Orthomanual therapy as treatment for suspected thoracolumbar disc disease in dogs ABSTRACT.

Published: Dec 27, 2017
complementary medicine dachshund intervertebral disc disease spinal cord injury thoracolumbar disc disease veterinary orthomanual medicine

According to the principles of veterinary orthomanual medicine, vertebral misalignments are associated with intervertebral disc disease in dogs. Manual correction of these vertebral misalignments are presumed to contribute to successful recovery. The objective of this retrospective study was to evaluate the effects of veterinary orthomanual therapy (VOT) in 261 dachshunds with suspected thoracolumbar intervertebral disc disease (TLDD). Effect of treatment was assessed using a retrograde
neurological status classification. From one clinic’s 2003-2008 medical records, 261 dachshunds with suspected TLDD met the inclusion criteria. Individual data included signalement and history, orthomanual aspects and neurological evaluations before treatment and at 2 weeks, 3 months and 6 months. Telephone interviews with owners were conducted one year after the initial treatment. The initial neurological status according to Griffiths ‘82 grading, was grade I in 115 animals (44%), grade II in 59 animals (23%), grade III in 27 animals (10%), grade IV in 52 animals (20%) and grade V in 8 animals (3%). Two weeks after the first treatment, 111 animals (55%) with initial grade I, II or III and two animals (3%) with initial grade IV or V had improved from their initial grade to a neurologically normal state; within 6 months of the initial treatment this full recovery was observed in 154 animals (77 %) with initial grade I, II or III and 27 animals (45%) with initial grade IV or V. Of the initially non-ambulatory dogs, 82% recovered to an ambulatory state. Of the owners, 89% evaluated the treatment as successful after 1 year. Most (78%) of the animals underwent a single VOT treatment, and the most commonly misaligned vertebrae were T12, T13 and L1. Veterinary orthomanual therapy is a conservative treatment method, which is minimally stressful for the animal and inexpensive. VOT combined with cage rest seems to be effective in treating TLDD in dachshunds. The results of this study demonstrate that veterinary orthomanual therapy might be considered an adjunct modality for the non-surgical treatment of dachshunds with intervertebral disc disease.  A prospective controlled clinical trial is needed to further examine its efficacy.

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Aikawa T, Fujita H, Kanazono S, Shibata M, Yoshigae Y (2012) Long-term neurologic outcome of hemilaminectomy
and disk fenestration for treatment of dogs with thoracolumbar intervertebral disk herniation: 831 cases (2000-2007). J Am Vet Med Assoc. 241:1617-1626.
Anderson DK, Means ED, Waters TR, Green ES (1982) Microvascular perfusion and metabolism in injured spinal cord after methylprednisolone treatment. J Neurosurg 56:106-113.
Assendelft WJJ, Lankhorst GJ (1998) Effectiviteit van manipulatieve therapie bij lage rugpijn: geen uitsluitsel in systematische literatuuroverzichten en behandelrichtlijnen. Nederl Tijdsc Geneesk 142:684-688.
Ball MU, McGuire JA, Swaim SF, Hoerlein BF (1982) Patterns of occurence of disk disease among registered dachshunds. J Am Vet Med Assoc 180:519-522.
Besalti O, Peckan Z, Sirin YS, Erbas G (2006) Magnetic resonance imaging findings in dogs with thoracolumbar intervertebral disk disease: 69 cases (1997-2005). J Am Vet med Assoc 228:902-908.
Bitetto WV, Kapatkin AS (1989) Intraoperative problems associated with intervertebral disc disease. Probl Vet Med 1:434-444.
Bray JP, Burbidge HM (1998) The canine intervertebral disk. Part two: degenerative changes-non chondrodystrophoid versus chondrodystrophic disks. J Am Anim Hosp Assoc 34:135-144.
Brisson BA, Moffatt SL, Swayne SL, Parent JM (2004) Recurrence of thoracolumbar intervertebral disk extrusion in chondrodystrophic dogs after surgical decompression with or without prophylactic fenestration: 265 cases (1995-1999). J Am Vet Med Assoc 224:1808-1814.
Bush WW, Tiches DM, Kamprad C (2007) Functional outcome following hemilaminectomy without methylprednisolone sodium succinate for acute thoracolumbar disk disease in 51 nonambulatory dogs. J Vet Emerg Crit Care 17:72-76.
Coates JR (2000) Intervertebral disk disease. Vet Clin N Am Small Anim Pract 30:77-110.
Davis GJ, Brown DC (2002) Prognostic indicators for time to ambulation after surgical decompression in nonambulatory dogs with acute thoracolumbar disk extrusions: 112 cases. Vet Surg 31:513-518.
De Lahunta A, Glass EN (2009) Small animal spinal cord disease. In: (eds: De Lahunta A, Glass EN) Veterinary Neuroanatomy and Clinical Neurology, 3rd edn. Elsevier, St. Louis, pp. 243-265.
Doita M, Kanatani T, Ozaki T, Matsui N, Kurosaka M, Yoshiya S (2001) Influence of macrophage infiltration of herniated disc tissue on the production of matrix metalloproteinases leading to disc resorption. Spine 26:1522-1527.
Ferreira AJA, Correia JHD, Jaggy A (2002) Thoracolumbar disc disease in 71 paraplegic dogs: influence of rate of onset and duration of clinical signs on treatment results. J Small Anim Pract 43:158-163.
Gambardella PC (1980) Dorsal decompressive laminectomy for treatment of thoracolumbar disc disease in dogs: a retrospective study of 98 cases. Vet Surg 9:24-26.
Genee T, van de Bunt A, de Bruijne, JJ (2006) De standafwijkingen. In: (eds: Genee T, van de Bunt A, de Bruijne JJ et al.) Orthomanuele Geneeskunde, 1st edn. Nederlandse Vereniging Orthomanuele Geneeskunde, Amsterdam, pp. 54-93.
Goggin JE, Li AS, Franti CE (1970) Canine intervertebral disc disease: characterization by age, sex, breed, and anatomic site of involvement. Am J Vet Res 31:1687-1692.
Han HJ, Yoon HY, Kim JY, Jang HY, Lee B, Choi SH, Jeong SW (2010) Clinical effect of additional electroacupuncture on thoracolumbar intervertebral disc herniation in 80 paraplegic dogs. Am J Chin Med. 38:1015-1025.
Henke D, Vandevelde M, Doherr MG, Stöckli M, Forterre F (2013) Correlations between severity of clinical signs and histopathological changes in 60 dogs with spinal cord injury associated with thoracolumbar intervertebral disc disease. Vet J 198:70-75.
Hoerlein BF (1978) Invertebral disks. In: (ed: Hoerlein BF) Canine neurology: diagnosis and treatment, 3rd edn. Saunders, Philadelphia, pp. 470-560.
Hoerlein BF (1978) The status of various intervertebral disc surgeries for the dog in 1978. J Am Anim Hosp Assoc 14:563-570.
Ingram EA, Kale DC, Balfour RJ (2013) Hemilaminectomy thoracolumbar Hansen Type I intervertebral disk disease in
ambulatory dogs with or without neurologic deficits: 39 cases (2008-2010). Vet Surg 42:924-931.
Jaggy A (2010) Spinal cord. In: (ed: Jaggy A) Small animal neurology, 1st edn. Schlütersche, Hannover, pp. 351-356.
Janssen LAA, Prins EMD (1989) Treatment of thoracolumbar disc disease in dogs by means of acupuncture: a comparison of two techniques. J Am Anim Hosp Assoc 25:169-174.
Joaquim JG, Luna SP, Brondani JT, Torelli SR, Rahal SC, de Paula Freitas F (2010) Comparison of decompressive surgery, electroacupuncture, and decompressive surgery followed by electroacupuncture for the treatment of dogs with intervertebral disk disease with long-standing severe neurologic deficits. J Am Vet Med Assoc. 236:1225-1229.
Kornegay JN (1986) Invertebral disk disease. In: (eds: Komegay JN) Neurologic disorders – contemporary issues in small animal practice, 1st edn. Church Livingstone, New York, pp. 21-39.
Levine JM, Fosgate GT, Chen AV, Rushing R, Nghiem PP, Platt SR, Bagley RS, Kent M, Hicks DG, Young BD, Schatzberg SJ (2009) Magnetic resonance imaging in dogs with neurologic impairment due to acute thoracic and lumbar intervertebral disk herniation. J Vet Intern Med 23:1220-1226.
Levine JM, Levine GJ, Johnson SI, Kerwin SC, Hettlich BF, Fosgate GT (2007) Evaluation of the success of medical management for presumptive thoracolumbar intervertebral disk herniation in dogs. Vet Surg 36:482-491.
Lorenz MD, Coates JR, Kent M (2011) Confirming a Diagnosis. In: (eds: Lorenz MD, Coates JR, Kent M) Handbook of veterinary neurology, 5th edn. Saunders/Elsevier, St. Louis, pp. 75-77.
Mann FA, Wagner-Mann CC, Dunphy ED (2007) Recurrence rate of presumed thoracolumbar intervertebral disc disease
in ambulatory dogs with spinal hyperpathia treated with antiinflammatory drugs: 78 cases (1997 – 2000). J Vet Emerg Crit Care 17:53-60.
McKee WM (1992) A comparison of hemilaminectomy (with concomitant disc fenestration) and dorsal laminectomy for the treatment of thoracolumbar disc protrusion in dogs. Vet Rec 30:296-300.
Mochida K, Komori H, Okawa A, Muneta T, Haro H, Shinomiya K (1998) Regression of cervical disc herniation observed on magnetic resonance images. Spine 23:990-995.
Nečas A (1999) Clinical aspects of surgical treatment of thoracolumbar disc disease in dogs. A retrospective study of 300
cases. Acta Vet 68:121-130.
Olby N, Harris T, Burr J, Muñana K, Sharp N, Keene B (2004) Recovery of pelvic limb function in dogs following acute
intervertebral disc herniations. J Neurotr 21:49-59.
Oliver JE (1997) Pelvic limb paresis, paralysis, or ataxia. In: (eds: Oliver JE, Kornegay JN, Lorenz MD) Handbook of veterinary neurology, 3rd edn. Saunders, Philadelphia, pp. 133-138.
Ruddle TL, Allen DA, Schertel ER, Barnhart MD, Wilson ER, Lineberger JA, Klocke NW, Lehenbauer TW (2006) Outcome and prognostic factors in non-ambulatory Hansen type I intervertebral disc extrusions: 308 cases. Vet Comp Orthop Traumatol 19:29-34.
Scott HW (1997) Hemilaminectomy for the treatment of thoracolumbar disc disease in the dog: a follow-up study of 40
cases. J Small Anim Pract 38:488-494.
Sickesz M (1986) De standsafwijking van de wervels. In: (eds: Sickesz M) Klinische orthomanipulatie, 1st edn. Ankh-Hermes bv, Deventer, pp. 7-15.
Simpson ST (1992) Intervertebral disc disease. Vet Clin N Am Small Anim Pract 22:889-897.
Sukhiani HR, Parent JM, Atilola MAO, Holmberg DL (1996) Intervertebral disc disease in dogs with signs of back pain alone: 25 cases (1986-1993). J Am Vet Med Assoc 209:1275-1279.
Tanaka H, Nakamaya M, Takase K (2004) Usefulness of myelography with multiple views in diagnosis of circumferential
location of disc material in dogs with thoracolumbar intervertebral disc herniation. J Vet Med Sci 66:827-833.
Van de Veen EA, de Vet HC, Pool JJ, Schuller W, de Zoete A, Bouter LM (2005) Variance in manual treatment of nonspecific low back pain between orthomanual physicians, manual therapists, and chiropractors. J Manipul Physiol Ther 28:108-116.
Wheeler SJ (1995) Neurological examination of the limbs and body. In: (eds: Wheeler SJ) BSAVA Manual of small animal neurology, 2nd edn. BSAVA, Cheltenham, pp. 27-36.
Wheeler SJ, Sharp NJH (1993) Cervical disc disease. In: (eds: Wheeler SJ, Sharp NJH) Small animal spinal disorders, diagnosis and surgery, 1st edn. Mosby-Wolfe Publishers, London, pp. 85-108.