DCS is the result of a primary issue leading to prolonged recumbency, followed by secondary muscle/nerve damage.
1- Metabolic Causes
· Hypocalcemia (Milk Fever) – Most common cause, especially periparturient cows.
· Hypomagnesemia
· Hypophosphatemia
· Ketosis (primary & secondary)
· Fatty liver disease
2- Traumatic / Mechanical Causes
3-. Systemic Illness