Surgical vs. Medical Management: Navigating IVDD Treatment Paths with Jeremy Rose, Head of Neurology

Intervertebral Disc Disease (IVDD) is one of the most common neurological emergencies in small animal practice, yet it remains a complex umbrella term covering everything from acute extrusions to fibrocartilaginous embolisms. In this clinical episode, Jeremy Rose, Head of Neurology at Lumbry Park Veterinary Specialists, joins the podcast to provide a comprehensive roadmap for managing the spinal patient. We dive into the clinical nuances of IVDD, including the importance of onset and progression history, the "red flag" breeds like French Bulldogs, and the critical role of the Modified Frankel Score in determining surgical candidacy. Jeremy discusses the harrowing reality of progressive myelomalacia, the evidence-based move away from high-dose corticosteroids and why maintaining blood pressure is vital for the injured spinal cord. The discussion also covers advanced diagnostics (MRI vs. CT), recurrence data, and the exciting potential of Percutaneous Laser Disc Ablation (PLDA) as a minimally invasive preventative. Most importantly, Jeremy reminds us why there is "always hope" with IVDD, offering encouragement for both surgical and conservative management routes.