nursing care, specific home care and exercise therapy. You’ll need to set up a large crate or pen to help keep your dog safe (see below).

How long does it take for a dog to walk after surgery?

Following surgery, about 90% of these dogs will eventually walk quite normally again. It usually takes these dogs about 1-3 weeks to start walking, though a few dogs take much longer than this. Dogs usually stay in the hospital for a few days, and are discharged once they are fairly comfortable and can be managed at home. You’ll need to set up a safe indoor recovery space ( crate, pen or possibly a recovery room) ready for when your dog comes home. Your dog might not yet be able to walk and he might not have full bladder and bowel control on returning home, so you’ll need to continue with non-surgical treatment including sling-walking, supporting your dog in a standing position and, in some cases, bladder-expression, to help your dog through this phase. For further information on nursing these dogs at home, click here .

What is the procedure to remove the nucleus pulposus?

In some cases, a “fenestration” procedure is also performed on the affected disc and/or adjacent discs. Fenestration aims to reduce the risk of the problem recurring, and involves removing the centre of the disc (the nucleus pulposus) via a little window cut out of its side.

What color is IVDD on a dog?

If your IVDD-affected dog cannot walk but can still feel his toes, then he’ll be in the middle (blue) section of the clinical grading scale table. This gives useful information about his chances of recovery. Please scroll down for treatment options for these dogs, home care advice and some other useful information.

Can dogs be put in a veterinary hospital?

Any exercise therapy should be tailored to the dog and supervised. Initially, it may be worthwhile having your dog admitted to a veterinary hospital for intravenous fluids and oxygen (both of which may benefit the damaged spinal cord) and for top-quality pain-relief and nursing care.

What to do if your dog has a ligament injury?

If your dog suffers from an injury to a joint or ligament, they will most likely be prescribed crate rest during the recovery process. Crate rest is THE #1 thing you need to do if

What to do if natural remedies don't work?

If natural remedies don’t work, I highly suggest asking your vet for a medication that will keep your dog calm and still.

How long does it take for a dog to heal from a bulging disk?

In order to scar tissue to form, your dog must remain as still as possible – hence, the crate. In addition, it takes a minimum of 5 weeks for that scar tissue to form.

Why do dogs need crate rest?

Your dog might be prescribed crate rest by a veterinarian for several reasons. The three most common reasons I see are because of ACL tears or surgery, back surgery, or as conservative treatment for IVDD. In our case, it was Gretel’s back issue that landed her in the clink.

Is it ok to have a crate rest period?

The crate rest period might not be a good time to have the family visit or have guests over.

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