Cat Walking on Back Ankles: Understanding Plantigrade Stance

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TL;DR: A plantigrade stance occurs when a cat walks on their heels instead of their toes, often signaling an underlying issue like diabetic neuropathy. While not always an immediate emergency, you should schedule a veterinary exam within 24 to 48 hours and bring a video of the behavior to help with diagnosis.

What is a plantigrade stance in cats and what causes it?

Normally, cats are digitigrade, meaning they walk on their toes with their heels (hocks) elevated. When a cat begins walking on their back ankles or heels, it is referred to as a plantigrade stance. This change in posture is often a physical manifestation of nerve damage, muscle weakness, or a metabolic imbalance that prevents the hind legs from supporting the cat's weight correctly.

Is it an emergency if my cat is walking on their back ankles?

  • Urgency Level: The urgency for this condition is considered Medium.
  • Timing: You should schedule a veterinary appointment within the next 24 to 48 hours to address the underlying medical issue, most commonly diabetic neuropathy.
  • Immediate Care: Seek veterinary attention sooner if the stance is accompanied by an inability to move the legs or signs of extreme pain.

How can a photo or video help my vet diagnose my cat's walking posture?

  • Overcome Adrenaline: The stress of a vet visit often triggers an adrenaline rush that may cause a cat to temporarily walk normally in the exam room.
  • Home Environment: Providing a clear photo or video of your cat walking at home allows the vet to observe their gait when they are relaxed.
  • Diagnostic Accuracy: Visual evidence allows the vet to see the exact degree of the drop in the hock, leading to a faster and more accurate diagnosis.

Clinical Context (Merck Veterinary Manual)

I am sorry, but the provided excerpts discuss lameness in cattle, not cats. Therefore, I cannot provide information about cats walking on their back ankles.

Chapter: Lameness

Source: The Merck Veterinary Manual, 11th Edition (Page 1067)

Protocol reviewed by Dr. Sarah Miller, DVM

Frequently Asked Questions

What is the most common cause of a cat walking on its ankles?
The most frequent cause is diabetic neuropathy, a complication of unregulated feline diabetes where high blood sugar levels damage the nerves in the hind limbs.
Can this condition be reversed?
In many cases, yes. If the cause is diabetes, stabilizing the cat's blood sugar through diet and insulin can often lead to the nerves healing and the cat returning to a normal toe-walking stance.
Are there other symptoms I should look for?
Yes, keep an eye out for increased thirst, more frequent urination, weight loss despite a good appetite, and a general decrease in jumping or activity levels.

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