Caring for the paraplegic patient: sores, physiotherapy and carts
Regarding the care of a paraplegic patient, which statement is correct?
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A. A cart is contraindicated until the patient walks again, because it prevents recovery
A well-fitted cart promotes mobility, mood and exercise, and some designs allow the limbs to bear weight. It does not prevent neurological recovery.
B. Use a padded bed, turn the patient every 4 hours, keep the skin clean and dry and start passive physiotherapy (range-of-motion exercises) within the first few days
Correct. These measures prevent sores over bony prominences and scald from urine and faeces, and maintain joint range of motion and muscle mass while function returns.
C. Massage firmly directly over reddened areas to improve circulation
Redness that does not blanch on pressure is the first stage of a pressure sore. Massaging it increases tissue damage; pressure on that area must be relieved.
D. Delay all physiotherapy until 8 weeks after surgery so as not to compromise the spine
Passive physiotherapy and sensory stimulation are safe from the first days and are associated with faster recovery. Active exercise is introduced progressively.
lightbulb Key takeaway
Pressure sore risk points: greater trochanter, ischial tuberosity, calcaneus and elbow. Hydrotherapy and assisted walking speed recovery once there is some voluntary movement. Many chronically paraplegic dogs have a good quality of life with a cart if bladder and skin are managed; some develop «spinal walking».
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Updated: October 31, 2026 · Educational content for veterinary professionals. It does not replace current clinical guidelines or the judgement of the attending veterinarian.