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Neck and back pain
- Authors: Simon Platt and A. Courtenay Freeman
- From: BSAVA Manual of Canine and Feline Neurology
- Item: Chapter 14, pp 252 - 270
- DOI: 10.22233/9781910443125.14
- Copyright: © 2013 British Small Animal Veterinary Association
- Publication Date: January 2013
Abstract
Many diseases encountered in veterinary medicine cause spinal pain, including multiple neurological diseases and non-neurological conditions such as polyarthritis. Lesion localization is very important in cases of spinal pain, in order to ensure that the correct diagnostic tests are performed. This chapter considers clinical signs, lesion localization, pathophysiology, differential diagnosis, neurodiagnostic investigation, degenerative diseases, anomalous diseases, neoplastic diseases, nutritional diseases, inflammatory diseases, traumatic diseases, vascular diseases.
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Behavioural response
Palpation of the neck of a Beagle with disc extrusion reveals a marked behavioural response indicative of pain. (See pages 252 and 253 of the Manual)
CSF flow study
Lateral and transverse views of an MRI CSF flow study showing the pulsatile movement of the CSF within the subarachnoid space. (See page 262 of the Manual)
Discospondylitis
(a) A Bull Terrier with discospondylitis demonstrating severe pain localized to the neck and marked motor dysfunction.
Discospondylitis
(b) Following 5 days of antibiotic therapy a major improvement in the posture, gait and comfort level of the dog can be seen. (b) Following 5 days of antibiotic therapy a major improvement in the posture, gait and comfort level of the dog can be seen. (See page 266 of the Manual)
Flexion and extension of neck
Following palpation of the cervical vertebrae, it can be useful to carefully flex and extend the neck as shown in this clip. However, this is not necessary and may be dangerous if pain is detected on palpation. (See page 253 of the Manual)
‘Phantom scratching’
A young Bichon Frise with syringomyelia demonstrating profound 'phantom scratching' behaviour. (See page 260 of the Manual)