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Yes, if the disc space in the neck (between C3 and C4, the third and fourth vertebrae in the neck; there are 7 total neck or cervical vertebrae) is mildy narrowed (meaning it is more narrow than normal, more narrow than the disc spaces next to that one), there could be a pinched nerve. The only way to know more would be to do an MRI.
Has he ever had a low dose dexamethasone test to confirm if he has Cushing's, or an ultrasound of his adrenal glands? If these don't give a definitive answer, there is a test done at the vet school in Tennessee that helps tell if a dog has atypical Cushing's.
I probably would not use prednisone if he has Cushing's disease.
If he has a pinched nerve I might try nonsteroid anti inflammatory medications, and/or gabapentin, and/or tramadol.
These three medications might treat a pinched nerve, and might not. Each case is different.
I said above: nonsteroid anti inflammatory medications, and/or gabapentin, and/or tramadol.
Along with rest and restricted exercise.
Nerves can heal, but very slowly. If there is permanent damage to a nerve, it might not heal.
If a nerve is permanently damage, it is not functioning, and you would see loss of what ever function that particular nerve has. If the nerve supplies muscles to a leg, the leg would be paralyzed. If there is pain, the nerve is still sending messages to the brain, or the pain would not be felt.
It sounds like he is painful. If he feels pain, then the nerve is functioning and not permanently damaged.This could be pain with the disc between the vertebrae; it might not even be the nerve itself. The pain may not even be in the same place as the radiology report.
Other treatments might be: cold laser, therapeutic ultrasound, working with a pain specialist, injections of steroids, hyaluronic acid.
Not disc damage but inflammation of discs.
If he shrieks, it probably is sharp pain.
Shaking his head could be his neck, ears, allergies.
Sharp pain could be a disc problem, nerve, internal pain, joint pain, any sharp pain. It could be pain in his neck.
Head shaking can be seen with neck pain.
If it is a pinched nerve, these medications may help, but the narrowed space seen on the Xrays won't change so this could be a recurrent problem.
You could have an MRI done and/or a consult with a neurologist.
It may be, or it may not be enough. For some dogs, just an nonsteroidal anti inflammatory medication is enough; for other dogs no medication is enough; they need surgery or other therapies (laser, acupuncture, etc.).
These can help with pinched nerves.
Yes, it can take time to heal even with medication.
If he still has pain, I might try a different combinations of drugs, such as stopping the prednisone and trying a nonsteroidal anti inflammatory, and/or adding gabapentin (another pain drug).
If you are not seeing improvement in 3 days, I would try something different: adding gabapentin, changing prednisone for a nonsteroidal anti inflammatory, going for acupuncture, etc.
A neurology specialist might start a different treatment or therapy, depending on what is found.
No, he would not become immune to it.
A nonsteroidal is differetn; not better. If what is being done now is not helping, I would try something different.
It might be a good idea to feed him from a raised bowl, or to put the bowl on some books or a box.
Thank you for the great rating and bonus.