Peer-reviewed veterinary case report
Degenerative lower back pain and nerve issues in dogs - causes
By Worth A et al.·Published in Veterinary Medicine: Research and Reports·2019
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Original publication title: Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
- Species:
- dog
Plain-English summary
A middle-aged German shepherd was experiencing low back pain and difficulty moving, which led to a diagnosis of degenerative lumbosacral stenosis (DLSS). This condition occurs when the spinal canal narrows, putting pressure on the nerves in the lower back. Treatment options vary, but if conservative methods like rest and medication don't help, surgery may be necessary, especially for working dogs that need to stay active. While there isn't a one-size-fits-all approach yet, advancements in diagnosis and treatment options are promising for managing this painful condition.
People also search for: dog back pain treatment · German shepherd low back pain · degenerative lumbosacral stenosis in dogs
Abstract
Andrew Worth,1 Björn Meij,2 Nicholas Jeffery3 1Massey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New Zealand; 2Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht 3508 TD, The Netherlands; 3Texas A&M Veterinary Medical Teaching Hospital, College Station, TX 77845, USACorrespondence: Andrew WorthMassey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New ZealandTel +64 6 3505329Email a.j.worth@massey.ac.nzAbstract: Canine degenerative lumbosacral stenosis (DLSS) is a syndrome of low back pain with or without neurologic dysfunction associated with compression of the cauda equina. Most commonly occurring in medium- to large-breed dogs of middle to older age, German shepherd and working dogs are predisposed. Diagnosis is based on a combination of clinical signs, advanced imaging and ruling out other differential diagnoses. The volume of the intervertebral foramina at the lumbosacral junction is naturally reduced on extension but degenerative changes lead to a more marked reduction that can impinge the L7 nerve roots. Evidence is lacking on which to base decision-making for treatment of dogs with DLSS. However, surgical intervention may be indicated in dogs that do not respond to conservative management, or for dogs in which there is a requirement to work that prevents lifestyle adjustments. Improvements in electrodiagnosis and novel intra-discal treatments may improve the management of DLSS in the future.Keywords: lumbosacral, cauda equina, review, degenerative stenosis, low back pain
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