I think one of the major problems with CM/SM is that it can present in so many different ways, and it sometimes takes time to even recognise something as a symptom. Oliver, for example, has a small syrinx that never seems to cause him any problems, he hardly ever scratches and has no obvious pain in his neck and shoulders. His problems are created by his dilated ventricles, which are a symptom of his Chiari Malformation. On top of this varied collection of symptoms, individual dogs react in different ways to the available medication - some do better on one, some on another. So it is always a learning process - getting to recognise your dog's symptoms and learning by trial and error which drugs work best for him. This is why the information exchange on this forum is so valuable.

Kate, Oliver and Aled