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  #261  
Old 12-15-2010, 01:41 PM
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Patty Patty is offline
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Default Re: Jack: bad back and anxiety issues

That sounds like a wise idea...making an appointment without Jack and hoping the vet is engaged 100%. Also sounds like an MRI is warranted especially since Jack is so young. I know its pricey as well.

I completely understand your resistance to steroids. IMHO the veterinary community uses them too freely. I said no I can't count how many times when Ali's allergies flared miserably, always looking for other avenues. The year she developed diabetes was when I said yes to them again in an effort to bring her immediate relief...

I share your questions as to whether the neurontin vs. steroid treatment would help. Seems to me he's recommending an experiment - try this, if it doesn't help then we try that, not really knowing the root of the problem.

Praying for enlightenment Natalie!
Patty
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  #262  
Old 12-15-2010, 01:57 PM
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BestBuddy BestBuddy is offline
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Default Re: Jack: bad back and anxiety issues

Hi Natalie,

You have a lot of decisions to find the best for Jack. Back or any sort of joint pain is debilitating. Not only the actual pain but everything you do is done using different muscles just to be able to get by. You walk differently which is hard on other parts of the body and it is so tiring that everything seems like a marathon.

You know I have dealt with diabetes and also cushings with my dogs and I have a very healthy respect on the dangers but I take prednisone and have for a few years and it is the only thing that gets me through the day. It's a matter of weighing up the side effects against quality of life and keeping a check that it isn't causing more serious issues. Even knowing what I know about the drug I would consider giving it to a dog again after of course doing my research to know what the choices were.

Jenny
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  #263  
Old 12-16-2010, 10:47 AM
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Default Re: Jack: bad back and anxiety issues

Thank you everyone for your very kind and helpful replies! They mean a lot to me and to Jack, who is next to my chair gnawing on a big stick of rawhide.

I have my list of questions for the neurologist and I'm hoping to schedule an appointment at a time when Jeff can be there so that he can get the information he needs directly.

We still haven't started the gabapentin but may this weekend. We haven't had a chance to really talk about it yet. I'm going to check the price at Target, which is way more convenient, and Walmart, which is way the heck across town. I'm betting Walmart will come in the lowest...

I think the sleeplessness was flu related. I have slept well the last two nights and finally feel like I'm truly over it.

I will list my questions in another post and welcome suggestions for anything I have missed.

Then it's off to try to get some work done.

Natalie
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  #264  
Old 12-16-2010, 10:57 AM
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Default Re: Jack: bad back and anxiety issues

Questions for neurologist:

1. An assessment of his current level of neuropathy on 1-10 scale.

2. An assessment of his current level of pain (while on Metacam) on 1-10 scale.

3. An assessment of his likely level of pain without Metacam on 1-10 scale.

4. Exactly what would gabapentin do in terms of pathway, mode of action, etc.?

5. If a disc is bulging into the spinal cord, how would gabapentin help?

6. If the spinal cord is only inflamed (no impingement by disc), how would gabapentin help?

7. What would cause inflammation only if there is no bulging disc?

8. If a disc is impinging on the spinal cord, how would predinisone help his neuropathy?

9. What other issues associated with the IVDD could be causing pain and inflammation?

10. If a disc is bulging into the spinal cord, what can be done surgically?

11. Are there are any other nonsurgical treatments for neuropathy from a bad disc?

12. Does removing a blown disc eliminate pain?

13. What are the risks of delaying a surgical repair if the discs are bulging?

14. Can a disk rupture once mineralized?

15. What are our pain control options?

16. Are there interactions between the pain control options and Prozac and how likely is seratonin syndrome?

17. What would indicate or contraindicate surgery?

18. What are the typical success rates and complication rates and what are the complications of surgical treatment?

19. What is the prognosis if the IVDD doesn't respond to gabapentin or steroids and cannot be treated surgically?

20. BIG question: Ballpark cost of MRI and surgery.
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  #265  
Old 12-16-2010, 10:57 AM
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eileen eileen is offline
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Default Re: Jack: bad back and anxiety issues

Continuing with good thoughts being sent your way.

If you have a Costco handy you might check the price there. I've read time and time again that Costco pharmacies are able to offer medications at prices below most others.

Reminding that you do not have to be a Costco member to use their pharmacies.
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  #266  
Old 12-16-2010, 12:59 PM
gail gail is offline
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Default Re: Jack: bad back and anxiety issues

Natalie this may sound dumb, but do they do accupunture or nerve blocks on dogs? They certainly help on humans. Gail
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  #267  
Old 12-16-2010, 06:42 PM
AlisonandMia AlisonandMia is offline
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Default Re: Jack: bad back and anxiety issues

Pip at K9C who has severe pain issue due to really bad hips apparently responded really well to treatment with a TENS machine. Although I've found it excellent on myself I was a bit surprised to hear that a dog not only accepted the strange sensations but actually seemed to enjoy the sessions and want them to continue - presumably he was getting great relief.

Alison
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  #268  
Old 12-17-2010, 09:16 AM
pgcor pgcor is offline
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Default Re: Jack: bad back and anxiety issues

Natalie - I'm glad you posted the questions you will have for the Neurologist. You're methodology in developing the questions is actually useful for a lot of issues we have with our diabetics. Thank you!!!!
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  #269  
Old 12-17-2010, 09:50 AM
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Default Re: Jack: bad back and anxiety issues

Yes the BIG question I'm sure will have a BIG answer unfortunatley. Hope its not complicated. Poor Jack.
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  #270  
Old 12-17-2010, 04:58 PM
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Default Re: Jack: bad back and anxiety issues

Yup, that would be me looking at CareCredit today... He works inside another clinic and they are listed at CareCredit but he personally is not so we will see. The appointment is Monday and Jeff will be able to go.

One bit of good news - Gabapentin is cheap. $27 for a month's worth at Target. So I supposed it won't work!

Natalie
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