tail trauma in cats

Tail Trauma in Cats

Overview of Tail Trauma in Cats

Tail trauma is an occasional problem mainly in outdoor cats. Also known as broken tail, luxated-subluxated tail or dislocated tail, clinical signs can vary from a kink in the tail to complete paralysis with fecal-urinary incontinence.

Most cats with tail trauma have a flaccid, paralyzed tail. Lacerations may or may not be present.

What to Watch For

Diagnostic Tests for Tail Trauma in Cats

Your veterinarian will perform a complete physical and neurologic examination to assess your cat’s injury. If your cat cannot feel his tail and has absent anal tone, treatment options will be limited.

Other tests your veterinarian may recommend include:

Treatment of Tail Trauma in Cats

If your cat can feel his tail, rest may be the best treatment, although surgical repair may be attempted. Tails can be surgically repaired when the vertebrae are luxated (dislocated) or even repaired if there is a fracture through one of the tail bones. Surgery may not be needed as tails seem to heal well without surgery.

If your cat cannot feel his tail and there is urinary/fecal incontinence, there is a small chance that he will be able to regain some urinary-fecal function.

In cases of a traumatic-paralyzed tail, most veterinarians recommend that the cat’s tail be amputated to prevent further injury to the nerves that supply the urethra and anus. A cat with an amputated tail is not handicapped in the least.

Treatment also involves helping your cat urinate and defecate. Your veterinarian may recommend stool softeners if your cat becomes constipated. Your cat may need his bladder expressed if there is no sensation to the urethra. There are some medications that may help your cat urinate more normally.

Home Care

Your cat will need to rest in a crate or cage following tail trauma. Your veterinarian will need to re-evaluate your cat with a neurologic examination and sometimes radiographs.

If your cat has difficulty urinating, your veterinarian may need to monitor his urine for infection. Finding the right balance of medications for your cat will take time and patience. Your cat’s need for medication may change over time.

In-depth Information for Tail Trauma in Cats

Tail trauma is known also as broken tail, luxated-subluxated tail, or dislocated tail. It is an occasional problem mainly in outdoor cats and can be the result of vehicle accidents, tails caught in doors or, unfortunately, malicious causes.

The most important factor in your pet’s prognosis is the sensation to the tail and area around the rectum. The nerve, the pudendal nerve, that supplies the sphincters of the urethra and anus is located on the spinal cord at the base of the tail. Trauma to the tail often causes forcible separation or detachment of the pudendal and coccygeal (tail) nerves, or avulsion.

Nerve trauma is classified pathologically as neuropraxis, axonotmesis and neurotmesis depending on the amount of damage that has occurred to the nerve. The classification scheme allows your veterinarian to give a prognosis.

In-depth Information for Diagnosis of Feline Tail Injuries

Your veterinarian will perform a complete physical and neurologic examination to assess your cat’s injury. The neurologic examination usually focuses on the sensation and motor to the tail and anus.

In-depth Information for Treatment of Feline Tail Injuries

If your cat cannot feel his/her tail and has absent anal tone, your treatment options will be limited. If there is urinary/fecal incontinence, there is a small chance that he will be able to regain some urinary-fecal function. The urinary and fecal incontinence is caused by trauma to the pudendal nerve that supplies function to the urethra and anus. The injury is called a cauda equina avulsion and the nerve trauma is classified according to the degree of nerve damage.

If your cat has decreased sensation to the tail, you will need to observe him closely and allow frequent neurologic examinations by your veterinarian.

In cases of a traumatic-paralyzed tail, most veterinarians recommend that cat’s tail be amputated to prevent further injury to the pudendal nerve that supplies the urethra and anus. Amputation also prevents the tail from becoming soiled with feces and urine, which is a major health concern for these cats.

If your cat frequently has cystitis (urinary bladder infections), a specific therapy of antibiotics may be recommended and may include low-dose antibiotics or weekly alternating therapy. Another option is to treat with a urinary antiseptic such as methenamine.

Following amputation, your cat should rest in a crate. This will allow him to heal adequately and will assure the best chance to regain nerve function. A cat with an amputated tail is not handicapped in the least.

Treatment also involves helping your cat urinate and defecate. Your veterinarian may recommend stool softeners if your cat becomes constipated. Some stool softeners are mineral oil based such as hairball remedies or fiber based such as metamucil. Other stool softeners are DSS and lactulose.

Your cat may need his bladder expressed if there is no sensation to the urethra. There are some medications that may help your cat urinate more normally. Some of these drugs are bethanachol, phenylpropanolamine, diethylstilbesterol, phenoxybenzamine, diazepam and flavoxate.

Home Care of Feline Tail Injuries

Your cat will need strict bed rest in a crate or cage following tail trauma. You may need to bathe and medicate your cat frequently if he has difficulty urinating.

Your veterinarian will need to re-evaluate your cat with a neurologic examination. The injury may need to be re-examined by x-ray as well. If your cat has difficulty urinating, your veterinarian may need to monitor his urine for infection by performing urinalysis and cultures.

Finding the right balance of medications for your cat will take time and patience. Your cat’s need for medication may change over time.

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