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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 13011
Experience:  Practicing small animal veterinarian for 18 years.
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I have a beagle, will be 12 next month. He is crazy healthy

Customer Question

I have a beagle, will be 12 next month. He is crazy healthy and active, and then late Thursday night was in pain. Pacing, panting, licking, not conformatble laying down for more than a moment or so. Took his to the vet right away. The said he was fine and was probably a pulled muscle or pinched nerve. As the days pass I am very confident it's a pinched nerve. They gave him tramodol and rimadyl. I guess they kinda help but he still has moments of pain and can't turn around In A tight spot or gets anxious about not being able to jump. Other than these meds and rest, anything else I can do?
Submitted: 5 months ago.
Category: Dog Veterinary
Expert:  Dr. Altman replied 5 months ago.

Welcome to Justanswer! I am Dr. Altman and happy to assist you both today! Please give me a few moments to type my response and I will be right back!

Expert:  Dr. Altman replied 5 months ago.

I am sorry to hear your dog is having this issue with 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

2.) Tramadol- which he is already on, 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

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

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

I would very strongly investigate acupuncture and/ or laser therapy in your area. They can make a world of difference in a dog with back pain and minimize the need for medication. If you have a specialty center in your area they may have this or you can also ask your regular veterinarian for an option in your area.

Please let me know how else I can assist you both, I hope that Elvis is feeling better soon!

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!

Customer: replied 5 months ago.
How long does it normally take for a nerve issue to resolve?
Customer: replied 5 months ago.
I have to imagine it's similar to nerve issues in humans
Expert:  Dr. Altman replied 5 months ago.

It can be weeks or even months but can recur unfortunately. Yes it is similar to people, I have two dogs with neck and/ or back issues and they get regular physical therapy to manage their issues and prevent another incident like what your dog is currently experiencing

Expert:  Dr. Altman replied 5 months ago.

Please let me know if I can be of any further assistance to you both today

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Expert:  Dr. Altman replied 5 months ago.

I will be signing off in a little bit and wanted to check in before I go to see if you have any additional questions?

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