Muscle Atrophy

I just wish his limp was improving :( Once he gets started on his walks, he really moves quite fast considering his limp. When I get back from my vacation, my goal is to work on improving his gait (and hopefully his limp) if I can.
 
So the vet vet he saw when he was sick while I was gone threw another potential diagnosis into the mix. Radiation induced neuropathy. It is a thing in people, can happen anytime either during or after radiation (as in 2 years, 10 years, or 30 years). It often results in a dropped foot while walking in people, which Gavin doesn't have (they test for it every time we go in). It can manifest as loss of feeling, tingling, or pain, etc. It does appear that Gavin does not have significant feeling in his foot at times, but his reflexes appear normal when tested. When standing, he puts almost no weight on that leg, just barely resting it on the ground. He didn't lose any muscle tone while I was gone as Anne did walk him quite a bit, but his limp is the same. Sigh...at least he enjoyed his trip to the beach today! The only thing I found online that may help neuropathy is CBD oil, so I ordered that, but it won't actually improve his condition but may lessen pain/tingling and/or prevent further decline. Apparently chemo induced neuropathy can be reversible but radiation induced isn't.
 
Cindy, I am so sorry that Gavin is still having issues and I sure hope the meds you have on order will help a bit.
 
Thanks :) I knew post radiation neuropathy was a possibility, but all the papers I read had it as a rare complication. I am coming to realize that even in human cancer treatment, it is very common to downplay the risks with the attitude being "You're alive, aren't you?" and very little research in how to address these complications. The utter despair you can feel from posts in support groups from people suffering and getting no help or support is very sad.

Gavin has downgraded from mad at me for leaving him to just a little put out. The beach helped! Maybe by the end of the week he will have gotten over it.
 
Latest research in humans is exercise can make a big difference to post cancer neuropathy. My father (with radiotherapy neuropathy) said the research says high intensity exercise is better. I'm struggling with low intensity so will stick with that for now (I've got a significant deficit in my right leg after cancer treatment)

Two drugs that are being used in dogs for neuropathy are Gabapentin and Amantadine. Deska is on Gabapentin, so is a friend's lab. My vet uses Amantadine in conjunction with an NSAID to enhance it's effect (I was on it for pain).

This is an interesting article that discusses various options for managing neuropathy in dogs. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762016/
 
Last edited:
Exercise was never an issue until he had his groin pull, the rest during that recovery could have made things worse or maybe it is something completely different. Right now we are on every other day or ever third day for long walks with hills (it is very obvious it wears him out, and he really perks up after a day or 2 of rest). Gavin was on Gabapentin during his radiation treatment. It makes him all sleepy :( I am starting him on the leftover pills I have to see if it will help but I only have enough for a week or so, not sure if that is enough time. Vets have been of little help with this, and I don't know that one would write me a script for gabapentin at this point. But honestly the hardest part is not having a diagnosis. All I can do is try different things that may be indicated. At this point, the closest description I have is that Gavin uses his bad leg like one would use a crutch (and he has a limp as well). He does have full range of motion during passive range of motion exercises. X-Rays came back fine, no sign of arthritis. The PT vet says the groin pull is healed based on physical examination (she did find it that way 3 months ago). This might just be his new normal :(
 
How high a dose of Gabapentin? Deska was on 100 twice a day (white pill) and I mentioned that he was acting like a had dementia so the vet dropped him back to 50 twice a day. He's a little dopey about half an hour after but it wears off and his pain does appear better.

I wouldn't worry too much about a diagnosis. After recent cancer treatment (and resultant back surgery) I've got a major limp and cannot lift my right leg more than an inch and that causes pain. I see several specialists but don't know the source of the neuropathy. But in the end the treatment doesn't need really a diagnosis - unless I was planning on more surgery. Don't think of it as a 'new normal', it makes it sound like a life sentence and things change. My leg is a pain but it doesn't stop me living and dogs are so much more resilient than us - they just get on with life.
 
His pills were 100mgs 3x a day. How big is Deska? Gavin is a super sheltie at 35lbs. I am only doing 2x a day and have enough for a week or so, hope thats long enough to see improvement (or not). I don't care about a dianosis per se, but it seems like I am just trying anything that might possible help any condition he might have. His oncologist and the rehab vet he went to for 2 months did not mention radiation induced neuropathy, but the emergency vet when he had gastritis did.

At almost 13, I just want Gavin to have a good remaining life. I know this may not improve. He seems happy at times like at the beach or at dinner time, I just wish it was more often.
 
Back
Top