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Dr. B.
Dr. B., Board Certified Veterinarian
Category: Vet
Satisfied Customers: 19542
Experience:  General practice veterinary surgeon with extensive experience in a wide range of species.
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Hi, my year old cat has difficulty using his back legs, very

Resolved Question:

Hi, my year old cat has difficulty using his back legs, very quiet yesterday, today slightly more vocal. Can walk but obvious difficulty and stays still. Has eaten today
Submitted: 3 years ago.
Category: Vet
Expert:  Dr. B. replied 3 years ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

I am concerned about Bonnington.

I assume since you have noted the possibility of road traffic accidents, that your lad does go outside. Is this correct?

Was his severe hind leg lameness sudden in onset? Was yesterday the first day?

A very important issue: Have you seen him urinate at all?

Does he move his tail or is it limp/hanging? If the latter, does he feel it if you squeeze it?

Can you tell me more about his gait? Does he drag the hind legs or accidently try to walk on the tops of his feet?

Do his nails look scuffed or frayed?

Customer: replied 3 years ago.

Hi


yesterday was the 1st day I noticed, he does go out- quiet cul de sac but he is jet black so invisible in the dark.His tail doesn't hang- still has tone. I haven't noticed his nails- I'm at work so can't check. He isn't dragging his legs, he looks arthritic- but sudden onset and he's only 1. Struggling to get up, but he can walk from 1 room to another. He can sit up- sitting on bottom/bacl legs but he was more reluctant to do that yesterday.


I haven't seen him go to the loo- I left him with a litter tray but only soil in it cos I didn't have cat litter in stock- they haven't used it for ages. So I may not notice with soil. When I finish work I will check.

Expert:  Dr. B. replied 3 years ago.

Thank you Gill,

I agree that arthritis is very unlikely at his young age (and it tends to be a progressive instead of overnight issue). Instead, when we have a young cat with sudden in onset severe hind limb lameness, then trauma will always top our list of concerns. Further to this, if he were just wobbly like he ws drunk instead of uncomfortable, then we'd have to also worry about toxicities (ie antifreeze)

Now I am glad that he isn't dragging his legs, has a dropped/non-responsive tail, or placing his feet incorrectly, as these would all raise concerns about spinal based damage. Still one of the key things we have to monitor is his ability to urinate. When cats have had traumatic damage to their hind end, we can see damage to the nerves that tell the bladder to empty. (We can see temporary signs if the nerves are inflamed but it can be permanent if the nerves are damaged). This means these cats cannot consciously pee and this as urination is a critical life function there overall prognosis is poor. So, this is a key sign to monitor for him. If there is any doubt he can urinate or you see him dribbling without realizing, then we'd need him to see his ER vet as soon as possible.

Otherwise, based on your description of his gait, I would be a bit concerned that he may have a hip fracture. It is possible that this is just severe bruising and soft tissue damage (which is quite possible since I cannot see him) but if he is moving very oddly and arthritically, then this fracture is a concern here. Since there is so much muscle around the hips, cats don't usually go off their legs completely (as they wound with a fracture leg or spine). Instead they will often try to walk, usually oddly (some look to crab walk on the back legs or drop their hocks when walking) and often struggle to get up from rest. As well, it is quite possible that we'd see him worse right after the accident (with the shock playing a role) but now be a bit more mentally normal though still bruised and sore. And unlike dogs who will drag themselves around and become distressed, cats often will refrain from moving about (to avoid the pain of doing so).

In this situation, the first point of call is determining if he can urinate. If there is any doubt, then he needs to be seen as soon as possible. If he can, then his situation is urgent but not the same level of emergency. Ideally, we'd want his vet to have a feel of his hips (+/- xray if a fracture is suspected) and evaluate him. If he has just had a soft tissue trauma, then pain relief and rest would be indicated. But if has fractured a hip, we do usually manage these medically (cat safe pain relief like Metacam and strict cage rest for 4-6 weeks) since those muscles will hold the bones in place. That said, if he has a severe fracture of the hip (where the fractured bits are not in align) then surgery could be required.

So, do check for urine when you get home but do let Bonnington keep resting in a restricted area (where he doesn't have anything to climb or jump on). It sounds like he has the right idea at the moment but we do just want to make sure that he hasn't had any damage to his nerves that could worsen his situation and potential for recovery.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need. Thank you and hope to see you again soon! : )

Dr. B., Board Certified Veterinarian
Category: Vet
Satisfied Customers: 19542
Experience: General practice veterinary surgeon with extensive experience in a wide range of species.
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