29th August 2011, 10:49 PM
There are many dogs on medication for SM that have not had an MRI, especially here in the States. I'm glad that Holly posted. If you don't have insurance and/or you are not affluent or if you don't live anywhere near a scanning facility, there is always the option of starting a gabapentin trial to watch for changes in symptoms. This is called "empirical" treatment. It's best to do after a neurologist physical exam and history but many don't even have access to a neurologist. I'd always opt to start with gabapentin for a trial rather than NSAIDs as gabapentin is generally safer than NSAIDS, especially for long term use.
Originally Posted by murphy's mum
Karlin has mentioned before, and I agree, that insurance companies are likely to eliminate MRI scan for SM for Cavaliers in the future when they figure out how this breed problem is affecting their bottom line. I fully expect that to happen. There will be much more empirical treatment at that point, particularly in this economy, as the average person just isn't going to be able to spend $2k on an MRI.