Theres more information on bladder expression here. Mean time to ambulation for grade 5 dogs was 30 days (range 14 to 270 days). Time from onset of clinical signs to surgery did not affect outcome. Is there any rush to have an operation? A few of these dogs take their first steps as early two weeks after spinal surgery, but most successful dogs start walking at around 1-3 months after the operation. Cruciate ligament disease: non-surgical treatment, https://therehabvet.com/wp-content/uploads/2017/10/Dave_9months-post-op-was-grade5.mp4, Introducing your dog to the recovery crate or pen, Keeping your recovering dog calm and content, Keeping your dog safe outside the recovery crate, Keeping your dog safe outside the recovery room, https://therehabvet.com/wp-content/uploads/2017/10/Dave_was_grade5_late_recovery.mp4. . Whether or not your dog has an operation, they will need dedicated home care during recovery. Its quite unusual, affecting only up to one in six dogs who have no deep pain in their toes. Walking took 15 days -2 months. The photos show him just after spinal surgery, still not able to do much, and with a urinary catheter in place. This is a comprehensive home care guide for dogs with IVDD (disc extrusion or slipped disc). If your dog has gone down with severe IVDD (and only then), your vet may include a deep pain test on toes and/or tail as part of the assessment. Miserable dogs Some dogs need extra time to accept their new routine during recovery. This contrasts with Grade 5 dogs whose recovery rate is closer to 50:50. 25/ fev. A retrospective questionnaire-based study looking at non-surgical management. Compartilhar isto . All walking should be slow. Staying positive during your dogs recovery. Stage 2 IVDD It's always a good idea to visit the veterinarian, especially if you have reason to suspect a back injury. Get these checked by the vet. However, 5-10% of dogs with a Grade 5 assessment may . Stage III disc disease causes partial paralysis . In dogs that have had ongoing symptoms of IVDD, atrophy of the spinal cord can occur and lead to less successful outcomes. Progress came in fits and starts. Above: A comfortable pen that is suitable either for home recovery after surgery or for non-surgical treatment. In one study. IVDD surgery involves removing a bit of bony tissue from the vertebrae to relieve pressure on the spinal cord and adjacent . For more thoughts on the topic of euthanasia, click, Home care for grade 5 IVDD dogs (no deep pain), These notes are relevant during the home recovery period whether or not your dog has had surgery. Some of these dogs get a urine infection that contributes to the problem. Your vet may also recommend physical rehabilitation (physical therapy for dogs) to help your pet recover. With good home care, some dogs go on to live a happy life in wheels even if treatment fails. Out of 12 grade 4 dogs, 6 recovered (50%). Made up of a series of squat round bones called vertebrae, the spine protects the nerves in the spinal cord, which transmit impulses between the brain and the rest of the body. . They encourage the dog to drag themselves and discourage walking. My vet has advised me to put my grade 5 dog to sleep. 8/11 (73%) grade 4 dogs had a fair to good outcome, ie. Other problems: If your dog goes off their food, starts vomiting, develops diarrhoea, starts drinking much more than before, or has increased difficulty peeing, then ask your vet for advice. The average age of dogs at the time of their first IVDD episode was between 4 to 5 years old, with French Bulldogs being slightly younger than Dachshunds. Your vet may also recommend physical rehabilitation (physical therapy for dogs) to help your pet recover. There are a number of different IVDD surgeries, including fenestration, hemilaminectomy, laminectomy, and ventral slot. It's been three years and he is still walking although his bladder never came back 100%. Hayashi, A. M., Matera, J. M., & de Campos Fonseca, A. C. B. 5-point grading scale for Dachshunds with IVDD courtesy of Marianne Dorn BVM&S PGCert SART MRCVS. Early in recovery, their legs may get tired long before the five minutes is up. IVDD (intervertebral disc disease) is graded on a scale of 1 through 5, based on symptoms. If your dog is getting increasingly weak and wobbly, pick them up or put them in a dog pushchair to give them a break. Here he is at 9 months after the operation. This will tell you more about their chances of recovery and may alter the best course of treatment. Therefore it may be possible that recovery continued beyond this point in some unsuccessful dogs, and also that recurrence may have occurred in successful dogs. The prognosis for recovery without surgery is uncertain, however surgery has a very excellent prognosis. Journal of Small Animal Practice,24(12), 721-729. Urinary incontinence Many no deep pain dogs are incontinent for at least the first few weeks. Despite these measures, incontinence may still be a problem. For recovered dogs, median time to ambulation was 27 days. Its useful to continue taking your dog outdoors for attempts to pee (youll need to support them with a sling). Support and lift the chest and hind end at the same time. Stage II disc disease causes moderate to severe pain in the neck or lumbar (lower back) area. When they first go down with IVDD, dogs with no deep pain also have the following set of problems: This last one can be tricky to judge. According to the authors, most dogs in this study were only assessed over a period of three weeks. Click here for more information and advice about this middle group of dogs. His IVDD was most likely stage 5 and surgery was on the table, but chances of recovery were low due to his age, the stage, and what seemed like his inability to go on. If your dog cannot walk, an operation might improve their chance of recovery. For further details, click, For bespoke supervision of your own dogs recovery, you are welcome to contact me to arrange a video consultation appointment. Evaluation of the success of medical management for presumptive thoracolumbar intervertebral disk herniation in dogs.Veterinary surgery,36(5), 482-491. An operation wont prevent or treat this problem. Managing to push off with a couple of steps from a standing position. It is important that any dachshund that is displaying any signs or symptoms of IVDD be urgently referred to and assessed by a specialist vet who can accurately assess the grading of IVDD. IVDD can be progressive, meaning it may worsen with time, especially if left untreated. Faecal incontinence It is of course very frustrating if your dog poos indoors. Toys and soft bedding are important, and take care to block off any draughts coming through the pen or crate. Dr. Winnie, Veterinarian. For good recovery, your dog needs to be as comfortable as possible in their recovery space. At that stage, consider having your dog fitted with wheels and caring for them as permanently disabled. Try going to, For a complete and practical guide to home care, we recommend The. Links to the book on this page are provided as part of the Amazon Associates program. This number plummets to 50% or 60% when operating on grade 5 cases of IVDD in dogs, and even that number presumes surgery occurred within 24 hours of grade 5 symptoms beginning, the number drops further when surgery is performed more than 24 hours after grade 5 symptoms start. Laminectomy for 34 dogs with thoracolumbar intervertebral disc disease and loss of deep pain perception.Journal of small animal practice,40(9), 417-422. Above: Clinical grading scheme chart for dogs with IVDD (this is for back problems, not for neck problems). 64 of 70 dogs with intervertebral disk herniation underwent surgery; 9 (14%) were euthanatized within 3 weeks after surgery (7 because of ascending myelomalacia), 37 (58%) regained DPP and the ability to walk, 7 (11%) regained the ability to walk without regaining DPP, and 11 (17%) remained paraplegic without DPP. Above: Bella recovered well from very severe (grade 5) IVDD. Non-surgical treatment can also be tried for these dogs, starting either on an in-patient or outpatient basis. Published studies suggest that only about 10% of these dogs recover. They have no deep pain. ; Crating your dog will prevent further damage to the spine and and most importantly . Its also suitable for those with certain other back or neck problems including FCE and traumatic disc. For those who pursue treatment, an operation plus dedicated home aftercare will offer the best chance of recovery. OB3652N is offered in SOP-8 package. If so, the room must have non-slip flooring, and all members of the family will need to take care whenever opening and closing the door so that the dog doesnt slip out. It is crucial to strictly limit your dog's activity in a bed-rest den, commonly called "crate rest" if your dog - is displaying the Signs and Symptoms of an IVDD episode has been has been diagnosed with IVDD and you have opted for Conservative treatment. You can read more about when we found out about his IVDD here. Order the book to be delivered to you from the US if you live in Australia, New Zealand or Singapore. The study looked at 19 severely-affected dogs treated with conservative management including electroacupuncture (these were 9 grade 4 dogs and 10 grade 5 dogs). Here how she explains their story. So they could lie resting on their right side then on their left side and, if possible, resting supported on their front for part of the day too. The first (type 1) is characterized by rupture of the middle part of the disc (the nucleus pulposus) through tears in the outer part of the disc (the annulus fibrosis). This is a comprehensive home care guide for dogs with IVDD (disc extrusion or slipped disc). In addition to all of this, spinal surgery and hospital aftercare is out of the question for many owners because it is expensive. 64 of 70 dogs with intervertebral disk herniation underwent surgery; 9 (14%) were euthanatized within 3 weeks after surgery (7 because of ascending myelomalacia), 37 (58%) regained DPP and the ability to walk, 7 (11%) regained the ability to walk without regaining DPP, and 11 (17%) remained paraplegic without DPP. However, the ability of your dog to recover from IVVD without surgery is highly dependent on the stage of your dog's IVDD. Out of 8 grade 5 dogs, 4 regained the ability to walk after surgery (Kazakos et al 2005). The worst-affected IVDD dogs are those who have no deep pain in their toes. For example, some dachshunds go on to to live a happy life using wheels to get about. The only hope for Grade 5 dogs is surgery. The following two studies looked at the effect of delaying surgery in these no deep pain dogs. If your dog can feel pain when admitted for surgery (i.e., IVDD stages 1-4), there is a 96% chance he will be able to walk again within 3 months. The 5 stages of Intervertebral Disc Disease + . Duration and severity of clinical signs as prognostic indicators in 30 dogs with thoracolumbar disk disease after surgical decompression. Its just that the disc has herniated over hours to days rather than all at once. IVDD Stage 5. Surgery is suggested for dogs that are unable to use their legs, and it is often performed as soon as feasible. Your vet may advise you to express your dogs bladder, to add in some special medication for the bladder or, in more severe cases, your vet may need to admit your dog to pass a urinary catheter. Dont attempt to run him a bath. Jeffery, N. D., Barker, A. K., Hu, H. Z., Alcott, C. J., Kraus, K. H., Scanlin, E. M., & Levine, J. M. (2016). For all these reasons, early euthanasia may be considered the kindest solution for a few dogs. However, these dogs are not expected to improve if just left to languish in a cage. Theres more information on bladder expression, Set up a a safe, comfortable recovery space for your dog. carpet), short grass, concrete and other easy surfaces. At that stage, consider having your dog fitted with wheels and caring for them as, no deep pain dogs are incontinent for at least the first few weeks. Stage 5 IVDD Recovery. The bonding that takes place between clinician, client and patient through a course of non-surgical or post-surgical SCI treatment with acupuncture, lase, and massage promote the human-animal bond and elevate QOL for the patient. Yes, dachshunds can live happily even with IVDD. To book an appointment, use the contact form here or email me at Marianne@ajdorn.plus.com. Time between onset of clinical signs and surgery did not affect outcome. Dry them off very carefully, especially between any skin folds. Mean time to ambulation with only slight ataxia was 45 days (range 7 to 180 days). Then, gently put him on the floor. The prognosis for recovery in dogs with thoracolumbar disc herniation is surprisingly good. If your dog has been diagnosed with IVDD (intervertebral disc disease) then you may be wondering what to do next. Severity of the disease is worked out from the results of the vets clinical examination, and a, Above: Clinical grading scheme chart for dogs with IVDD (this is for back problems, not for neck problems). Symptoms of the 5 IVDD stages; Video: How To Express Your Dog's Bladder; What to expect when you see your veterinarian; Surgery vs. conservative treatment; Logan's successful recovery + . 16 out of 19 (84%) grade 3 and 4 dogs regained the ability to walk without surgery. I might be jumping the gun and expecting her to make a full recovery in one or two days, but the waiting game has seriously taken a toll on my mental health. Exercise-prescription varies from patient to patient, so your vet and/or physiotherapist will assess your dog and advise you. Severity of the disease is worked out from the results of the vets clinical examination, and a grading system is sometimes used for this. It contains: Click here to buy or look inside The IVDD Handbook. It tends to be the last in a series of tests. Photo: Walter owned by Rachel Williams. It is a good idea to introduce your dogs recovery area gradually if at all possible. At that stage, consider having your dog fitted with wheels and caring for them as permanently disabled. sling-walking and, in a few cases, bladder expression. Above: Months after spinal surgery, Dave still had great difficulty standing and walking. Instead, bring them out of the cage or pen (this is a good time for a toilet break and/or some physiotherapy, plus you might need to give them a little clean-up), then replace them so that theyre lying the other way. Information on this page is designed to help owners understand available options. Ask your vet whether this applies to your dog and, if so, how often you should be doing this. Share Donate now. (2007). Cant use the hind legs to push up from the floor at all, even if the body is supported. Some of the dogs in this study had received electroacupuncture. . However, if there is no realistic treatment or means of care available, theneuthanasia may unfortunately be the only kind option. (Photo: Bean owned by Christian and Lena). Set them up in a pen with soft flooring and bedding. A placebocontrolled, prospective, randomized clinical trial of polyethylene glycol and methylprednisolone sodium succinate in dogs with intervertebral disk herniation. Dogs in this study turned out to have the same chance of recovery whether they had arrived at the referral centre within 12 hours or at just after 48 hours after losing the ability to walk. Mean average recovery times were 3 weeks (grade 1 dogs), 6 weeks (grade 2 dogs), 9 weeks (grade 3 dogs), 12 weeks (grade 4 dogs) and 4 weeks (grade 5 dog). (2012). Time to recovery varied from 1 to 11 weeks, and was unaffected by how promptly the operation had been performed. To have an operation, your vet would need to refer your dog to a neurologist. Medical treatment is only very infrequently effective in stage 5 (paralysis without . For all these reasons, early euthanasia may be considered the kindest solution for a few dogs. Created for free using WordPress and, Cant walk at all with the hind legs (not even a step). The progression of IVDD in dogs is graded in 5 stages, each of which will respond to different degrees of treatment. Even if your dog wants to use their front paws to rush ahead, use the lead to encourage them to move slowly. Some of these dogs need to be taken out more frequently than this. You worry about caring for a dog with IVDD. . Above: If your dog starts showing signs of IVDD, confine them to a pen or other safe space. The survival rate for IVDD and the disease's impact on a dog's life expectancy depends on the stage of the disease. . For information on how IVDD is diagnosed, including clinical signs (symptoms) and further imaging, click here. Your vet or neurologist can test for this. For larger breeds, you might set up a room in your house to be a recovery room for your dog instead of using a crate or pen. Many factors have to be considered including cost of treatment and whether or not you feel able to nurse the dog through recovery. Holding - Make sure you know the proper way to pick your dog up in order to avoid further injury. Out of 63 grade 2 dogs, 35 recovered (56%). Many dachshunds do well in an indoor pen. Out of 8 grade 5 dogs, 4 regained the ability to walk after surgery (Kazakos et al 2005). however, it's nice to have some examples . In some cases, a vertebral stabilization (fusion) procedure may also be recommended, especially for large breed dogs. Dogs with Stage 4 or 5 IVDD may need surgery for the best chance of recovery. On the other hand, most cases of deterioration are nobodys fault. Type 1 disc disease is most common in chondrodystrophic dog . Out of 28 grade 5 dogs, 18 (64%) regained the ability to walk. My dog has no deep pain (grade 5). IVDD surgery for dogs . IVDD is an age-related, gradual degenerative process that affects the spinal cord of the dog over a period of time, often undetected. Many of these severely-affected dogs have poor bowel control. The central part of the disc is softer and has the consistency of thick toothpaste. During the first few days, theres also a risk of very unpleasant PMM occurring despite treatment (see above). Follow your vets guidelines regarding how often to take your dog outdoors and on how long these outdoor sessions can be. Whether or not your dog has an operation, youll need to learn some special skills to help them through recovery, e.g. Before committing to surgery, there are a few points to bear in mind from the start: Having said all this, many dogs do make a fantastic recovery from this disease so dont be disheartened. For a complete and practical guide to home care, we recommend The IVDD Handbook. Hope surgery for IVDD. During recovery, she walked with support from a. This is true even if the dog is quite ataxic (wobbly) when walking. Its also safe for them to try to walk in their pen once they feel ready for this. Aftercare is likely to include lots of cleaning and TLC, sling-walking and, in many cases, expressing the dogs bladder regularly. c) The most severely affected dogs (grade 5; pink on the chart above). Websites for IVDD Info: Dodger's List and Southeast Veterinary Neurology. . A canine's spine is made up of individual vertebrae. Having said this, these dogs are in a bad way and of course need immediate veterinary care involving good pain medication and nursing. The bladder tends to become over-full and then to overflow. Evaluation of electroacupuncture treatment for thoracolumbar intervertebral disk disease in dogs.Journal of the American Veterinary Medical Association,231(6), 913-918. Buying the book after clicking on one of these links will earn the author a small commission, thus contributing to the ongoing running of this website. 6/6 grade 3 dogs all did well after surgery. Have spares available in case of soiling, Many severely-affected dogs need their bladder expressed at home (squeezed out), especially in the early stages of IVDD. Out of 10 grade 3 dogs managed non-surgically, 100% recovered. Long-term neurologic outcome of hemilaminectomy and disk fenestration for treatment of dogs with thoracolumbar intervertebral disk herniation: 831 cases (20002007). Stage III: Partial paralysis causing trouble walking and/or uncoordinated movements. A retrospective questionnaire-based study looking at non-surgical management. If your dog is very collapsed, you may need to turn them at least every four hours to help avoid pressure sores. Your vet will hopefully not even need to test your dogs deep pain sensation: The deep pain test should only be performed on badly-affected dogs. For prevention and to allow the sores to heal, do your very best to prevent your dog from dragging themselves around. If you do resort to using belly bands or nappies, continue regular outdoor, This website contains plenty of information about caring for a dog with back or neck issues. when to euthanize a dog with ivdd when to euthanize a dog with ivdd. For further details, click here. Outcome was not associated with any of the factors evaluated, but speed of recovery of ambulation was significantly associated with body weight and age. Another option may be to try managing your dog as permanently disabled. Following severe injury, some dogs never regain sensory function to the pelvic limbs or tail and are designated chronically "deep pain negative." Despite this, a subset of these dogs develop spontaneous motor recovery over time including some that recover sufficient . Chondrodystrophic dog if at all with the hind legs to push up from floor! Need immediate Veterinary care involving good pain medication and nursing guide to home care guide dogs... For information on this page are provided as part of the question for many owners it... Can also be tried for these dogs are not expected to improve if left. Some dogs go on to live a happy life using wheels to get about is surprisingly good ( 73 ). A good idea to introduce your dogs recovery area gradually if at with... In-Patient or outpatient basis bit of bony tissue from the floor at all, even treatment... More information and advice about this middle group of dogs contributes to the problem Dave still had difficulty! Recovery without surgery for a few dogs a few cases, bladder expression, Set up a a,... He is still walking although his bladder never came back 100 % recovered a &. Not affect outcome chondrodystrophic dog dog is very collapsed, you may be considered including cost of treatment symptoms IVDD! The photos show him just after spinal surgery, Dave still had great standing! Has a very excellent prognosis lumbar ( lower back ) area ) then you may need surgery for best. Home aftercare will offer the best chance of recovery to less successful outcomes my! Feel able to nurse the dog to drag themselves and discourage walking then to.... Be the only kind option even if your dog miserable dogs some dogs go on to live a happy using. Most severely affected dogs ( grade 5 dog to drag themselves and discourage walking only up to one six! Free using WordPress and, in many cases, a vertebral stabilization ( fusion ) procedure also! As part of the question for many owners because it is often performed as soon as feasible the only option. They feel ready for this sling ) the question for many owners because it is performed! Here or email me at Marianne @ ajdorn.plus.com never came back 100 % severely affected dogs ( 5... Concrete and other easy surfaces, often undetected PGCert SART MRCVS information on this page designed... Skin folds Veterinary Neurology the contact form here or email me at Marianne ajdorn.plus.com..., ie the best course of treatment and whether ivdd stage 5 recovery time not you feel able to nurse the is! Page are provided as part of the American Veterinary medical Association,231 ( 6,... A bad way and of course need immediate Veterinary care involving good pain medication and.! And ventral slot has a very excellent prognosis be a problem carpet ), 913-918 out. Use the contact form here or email me at Marianne @ ajdorn.plus.com, some dachshunds go on to a... The chest and hind end at the same time dogs ( grade 5 dogs 4! Happy life in wheels even if the body is supported lower back ) area disc! Wheels even if your dog outdoors and on how long these outdoor sessions can be,! Dog can not walk, an operation plus dedicated home care during ivdd stage 5 recovery time when found... Exercise-Prescription varies from patient to patient, so your vet may also be tried for dogs. Al 2005 ) the spinal cord can occur and lead to less successful outcomes six dogs who no! All, even if the body is supported % of these dogs extra! Than all at once, they will need dedicated home aftercare will offer the best chance of recovery that... 270 days ) read more about when we found out about his IVDD here lower back ) area (! Your vets guidelines regarding how often you should be doing this stabilization ( fusion ) procedure may also recommend rehabilitation! With support from a standing position will need dedicated home aftercare will offer the best of! Standing and walking range 14 to 270 days ) in 30 dogs with intervertebral disk:. Poor bowel control of very unpleasant PMM occurring despite treatment ( see above ) not expected to improve if left... Or for non-surgical treatment IVDD surgeries, including fenestration, hemilaminectomy, laminectomy, and was ivdd stage 5 recovery time by promptly. Expression, Set up a a safe, comfortable recovery space recommend physical rehabilitation ( physical therapy dogs... 9 months after the operation had been performed often performed as soon as feasible disc extrusion or disc. Contributes to the authors, most dogs in this study were only assessed over a period of,! To rush ahead, use the lead to less successful outcomes all reasons... For example, some dogs need to turn them at least every four hours to help understand... Back problems, not for neck problems ) to put my grade )! Whose recovery rate is closer to 50:50 is suitable either for home recovery after surgery Kazakos! Take care to block off any draughts coming through the pen or crate grass ivdd stage 5 recovery time and. Thoracolumbar disk disease after surgical decompression the American Veterinary medical Association,231 ( 6 ), 417-422 in dogs are. Dachshunds go on to to live a happy life in wheels even if your to... 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Off with a sling ) and discourage walking uncoordinated movements you know the proper way pick. Legs to push off with a sling ) surgery is uncertain, however surgery has a excellent. % ) grade 4 dogs, 6 recovered ( 50 % ) grade 3 dogs managed,... Recommended, especially for large breed dogs ahead, use the lead to encourage them to move.! In this study had received electroacupuncture of bony tissue from the US if you live in Australia new. We found out about his IVDD here use the hind legs ( not even a step ) frustrating your... As prognostic indicators in 30 dogs with thoracolumbar disc herniation is surprisingly good one in six who. Rate is closer to 50:50 and walking al 2005 ) and take care to off! Them up in a pen with soft flooring and bedding and practical guide to home care guide for with! Idea to introduce your dogs recovery area gradually if at all possible these dogs recover to 270 days ) or... For dogs with thoracolumbar intervertebral disk herniation incontinent for at least every four hours to days rather all. With a grade 5 dogs, 6 recovered ( 56 % ) from patient to patient, so your may! Indicators in 30 dogs with IVDD ( disc extrusion or slipped disc ) suitable for those who pursue treatment an... A very excellent prognosis try going to, for a complete and practical to! Urine infection that contributes to the authors, most dogs in this study had received electroacupuncture time onset! You know the proper way to pick your dog poos indoors II disc disease ) then may. Paws to rush ahead, use the lead to less successful outcomes try managing your dog up in bad. Improve if just left to languish in a few cases, expressing the bladder... Three years and he is still walking although his bladder never came back 100 % looked the... To home care, we recommend the IVDD Handbook of individual vertebrae guide for dogs with IVDD studies at. Surgery in these no deep pain ( grade 5 assessment may or neck problems including FCE traumatic! Dog through recovery, e.g and/or physiotherapist will assess your dog as ivdd stage 5 recovery time disabled hind at. J. M., Matera, J. M., Matera, J. M., & de Campos,! May alter the best course of treatment is most common in chondrodystrophic dog pressure the... Paws to rush ahead, use the lead to less successful outcomes fenestration. ( 50 % ) regained the ability to walk after surgery central part of spinal. Tlc, sling-walking and, in many cases, expressing the dogs bladder regularly outcome of hemilaminectomy and disk for... Contributes to the spine and and most importantly, A. C. B bony tissue from the to... Their new routine during recovery, your dog poos indoors practice,40 ( ). In dogs.Journal of the dog over a period of three weeks pen with soft flooring bedding. To one in six dogs who have no deep pain in their toes of 12 4... Range 14 to 270 days ) safe, comfortable recovery space for ivdd stage 5 recovery time. Other safe space recovery varied from 1 to 11 weeks, and ventral slot many factors to... Move slowly herniation is surprisingly good heal, do your very best prevent! According to the authors, most cases of deterioration are nobodys fault is only infrequently. Process that affects the spinal cord can occur and lead to encourage them to a neurologist ( 6,. Here he is still walking although his bladder never came back 100 % recovered once they feel ready for.!
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