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Chiropractic Therapy (aka VOM)
written for Dodgerslist by
Dr. Andrew Isaacs, DVM Diplomate ACVIM (Neurology)
January 2011

 

Extreme caution needs to be exercised in considering chiropractic therapy for a dog.

In general, chiropractic therapy is contraindicated for a chondrodystrophic dog (Dachshund, Beagle, Basset Hound, Shih Tzu, Pekingese, Lhasa Apso, etc.) with clinical signs suggestive of degenerative intervertebral disk disease (IVDD).

There is a big difference between a chondrodystrophic dog and a human with a "bad disk". Poor understanding of the pathophysiology can lead to treatments appropriate for a human being applied to dogs with catastrophic results. Unfortunately, I have seen cases where chiropractic therapy has caused loss of deep pain sensation.

The ideal treatment for a dog with IVDD depends on the degree of disk material that has herniated (ruptured) and is compressing the spinal cord.

Advanced imaging of the spine (MRI/CT/myelogram) allows not only for a diagnosis of IVDD, but determines the degree of spinal cord compression. If the degree of compression is severe enough, to facilitate a quicker, more complete recovery, swift surgical management is ideal. If advanced imaging does not demonstrate severe spinal cord compression, medical management has a greater chance of benefit.

If advanced imaging and/or surgery is not feasible, medical management can be attempted. However, chiropractic therapy is NOT an advisable component of medical management for a chondrodystrophic dog with clinical signs suggestive of degenerative intervertebral disk disease (IVDD)
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