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    front legs paralyzed
    An_255439 posted:
    I have a yorkshire terrier 7 yrs old.... for 1, 5-2 yrs now we are trying to control bladder stones, struvite mostly but generally mixed kind both bacterial and from diet. We control the production with prescribed urinary diet and antibiotics. 4 months ago we saw her losing the control of her front legs. She also had fungals all over her body. We rushed to the vets but they didn't help a lot... until now, we gave her doxacycline, levothyroxin because she hypothyroidic. We started prednisolon but the problem goes worst... she can walk only in the morning, and all the other time she seems paralysed... I lost my faith... she surely has the pain feeling and she is overweighted... wait for your opinion.... thk u in advance
    Sandy Willis, DVM, DACVIM responded:
    Well, not sure what disease would cause paralysis of the front legs only in the morning, unless we have some type of muscle disorder. Or weakness and not true paralysis. The key to figuring out why a dog can't walk is to determine a neurologic exam, so we can try to localize the problem based on testing reflexes. Your veterinarian may have done this when you brought your dog in, but a veterinary specialist termed a neurologist, is an expert at doing this. Prednisone can help but if it made things worse, then we can't try that. But it is hard to know how to treat your dog if we don't know what the problem is. With each question here, I strongly suggest that you let your veterinarian know that your dog is not doing well, could be painful, and you need to bring them back in to figure out what is wrong. You could ask your veterinarian if there is a neurologist in the area to refer your dog to if your veterinarian also agrees that there is paralysis and not just weakness. Dr. Sandy
    marpan replied to Sandy Willis, DVM, DACVIM's response:
    Unfortunately we do not have any soeciakist neurologist here. I am a pharmacist so I can understand few things. Our vet excluted the paralysis or paresis scenario. I can see this as well. When I lay her down she is trying to stand up moving normally the front legs but she seems that she does not have the muscle strength to do so. In the morning she is better than during the day... could it be an arthritis? For a long time (one year now) we cant' control the urine ph. It is around 6. Could this make a damage on either on bones or neures? She has systemic fungals. Could this be a sign for a spinal cord's infection like radial neurve paralisis? The right front leg is more fuctional than the left one which is stiff and and weak. Also when she lies down the left front leg seems dislocated. She has all neurological reflexes doctor said.... I would like to give her a treatment for fungals but ketoconazol is not distributed here anymore and I don't know if I can give her any other and in which dosage. I give her omega3 and and meloxicam but I can't see any difference. Please help me... I am desperate....
    Sandy Willis, DVM, DACVIM replied to marpan's response:
    Thank you for responding.
    Urine pH of 6 is a little lower than normal but in dogs and cats, urine tends to run slightly acidic. Does she have a systemic fungal infection? Which one? Could that be affecting her spinal cord or bones? Are you in an area that has different parasitic and fungal diseases? Could it be a muscle disorder? Arthritis? We can aspirate from the joints but xrays would be a good initial step. As I mention on this site, it is difficult to suggest treatment options which we are unsure what the problem is. And all we can do on this site is give you all some background on what might be going on with questions to ask your veterinarian. You and I have both come up with some good thoughts: what is left is to do some testing to rule them out and do supportive care. Dr. Sandy
    marpan replied to Sandy Willis, DVM, DACVIM's response:
    Thank you very much! We will start anti fungal treatment and calcium as an experiment.... the vet said that the same reason that affects the thyroid may affects the parathyroid as well, but I don't think that this is an imbalance of calcium.... why only the front legs? Why the left front leg is worst than the right one. She lives in the house and I don't think that she has any parasites. We give her prevention pills and body ampoules for this.... anyway, I will contact you after the treatment! Thank you so much for your help....

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