Diagnostic Challenge: Nerve injuries are often difficult to differentiate from musculoskeletal injuries when not associated with calving.
Primary Causes: Trauma, parturition (calving trauma), and inherited genetic factors.
Primary Treatment: Often involves anti-inflammatory agents (corticosteroids/NSAIDs) and supportive care (good footing, soft bedding).
Forelimb (Thoracic) Nerve Injuries:
Brachial Plexus Injury: Results in thoracic limb paresis and weight-bearing loss; often caused by excessive traction or abduction.
Radial Nerve Injury:
Proximal: Prevents extension of the elbow, carpus, and fetlock.
Distal: Prevents extension of the carpus and digits; animal may drag the limb.
Suprascapular Nerve Injury: Characterized by initial nonspecific ataxia followed by neurogenic atrophy of the supraspinatus and infraspinatus muscles; often caused by head gate trauma.
Hind Limb (Pelvic) Nerve Injuries:
Calving Paralysis (Sciatic & Obturator):
Sciatic Damage: Results in knuckling of the fetlock.
Obturator Damage: Causes an inability to adduct the legs, leading the animal to "do the splits".
Femoral Nerve Injury: Common in large newborns after assisted birth; results in quadriceps paralysis and lateral patellar luxation.
Peroneal Nerve Injury: Causes paralysis of hock flexors and digit extensors; the animal stands with the digit knuckled onto its dorsal surface.
Tibial Nerve Injury: Rare; results in "dropped hock syndrome" (overflexed hock) and buckled fetlocks.
Neuromuscular & Genetic Spastic Disorders:
Spastic Paresis (Elso Heel): A progressive disorder causing spastic contraction of the gastrocnemius or quadriceps, leading to hyperextension of the hind limbs.
Inherited Periodic Spasticity: Episodic, involuntary contractions provoked by stimuli like rising or emotional stress; progresses toward paresis or plegia.
Breeding Management: Because these conditions are heritable, affected animals (especially bulls) should be eliminated from the breeding pool.
Critical Management Strategies:
Supportive Infrastructure: Animals should be moved to areas with tenacious footing (e.g., straw over manure) to prevent secondary injuries from slipping.
Physical Protection: Use of soft nylon straps to prevent hind-limb splaying in calving paralysis or casts/bandages to protect digits in radial nerve injury.
Medical Intervention: Vigorous early treatment with drugs like dexamethasone or flunixin meglumine is essential for a favorable prognosis.