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Physiotherapy as an alternative treatment in compression of Cauda Equina

SUMMARY

The cauda equina, is the set of nerves and nerve roots that originate from L6 – L7 innervating the posterior train by means of the nerves: Sciatic, Obturator, Pudendo, Femoral and Pelvic.

When generating a trauma at this level, mild to severe compressions can occur generating in the patient pain, claudication of hind limbs, contracture of all muscle mass, proprioceptive deficit, ataxic gait, incontinence, among other clinical signs that will guide the Veterinarian to establish an adequate medical treatment and in the case of the physiotherapist, locate the areas of pain and improve weight support, resistance, bodybuilding (avoiding muscle atrophy as much as possible), joint mobility and proprioception.

The diagnosis is made by radiological study and magnetic resonance imaging of the spine at the level of the lumbo-sacral joint, treatment options

consist of: cage rest, allopathic (NSAIDs, analgesics, corticosteroids), homotoxicological, physiotherapy and rehabilitation, being an excellent option the synergy between homotoxicological treatment and physiotherapy (integral analgesia).

This paper presents the case of a patient of a Pinscher, female, 10 months, which is taken to consultation after having suffered a trauma by fall presenting as main signs paraparesis, contracture of all muscle mass in hind limbs, proprioceptive deficit and ataxic gait. It was decided to perform physiotherapy and rehabilitation without suspending the medical treatment established from the beginning, managing to reduce the recovery time, improvement in the patient’s condition, elimination of the cause of the physical alteration, pain relief, reduce inflammation and resumption to daily life.

Angelica B. Ortega Vasquez

There are many treatments that exist for the rehabilitation of our little friends, one of the least known; thermotherapy!

Thermotherapy is the application of heat to the body for therapeutic purposes. There are different ways of applying heat to the animal: heat packs , parafango, ultrasound , short wave, infrared , water vapor, contrast baths and moist heat.

It has therapeutic effects; It is anti-inflammatory, antispasmodic, analgesic, sedative, relaxing and decontracting.

At the cellular level, it increases metabolism, while at the level of the blood vessels, it acts by producing thermoregulation that, at the local level, will produce brief vasoconstriction followed by vasodilation, giving rise to hyperthermia. In addition to a vasomotor reaction.

At a deep level, hyperthermia also occurs. It will produce a reflex action as a consequence of the vasomotor modifications of the local application that will produce an improvement in cell nutrition, an anti-inflammatory and analgesic effect.

On the heart it produces tachycardias and modifies blood pressure in local applications and if its application is increased, it produces an increase in the temperature of the stimulus and decreases blood pressure with an increase in volume.

In the blood, it produces an alkalinization of the blood pH, decreases coagulation, blood viscosity and, consequently, there is a greater lymphatic supply to the tissues.

On the skin there is an increase in temperature, with an increase in local circulation and decreased sensitivity.

The heat on the nervous system increases sensitivity in short-term applications, while if the duration is prolonged, it produces a decrease in sensitivity, sedation and analgesia.

At the muscular level, it produces relaxation, is antispasmodic, decreases excitability, increases tissue elasticity and decreases muscle tone. And, on the respiratory system, it produces an increase in the respiratory rate.

There are a number of circumstances in which heat cannot be applied:

Cardiac animals.
In acute inflammations 24-72 hours
Animals that present hypersensitivity or even allergic reactions
Areas:
- Open, deep, or infected wounds
- local infections
- Burns
- sensitivity disturbances
- circulatory deficits
leishmaniasis

Heat can be applied once the acute phase of the injury or surgery has ended: fractures, contractures, tendinitis, dislocations, etc., or in chronic cases such as geriatric animals or those with osteoarthritis.

It is necessary to control the animal’s skin at all times and if the skin is very red or the animal is upset, the treatment should be stopped. It is necessary to place a towel between the animal and the heat, never place it directly, as there is a risk of causing skin burns.

There are special protectors or straps for a better fastening of the hot pack.

Orthocanis team

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Physiotherapy as an alternative treatment in compression of Cauda Equina

Physiotherapy as an alternative treatment in compression of Cauda Equina

Thermotherapy applied to dogs.