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  11. Treatment Of Lower Back Pain To Resolve Symptoms Of Canine Urethral Sphincter Mechanism Incontinence

Treatment of lower back pain to resolve symptoms of canine urethral sphincter mechanism incontinence

Michele M Bailey1, David M Lane2

  • 1Retired, Whistler, Canada.

Open Veterinary Journal
|October 2, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

This study highlights how treating lower back pain (LBP) in dogs with urinary incontinence (USMI) can resolve the condition, avoiding surgery and medication. Early LBP assessment is crucial for canine USMI cases.

Area of Science:

  • Veterinary Medicine
  • Canine Health
  • Rehabilitation

Background:

  • A miniature poodle diagnosed with urethral sphincter mechanism incontinence (USMI) was refractory to conventional treatments.
  • Extensive diagnostics confirmed USMI, but pharmaceutical interventions failed, leading to surgical recommendations.

Purpose of the Study:

  • To investigate the efficacy of veterinary sports medicine and rehabilitation (VSMR) for a dog with refractory USMI.
  • To explore the potential link between lower back pain (LBP) and canine USMI.

Main Methods:

  • The patient underwent a VSMR assessment, which identified lower back pain (LBP).
  • Treatment involved manual therapy, acupuncture, and photobiomodulation, administered twice over two weeks.
  • Medications were gradually withdrawn post-treatment.
Keywords:
IncontinenceLower back painPhotobiomodulationUrethral sphincter mechanism incontinence

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Main Results:

  • The dog became continent within two days of the first VSMR treatment.
  • The patient remained continent for 99.4% of the days after discontinuing all medications over a 648-day period.

Conclusions:

  • This case report is the first to show rapid resolution of USMI following LBP treatment in a dog unresponsive to standard therapies, avoiding surgery.
  • It emphasizes the importance of assessing and treating LBP in canine USMI cases to prevent the need for invasive or costly interventions.