An older male terrier cross can't stand on his hind limbs - 1/4
Channel: Dr David Sing
Date: 2014-02-19

Feb 19, 2014. A gentle young-looking 14-year-old terrier cross with cataract eyes can't stand on his hind limbs for the past 2 days. Why? Has he got a stroke or slipped disc? This video shows how I find out about the cause of this sudden-onset paraparesis or paraplegia. No blood test and X-rays were done yet as the owner wanted to wait and see.

Intern Vanessa Lian was present on her first day of internship. She was given hands-on experience by being responsible for videoing this case, rather than just standing around to listen. There was pain in the right hip and knee area as the joints were manipulated. The left hip and knee were less painful.

"Did the dog jump a lot?" I asked the lady.
"Yeah," she said. "He likes to jump up the sofa."
"Most likely, he spread his hind legs too far out when he jumped down from the sofa," I said. "He has splayed his hind limbs, causing intense pain. So he is unable to stand up."
I gave an anti-inflammatory injection IM and hospitalise the dog. 5 hours later, he was standing inside his cage as he ate his canned food. This is an active senior citizen. No more jumping up the sofa anymore!  He went home the next day to a happy caring young lady owner. See him walking and standing in Video 2/2

The dog was diagnosed as traumatic injury of the hips esp. the right hind. There was no stroke or slipped disc. Some 14 days later, no more complaints of paraparesis from the owner.

Good surgical outcomes in the bladder stone removal 6 years ago and the testicular tumour removal without anaesthetic deaths were important in retaining this client from Bukit Batok as Singapore nowadays has .60 veterinary clinics and proximity is a main convenience for dog owners. So, they usually consult the nearest vet and Toa Payoh is "far" from the vets near Bukit Batok.