
Introduction to Intervertebral Disc Degeneration [IVDD]

Between each of the vertebrae (bones of the spine) lies an intervertebral disc. This disc is composed of a soft tissue, called fibrocartilage, that allows movement and acts as a shock absorber. Normal wear and tear with aging results in deterioration of these discs(disc degeneration). Although some older patients can show clinical signs, more often the deterioration progresses without any problems or symptoms. In some pets, this deterioration is accelerated and middle-aged patients can show clinical signs.
Type I Disc Degeneration
Two groups of patients are most commonly affected. The first group is typically small breed dogs that are usually between the ages of 3 and 9 years. The center of the intervertebral discs, the nucleus pulposus, become calcified and rigid losing it’s normal elasticity. With a mild traumatic event, and occasionally even normal movement, the disc can rupture and the calcified center be rapidly extruded or herniated. If the disc ruptures to the sides or bottom, the result may only be transient pain lasting for a few hours to a few days. It may even be unnoticed by many owners; however, if the disc ruptures above, the calcified contents are extruded into the spinal canal and can impact on the spinal cord. This results in severe pain and varying degrees of paralysis. Immediate treatment is necessary or complete and permanent paralysis may occur. Surgery is necessary if medication alone does not work or if the signs are severe.
Type II Disc Degeneration
The second group of patients most commonly affected with disc degeneration are large breed dogs, usually 4 to 9 years of age. In these patients the disc degeneration results in a slowly protruding or bulging disc. The spinal cord may become compressed over the course of many months and thus symptoms may be gradual and be mistaken for arthritis. Treatment should be started before irreversible damage to the spinal cord has occurred. Again, the decision for medical treatment or surgery will depend on the severity of the symptoms and where in the neck or back the problem is occurring.
Traumatic Disc Rupture
Major traumatic events may also result in rupture of deteriorated or even normal discs in any patient. Treatment in patients with traumatic disc rupture may be the same as for those patient with Type I or Type II disc degeneration. This condition has also been called Fibrocartilagenous Embolism or FCE in the past.
![]() IVDD Prevention Steps Every dachshund owner fears the worst when it comes to the well-being of their doxies spine. Time after time we are asked what we do to prevent this tragic disease. Prevention is not a word we use for the steps we take as here, it is thought of as risk management. How can we lower or manage the risk of trauma.
Here are some suggestions:
To Be Inserted
Note that the back is always supported and straight throughout the lifting process.
Please drop us a note if you have found other ways to manage the risks for your doxies. We want to hear from you.
|
![]() During the exam it is common to draw blood and attempt to obtain urine, but two other tools common in the diagnosis of IVDD are the Wartenburg Wheel and surgical clamp. The Wartenburg Wheel ![]() This pinwheel like structure is often used by veterinarians to help identify the vertebra which have been effected by IVDD. The veterinarian will glide the pinwheel down the dogs spine observing the animal for pain or muscle flinching, thus identifying the disc in question.
The Surgical Clamp ![]() A trip to the OR will not be necessary to check the level of deep pain sensation for dogs who have developed a loos of limb function. The veterinarian will use the clamp to squeeze the pads of your dachshunds foot and may continue testing for loss of sensation up to the base of the tail with this method. The greater the deep pain, the greater the chance of recovery from a spinal injury.
Radiological Tools •X-Ray or Radiographs Many veterinarians will take x-rays or radiographs in an attempt to see a suggestion of disc rupture. These views are generally non-conclusive. DRBC does endorse the use of x-ray or radiograph pre-surgically or for dogs in respiratory distress to confirm sound lung function eliminating the concerns for pneumonia which some dachshunds can develop. A radiograph of a dachshund with a ruptured disk is shown below. ![]() •Myelogram The myelogram uses a contrasting agent or dye to illuminate the effected region of the spine. X-Rays are taken before and after the injection of the contrasting agent. The outline of the spinal cord and any herniated disc material can be seen on the post-contrast x-rays. As technology improves this procedure is sometimes coupled with a CT Scan to provide additional information about a selected region of the spinal column. Shown below is a myelogram of a dachshund with a ruptured disc. ![]() •MRI The MRI provides the surgeon with the most accurate information possible and is the diagnostic tool chosen most often by DRBC. Unlike the Myelogram, no foreign substances are injected and yet much better definition of the spinal column and herniated disc are mapped. Shown below are the MRI results for a dachshund with three ruptured discs. ![]() |
IVDD Medications Your veterinary has many choices when treating IVDD. Listed below by category are the drugs most commonly used to treat IVDD.
Non-Steroidal Anti-Inflammants [NSAIDs] DRBC does not advocate the use of NSAIDS for the treatment of acute IVDD. It is our drug of choice for recurring or chronic IVDD which is mildly symptomatic. Both NSAIDs and steroids carry inherent risks to the liver and kidneys. Discuss the impact of your veterinarians choice of medication with them to understand the impact their decision may have on your doxie.
ZUBERIN® - This is the DRBC NSAID of choice for the treatment of dachshunds with chronic or mild IVDD symptoms. Studies have shown that Zuberin's impact on long term kidney and liver damage is the least of all NSAID medications available.
Other NSAID's: Rimadyl® (Carprofen) Deramaxx® (Deracoxib) Previcox® (firocoxib) EtoGesic® (Etodolac) **Piroxicam® (Feldene) **Phenylbutazone® **Currently under US and Canadian Drug Review, not recommended for use with dogs Note: Other medications may be prescribed in a manner not suggested for dogs. The prescribing of medications for off-label use is not included here.Steroids [Glucocorticoids] Dexamethasone - Administered as an injectable, this drug is the DRBC 1st line of defense against IVDD which may become acute or surgical. This is a quick and long acting steroid which has resulted in positive results for the group when combined with strict crate rest and appropriate veterinary monitoring.
Prednisolone - Administered orally this steroid has less long term impact on organs including liver and kidney. This medication is a steroid, and like all steroids must be weaned from the dogs system. Discuss your concerns about the use of steroids to treat your doxie and the importance of weaning them from any drug in the steroid category. Prednisone - This drug is widely used by many veterinarians; however, it is metabolized or broken down in the liver to form Prednisolone. DRBC abandoned Prednisone several years ago due to the impact this medication has on the liver and kidneys. Should your veterinarian prescribe this medication, please be sure to discuss the side effects and steps towards weaning them from the use of this, or any other steroid. Special Note: The use of steroids will cause an increase in thirst and need to urinate. They will also create a false sense of wellness. Take the proper precautions and provide ample water for your dog and remember to restrict movement to no more than 6 steps when going outside to meet nature's call. Always discuss the process by which your doxie will be weaned from a medication in this category wit your veterinarian.Gastrointestinal Protectant Use of NSAID's or steroids can lead to the development of ulcers in your doxie. Guarding against this additional complication is a step your veterinarian will most likely include in your treatment protocol.
Carafate® (Sucralfate) Zantac® (Ranitidine) Tagamet® (Cimetidine) DRBC uses all three of the medications listed above to guard against the formation of ulcers while an NSAID or steroid is being dispensed. Additional medications exist in the human market and are not included in this list. Use of non-canine specific medications can lead to additional medical issues and complications. Always discuss your choice of over the counter medications with your veterinarian to insure that the medications you provide your doxie will be safe and effective.
Pain Relievers
Managing the pain your dachshund is experiencing is an important part of the overall treatment protocol your veterinarian will address. There are several drugs available for use in this area:
Tramadol® - This is the pain reliever of choice at DRBC. Orally administered, it is safe and effective. Robaxin® (Methocarbamol)- Also used by DRBC on occasion. The pain medications listed below are considered controlled substances. Fentanyl is applied as a patch for short term use, while the remainder may be administered as an injection or oral medication:
Antibiotics
Dachshunds which have experienced IVDD without prompt surgical attention or who are non-surgical candidates often develop urinary infections due to an incomplete emptying of the bladder. Pneumonia is another concern for dachshunds with compromised immune systems and loss of mobility. The dogs in our care are often placed on antibiotics and a urinary acidifier following a screen of their urine to eliminate these concerns.
While there are many antibiotics available to your veterinarian, our drug of choice is: Baytril® Many veterinarians think of this medication as a 'big gun' and want to save it for when really needed. Prescribed and administered properly, their concern for antibiotic resistance should be minimized. Discuss this proactive position with your veterinarian, because this IS that really big event.
Our acidifier might suprize you: 250 mg Chewable Vitamin C Vitamin C has long been know as a urinary acidifier in the veterinary world and is currently being studied for it's anti-oxidants effects as well.
|
The Journey – The Story of Marty It is impossible to participate in the rescue of this breed and not work with dogs that did not receive treatment, or for whom treatment was only partially successful or may have completely failed. What then? This is the story of Marty, a cute little doxie that did not receive treatment in time to save his spinal cord. One day we received a call about a little doxie who was not responding 2 months after his spinal surgery. The rigors of the routine Marty required was too much for his family and they had decided that one way or another, it was Marty’s time to go. So Marty came to DRBC. Marty was very thin. No one had kept up with his reluctance to eat after the surgery and he had lost weight. Poor Marty had sores on his hind section from urine scald and his knees and legs had open cuts from where he had dragged himself along the ground. Marty’s hind end was completely paralyzed. Marty had a bladder infection because no one bothered to express his bladder and bowels regularly. But Marty had heart. His tail could not wag, but his eyes were full of hope and he was anxious to share his kisses with anyone that stopped by to greet him. And so, Marty’s journey began. Marty got a two baths. He was stinky. He was put in a recovery crate so that something soft would cushion his body, especially his hind end. Then Marty went to the veterinarian! No more steroids; they were to be weaned. 3 meals a day; Marty needed to gain weight. Medications for his bladder infection and cuts, a physical therapy schedule and Marty went off to his new foster home. Life changed fast for Marty. His cuts healed, his appetite returned, he was put on a schedule for his bladder and bowels and the special folks over at K-9 Carts made Marty his own set of wheels. It was pretty clear to all of us that Marty would never walk again in spite of our efforts, but that was OK, Marty was still here with us and he was a love. The day Marty’s cart arrived was an exciting one for the ‘Mart-man’, as he came to be know. Unlike most doxies placed in a set of wheels, Marty froze. Freedom was just a step away, but how to get him to move, this was the dilemma. Food wouldn’t move him, praise and encouragement didn’t do it, and then, finally Marty’s secret passion was discovered: soft squeak toys! All of the DRBC homes have plenty of safe toys for all the fur kids to enjoy. Marty believed they were all his. Every one of them. He took great joy in chasing the toys across the floor in his new set of wheels. His scheduled play sessions also helped him build the strength in his chest and front legs, which is very important to paraplegic dogs. ‘Who’s toy is this?’ we would ask. Why Marty’s, of course and away he went. Over time the Mart-man developed a love for stuffed ducks and would drag one with him whenever he could. Almost a year passed. Marty returned to a normal weight and his feeding schedule blended into the normal foster feeding pattern. He was checked frequently for bladder infections, but the schedule designed to prevent problems was working well. He had become a pro with his wheels, anticipating corners and learning to stop on a dime. Marty had been rehabilitated. It didn’t matter that his hind end didn’t work, to us; he was just another one of the kids. And so, Marty’s quest for a new home began. Many people came to meet Marty, but no one wanted to take on the responsibility he represented. Marty would look out the door as family after family declined him because of his disability. ‘That’s OK Mart’ we would tell him, ‘its just not your turn yet. It will happen.’ Almost one year passed. One day a couple whose children had grown came to meet Marty. They watched as he ran after all the toys. They asked about how they could care for a dog like Marty and listened carefully to everything that they would have to do to keep Marty healthy. They held Marty and kissed him. They practiced taking him in and out of his cart. They seemed to understand about the stuffed duckies. They talked it over for a long while. They looked at all the other dogs. And then they adopted Marty! Dog, cart and squeaky ducks! It was Marty’s Turn! Marty stayed with us for two more weeks as his new family prepared for his arrival. Ramps were built so that Marty could see out the window and navigate the step in and out of the house. Soft blankets and extra stuffed duckies were brought in so Marty would feel right at home. It was a bittersweet departure as Marty left. We loved Marty so much, but we wanted what was best and knew he had found it in this special family. And we knew we would see him again and hear from his family because that is how DRBC works, but it was still tearful for all of us as the car pulled away with our little buddy. Time passed, Marty flourished in his new home, but the function his hind end never returned. No matter, he was loved. Then, out of the blue we received a call that Marty needed a friend. Marty’s family had more love to share and Marty, well he was everybody buddy. An odd and special request came with it: could we find another challenged dog to add to their home? We were stunned; this was an amazing family. Fate is a funny thing. Anyone in rescue will tell you that. How that family knew we were about to receive another challenged dog mystifies us to this day, but two weeks after the request for a friend for Marty came, so did another paraplegic doxie named Suzie. Her family had given up on her after just a month of care. We contacted Mary’s family and told them to get ready for their new addition. About a month later, on a warm summer day, Marty met his new bride. They wheeled around the patio together and then out on to the lawn. It did not seem to bother her that Marty had a cart and she liked the people very much. As we worked on the adoption agreement they fell asleep in the sun together. It was meant to be. The family that adopted Marty and Susie went on to adopt several more special needs doxies. Their love for those specially challenged doxies remains a tribute to the depth human kindness can reach. Dachshunds with paraplegia go on to live happy and normal lives. Marty, Susie and all the special needs animals out there are a testament to that. Remember, every journey begins with a step or in Marty’s case a good set of wheels. Do you have a special needs doxie? Please develop a schedule that helps them be the very best dog they can be. Work with your veterinarian to avoid the extra health issues your special doxie may present. Please feel free to contact us at info@doxierescue.com if we can be of any assistance. You can do it! |
|
Alternate Therapy: Acupuncture is one of the world’s oldest and safest medical treatments and relies on the use of very fine painless needles placed in strictly defined positions on the recipient, which is thought to affect the flow of energy around the limbs, body and head. Canine Acupuncture results in the release of the body’s own endorphins which are very effective pain killers and can, in correctly chosen cases, have very significant beneficial effects not only on the musculoskeletal system but also on medical complaints and the LCRC believes it has an important role in the holistic treatment of veterinary patients. Not Painful Although insertion of needles may cause in a few cases a very short lived tingling sensation, small animal patients are in general very tolerant of acupuncture and some may even relax so much as to fall asleep during treatment! Noticeable Improvements Generally improvement in susceptible cases will be seen after 2 to 3 sessions though occasionally animals are immediately better with regards stiffness and improved mobility after their first treatment. What to Expect Many people wonder what it will be like to have acupuncture done on their dogs. Here is a clip that shows what you might expect on a trip to the acupuncturist:
|
|
Bladder and Bowel Expression Regardless of whether your doxie has lost the ability to sense the need to empty their bowel or bladder due to the effects of post-surgical swelling or because a conservative treatment path has been chosen, the need to empty their bowel and bladder on a scheduled basis may be indicated. Learning this critical responsibility is best taught by your veterinarian or trained veterinary staff member. While not difficult it is important to have them assist you in the proper way to address each of these tasks. Ask your veterinarian or trained veterinary staff member before discharge on the proper methods and practice these steps in their presence to help your doxie with this issue.
|

Neck
|
Limbs
|
Generalized Complaints
|
Rear Body Complaints
|

| Time [Hours] |
Treatment Progression |
| Hour 0 |
The injury occurs. |
| Hour 50 |
The problem is detected in the home. Normally a 36 hour credit is given here unless we witness the injury, but in this case the injury was not clearly obvious to the foster home. |
| Hour 53 |
The dog arrives at DRBC for transfer to the emergency hospital. 3 hours were allotted here to allow for settling family matters and driving time. DRBC will move without an appointment for a presumed disc injury and will proceed to our neurosurgeon. |
| Hour 55 |
We arrive at the emergency hospital and check-in. Within 15 minutes we are seen by a veterinary nurse and surgical resident or intern. |
| Hour 57 |
The general exam is complete and the neurosurgeon will talk to us about diagnosis, treatment plan and potential prognosis based on observed findings. This is also the point at which the decision to have a myelogram or an MRI is made. |
| Hour 69 |
Unless immediate surgery is required DRBC will opt to stabilize and wait for the MRI. The wait can be upwards of 12 hours depending on when the MRI is being used for neurological evaluation. |
| Hour 70 |
The results of the MRI and other tests are reviewed by the neurosurgeon and DRBC is contacted to discuss. Surgery will be scheduled for purposes of his example. |
| Hour 78 |
Our dog was not the most critical case on the surgeons docket that day. Our dog waits their turn. |
| Hour 80 |
The dog is prepped for surgery and moved to the operating room. The surgery begins. |
| Hour 83 |
The surgery is complete and the immediate danger has been removed. The animal is recovered form surgery and transferred to the post op area or ICU. Medications to reduce swelling and inflammation are given along with supportive fluids. |
| Hour 91 |
The animal recovers from anesthesia and the wait for the return of deep pain begins. |

|
|
Choosing A Surgeon You will want a neurosurgeon or at the very least, an experienced orthopedic surgeon should you decide to take the surgical route for your dachshund. This procedure should not be performed by a general care veterinarian. There are several choices: Within the DRBC Area [PA/NJ]: Eric N Glass, MS, DVM, ACVIM Noemie M. Bernie, DVM, DACVIM (Neurology) Outside the DRBC Area [PA/NJ]: |
![]() |
Choosing A General Care Veterinarian Finding a veterinarian that can administer the proper protocols for conservative management or support your decision not to take a surgical path will be critical to the long term health and well-being of your dog. Here are some of the very best: Within the DRBC Area [PA/NJ]: Sherwood M Gloth, VMD William H Petit, DVM Dr. Scott Turk Outside the DRBC Area [PA/NJ]: |
![]() |
Choosing A Physical Therapy Program Physical therapy represents one of the fastest growing segments of the veterinary industry. Recovery from an IVDD injury can be maximized through the use of physical therapy techniques. Choices are limited, but are high quality: Within the DRBC Area [PA/NJ]: Outside the DRBC Area [PA/NJ]: |
![]() |
Financial Assistance Programs Veterinary surgery and support carries appropriate short and long term expenses. Many families are not prepared for the estimates that face a dog with IVDD. Tough economic means looking at alternative means of support.
There are a tremendous list of financial organizations to help finance the cost of IVDD. This list can be accessed via download. Just click on the 'I Need Financial Aid' icon to the left or by accessing the document at the DRBC Download Center. Don't give up. Money is only a tool, it is the means to an end, not the end itself. Veterinarians and the veterinary community are for the most part very compassionate; they want a positive out come as well. Be the best advocate you can be for the outcome you want to achieve. Don't stop asking 'how can you help me', until you have the help you need. Also be sure to ask 'if not you, then who'; that is a tough question to walk away from when a life is at stake. And finally, don't give up! |
![]() |
Pet Insurance Programs US pet owners do not take advantage of the health insurance programs available for our four legged kids, often regretting it when a disease like IVDD strikes. Affordable, obtainable and easy to receive benefits from, the companies that offer insurance cover wellness and critical care issues.
Here our the two preferred by DRBC: VPI Pet Insurance |
![]() |
K-9 Cart Companies There are a few companies that make k-9 carts out there. Our rule of thumb is that if we have to take more measurements than we ever though about when it comes to the height length and width of our doxie and their chest, legs and body, we have the right cart company!
Here's one that gets the DRBC paw of approval: K-9 Kart Company |
![]() |
K-9 Ramp Companies This is like shopping for furniture or trying to put in a new kitchen, not to mention that you get the ramp and you still have to train them to use it. Get the camera out for a UTube submission and trust us there will be laughter.
Try these folks for a quality ramp and great customer service: FetchDogs |
![]() |
In Need of Hope This is a tough one. I can't link you anywhere for this, you can't buy it at the store and your veterinarian won't have it in their pharmacy, but it may be closer than you think. This section was left for last for a good reason. It is here to remind you that dachshunds, like children, never stop hoping, they just adapt and go on doing what they do best...loving you.
This is Calvin. Take a good look into his eyes. Do you think he has given up? I doubt it. The look of the hunt is there in his eyes and he is on the move...in his cart. This picture comes to us from Calvin's Mom and although she didn't tell me if this cart was equipped with snow tires or all season treads, the one thing that is clear is that this little guy is having a great life. Why? His Mom didn't lose hope and they adapted! IVDD ending in paralysis is not life ending. Ask Calvin and his Mom. ![]() This is Molly. She is sunning in front of the garden bed where she often climbs with her brothers. She came to DRBC inoperable and for a while was treated as though she was handicapped. Her brothers knew she was handi-capable and now she walks and climbs with only a slight limp. Molly didn't loose hope. Don't you.
![]()
Believe. Believe in yourself and your conviction for the best outcome for your pet. A lot comes from the convictions of the heart. Look in their eyes and then follow your instincts, not family or peer pressure. Be at peace with your outcome; realize it may not always be what you might think. Hang in there, you can do it.
|
|
Conjunctive Therapies DRBC uses both physical therapy and nutritional supplements as part of our conjunctive support program. There are times when we will use acupuncture as well.
Physical Therapy Recovery from an IVDD related injury is one of many conditions treated with physical therapy. This field is one of the fastest growing in the veterinary industry for good reason. Helping your injured pet return as much function as possible is hard work, for both you and your dog. A physical therapist can best design a program of recovery that may include:
Noticeable Improvements Generally improvement in susceptible cases will be seen after 2 to 3 sessions though occasionally animals are immediately better with regards stiffness and improved mobility after their first treatment. Nutritional Supplements DRBC utilizes a combination of Glycosamine, Chondroitin and Hyaluronic acid (also called Hyaluronan). These supplements are used in a preventative manner daily and have been shown to aid doxies in their recovery from IVDD injuries. Glycosamine, chondroitin and Hyaluronic acid sulfate are naturally occurring components that act as building blocks for the functioning of healthy cartilage and flexible joints. These organic supplements work by minimizing cartilage damage and swelling, increasing joint lubrication, helping to rebuild the cartilage that cushions and protects joints, and enhancing new cartilage production. Numerous studies on the effects of these supplements have found them components to be critical nutrients that assist in supporting flexibility, comfort, and range of motion — for pets as well as for humans. Chondroprotectants (chondro - cartilage) such as glycosamine, chondroitin sulfate and Hyaluronic acid are being prescribed increasingly by conventional as well as holistic veterinarians. The combination of these supplements has been found helpful in relieving inflammation and may even reverse the degenerative process in some dogs. These supplements work by nourishing the cartilage and increasing viscosity of the synovial fluid (the joint's lubricating system), thereby reducing friction and pain. Glycosamine, chondroitin and Hyaluronic acid attract fluid into the joint's cartilage system and help the body repair damaged joints while keeping the cartilage-destroying enzymes under control — all with equal or better results than anti-inflammatory drugs. In short, chondroprotectants:
Noticeable Improvements Generally improvement in susceptible cases will be seen after 4 to 6 weeks, although improvements may be noted in some animals at the 2-week mark. Remember to talk to your veterinarian before beginning any regiment that includes dietary supplements.
Weight Control Controlling the weight of your dachshund can only improve outcome. Although there is no guarantee that dogs meeting a lighter weight standard will not incur IVDD, numerous studies indicate that a proper conformance leads to a lower risk. Lowering your dogs weight is often a readjustment on the part of the owner and not the dog. A proper diet, not a diet food is the best means of achieving this goal. DRBC shares its dietary guidelines and breed conformance profiles at the links sited below. Additionally, we invite you to attend our webinar series entitled: Diet & Your Doxie, which may help in the proper weight management of your dachshund dog. Here are those links:
|