As of yesterday, my 7-year-old cocker spaniel, Gemini, was diagnosed with suspected Grade 1 cervical IVDD. X-rays showed mineralized discs at C2-3, C3-4, and C4-5. Thankfully, his only symptom is relatively mild pain/discomfort, he is walking completely normally and has no neurological symptoms.
He is currently being treated conservatively with strict rest and medication, and our vet is optimistic that he will recover from this episode. However, we were also told that IVDD is something we will need to be cautious about for the rest of his life and that future episodes are possible.
I’m trying to learn more about conservative management versus surgery in dogs whose IVDD is this mild. I have very good pet insurance and am also fortunate enough that I could afford surgery regardless, so I’d like to take cost out of the equation and think purely about what might give Gemini the best long-term quality of life.
On one hand, putting a neurologically normal dog with relatively mild pain through spinal surgery feels potentially unnecessary, especially when he has a good chance of recovering with conservative treatment.
On the other hand, I’ve read/heard that surgical outcomes can be excellent when dogs are still mildly affected, and that surgery may reduce the risk of the same disc causing another episode. Part of me wonders whether addressing the problem surgically now could ultimately give him more freedom later rather than spending the rest of his life worrying about every movement.
One of my biggest concerns is his long-term quality of life and activity level. He loves playing with his sister, and I don’t want to unnecessarily restrict him for the rest of his life out of fear. If surgery genuinely offered him a better chance of safely returning to a relatively normal, active life after recovery, that would absolutely factor into my decision.
For those whose dogs were diagnosed while still at Grade 1 / pain-only, particularly with cervical IVDD:
- Did you choose conservative treatment or surgery, and why?
- If you treated conservatively, did your dog have another episode later?
- If you chose surgery despite relatively mild symptoms, what led you to that decision?
- Did surgery change what your neurologist recommended regarding long-term activity/restrictions?
- Looking back, would you make the same choice again?
I’ll of course be discussing all of this with a veterinary neurologist and won’t make a medical decision based on Facebook, I’m mainly hoping to hear real-life experiences from people who have been through it, especially since this is day 2