Physical examination1. Altered gait - lameness 2. Palpation and joint manipulations - pain levels
Hunched painful back, altered gait, hind legs spread outwards, hip pain for around 3 months
X-rays
Causesof back ache and pain in this 19-year-old female Shih Tzu1. Intervertebral lumbar disc degeneration is likely due to ageing.2. Spondylosis or bony spur formation likely due to ageing.
3. Left femoral head necrosis likely due to ageing or neoplasia.
Treatmentof back ache and pain in this 19-year-old female Shih Tzu1. Pain killers.2. Physiotherapy - a combination of exercises, manual therapy, and other modalities.
3. Good diet.4. Walk more on non-slippery floors to prevent muscle atrophy.
TIPS FROM DR SINGAs the 19-year-old Shih Tzu X is very old, ensure she has good nutrition to prevent malnutrition. Provide her with non-slippery areas to walk to prevent further muscle atrophy of the limbs. Some pain killers may be needed to make her comfortable.
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UPDATE:https://2010vets.blogspot.com/2025/05/vet-case-study-degenerative-disc-disease.html
Thank you for watchingVet case study: A very old Shih Tzu X in Myanmar has back aches and back pain - Disc Degeneration Disease & Spondylosis.
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VET CASE STUDY: Degenerative Disc Disease in a 19-year-old dog
1. Physical examination. Aged dog.
1.1 Pain level - Press on specific areas of her back
1.2 Muscle strength - Muscle weakness or shrinking --- nerve damage or DDD.
2. Imaging scans like X-rays, CT or MRT help diagnose the alignment of your disc.
3. Treatment for back pain in the dog.
3.1 Medication
3.2 Walking to strengthen back muscles and relieve some pain
3.3 No spinal surgery
- Physical activity. Low-impact activity like walking or swimming can strengthen back muscles and relieve some pain.
- Painkillers
No spinal surgery.
X-ray imaging of a dog's vertebral column, or spine, is a common diagnostic tool used to evaluate the bones, ligaments, and soft tissues surrounding the spine. It's typically used to identify issues like fractures, arthritis, infections, and spinal deformities.
SPONDYLOSIS
1. Changes in walk
Instead of smoothly swaying from side to side, you may see your dog’s back stiffen and fail to move freely. A stiff gait is not just a sign of leg pain, but can be a common symptom of a sore back. Your vet will perform a physical exam to localize pain if your dog has changes in gait.
2. Change in movement
Your dog’s back may seem rigid, and they may avoid ambitious movements like jumping up or rolling over. You may notice your dog reluctant to turn his head from side to side, or having difficulty maneuvering to reach certain parts of the body.
3. Change in comfort level
If your dog’s bone spur grows large enough to pinch the delicate nerve roots along the spinal cord, he may show signs of pain in dogs and be very sensitive to touch along his back. Some dogs will whine, yelp, or even snap if painful areas of the back are touched.
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- When did the pain start?
- Where do you feel pain?
- What activities cause the most pain?
- What activities decrease the pain?
- Did you have an injury or accident that led to pain?
- Do you have other symptoms, like tingling or numbness?
- How far can you walk?
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Degenerative disk disease occurs when the cushioning in your spine begins to wear away. After age 40, most people experience some spinal degeneration. But the condition doesn’t always cause symptoms. When it does, neck and back pain can be intense. The right treatment can lead to pain relief and increased mobility.
Degenerative disk disease (degenerative disc disease) occurs when your spinal disks break down. Unfortunately, it’s just a natural part of aging. When these disks wear out, you’ll typically experience back pain and stiffness. For some people, home remedies like hot and cold therapy can decrease pain. When the pain is severe, you may benefit from spinal injections or spine surgery. A spine specialist can help you determine which treatment is best for you.
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Intervertebral disc degeneration in the lumbar (lower back) region is a common condition characterized by the breakdown of the intervertebral discs, which cushion the vertebrae. This wear and tear can lead to pain, stiffness, and potentially nerve compression. The most common symptoms include lower back pain, which may radiate to the buttocks or legs, and pain that worsens with sitting, bending, twisting, or lifting.
Elaboration:
What is it?
Intervertebral disc degeneration, also known as degenerative disc disease (DDD), is the gradual deterioration of the intervertebral discs, which are the shock-absorbing cushions between the vertebrae in the spine.
Why does it happen?
Disc degeneration is a natural part of aging, and the discs can lose their height, hydration, and ability to absorb shock over time. Factors like genetics, age, inadequate metabolite transport, and loading history can also contribute to disc degeneration.
Symptoms:
Back pain: Persistent or intermittent aching in the lower back.
Leg pain (sciatica): Pain that radiates down the leg, often due to nerve compression.
Numbness or tingling: Sensory changes in the leg or foot.
Stiffness: Reduced range of motion in the back.
Weakness: Muscle weakness in the leg or foot.
Progression and complications:
Degenerated discs can bulge or herniate, causing pressure on nerves and resulting in symptoms like sciatica. Small bony outgrowths (bone spurs) can also form at the edges of the vertebrae.
Treatment:
Treatment options for lumbar disc degeneration typically focus on managing pain and improving function, and may include:
Non-surgical options: Pain medications (NSAIDs, muscle relaxants), physical therapy, and lifestyle modifications.
Injections: Epidural steroid injections to reduce inflammation.
Surgery: In rare cases, surgery may be needed to relieve nerve compression or stabilize the spine.
Living with DDD:
While there's no cure for DDD, many individuals can manage their symptoms and maintain an active lifestyle with appropriate treatment and lifestyle modifications.
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Spondylosis in dogs, also known as spondylosis deformans, is a non-inflammatory, degenerative condition of the spinal column characterized by the formation of bone spurs along the top, bottom and sides of the vertebra. These spurs develop due to the body's reaction to damage or instability in the intervertebral discs and joints, often as a result of aging, injury, or genetic factors. - Symptoms: While many dogs with spondylosis are asymptomatic, some may experience stiffness, reduced flexibility, sensitivity to touch, or pain, especially if the bone spurs irritate nearby nerves or tissues. Symptoms can include limping, back pain, or altered gait.
- Causes: Spondylosis is most commonly associated with aging and the natural degeneration of intervertebral discs. Trauma (both minor and major) can also contribute, as can a genetic predisposition to bone spur formation.
- Common Locations: In dogs, spondylosis frequently occurs in the lower back (lumbar spine).
X-rays:
Spondylosis is typically diagnosed with X-rays, which can clearly visualize the bone spurs.
Other Imaging:
CT scans or MRIs may be used in some cases to assess the extent of the condition and rule out other problems.
Treatment and Management:
- Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) or other analgesics may be used to manage pain.
- Physiotherapy: Exercises, massage, and hydrotherapy can help improve range of motion and muscle strength.
- Weight Management: Maintaining a healthy weight can reduce stress on the spine.
- Supplements: Joint supplements may be helpful in some cases.
- Surgical Intervention: Surgical intervention is rarely necessary and is typically reserved for cases where the bone spurs are causing significant nerve compression or instability