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Can anyone tell me about CDRM?

33 replies

SemperUbiSubUbi · 09/11/2011 19:45

My lovely Chocolate Labrador Max is 10 years old and lives with my mum.

He has always lead a happy, fit and healthy life. Walked 2-3 times a day, full of energy and honestly the friendliest and happiest dog you could ever wish to be a part of your family. We got him as a puppy and he has grown up around the stables, hes shared a house with kittens, cats, chicks and chickens, he doesnt bat an eyelid at rabbits, ducks or birds either. He hapilly lets my 22mo DS get in his basket with him and wouldnt make a peep if you shoved your hand in his dinner. Honestly hes just perfect.

Over the last few years his front left shoulder has caused him a bit of pain after longer walks but was fine with a daily anti-inflammatory.

Over the last few weeks his legs have got worse, hes still happy, friendly, eating and drinking but hes not enjoying his walks as much and he sometimes flinches or drops his back legs.

My mum took him to the vet this evening and he diagnosed him with Chronic degenerative radiculomyelopathy (CDRM).

My mum asked about the treatment/prognosis and the vet said either keep him on the anti-inflammatory (not doing enough for him anymore) put him on steroids (he will put on weight which will make it more difficult for him to get about) or try some new medication, shes forgotten the name, which may or may not work and costs £200 a month.

She asked if they would see a difference within the month, he said if its going to work for him then yes.

So her plan at the minute is to try these new tablets at £200 a month for 4-6 weeks and see how he is. Then either continue with them if they work, if not keep him out of pain until his quality of life deteriorates then have him PTS.

Can anyone tell us more about CDRM? Is her plan the right one?

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GerardWay · 09/11/2011 20:10

Sorry I don't know anything about this but I didn't want to read and run. I truely hope that you get something sorted though. 10 isn't old for a Lab Sad

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SemperUbiSubUbi · 09/11/2011 20:14

Thankyou for replying anyway. I just had to take myself off in to the kitchen for a little cry. I love this daft dog so much. Hes an absolute gem. I still remember coming home from school and jumping in the car ready to go to the stables and my mum shouting be careful and there he was wrapped in blankets in the foot well of the car. All floppy ears, big fat bald belly and massive paws.

I hope that someone can come along and tell me these tablets will work wonders for him but I cant see it, I can just see us needing to get him PTS to save him from pain and a bad quality of life.

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GerardWay · 09/11/2011 20:18

Are yes the big fat bald belly. My black lab is now 3. We've always had a dog and I can't ever imagine life without one. It's so awful when they become ill. Cry all you like you'll never have a more loyal companion. big hug even though they are not allowed on MN

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GerardWay · 09/11/2011 20:19

Sorry, I meant it's alright to cry as much as you like.

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eaglewings · 09/11/2011 20:19

No idea sorry, but hope they do work and someone will be along soon that does know more

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twooter · 09/11/2011 20:22

When you say his legs have got worse, are you talking front or hind legs

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SemperUbiSubUbi · 09/11/2011 20:26

Sorry, originally he had a bit of arthritis in his front left shoulder which only caused his slight problems if he had been swimming (he loves swimming and diving) or id he had been on a really long walk, he would just be a bit stiff that night but he was fine with the anti inflamatorys in his dinner.

Recently his back legs have been giving way and hes finding it really difficult to get in and out of the car and he just doesnt want to go on walks anymore, hes happy to just potter round the garden and walk the 5/10 mins or so round the block to do what he needs to do.

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twooter · 09/11/2011 20:28

Because Cdrm is a hindlimb thing - gradual onset of weakness and wobbliness, commonly scuffing the toes on their back legs and knuckling the paws.

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SemperUbiSubUbi · 09/11/2011 20:29

Hes got the gradual onset of weakness and wobliness hes not dragging his feet yet and his claws and feet look fine so hes not scuffing them.

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ThePieSmuggler · 09/11/2011 20:30

CDRM (as i'm sure you're aware now) unfortunately isn't curable, it's a progression of nerve degeneration. I'd be very interested to know what this 'new drug' is, I'm a vet and am not familiar with any new drug (although I'm off work on may leave so it is more than possible I'm just unaware of it). However, it generally isn't a painful condition and it can take a long time to progress to a point where you have to be thinking about whether it's fair to carry on Sad

From a treatment perspective keeping his weight down (easier said than done with most old labs!) and possibly trying hydrotherapy may help.

HTH

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SemperUbiSubUbi · 09/11/2011 20:34

Sorry I think she may have meant "new" drug as in new to him (the dog) iykwim.

For a lab hes always been in great shape, hes always been so active and never had the usual weight problems, my mum also has him weighed quite regularly and adjust his food accordingly.

Tonight the vet did say his weight had crept up slightly, which she expected with him not being as active so his food has been adjusted.

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twooter · 09/11/2011 20:35

You don't tend to get pain with Cdrm unless there's also hip dysplasia or other conditions as well, however it is progressive. I always encourage gentle exercise to stop the muscles from becoming atrophied. Not sure what the drugs would be, but am interested to know - I've not been working for a good few years so aren't up to date with current treatment

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twooter · 09/11/2011 20:36

X posted with pie smuggler -

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SemperUbiSubUbi · 09/11/2011 20:38

Gentle exercise: Is him wandering round the house and garden all day, the stables once a day and going for three 10 minute walks enough for him? Or should we be encouraging more?

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ThePieSmuggler · 09/11/2011 20:40

Oh I see, from your other posts it does sound as though it's early stages, I've had some patients go on for a couple of years being wobbly and weak, the hardest part for you is the fact that we've no idea about the rate of progression in an individual dog.

It sounds like your mum does a good job with his weight control, if you are thinking about using steroids then you'll have to be extra careful with that!

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SemperUbiSubUbi · 09/11/2011 20:44

I dont think she will agree to put him on steroids for that very reason.

We are both very loving with our animals but also very practical, as you have to be. So what is best for Max will always be what is done.

Thankyou, it is reassuring to know he could have a good few years left in him yet, we will just take each month/week as it comes.

Do any of you know what this medication could be? My mum has completely forgotten the name of it and wanted me to look it up for her.

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ThePieSmuggler · 09/11/2011 20:44

Regarding exercise, what you describe sounds ok, I'd really recommend hydrotherapy though especially since he has pre existing arthritis

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SemperUbiSubUbi · 09/11/2011 20:48

How do we go about that? Will the vet point us in the right direction?

I take it a swim in the lake isnt good enough?

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ThePieSmuggler · 09/11/2011 20:54

It could be a different version of anti inflammatory, there are loads on the market. Can your mum remember what letter it began with, or did your vet say anything about the way in which it worked? What's he on at the moment?

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ThePieSmuggler · 09/11/2011 20:57

Most vets will know of a centre that offers it, we have a pool in our practice but I know of at least two others in the area. I'm sure your vet will be able to refer you to somewhere appropriateif you ask.

Swimming in the lake actually is good but be careful that it isn't too cold this time of year and watch that the banking and getting into and out of the lake isn't too steep otherwise he could do more harm than good!

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SemperUbiSubUbi · 09/11/2011 20:58

Sorry I havent got a clue what hes on at the minute, like I say he lives with my mum. When he comes to stay with me for the odd long weekend here and there she packs his bag with the right amount of food measured out and one tablet per day hes here so I dont see the packaging.

She hasnt got a clue what the vet said, I wasnt with her and I think she was a bit overwhelmed. she can ring them tomorrow.

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SemperUbiSubUbi · 09/11/2011 21:00

We always make sure where he swims is easy to get in and out of, where we take him is like a beach.

I think, as you say, its going to be too cold for him this time of year so it will defeat the object. Saying that hes got fur like a bloody seal. Smile

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ThePieSmuggler · 09/11/2011 21:04

I'm sure your vet will go through things again with her, it's not unusual for clients to not take a word in of what I'm saying when in a situation like you describe, it might help if you and your mum make a list of questions to go through, I find it helps people when they're in a consultation

Fingers crossed for Max Smile

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SemperUbiSubUbi · 12/11/2011 12:52

Just spoken to my mum. He started the tablets Thursday (10th) and she can already see an improvement! Last night he wanted to go for a walk and this morning hes wanted to go out again, like actually been at the door, excited to go out! Grin

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GerardWay · 12/11/2011 15:12

That's wonderful news. Hopefully you and Max have many happy years in front of you both.

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