Medicina integrativa en el tratamiento de enfermedad discal toracolumbar y vejiga neurogénica en canino. Reporte de caso clínico.

Abstract

Intervertebral disc disease is understood as a condition that involves the intervertebral discs of the canine spine, resulting in the protrusion or extrusion of these discs and causing damage to the spinal cord. This is manifested through symptoms such as pain cord and weakness of the affected area, followed by neurological consequences such as the presence of a neurogenic bladder. We present the case of an 8-year-old male Belgian Shepherd dog, with a history of vomiting, hyporexia, urinary retention, and arching of the back. A physical assessment shows a patient with ataxia, kyphosis, mild dehydration, and a plethoric bladder. The neurological assessment revealed bilateral posterior paresis, pain on epaxial palpation, and decreased postural reaction. A definitive diagnosis is made through magnetic resonance imaging in which type II thoracolumbar Hansen intervertebral disc disease and neurogenic bladder are evidenced by means of clinical signs and complementary tests such as biochemical tests and ultrasonography. As a therapeutic option, two types of symptomatological management were carried out, first, initial management through analgesic and anti-inflammatory pharmacology through cyclooxygenase inhibitors, bladder lavage, and hydration with Lactated Ringer's solution. Additionally, certainty management was carried out in which integrative therapies such as acupuncture, electroacupuncture, laser therapy, ozone therapy, and phytotherapy were established as an adjunct to the initial therapy, thus obtaining a favorable evolution in the patient.