Multi-modal Rehabilitation and Laser Acupuncture for Traumatic Peripheral Neuropathy in a Pacific Parrotlet (Forpus coelestis): A Case Report

Abstract

A 3-year-old male Pacific Parrotlet (Forpus coelestis) presented with acute, non-weight-bearing lameness of the right pelvic limb following a traumatic injury. Physical examination revealed a laceration over the right tibiotarsus and bruising in the inguinal region. Neurological assessment showed a loss of proprioception and absence of deep pain perception in the second and third digits, while superficial pain remained intact in the first and fourth digits. Based on the distal location of the injury and the specific clinical signs, a diagnosis of peripheral neuropathy affecting the fibularis profundus nerve was made. A multimodal therapeutic approach was implemented, consisting of systemic medications of ceftiofur crystalline free acid, robenacoxib and vitamin B complex, in combination with pulsed electromagnetic field (PEMF) therapy, therapeutic laser, and laser acupuncture. Corrective taping using fixomul was applied to maintain functional limb alignment. The patient exhibited significant progressive improvement and achieved full functional recovery within three weeks. This case demonstrates the efficacy of integrating regenerative physical therapies with traditional medical management for avian nerve injuries.