Downer Cow Syndrome (Recumbent cow syndrome)

1- Treatment of Underlying Cause

• Calcium therapy for hypocalcemia
• Magnesium/phosphorus supplementation
• Dextrose/ketosis management
• Antibiotics for infectious causes

2-Supportive Care

Supportive care is critical and often determines outcome:

• Deep, dry bedding to prevent pressure sores
• Frequent repositioning (every 2–3 hours)
• Hip lifters, slings, flotation tanks where available
• Access to water & feed within reach
• Protection from cold/heat stress

3-Physiotherapy

• Passive limb movement
• Massage to increase circulation
• Encouraging attempts to rise (assisted lifting)