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"Hind Leg Paralysis"
a study in panic by Chris, Tina and
'Gizmo'

The Story
Recently, my wife and I discovered our Glider, Gizmo, lying on the
bottom of his cage unable to move anything but his head and forelegs.
Needless to say, we panicked. We picked him up, and loved him, both of us
crying rivers as visions of injury and permanent paralysis played through
our minds. We both have medical and biological backgrounds, and searching
our brains for possibilities, found no hope for his situation, and thus
began preparing ourselves for the inevitable. In a last ditch effort, we
hopped onto the net and found exactly two references to this malady at
Ruth Grove's Sugar Glider page
and the Glider
Information Network This gave us at least a little hope, and
completely eradicated any ideas we had about putting Gizmo down, but the
information was vague and erratic at best (no offense meant toward the
authors, it's just that there isn't a lot of information out there about
these guys). So, it is after the ordeal that we went through, and our
subsequent journey toward enlightenment that prompted us to write this
article, in hopes of educating owners, saving some people a lot of grief
and most importantly, saving some precious little lives.
What we read from those two fateful articles told us that Gizmo was
suffering from some sort of deficiency, either Vitamin-D, Vitamin-E or
Calcium. Well, we feed Gizmo just about everything that all of the people
and books recommend, and we were fairly confident that he was getting
everything he needed nutritionally. Nevertheless, we ran out to the market
at a little after midnight to find him some foods that were high in those
essentials. We bought fortified milk for Vitamin-D and calcium, fresh nuts
for Vitamin-E, baby foods that were high in various vitamins, and a whole
smorgasbord of other goodies for him. We got home, and his condition was
unchanged, so we fed him and loved him some more and he ate heartily,
which stoked the fires of our hope for him.
We called around to many pet emergency clinics that night, but due to
the absence of these creatures in our area, none of the vets around us
even knew what one was, let alone what could be done for him. We were very
reluctant to take him into a vet that didn't know what he was dealing
with, especially after talking to my mother who has 3 Gliders, and had
just lost one to the same condition a couple of days earlier. She took
Houdini to a vet who was unsure of what to do for him, and the vet ended
up giving Houdini a Cortisone injection on the chance he was suffering
from a spinal injury. Houdini died a couple of days later from what was
assumed to be pneumonia brought on by the weakening of his immune system
by the Cortisone.
The next day, we made many phone calls to pet stores (including
Reptile Solutions in Arizona) and
vets both in and out of our area. We found a vet in Arizona that was
familiar with Gliders and this condition, and he recommended a supplement
and some form of meat (either hamburger, ground turkey or frozen adult
mice). We went out and got some Reptical (a brand of vitamin and mineral
supplement for reptiles), and began sprinkling it on his food, as well as
on small balls of raw ground turkey. He continued eating well with the
exception of the turkey, which he just tore into little pieces and flung
around the room. Later that night, he began wheezing. This made us think
of the pneumonia, and brought on a whole new set of worries. Gizmo also
appeared to be a little bloated and his stomach was somewhat distended. We
decided to take him in the following day to a vet that we found who worked
on exotics, but mainly reptiles and amphibians. It seemed risky, but we
felt we had to do something.
The Initial Diagnosis
The first vet looked him over, more out of fascination than
examination, and decided that Gizmo needed an X-ray to rule out injury and
be sure his G.I. tract wasn't full. After talking to all of the people we
spoke with, the thought of a physical injury seemed pretty much out of the
question, but we figured it couldn't hurt, just to be sure. Boy were we
WRONG! The X-ray revealed that although his digestive tract was clear,
Gizmo had fractured both of his hind legs! The vet said that surgery was
possible, but he could not do it. So, sadly, we took Gizmo home, and began
the search to find a vet that could do the surgery.
That afternoon we called several more vets and finally, miraculously,
found an amazing vet that not only knew what a Sugar Glider was, but had
actually treated several of them! A wave of relief washed over us, but we
knew that Gizmo still wasn't out of the woods. We took him in first thing
the next morning (the vet wasn't in the day before), and had him looked
at. This new vet looked over the X-ray and examined Gizmo intensely, and
contributed some of the information that is to follow. In order to make my
rather long story shorter, I will summarize the diagnosis, prognosis,
treatment and maintenance below. I will also try to put in some tips on
diet and nutrition for these guys, as my wife and I both have done
enormous amounts of research via books, zoologists, vets, owner/breeders
and the internet. Hopefully this will help anyone who finds this page to
prevent this malady, or save the life of a loved one already afflicted.
The Real Diagnosis
Gizmo had developed nutritional osteodystrophy, or a
decalcification (softening) of the bones due to a lack of nutrients. In
this condition, the body does not have enough calcium and protein to
perform its various functions, and begins to draw calcium from the only
source it can: the bones. Bone material becomes fibrous and flexible as
the calcium which keeps it hard is steadily removed. Once the bones reach
a certain point, they no longer offer anything to resist the contraction
of muscles, and the victim becomes effectively paralyzed. This
condition is very grave because with this softening of the skeleton, comes
other very severe complications such as:
Peripheral complications
associated with nutritional osteodystrophy
| Complication |
Reason |
| Paralysis of the hind legs |
Since the pelvis and femurs (upper portion of the hind legs) are two
large bone masses, they are probably hit first and hardest. |
| Pneumonia |
As the ribs decalcify, the diaphragm and intercostal muscles loose
their ability to open the rib cage for deeper breaths of air. Without
these large inhalations, moisture begins to collect in the lungs leading
to pneumonia. |
| Collapsing of the spinal column |
This is the biggest and scariest of problems. The decalcification of
the vertebral bodies can lead to their collapsing in on each other. This
can result in the spinal cord being severed, which results in true
paralysis and the inability to eliminate waste. If this happens, the
only humane thing to do is put the animal to sleep, as the pain of waste
retention is excruciating and will surely end in death. |
| Cardiac problems |
Calcium is essential for the heart muscle to operate properly, so
calcium deficiencies are especially dangerous for the heart. |
The Prognosis
Fortunately, this condition is reversible. The younger
the patient, the quicker the recovery, provided he/she has the correct
care. With proper feeding and care, the bones will begin to recalcify and
harden. The paralysis should gradually subside, and eventually your pet
should return to some semblance of normalcy. This is not a guarantee that
this treatment recommendation will cure you pet, but it is the correct
thing to do nutritionally.
On the other hand, there are many obstacles along the path to recovery,
all of which are potentially fatal once this malady has taken hold.
The Gizmo Report
10/29/96 - We found Gizmo lying in the bottom of his cage.
His hind quarters were completely paralyzed.
11/1/96 - We took Gizmo into the first vet. Too long of a
wait! We should have taken him in straight away.
11/2/96 - We took Gizmo into the second vet. Started him on
Neoglucagon, Rowdybush Powder, Super Preen and Reptical.
11/11/96 - Gizmo is markedly improved. His "grumping" is
much louder and stronger, and his activity level is much higher. He has
begun flexing both of his back feet, and moving his hips in what appears
to be an attempt to move his hind legs. Also, he scratched his underbelly
with one of his hind legs!
12/30/96 - With much sadness and regret I must report
Gizmo's demise. His health was improving greatly, and we were confident he
would have made a wonderful recovery. His death was completely unrelated
to his malady, and the manner of it has been very difficult for us to
handle. All I can say to each of you who read this page is, Love your
little guys for us, and think of Gizmo on occasion, for it was his fragile
little life that has inspired this research that we truly hope has helped
at least one other avoid or recover. Thank you all for the support.
Immediate Treatment
How to help
your pet immediately
| Method |
Reason |
| Get you pet to a vet... ANY vet, as soon as possible |
Hopefully you can find a vet who is familiar with these creatures,
but if not, or if the vet is unsure of what to do, at the very least,
have the vet give your pet a calcium supplement injection (usually
Calglucagon is the name of the liquid). A Vitamin-D supplement is also
needed for processing of the calcium. See
Maintenance and Nutritional Considerations for more information. |
| Get some form of calcium into your pet |
Either calcium carbonate or dicalcium phosphate are usually readily
available in most supplements. See Supplements
for information regarding various supplements and how to get them. This
will help your pet get started down the road to recalcification of his
skeleton. |
| Remember the Vitamin-D rule |
Vitamin-D is essential for the body to convert raw calcium to bone
material, so be sure your Glider is getting Vitamin-D in addition to the
calcium. See Maintenance and Nutritional
Considerations for more information. |
| Be sure your pet gets at least one-half to one hour of
unfiltered sunlight a day |
This is necessary if you pet is not getting sufficient quantities of
Vitamin-D3 in his or her diet or supplements. Sunlight converts
Vitamin-D1 to D3 and the body then uses the D3 to process the calcium
into bone material. It is relatively unknown how much orally ingested D3
is absorbed into the bloodstream, so sunlight is crucial. Our Glider
responds very well to sunlight. See Maintenance
and Nutritional Considerations for more information. |
| Be sure your pet is eliminating |
Calcium has the side effect of being a gas producer. You may notice
your pet is somewhat bloated. This is alright if your pet is
eliminating. If he or she is not eliminating, it may
indicate a spinal injury or, at the very least, it may mean that your
pet is having trouble bearing down for bowel movements. If this is the
case, there is a product called Laxatone that is a good laxative
for animals (do not give your pet a human laxative). I
believe this product is available over the counter, and the recommended
dosage is about a BB sized drop once a day. |
| Keep your pet quiet and restrict his movement as much as
possible |
Leave it some room, perhaps a 1 to 1.5 foot square to move around
in. Your pet's skeleton is probably pretty weak, and it runs the risk of
injuring itself just by moving around. Be careful not to do anything
that might frighten it and cause it to try to flee. |
| Avoid picking your pet up too much |
Once again, those bones are pretty weak. Handling, while necessary,
should be avoided. Picking him or her up could easily damage your pet.
Talk softly and pet him to let him know you love him and that he is
safe. |
| Do not manipulate your pet in ANY way |
If you do pick him or her up, be sure not to try to manipulate the
appendages (ala physical therapy). This can damage the flexible bones,
perhaps causing them to break. |
| Monitor your pet's hind end for signs of movement |
Collapsing of the spinal column is the end. As long as your pet
continues to try to move his or her hind quarters, even minor twitching
counts, he or she stands a fighting chance. If your Glider does seem
like it is not moving it hind legs, don't panic, just get him or her
into a vet for an X-ray. This will definitively show whether or not
irreparable damage has been done. |
| Do not let your pet spend too much time on his or her back |
Much the same way people in hospitals must be turned on their sides
when spending large amounts of time bedridden to fend off pneumonia, so
should your Glider. When your pet is on its back in this condition, it
is difficult to right itself, and pneumonia sets in much easier in this
position. Some time on its back is ok, and could allow gravity to help
pull the spinal column back from collapsing inward. |
Here is a brief list of some useful information regarding Sugar Glider
health, nutrition and eating habits, as well as a bit regarding possible
long term effects of captivity and diet substitution.
Sugar Glider's natural diet
Sugar Gliders are insectivores. This does not mean they eat meat, but
rather get the protein and calcium from insects. In addition to insects,
they survive on:
 | Acacia gum - A fine yellow or white powder derived from the
Acacia tree. |
 | Manna or Honeydew - A sweet substance excreted by sap
eating insects. |
Meat is not a natural food for Sugar Gliders.
Although many vets and pet stores recommend giving a bit of hamburger,
ground turkey or frozen mice to supplement protein and calcium intake, it
is believed that their G.I. tracts are not set up to handle the processing
of meat. This could lead to complications of the pancreas, liver and
colon, which may not manifest for several years. Bear in mind, this is not
for sure, but is quite probable and purported by many vets and zoologists
that we have contacted. Also bear in mind that if you are having trouble
getting protein and calcium into your Glider, meat should not be ruled out
as an option. Just don't overdo it.
Sugar Glider nutrition and health
Neither Acacia gum or Honeydew are readily available in the US, so we must
supply our pets with whatever we can. We must be VERY careful regarding
fat. Sugar Gliders are fat intolerant. This means their
bodies are not equipped to break down complex fat molecules, which makes
sense after examining their diet. So, be very careful what you feed your
Glider. Avoid things like cheese, too much milk and other foods that may
seem like a good idea, but are high in fat (above 3 or 4 grams per
serving). Also, do not give your Glider "fat-free" foods that would
normally have fat in them, like fat-free cheese, unless you read the
ingredients and verify that there are no chemicals or preservatives added
to the food. This rule should hold for any non-natural food you feed your
pet.
If in doubt, contact your nearest zoo, or get into the library and do
some reading. That's what we did.
The Vitamins and Minerals
Osteodystrophy is caused by
deficiencies of these nutrients
| Nutrient |
Purpose |
| Vitamin-D1 |
This D vitamin is readily available in many foods, but it needs to
be converted to D3 via sunlight to be used efficiently |
| Vitamin-D3 |
D3 enables the body to convert calcium to bone material |
| Calcium |
Calcium is necessary to keep the skeleton hard, as well as ensuring
proper cardiac functions and many other bodily functions |
| Protein |
Used in conjunction with calcium to build strong bones. Also used to
develop and maintain muscles. |
Supplements
| Supplement |
Effect and Administration |
Availability |
| Neoglucagon/Calglucagon |
This is a great way to get some serious absorbable calcium into your
pet. Neoglucagon is probably fairly close to one of the Sugar Glider's
natural foods, honeydew (not the melon). This calcium infusion is
exactly what is needed to reverse the osteodystrophy |
Although it was given to me by a vet, Neoglucagon is said to be
available without a prescription, but I have not looked for it in
stores. Try a drug store and look in the baby food and supplement aisle.
Calglucagon is the liquid calcium supplement administered to Gizmo by
the vet. I am not sure if it available in any other form or without a
prescription, but if it is necessary to take your Glider to the vet, ask
about this. |
| Rowdybush Powder |
This is a great protein and calcium supplement normally used to
nourish baby birds. It can be mixed in with nectar or sprinkled on
fruits. We have also had good luck with hiding it in applesauce, yogurt,
nectar and Karo syrup. |
Available in most pet stores. |
| Super Preen |
This is another supplement used primarily for birds. VERY little
should be used. A small pinch can be sprinkled over food 2 or 3 times a
week. |
Available in most pet stores. |
| Reptical |
This is a good supplement of calcium, and vitamins A, B, D3 and E.
It is normally used for reptiles and has a somewhat odd odor. Try hiding
this in food or nectar. About a quarter of a teaspoon 2 to 3 times a
week is sufficient. |
Available in most pet stores. |
| Reptile Solutions' Glider Food |
I am not sure of the nutrient value of this product because as of
this writing, I have not received my first shipment. Many people swear
by this stuff, and make it available for their Gliders all the time. |
Contact Reptile Solutions.
For a limited time you can get a free sample of Glider Diet by
visiting Exotic Pet
Enterprises |
| GliderVit Mix |
I have not personally tried this product yet, so I cannot give an
opinion about it. Mike says that it contains a good balance of
Vitamin-D3, Calcium and Vitamin-E. As soon as I am able to try it out I
will add some info here. Stay tuned! |
Contact Mike Smith for more
information. |
To summarize all of this, this hind-leg paralysis disorder is caused by
a severe lack of calcium and protein. It is a nutritional deficiency, and
can be reversed. Get your pet to the vet ASAP and get him a calcium
injection and some sort of supplement that provides calcium, vitamin-D
(preferably D3), and protein. Be sure your pet gets at least 30 minutes of
sunlight a day to assist D1 conversion to D3. Be sure your pet stay quiet
and does not move around too much while ill. Monitor your pets food and be
sure he or she is getting a well rounded meal rich in vitamins and
minerals. Watch fat intake and avoid meat products. Finally, love your pet
and make him or her feel safe. This will go a long way towards recovery.
Good luck to those of you who read this after your pet has been
afflicted, and for those of you who have healthy Gliders, please take care
of them and follow these guidelines.

Disclaimer:
This article is published by concerned owners who are neither vets nor
breeders, but have done quite a bit of research and have solid backgrounds
in nutrition. This article is in no means meant to guarantee successful
recovery of an ill pet, but is meant to serve as information for the
reader to base his or her own decision and treatment methods upon.
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