Dog Veterinary

Ask a Dog Vet and Get Answers to Your Dog Health Questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary

My 7 year old german Shepard/Rotweiller mix has been

Customer Question
diagnosis with Dynamic Degerative Lumbo...
My 7 year old german Shepard/Rotweiller mix has been diagnosis with Dynamic Degerative Lumbo Sacaral stenosis. Before he wa 1 1/2 years old he had both hips replaces due to the onset of arthritis. Thre replacements are hodomg up well. The VCA hospital we are using has a review rating of a 3 and the surgery cost is between $6000 - $8200. i have already spent over $2000 in tests and mris. i am looking for a well rated vet for a second opinion to see if there is another other option that surgery and at a lower cost.
Submitted: 1 year ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 3 minutes by:
3/14/2016
Dog Veterinarian: Dr. Altman, Veterinarian replied 1 year ago
Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 13,295
Experience: Practicing small animal veterinarian for 18 years.
Verified

Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!

I am so sorry to hear Mac has already been through so much in his life. Can you please tell me what clinical signs he is showing at this point with his LS disease? Also what was found on the MRI and how severe his compression is? It gives me a starting point to determine how severe his symptoms are and if other options such as medical management are viable for him

Thank you

Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Altman, Veterinarian replied 1 year ago

While I am waiting for your response I will review medical management options for you. I have a German Shepherd who was diagnosed at the age of 2 and is now 8 years old. I have managed her with the protocol below and she is comfortable and active but I am very aggressive about her care and prevention of pain...

There are so many options available to us now to help our beloved four-legged friends outside of the normal nonsteroidals (rimadyl, previcox, metacam, deramaxx). I will list them individually but all can be used in combination to assist your dog in getting comfortable

1.) Gabapentin- this is called neurontin in people. It works by dulling the nerve firing associated with pain and is my top choice for senior pets because it is not metabolized as readily by the liver and is easier on a senior pet. The pros are that it is not pricey, has no high end dose so if the pain escalates as your pet gets older we simply adjust the dose, and is easier on older pets. The cons is that it has to be given consistently because withdrawing it suddenly causes what is called rebound of pain which is higher then original level, can cause mild sedation initially. My dog started at 100 mg every 12 hours and is now up to 300 mg every 12 hours

2.) Tramadol- this is in the opioid class so it is given as needed for pain when there are bad days. It can be given longterm to senior pets two to three times daily if needed. I do this with my dog along with rimadyl when she has a more active day such as yesterday when we went to the lake and she ran around and was very sore last night

3.) Alternative medicine: laser or light therapy, acupuncture, physical therapy, massage therapy. All are fantastic ways to help minimize pain, increase strength, and allow rest more comfortably. If there is a physical therapy facility in your area they would have all of these. Typically I will start with acupuncture and/ or laser therapy and then add in the physical therapy once we are more comfortable to build strength. I often see remarkable results with one to two sessions. I also do this with my dog and truly believe this has been her saving grace. She gets laser therapy at least once to twice weekly and physical therapy every 2-4 weeks based on her comfort. It is critical to manage her pain because I have an outside person palpating her regularly and assessing her comfort level

4.) Adequan injections. These are pricey but given twice weekly subcutaneously (I have owners give the medication at home after a demonstration to minimize the visits) for four weeks then taper frequency as improvement is seen and if there are bad periods then increase frequency once again

5.) Supplements: Glucosamine sulfate 1500 mg daily, fish oil with 1500 mg EPA & DHA daily, Vitamin E, Ester C are all great to slow progression of disease and assist in comfort

6.) Depending on your pet's size, a help em up harness that is used to support standing and moving to minimize injury to your back but also prevent further injury to you pet. http://helpemup.com

I hope this information is helpful in getting Mac comfortable and avoiding surgery. If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION. Bonuses are always welcome (I am not compensated in any other way). Thanks!

Ask Your Own Dog Veterinary Question
Ask Dr. Altman Your Own Question
Dr. Altman
Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 13,295
13,295 Satisfied Customers
Experience: Practicing small animal veterinarian for 18 years.

Dr. Altman is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

902 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,087 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr. Gary

Dr. Gary

Dog Veterinarian

9,949 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,704 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

8,945 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,442 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
My German Shepherd has been treated for everything. Ready
My German Shepherd has been treated for everything. Ready for this? The only thing we haven't tried at this point is Prozac. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I have a 13.6 pound German Shepherd puppy that hurt her leg.
I have a 13.6 pound German Shepherd puppy that hurt her leg. I can't remember how much rimadyl to give her. Can you please let me know … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
We adopted Savah 2 years ago from German Shepherd Rescue.
Hello, This is Barb. We adopted Savah 2 years ago from German Shepherd Rescue. She was approximately 1 year old at the time. They had rescued 30 dogs from a puppy mill. They had a very poor start in l… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,649 satisfied customers
German shepherd 10yrs old lost strength and control of his
German shepherd 10yrs old lost strength and control of his hind legs . He went down kind fast, can't get up on his for the most part .l help him stand up he can walk a little , but stops or falls .has… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
I have a German shepherd that ate tomcat mouse poison and
I have a German shepherd that ate tomcat mouse poison and got him to throw up a bunch of it.. I gave him two doses of hydrogen peroxide it not clear yet and he has thrown up three times … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,316 satisfied customers
She has a small growth on her paw. She is a german shepherd.
nope, that should be it. it seems to be growing, which would be pertinent… read more
Dr. Peter
Dr. Peter
Doctors Degree
14,316 satisfied customers
My 6yoa German Shepherd was diagnosed with hip dysplasia @
my 6yoa German Shepherd was diagnosed with hip dysplasia @ age 2. He is 6 now and weighs in @ 85# ***** a regimen of exercise. He has begun to show signs of not wanting to jump into the car, stumbling… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
Rimadyl overdose. He ate over 5 pills of rimadyl. Eddie 7
rimadyl overdose JA: I'll do all I can to help. What is wrong with the dog? Customer: he ate over 5 pills of rimadyl JA: The Expert will know if the dog will be able to digest that. What is the dog's … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,316 satisfied customers
My 11 year old german shepherd appears to be in considerable
My 11 year old german shepherd appears to be in considerable pain for the last week now. It first presented as reluctance to walk, overall depression and not holding head low. She now is struggling wi… read more
Dr. Alleyne
Dr. Alleyne
Veterinary associate
Doctorate of Veterinary Medicine
1,053 satisfied customers
What is the dosage of previcox for a 70lb Senior pit with
What is the dosage of previcox for a 70lb Senior pit bull with arthritis? I know it says 2.27mg per lb. but the tablets I have just say 227. help please … read more
Dr. Sara
Dr. Sara
Small animal practicioner
Doctoral Degree
93 satisfied customers
My german shepherd is licking nonstop, drooling and panting.
Hi, My german shepherd is licking nonstop, drooling and panting. Im searching the internet trying to figure out what is wrong … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,649 satisfied customers
Taking Rimadyl for arthritis. Seeing if alternative for my
Taking Rimadyl for arthritis. Seeing if alternative for my dog. Only taking 12.5 mg a day. Half morning half night … read more
Dr. Altman
Dr. Altman
Veterinarian
13,295 satisfied customers
German Shepherd has been on a four hour flight and is
German Shepherd has been on a four hour flight and is drooling excessively and is very week. Won't drink water or eat. … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Is it ok to be on previcox and metronidazole at the same
Is it ok to be on previcox and metronidazole at the same time. … read more
Amber Hinson
Amber Hinson
Veterinarian
Doctor of Veterinary Medicine
46 satisfied customers
Our German Shepherd has testicles that are red, scabby and
Our German Shepherd has testicles that are red, scabby and look a bit infected. I have a picture. Is this an injury or will they get better in their own? … read more
Amber Hinson
Amber Hinson
Veterinarian
Doctor of Veterinary Medicine
46 satisfied customers
My dog has arthritis and is currently on rimadyl; I am
My dog has arthritis and is currently on rimadyl; I am looking for an over the counter substitute for this issue. … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
Our 13 year German Shepherd has taken Rimadyl for 2 months.
Our 13 year German Shepherd has taken Rimadyl for 2 months. She is acting like she is experiencing hullcinatins. She cannot eat and barely moves. Can you please advise what we should do? Please. … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
Dixie, my german shepherd who is 12, is taking Previcox. She
Dixie, my german shepherd who is 12, is taking Previcox. She weighs 95 lbs and takes 227 mg/day. it is for her back. She also has arthritis in her hips that makes her wobble. Can i give her more Previ… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x