Prednisone and Tramadol for Neck Pain.

Dr. Marie replied:

Sorry to hear that Seymour is having these problems. Neck problems are no fun at all.

Prednisone is an anti-inflammatory medication. However, it sounds like your vet has Seymour on a very small dose. Tramadol is a very good pain reliever. It is not something I generally use for long term but it is good for flare ups.

You may want to talk to you vet and ask if Seymour could benefit from long term pain relief with a medication such as Metacam, Rimadyl or Previcox. However, these medications can't be given with Prednisone.

If Seymour seems to be improving then I would recommend to keep doing what you are doing. The physical therapy will likely help as well provided that it is performed by someone who is trained in physical therapy for animals.

If you feel that he is not improving you can ask your vet if it would be a good idea to increase the dose of his prednisone.

I generally find that neck issues take anywhere from 2 days to a week to improve in most cases.

I also usually recommend strict rest - definitely no stairs and no jumping.

I hope things are better soon!

Dr. Marie.



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Dr. Marie replied:

I have found that in most cases the problem does really get better. I do have some patients that have recurring problems once or twice a year though.

You could have more tests done that *might* find the root cause. The problem is that they are expensive. A myelogram would likely help determine if there is a disk problem. And if so, surgery is possible. However, in most cases we wouldn't do surgery unless there was obvious disc protrusion causing neurological problems. It doesn't sound like Seymour's situation is as serious.