Millie

Millie was seen on 14.8.24 for her initial consult. She has undergone surgery to T12 to remove disc material in line with Hansen type 1 IVDD. Surgical site is recovering well and no heat or swelling present in the immediate area. Millie is in good spirits and is toileting normally. Deep pain reported as present – check up at referral hospital in approx 2 weeks. No current pain medication. Gait: Millie is still showing ataxia bilaterally in the hindlimbs with delayed paw replacement in the right hindlimb and absent paw replacement in the left hindlimb. Distal limb joints are capable of stance posture, hips and stifles are still weaker and slowly sink on stance. Able to walk well on grass or outside – advised 15min walks 2x a day. Palpation: Left hindlimb hypotonic and hypotrophic with reduced protraction due to tension in semimembranosus and gracilis. Approx 2.5x1cm mass palpated on caudal edge of left hindlimb which may also impact range of motion. Right hindlimb has good range of motion, mild tarsal and stifle crepitus. Spinal epaxials tender left lumbar region showing spasming and trigger points, resolved with manual therapy and Laser. Caudal boarder latissimus dorsi reactive, spasming and overworked due to cranial loading, advised massage and heat to aid resolve. Aim: Improve overall balance, muscle strength and protect the opposing limbs. Exercises: - Postural sets - Home adaptations - Assisted standing - Massage/heat - Proprioceptive surfaces