Achilles tendon problems in cat.

Dr. Marie replied:

I'm sorry to hear that Chloe is having these problems. It's definitely an unusual case.

It makes sense that your vet would test Chloe for diabetes as this is by far the most common reason for a cat to walk with "dropped hocks" like you have described. Diabetes is usually fairly easy to diagnose as most cats with diabetes have a very high glucose level. However, if Chloe has any symptoms at all of diabetes (increase in thirst and urination) then I would consider having her tested again in a few weeks. There are some cats with diabetes that can have intermittent high glucose levels early in the disease. One test that I would do is something called a fructosamine level. This gives us an idea of the average glucose level over the last month or so.

If diabetes is not the cause though, then it's really a tough call on what to do!

I can't recall in 13 years of practice ever treating a cat for a bilateral (i.e. both sides) achilles rupture. So, I did some research for you. I came across this great article about achilles rupture in cats. The study looked at cats with achilles rupture and they did see the odd one that had the rupture bilaterally. In this article, they definitely do recommend surgery as the best option.

Here is what I would likely do if it were my case. I would likely give Chloe a trial period of rest for a few weeks (and possibly prescribe some anti-inflammatory medication in case of pain). Then I would reassess her and see if she has made any improvement. If so, then I would continue with rest (as much as possible) and anti-inflammatory medicine. If there has been no noticeable improvement I would advise you to consult with an orthopedic surgeon to give his or her opinion on whether or not surgery would be a good option.

I can understand your situation being a month away from having a baby as I am in the exact same place! My little one is due mid September. :)

Please let me know if you have more questions.

Dr. Marie.



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