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Intervertebral Disk Disease (IVDD) in Dogs

Back pain is a common presenting complaint, and working in the ER, I see the full spectrum of signs, from reports of pets “just acting off,” to complete loss of function in the rear legs. The wide spectrum of clinical signs that can be seen depends upon many factors, including location and type of disk disease, the velocity of disk contact with the spinal cord, and the amount and duration of spinal cord compression.

First, some quick anatomy: the spine is composed of multiple bones, called vertebrae, with disks “smushed in between” to provide cushion, acting as the spine’s shock absorbers. Each one of these disks is made up of a gel-like area in the center and a tough fiber-like outer ring (think of a jelly-filled donut). Disease occurs when there are degenerative changes in the disks, causing them to protrude into the spinal canal, causing pressure on the spinal cord itself. This is often referred to as a “slipped disk.”

There are two types of slipped disks: sudden disk herniation is known as Hansen type I, and chronic (or slow) disk herniation is known as Hansen type II. Type I disease tends to be very sudden and often happens during vigorous activity. Type II disease has a subtler onset and generally worsens over time; this is the most common form of disease and likely the type that most of you experience with your aging pet.

Breeds with short little legs that bow to some degree (such as Pekingese, shih tzu, and dachshund) tend to fall into the Hansen type I category. Larger breeds (such as Labradors and Shepherds) generally tend to have type II, which carries a better prognosis. Type I disease generally affects dogs between the ages of 3-6 years, while type II usually occurs between the ages of 8-10 years.

There are 4 classes of disk disease and they include:

  • Class 1: back pain only; there is a reluctance to move or jump and hunched posture, quiet behavior, and often a finicky appetite (a common reason for a veterinary visit)
  • Class 2: back pain with a wobbly or incoordinated gait and mild weakness in the hind limbs; they are still able to walk
  • Class 3: presence of “proprioceptive deficits” which basically means the brain doesn’t know where the feet are; if you turn your dog’s paw over on its knuckles, it will quickly flip it back over, but with spinal compromise, the brain doesn’t realize the paw is “upside down” and they leave it that way; other times, “scissoring” of the back legs when they attempt to walk is observed; in all of these classes, the front limbs generally remain normal
  • Class 4: complete loss of function of the back legs (paralysis) but they can still feel their toes when you pinch them; pet owners will often observe their pets dragging themselves around by their front legs
  • Class 5: complete paralysis with loss of pain sensation

Treatment recommendations depend on the class of disease and are as follows:

  • Class 1: treated medically with anti inflammatory medications, pain medications, muscle relaxants and REST!! Acupunture, weight loss, hydrotherapy and physical therapy can be added in to further promote back health
  • Class 2: also treated medically but with close monitoring for any neurological changes or decline followed by surgery if there is worsening of signs. Confinement to a crate for 4 weeks is often recommended.
  • Classes 3 and 4: surgery is needed to “debulk” the disk material that is pushing on the spinal cord; if surgery is not an option, your veterinarian may still recommend the above treatments for class 1 and 2 because there is always hope that with time, rest, and medications that the inflammation wil decrease
  • Class 5: surgery is needed within (ideally) the first 8 hours to give the best chance for return of function; if surgery is not an option, mobility carts are useful in many pets and they can continue to have an excellent quality of life

Most dogs in classes 1-4 have a good to excellent prognosis and are able to continue to walk and have a good quality of life. Those pets that are treated conservatively with rest and medications only (no surgery) may experience a return of signs. Pets that fall into class 5 and have surgery have a poorer, but not hopeless prognosis.

Emmy still trying her hardest to get the stick from Bauer

This is a subject that hits close to home as my own dog, Emmy Lou (pictured with my other boy, Bauer), suffered from type I, class 5 disease. I had to make the decision to euthanize her after 1 month when she did not regain the use of her hind legs. It happened during playtime when I was throwing the ball for her in the back yard; she suddenly yelped out mid-chase and fell over in pain. I realized that she could not feel her toes and rushed her in for an emergency myelogram, MRI and spinal surgery. The MRI revealed that the gel of her disk essentially “blew through” her spinal cord, nearly completely severing it. Despite her surgery, physical therapy and acupuncture she never did regain use of her hind legs, and being a Whippet, her body didn’t adapt well to a mobility cart. Despite being given a less than 5% chance of recovery, I never regretted the decisions I made for her. Luckily now, with my 100-pound boy, Bauer, I only have to worry about type II disease and be prepared to manage mild degenerative changes he may experience as he approaches 10 years of age.

5 Comments Post a comment
  1. charlene best #

    Thank you for the explanation. My 8 year old shih tzu was diagnosed today, he was fine yesterday running and playing then after a rest I noticed his back legs to be wobbly and he didn’t want to walk. He can walk as he ran to the door when the doorbell rang…he had to sit once he got there. So I’m assuming type 1 class 2. We were made to feel terrible that we couldn’t afford the $9000 surgery but I love my dog so much. He is on 2 meds a painkiller and anti inflammatory. He is quite content to just lay on the couch with me but I place him in a kennel when I have to leave. What do you think we can expect??

    Very sorry to hear about your dog…we lost our 14 year old shih tzu just 6 months ago and i can’t imagine loosing Max so soon.

    January 2, 2017
    • Anonymous #

      With strited crate rest and Medes she will recover. My dog did it

      March 14, 2017
  2. The treatment of degenerative disc disease includes physical
    rehabilitation, traction, nonsteroidal anti-inflammatory drugs,
    and chiropractic treatments like chiropractic manipulative therapy.

    The discs may bulge out because of degeneration and this
    is a prime cause of occurrence of the disorder. The accumulated eye tension
    will travel to the optic nerves.

    September 19, 2013
  3. If you are searching for sciatica nerve pain aid in Pinellas
    County, a straight leg rising make sure a MR neurography. Traction has become
    a part of chiropractic care for so many years. The single best test designed for diagnosing spinal disorders.

    September 16, 2013
  4. Anonymous #

    More great information. The pictures of Bauer and Emmy bring back memories. Sure miss that little girl.

    March 15, 2012

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