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ERAnimalNurse
ERAnimalNurse, Emergency Critical Care Nurse
Category: Cat
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Experience:  16+ years of veterinary experience
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My cat is having trouble walking. Her hind quarters just dont

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My cat is having trouble walking. Her hind quarters just don't seem to operate that well. She doesn't seem to move her tail either. I have been told she has arthritis but it shouldn't be giving her this much trouble. Is there anything I can do?
Submitted: 6 years ago.
Category: Cat
Expert:  ERAnimalNurse replied 6 years ago.

Hello,

 

I am sorry your kitty is having so much trouble.

 

Did your vet run any bloodwork?

 

Was a referral to a specialist mentioned?

 

Was a blood pressure taken?

 

Are there pulses in both rear legs?

 

Is there rectal tone?

 

Is your kitty incontinent (either urine or feces)?

 

Does she drag her rear legs, or is she able to walk normally at times?

 

Let me know and I will try to help.....

Customer: replied 6 years ago.
Yes, she's had blood work done. It all came back "uninteresting". She's has had cancer 2 years ago and the Oncologist doesn't seem to think it's a reoccurance.

She's currently seeing a vet that specializes in cats and her Oncologist.

No referral to a specialist was suggested,

They checked her heart beat. Slight murmur, nothing "clinical".

I am not sure they checked her pulse in her legs. Is that something I can do?

Not sure about the rectal tone. She has been urinating and pooping. She doesn't always make it to the litter box. So I don't know if that's because she's having difficulty getting herself to it or if she has some other urinary/kidney thing going on.

She drags her left rear leg. Now her paw folds under sometimes while she's dragging it. It seems like her other leg is getting weaker as well. She tries to stand and hobble down the hall but she'll stop and lay on her side. She'll even eat laying on her side.

She's not drinking much water, but she's eating up a storm. Go figure!

Thanks!

Expert:  ERAnimalNurse replied 6 years ago.

Thanks for the additional information. You can check for pulses in her legs, but I think she may be ok there as it sounds like a neurological issue that is causing her trouble. On the inside of her rear legs, typically down the middle of the inside of the leg from the spot where the leg joins the body down to the foot is the femoral artery. You can place your fingers over the spot where this vessel should be (not your thumb since it has a pulse) and see if you can detect or feel the pulse, I am particularly interested if it is palbable or as strong in the leg that is weak and 'knuckling'. Knuckling is what it is called when the feet fold over as you have described, and it typically indicates that the brain is having trouble deciphering what the limbs are doing. In a kitty with normal conscious proprioception, the foot is immediately turned the right way when it becomes flipped in an exam. The fact that this is not automatically happening in your kitty can indicate an interruption in the messages between the brain and the leg carried by nerves. This could be a result of a brain tumor, inflammation, spinal injury, blood clot, normal age changes, or illness. It sounds like her rectal tone is also ok if she is able to consciously have bowel movements and urinate and is not incontinent, so that is a good thing. You will also want to feel the leg that is giving her trouble and make sure it is not much colder than the other one, as a lack of a pulse and cold feeling can indicate decreased or lack of blood flow and could mean that the limb will not be viable for very long.

 

I am ecstatic that she is eating well for you but I am concerned that she doesn't want to drink and that she tires easily (laying down to eat, having to stop in the hallway). If you are able to get her to eat canned food, that will be helpful in hydration because it contains a fair amount of water. You may need to start giving her fluids under the skin at home soon if she doesn't drink enough to hydrate herself. If your oncologist is able to do a bone scan or even an MRI for you I think you might want to discuss the merits of those tests with he or she. You also may want to inquire about a referral to a neurologist as well, because steroids can be very helpful in some cases and it may be cause for concern if you are not seeing results once steroid therapy has been initiated.

 

It sounds like you have been very dedicated and thorough in the workup that you have allowed for your kitty, and I am wondering if your vet ran a urinalysis at the time the bloodwork was done. I ask about this because a urinalysis is a much more sensitive tool for diagnosing kidney disease than blood work can be. As much as 75% of kidney function is lost before abnormal values are seen on a blood panel, where as little as 35% of kidney function is lost before kidney disease can be found on a urinalysis. While kidney disease is not necessarily the cause of the weakness and neuro symptoms you are seeing, it can be a complication and may be significant. While we are being thorough, a thyroid panel should be submitted if not already done since this can be a common ailment in older cats, and if untreated long enough can have some pretty weird symptoms that actually mimic neurological illnesses. Finally, an ultrasound may also be very helpful, because it provides much more detail than radiographs. It is possible for tumors to hide sometimes on x-ray, but a skilled and competent technologist will find a tumor almost every time. Ultrasound provides a 3-dimensional view of the internal structures, where radiographs provide a 2-dimensional view.

 

I am concerned that she cannot lift her tail as well, and want you to watch her very closely when she urinates and defecates. Cats are very funny creatures in that if the tail is painful and cannot be lifted they cannot posture properly to tend to their toilet habits, and will not go at all if it is too uncomfortable. If at any point she is unable to urinate or defecate, she will need to see an emergency vet right away so that she doesn't become septic or experience a ruptured bladder. I am also concerned about her pain level, and if she is not on any pain medicines, I think that this should be corrected ASAP. I do think that she must be experiencing some discomfort at this point, because if feels funny when your leg is not doing what it normally does, and the same thing goes for the tail. She must be feeling kind of weird and I think that any discomfort should be managed as soon as it can be.

 

You have most likely already spent alot of money on your kitty, and I know that I have just suggested a slew of very expensive tests (sorry!). Sometimes it is very difficult to find out what exactly is going on and that is frustrating. I appreciate your concern for your kitty and your willingness to go the extra mile for her. Please keep me posted on her progress and what you find out, and let me know if I can be of further assistance. If this has been helpful, please hit the green accept button. I will keep you both in my thoughts, and wish you luck....

ERAnimalNurse, Emergency Critical Care Nurse
Category: Cat
Satisfied Customers: 2302
Experience: 16+ years of veterinary experience
ERAnimalNurse and 5 other Cat Specialists are ready to help you
Customer: replied 6 years ago.
Thanks for your help.

With regard to her legs, I can feel a pulse and her paws are warm. She is able to use the litter box but it appears that it's getting harder for her to have control over it.

I do have fluids for her but haven't resorted to them, yet. She's still eating canned "Royal Canin, Recovery" and I put a few drops of water down her with a sringe. An MRI has been suggested and I am wondering if I should do that or have an ultra sound first. I don't know.

A thyroid panel was done - as well as a urinalysis.

She doesn't use her tail at all. I am not sure she can even feel it.

I don't know what to do for her or how much to do for her.

Thanks for your help

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