IVDD (Intervertebral Disc Disease) in Bulldogs and French Bulldogs

By: Dr. Roy Kraemer |
DVM, Bulldog Specialist Veterinarian
Last updated by Roy Kraemer, DVM
Intervertebral disc herniation in a Bulldog, the disc material compressing the spinal cord
She will not jump on the couch any more. She yelps when you pick her up. Her back legs are not quite doing what she asks them to.
That is the window. IVDD is a disc pushing into the spinal cord, and the difference between four weeks of cage rest and emergency decompressive surgery is usually how fast it was caught.
French Bulldogs are built for this, and they get it young. Do not wait to see if it settles.

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Dr. K’s Quick Answer
IVDD is the gel core of a spinal disc pushing out through its fibrous ring and pressing on the spinal cord. That causes compression, then inflammation, then swelling, and the three together cause the pain. French Bulldogs are genetically set up for it because they are chondrodystrophic, and unlike most breeds they can get it in young adulthood rather than old age. It shows up in the neck or the mid back. Here is the number that matters: a mild bulge with superficial compression usually recovers fully on cage rest, pain relief and anti inflammatories. A missed one can progress to deep compression needing emergency surgery, and by then some of the neurological damage is permanent. Loss of the ability to walk, or loss of deep pain sensation, is an emergency tonight, not an appointment next week.
From Dr. Kraemer’s inbox
“Dr. Kraemer, my Bell is having difficulty moving her hind legs and seems to be in pain. Her gait is unsteady, she will not jump on the couch or do the stairs, and sometimes she yelps when I pick her up. Could this be IVDD?” 

A typical message from a Bulldog owner, shortened, with the name changed.
Dr. Roy Kraemer, DVM 

Dr. Kraemer’s reply

Yes, that could be IVDD, and I want you to treat it as urgent rather than as something to watch. Everything you describe fits: hind leg weakness, an unsteady gait, reluctance to jump or take stairs, and pain on being handled. The single thing that decides Bell’s outcome is how quickly this is caught. A mild bulge with superficial compression is typically managed with strict cage rest, pain relief and anti inflammatories, and most of those dogs recover fully. The same disc left alone can progress to deep compression, and then you are in emergency surgery with a real chance of permanent neurological damage. Before you go in, check two things, because they change the urgency tonight rather than this week. Can she still walk, even badly? And does she still feel deep pain in the toes of the affected legs? If either has gone, that is an emergency referral to a neurologist, not a morning appointment. Also watch her bladder. After a spinal injury she may not empty properly, which sets up a urinary infection, so tell your vet if you see dribbling, wetness around the back legs or straining. Diagnosis is a neurological exam first, and MRI is the gold standard if imaging is needed.

Dr. Roy Kraemer, DVM

Introduction to Bulldog IVDD

Intervertebral Disc Disease (IVDD) in bulldogs and French bulldogs develops when the gel-like material between the spinal vertebrae deteriorates, herniates, protrudes, and compresses. 🚨This protruding compression can injure the spinal cord, resulting in

  1. pain
  2.  mobility difficulties
  3. incontinence
  4. and, in severe cases, paralysis.

EARLY DETECTION IS CRITICAL

French Bulldog IVDD Predisposition:

French bulldogs are genetically predisposed to IVDD due to their chondrodystrophic skeletal bone growth disorder features. These anatomical attributes put additional strain on their intervertebral discs, increasing the risk of herniation.

IVDD IN YOUNG French Bulldogs

Unlike other breeds where IVDD is typically seen in older dogs, French bulldogs can experience this condition as early as young adulthood. The two most common locations of the bulldog and French bulldog IVDD are the

  1. ➡️ CERVICAL (neck )
  2. ➡️ THORACOLUMBAR (mid-section).

Cross section showing a herniated disc compressing the spinal cord

The Importance of Bulldog IVDD Early Detection

Early detection and prevention are critical. A minor disc bulge with mild superficial spinal compression can often be treated with

  • cage rest
  • analgesics
  • anti-inflammatories
  • IVDD Supplements

-with the expectation of a full recovery. ⚠️ In contrast, ignoring the early signs could rapidly progress and lead to acute severe deep spinal compression that requires expensive emergency decompressive surgery that could result in irreversible neurological damage.

Bulldog IVDD 5  MUST KNOW

  1. IVDD is more common in French bulldogs than in English bulldogs.
  2. Bulldogs with IVDD can present with a degree of mild to intense pain.
  3. Bulldogs with IVDD can exhibit mild motor, proprioception, and sensory deficits to severe surgical emergency ones.
  4. Treatment depends on severity; while mild cases require cage rest and RX, severe ones require immediate surgery.
  5. Prevention includes Dr. Kraemer’s IVDD Bundles

Members of this bulldog community prefer prevention over RX

Bulldog IVDD Spinal Cord Function

Your bulldog’s spine is the body’s neuro-superhighway, stretching from head to tail and carrying a constant stream of messages between their brain and body. Think about it as a two-way street, handling everything from playful jumps to the tiniest skin twitch. The spinal cord travels from your bulldog’s head and brain to its pelvis and serves as the main neuro-highway for the upstream and downstream of neurological input and output that includes three major systems:

#1. WHAT ARE THE MOTOR NERVES?

The motor system acts as the conductor, sending electrical signals like sparks through nerves to muscles about how to move, when to contract, and when to relax, flex, and extend. The motor system powers everything from the powerful strides of a walk to chewing food and blinking.

#2. WHAT ARE THE PROPRIOCEPTION NERVES?

The proprioception neuro system tells your bulldog its body position at all times through sensors in muscles and joints; it’s like their body’s GPS. Imagine catching a ball, your bulldog will need to judge the distance, time the jump, and adjust mid-air, all thanks to the proprioception system.

#3. WHAT ARE THE PAIN AND SENSORY NERVES?

The pain sensory neurons alert your bulldog to potential harm. From a hot surface paw to a prick, the pain guides them away from danger, acting as a vigilant guard and ensuring their adventures stay fun and safe.

Bulldog IVDD Vertebral Column Function

The spinal vertebral column encompasses and protects the spinal cord.  The bony vertebral bodies of the vertebrae shield the spinal cord as it passes through the spinal canal.

A. BULLDOG SPINE

The spine serves as a crucial part of the bulldog’s skeleton, protecting the spinal cord as it runs from the head to the tail.

B. SPINAL COLUMN:

The spinal column consists of four main sections:

  1. Cervical (neck)
  2. Thoracic (chest)
  3. Lumbar (lower back)
  4. Sacral (pelvis)

Each spinal section contains several pairs of vertebrae, connected by intervertebral discs Rupert the French Bulldog

Bulldog IVDD Intervertebral Discs Function

These discs have a fibrous outer ring and a gel-like inner core, providing flexibility and stability.

  1. A shock absorber
  2. Allows for some movement of the spine.

The discs help hold the vertebrae together and act as shock absorber

IVDD in Bulldogs and French Bulldogs: From Bad to Worse

Herniation of the intervertebral disc’s inner core (nucleus pulposus) through its outer fibrous ring (annulus fibrosus) can have several detrimental effects on the spinal cord and consequently inflict:

1. SPINAL CORD COMPRESSION :

The protruding disc material can directly compress and damage delicate nerve fibers in the spinal cord, leading to functional impairment and potentially permanent damage.

2. SPINAL CORD INFLAMMATION :

The body’s natural response to the disc herniation triggers an inflammatory reaction in the surrounding tissues, further impacting nerve function and causing additional pain.

3. SPINAL CORD SWELLING :

The inflammation contributes to swelling within the spinal canal, creating even more pressure on the vulnerable spinal cord and exacerbating pain and neurological deficits.

4. BULLDOG IVDD PAIN:

Ultimately, the combination of compression, inflammation, and swelling culminates in significant pain for the animal.

This pain can manifest in various ways, depending on the location and severity of the herniation, ranging from acute, sharp pain to localized discomfort.

🚨Clinical presentation depends on the severity of the injury and the trauma location (cervical, thoracic, abdominal, sacral).

How Do I Recognize a Bulldog IVDD Event?

Your bulldog might exhibit a wide range of conditions, from mild discomfort to severe pain, depending on the location, degree of bulging, and spinal cord injury. Listed below are some of the most common manifestations:

IVDD SYMPTOMS:

  • Stiff Neck: Stiff, sensitive neck
  • Crying: Crying out when touched around the neck or head movements
  • Shaking
  • Abnormal Posture: An arched back, hunched posture
  • Abnormal Stance: A praying position with the head in a low stance
  • Tense: Tense abdomen
  • Weakness: Front and/or hind leg weakness, paw abnormal placement, lameness, and/or motor problems (paraplegia, paralysis)
  • Abnormal Movement: Distress, reluctance to move, jump or walk upstairs
  • Incontinent:
    • URINATION: Difficulties in evacuating the bladder (larger than normal bladder), urine incontinence
    • DEFECATION: Fecal incontinence
  • Dragging & Knuckling: Dragging and knuckling the legs and paws
  • Pain & Pain Loss: Lack of pain or oversensitivity to pain
  • Wobbling: Wobbly, Ataxic gait

Bulldog wearing a diaper after loss of bladder control

Bulldog Intervertebral Disk Back Disease Diagnosis

Your veterinarian will ask you leading questions about past and most recent events and proceed with observing, examining, and performing a few simple tests. 1. EXAM: Neurological Examination includes evaluation of mobility, muscle tone, pain, loss of pain, reflexes, and toe placement

  • Sensory Assessment: sensory nerve damage, including response to stimuli and pain perception.
  • Proprioception Evaluation: the ability to sense body position and movements.
  • Motor Function Assessment: motor nerve function, including strength, coordination, and ability to move.

2. IMAGING: allows pinpointing the herniated disc location and degree. Anesthesia is often required 3. X-RAYS: Radiographs may be attempted depending on the degree of pain. 4. MRI and CT: MRI is usually necessary for a final diagnosis and is the gold standard 5. MYELOGRAM: using a dye 6. LAB: Screening tests like blood and urine might be added 7. SPINAL TAP: for cytology and fluid analysis, culture is usually not required for IVDD but might be suggested if other neurological and back diseases are suspected

MRI is IVDD ultimate diagnostic tool and considered the gold standard

How to Prevent  Bulldog and French Bulldog IVDD?

There are a few steps you can take to prevent back injuries and IVDD

  1. Breeder: Buy from a reputable breeder.
  2. Weight: maintain lean body weight
  3. Activity: Keep your bulldog active, but avoid high-impact exercise (stairs, jumping)
  4. Cryobanking: You can save stem cells in a cryobank for such an event
  5. Therapeutic Bully Supplements

How are Bulldog and French Bulldog IVDD Treated?

A treatment plan would be proposed based on your veterinarian’s assessment.

1. TREATING A MILD IVDD

A mild case with no serious neurological deficits might only require short-term medication and strict cage rest. 🌿It can include therapeutic supplements such as

Some cases might require

  • pain medication
  • anti-inflammatories
  • and muscle relaxant prescription

Other non-RX therapeutics include:

2. TREATING SEVERE BULLDOG IVDD

Loss of motor function, proprioception, and deep pain sensation are significant indicators of severe neurological damage. This situation warrants immediate attention and usually necessitates referral to a neurologist for thorough evaluation and management. In many cases, surgical intervention is required to address the underlying cause and prevent further damage.

WHEN AN IVDD SHOULD BE REFERRED TO A NEUROLOGIST?

Your vet should be able to decide if your bulldog should be referred to the neurologist based on the neurological examination and imaging results and will discuss medical and surgical options with you.

WHEN BULLDOG IVDD SHOULD HAVE SURGERY?

The severity of the symptoms often determines the urgency of the surgery.

  1. Inability to Walk/Paralysis: Indicates severe nerve damage and often necessitates immediate surgical intervention.
  2. Loss of Deep Pain Sensation: A critical sign of severe spinal cord injury, making prompt surgery imperative to maximize the chances of recovery

Timely IVDD intervention is crucial for pets experiencing severe neurological symptoms.

Bulldog and French Bulldog IVDD Surgery

Surgery alleviates pressure on the spinal cord caused by herniated disk material or other compressive forces. The procedure involves removing the source of compression to restore normal spinal cord function and relieve pain.

Early surgical intervention often improves outcomes

BULLDOG IVDD SURGERY AFTER-CARE:

Post-surgery care is critical for a bulldog’s recovery and overall well-being, particularly after decompression surgery. Proper postoperative care involves several key components, including effective pain management and strict confinement. Your bulldog will require varying levels of nursing and attention to ensure a smooth and successful recovery.

  1. Nursing and Care:
  2. Pain Control: Administer prescribed pain medications to manage discomfort.
  3. Confinement: Restrict movement to allow healing and prevent further injury. Use a crate or a confined space with minimal activity.
  4. Managing Incontinence:
    • Diapers: Use diapers to manage urinary and fecal incontinence. Ensure frequent changes to maintain hygiene.
    • Hygiene: Regularly clean the perianal and peri-vulvar areas to prevent scalding and infections.
  5. Antiseptic Wipes: Utilize products like
  6. Preventing Infections:
    • 🌿 Urinary Health Formula: To protect against urinary tract infections by preventing ascending bacteria, administer a urinary health formula, such as Bully Urinary Health Formula.
  7. Probiotics: Use probiotics to support gut health, especially if antibiotics and steroids are used during treatment
  8. Botanical Fiber: Provides fiber to help soften stool and ease bowel movements.
  9. Mobility Support:
    • Wheels with Lower Section Support: In cases of significant mobility impairment, consider using a wheelchair designed for dogs to aid movement and improve quality of life.
    • Physiotherapy & Rehab: hydrotherapy, etc

Intervertebral Disk Back Disease (IVDD) in Bulldogs: PROGNOSIS

IVDD prognosis depends on the

  • LOCATION: location of the injury
  • SEVERITY: the severity of the hernia
  • TIMING: how soon treatment was initiated

The longer the damage has been present, the worse the prognosis.

IVDD in Bulldogs and French Bulldogs TIPS & WARNINGS

Below is a short list of IVDD tips and warnings courtesy of Dr. Kraemer

#1 IVDD CAGE REST TIP:

IVDD medical management requires strict cage rest for at least four weeks. The rest is crucial to allow a “scar” to form over the top of the disc material. Early activity may precipitate the herniation of the remaining disc material and worsen your dog’s condition Bulldog resting in a crate during IVDD recovery

#1  BULLDOG IVDD URINATION PROBLEM WARNING:

Bladder Function After Spinal Injury After a spinal injury, your bulldog’s bladder function might be compromised due to interference with nerve signals that control bladder muscle contractions and relaxation. This can result in several issues:

  • Incomplete Bladder Emptying: The bladder may not expel urine entirely, increasing the risk of infection.
  • Overflow Incontinence: Due to ineffective contractions, the bladder may overflow, leading to uncontrollable dribbling.

Signs to Watch For

  • Frequent Dribbling or Leaking
  • Noticeable Wetness: Around the vaginal folds and hind legs
  • Straining to Urinate
  • Urinary Tract Infections (UTIs): Resulting from urine stasis and incomplete emptying

Monitoring these signs and seeking veterinary advice promptly can help manage bladder issues effectively and prevent further complications.

#2 BULLDOG IVDD DEFECATION PROBLEMS WARNING

Just as spinal injuries can impact bladder function, they can also disrupt your bulldog or French bulldog’s bowel movements due to damage to nerves governing bowel function. This can impede the ability to initiate and complete defecation, leading to:

Common Bowel Issues

  • Constipation: Difficulty passing stool due to slowed intestinal movement and weakened straining muscles.
  • Fecal Incontinence: Loss of control over bowel movements, resulting in accidental leakage of stool.
  • Impaction: An accumulation of hardened stool in the rectum, causing discomfort and further blockage.

Signs to Monitor

  • Strain: Straining to defecate, with your dog pushing and grunting but unable to pass stool.
  • Frequency: Reduced stool frequency, passing stool less than once daily, or experiencing prolonged intervals between bowel movements.

Regular monitoring and timely intervention can help manage these issues effectively and improve your dog’s comfort and quality of life.

Other Bulldog and French Bulldog Back Problems

Your veterinarian needs to rule out other common bulldog back problems that could clinically present with symptoms similar to IVDD. Here is a short list: French Bulldog with severe kyphosis and vertebral malformation

  1. Vertebral Malformation:
  1. Vertebral Fracture: A spinal fracture, or dislocation of the spine, is most commonly associated with trauma.
  2. Vertebral Osteomyelitis: Spinal infections.
  3. Spinal and Vertebral Cancer: Spinal tumors of the spinal bone or cord
  4. Spinal Spondylosis: Arthritis of the spine, most common in the lumbar and sacral vertebrae
  5. Spinal Fibrocartilaginous emboli:  an acute “stroke-like” disorder of the spinal cord. In contrast to other spinal conditions, such as Bulldog IVDD, Bulldog FCE is a painless spinal condition except for an initial sharp pain that soon subsides.
Dr. Roy Kraemer, DVM

From Dr. Kraemer’s exam room
A bulldog-focused vet, hands-on for decades

Insider tip

Cage rest means cage rest. Four weeks minimum, and the reason is physical rather than cautious: the body needs time to lay a scar over the top of the disc material. Let the dog out early and the remaining disc can herniate, which is how a recovering bulldog becomes a surgical one. The posture I want owners to recognise is the praying position, front end down, head low, back arched. Owners read it as stretching or as tiredness. It is a dog splinting a painful spine, and paired with a tense abdomen it is one of the earliest signs there is. And if you have a French Bulldog, consider cryobanking stem cells before anything happens. IVDD in this breed arrives young and arrives fast, and the time to have cells banked is not the night you need them.
Bulldog IVDD: quick answers
What is actually happening in the spine?
The disc between two vertebrae has a fibrous outer ring and a gel like inner core, and it works as a shock absorber. In IVDD that core herniates through the ring and presses on the spinal cord. You then get three things at once: compression damaging nerve fibres, an inflammatory reaction, and swelling inside the spinal canal that raises the pressure further.
Why are French Bulldogs so prone to it?
They are chondrodystrophic, a skeletal growth pattern that puts extra strain on the intervertebral discs and raises the risk of herniation. It is also why they can present in young adulthood rather than in old age as most breeds do. It is more common in French Bulldogs than in English Bulldogs.
What are the warning signs?
A stiff sensitive neck, crying when touched or when moving the head, shaking, an arched or hunched back, a praying position with the head low, a tense abdomen, front or hind leg weakness, reluctance to move or jump or take stairs, dragging or knuckling the paws, urinary or fecal incontinence, oversensitivity to pain or loss of it, and a wobbly ataxic gait.
When is it an emergency?
Inability to walk or paralysis indicates severe nerve damage and usually needs immediate surgery. Loss of deep pain sensation is a critical sign of severe spinal cord injury, and surgery must be prompt to give the best chance of recovery. Either one means a neurologist now.
How is it diagnosed?
A neurological examination first, covering mobility, muscle tone, pain and loss of pain, reflexes and toe placement, plus sensory, proprioceptive and motor assessment. Imaging pinpoints the disc and usually needs anesthesia. Radiographs may be attempted depending on pain. MRI is the gold standard and is usually needed for a final diagnosis. CT, myelogram, bloods and a spinal tap are used as needed.
Does mild IVDD really recover without surgery?
Often, yes. A minor bulge with mild superficial compression is typically treated with cage rest, analgesics, anti inflammatories and supportive supplements, with the expectation of full recovery. Cage rest must be strict and at least four weeks, so a scar can form over the disc material. Cold laser, PEMF and stem cell therapy are useful additions.
What does the prognosis depend on?
Three things: where the injury is, how severe the herniation is, and how soon treatment started. The longer the damage has been present, the worse the prognosis. That is the whole argument for not waiting to see whether it settles.
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Veterinary Care and Supportive Products

IVDD is time sensitive in a way most bulldog conditions are not. If your bulldog cannot walk, or has lost deep pain sensation, that is an emergency referral to a neurologist tonight. Anything milder still earns a neurological examination rather than a wait and see, because the prognosis turns on how soon treatment started. No supplement decompresses a spinal cord. What these do is support the tissue, ease the pain, and make strict confinement survivable for both of you.

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The Disc, Back and Nerve bundles, 60lb and over

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More Help from Dr. Kraemer

Several bulldog back problems look like IVDD from across the room. These are the ones I rule out:

About the Author

Roy Kraemer, DVM, is a veterinarian with extensive clinical experience caring for Bulldogs and French Bulldogs. His educational work emphasizes early detection, neurological assessment before imaging, strict adherence to cage rest, and knowing which signs make a back problem an emergency.

Trusted by Vets ~ Recommended by Owners ~ Approved by Bulldogs

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References

  • American College of Veterinary Surgeons. Intervertebral Disc Disease
  • Merck Veterinary Manual. Intervertebral Disk Disease in Small Animals
  • American Animal Hospital Association. 2022 AAHA Pain Management Guidelines for Dogs and Cats

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