October 2015

Pet of the Month: 
Dudley Binfield

Dudley , a 5 Year 3 Month Old, Male, Springer Spaniel, first began attending the Smart Clinic at the end of July this year. He was referred to us two weeks post presentation at his own vets after progressive loss of hind limb and bladder function overnight.

He was referred to a specialist veterinary clinic prior to attending the Smart Clinic where a suspected fibrocartilagenous embolism was diagnosed. Due to the clinical presentation of Dudley at this time, as he had no conscious bladder function or deep pain sensation, the prognosis given was very poor.

However Dudley had actually already started to show slight signs of improvement before his first visit at the Smart Clinic, his owners were able to assist him from sitting to standing and although he remained incontinent he had urinated twice independently when excited at home. In himself he was generally well with a good appetite and happy attitude.

At his first appointment with us Dudley displayed no movement in his hindlimbs and although he could achieve a standing position with assistance he still showed no conscious pain and was very sore through his forelimb musculature due to compensation through his forelimbs when attempting to move himself around. During his first water treadmill session with us at this appointment though Dudley was better able to maintain a stand and by his second attempt showed some attempt at forward initiation with stifle flexion. His placement of his hindlimbs was also consistent.

Following this first appointment, although his prognosis still remained guarded, we started Dudley on an intensive input rehabilitation programme. This involved three visits per week to the clinic where he would stay as an inpatient so that numerous treatment sessions could be performed throughout the day to hopefully maximise his response and progression.

Within the first two weeks Dudley showed significant improvements. He showed voluntary movement in both hindlimbs and elicited a pain response when pressure was applied. He had also started to urinate freely although not always empting his bladder fully so manual expression was still needed to help with this. At this point we were cautiously optimistic that we would be able to get Dudley back on his feet!

We continued to see Dudley two to three times a week over the next few weeks and continued to see improvements. He started to independently move his hindlimbs albeit in quite an uncoordinated manner. He also had obvious conscious pain in both hindlimbs and reflexes in his hindlimbs were much stronger. He still needed occasional help to fully empty his bladder but this was also much improved. His owners were also able to do more at home with him in regards to therapeutic exercises and this in turn was contributing to improvements seen at the clinic during his visits.

Now, Dudley is able to independently walk in the treadmill with minimal assistance for short sessions. He is able to support himself in standing and can walk for short periods of time with no obvious problems. His bladder control has also improved.

We are still seeing Dudley once weekly to work on improving the control of his movement but we really couldn’t be happier with the progress he has made. It is testament to his owners, with all their dedication alongside the work we have done, that he has succeeded in regaining mobility despite such a poor prognosis initially. He is such a lovable, unique character and we are thrilled we have been able to help him get back on his feet! Well do0ne Dudley smiley