He did not respond to Si Miao San and acupuncture. On exam he is BAR, no spinal pain but ataxic and paretic in rear limbs. Owner says it takes a lot of work from his front limbs to pull up the rear limbs.
Eating Nutro Ultra (hasn't started homecooked diet despite my recommendations) and does better after physical therapy. Currently on antioxidants, fish oil, Standard Process musculoskeletal and Rimadyl. Owner is concerned about quality of life. He still is able to urinate and defecate on his own, but having more accidents in house and I diagnosed a UTI yesterday.
Does not have a signif temp preference but does not like rain or snow when his paws get wet. Normal formed stools 2-3 per day and urinates every few hours. Great appetite, normal thirst. Decreased energy recently. Tongue is pink, moist and pulse is superficial and moderate strength.
I am considering Du Huo Ji Sheng Tang or Xiao Huo Luo Dan.
Thank you-
Erica