Question Details
Spondylosis, Hind End Weakness
by tradcliffe - October 6, 2009
Max is a 50kg 8yo MN German Shepherd with fairly rapid decline in mobility of hind end. He has pain between and caudal to shoulderblades, as well as along lumbar spine. Both areas of spine fell thickened. He is sensitive at hip points, quite protective of hips and left stifle, doesn't like to stand for long or walk very far, but can still run. He has some signs of heat and damp - pannus, chronic stinky ears, clear nasal discharge, yeasty smelling in summer, loose stools, heat intolerant. He is better with motion. Tongue is pale, thin, moist, pulse is weak and thin. Xrays from referring vet show spondylosis of lumbar spine, poor quality rads of thoracic spine, none taken of hips. Dx there was possible IVDD or diskospondylitis. His pulse gets stronger with AP, they have an appointment with chiropractor in a couple of weeks, but I am looking for an herbal formula. I would classify him as deficient, hot with stagnation. He has improved significantly on metacam and since our weather got cooler. Does this rule him out as a candidate for moxa? I have recently tried EAP, he was quite sensitive to it at BL 23. We have not seen great improvements with AP after 4 sessions, i will revamp some of my points this week - will use some you suggest in the natural medicine text.
Replies
by naturevet
October 6, 2009
Hi there,

In spondylosis, we've had good results with several formulas, including Xian Fang Huo Ming Yin (Angelica and Mastic). It moves Blood; transforms Phlegm; expels Wind Phlegm/Damp; and is cooling. It will increase his peripheral circulation, which is essential in resolving this condition, since spondylosis is best considered a symptom of reduced spinal resilience, particularly of the ventral longitudinal ligament. Formulas that hydrate this ligament help resist its progressive calcification and increased tension on the periosteum of the vertebral end plates that lead to spondylosis.

It's the first thing I'd try, given what you've reported.

Good luck

Steve
by tradcliffe
December 17, 2009
Hi Steve, we have tried 2 months (2 bottles) of the Xian Fang Huo Ming Yin and have not seen any appreciable improvement. His tongue is more pink, but still thin and wrinkled, and pulses are not as weak and thin, but he still has some problems with ataxia, and has good and bad days. He didn't eat breakfast before, so he has started with the herbs - was sometimes reluctant to take this one, and still somedays will not eat his breakfast. He still has a yeasty smell to him, but I cannot see where it comes from. He now relaxes quite a bit for AP sessions, but is wobbly when getting up. We have had some sudden -40 weather here, and he has not wanted to be out in it, but yesterday at -20 he was more comfortable. Owners have a wood stove in basement, which he finds difficult to tolerate, so he stays upstairs now and they keep it cooler up there. I would say he seems less sensitive when I touch him, but still sore and bony changes in lower thoracic and lumbar spine, sensitive along GB meridian (along hind legs). Any suggestions?
by naturevet
December 20, 2009
The odor could be a sign of Damp, as could the chronically low appetite in the morning. This is when Tai Yin energy is highest. The pathological form of Tai Yin energy is Damp, so morning is when Damp is most keenly felt. It's the same in people, with many overweight people not having a big appetite in the morning, but being famished once they move on from the Tai Yin time of day.

Clearly there's Heat there, yet also possibly some aggravation from cold. You still have a general need for the blood to move outwards, not inwards, as evidenced by the pulse. Rolling that altogether, my next thought is Yi Yi Ren Tang. It covers all those bases.

Lastly, chiropractic is strongly recommended if there is any available.

Steve
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