Mystery Equine Lameness

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Mystery Equine Lameness

Postby jero1360 » Thu Apr 08, 2010 11:05 pm

Help please! My horse has been lame for just over 2 months now and the prognosis seems to be getting worse and I don’t know what to do. Have you experienced similar cases or have some advice? Any help is greatly appreciated.

The Horse
Age: 8
Breed: Warmblood
Height: 17.3h
Performance Level: Horse has been in a program since 5. I bought the horse at the age of 6 and has now been in competition for a solid year (show season ended in October) ending competitively at 1.20M with the potential for 1.40M+.

The Facility
Stalls: Softstall matting
Arena: 120’ x 60’ with NARRS footing

The Timeline
February 8th – Horse slightly unsound on the right front at the walk. With some slight exercise at the walk and a small amount of trot, his soundness at the walk improves. This light exercise twice daily continues.

February 18th – Horse very unsound now, with any exercise there is heat in the right pastern and fetlock. Horse is put on stall rest with 15 minute hand walks in the arena twice daily.

February 22nd – The vet comes and does another lameness exam; the horse is unsound in the corners and especially tracking to the left. The vet conducts a ultrasound on the right front and determines that there might be a strain on the collateral ligament (MCL) however it appears to be slight. The horse continues with stall rest with 20 minute tack walks in the arena tracking to the right.

March 1st – Trotting down the straight line in the arena is added to the talk walks, beginning with 10 long sides and progressing to 20 long sides by the end of the week. By the weekend the horse is feeling good, however keeping the rearing and bucking at bay is proving to be difficult.

March 8th – Following the weekend, the horse appears to be unsound and heat is evident in the right pastern and fetlock . The vet comes out and determines that the leg has not improved to a point of stability. The horse is blocked at the coffin joint and this improves lameness dramatically. The coffin joint is injected with a small dose of hyaluronic acid to reduce inflammation (heat) to allow for natural healing. The hyaluronic acid dose is expected to least for 6 weeks, the horse is to return to the control program of 20 minute hand walks and tack walks in the arena tracking to the right. In addition the horse will have Omega Alpha Chill before exercise to keep playfulness in control.

March 15th – Horse appears sound and continues with the control program. The vet conducts some xrays on the right front to eliminate other causes of lameness, xrays are clean.

March 22nd – Horse has started to appear lame at the walk, but sound at the trot. The vet conducts a lameness exam and has determined that the issue is not in the right front but is in the left front shoulder. The vet believes the left front shoulder is not extending properly and that some stretching should improve. The vet also recommends that perhaps some light alternative therapy could be added, such as massage or acupuncture. The vet prescribed the horse Isoxsuprine to increase circulation to assist in healing.

March 29th – An acupuncturist vet conducts a lameness exam and determines that, while the horse appears totally sound at the trot in both directions, at the walk the horse appears to move the left front shoulder normally but when it comes time to put pressure on the hoof landing, the shoulder shifts backwards in avoidance. The acupuncturist vet determines this movement is resulting not from lameness but from a nerve issue in the shoulder. The acupuncturist vet begins the first round of regular acupuncture with a chiropractic massage of the left front shoulder. The horse is prescribed thiamine. The horse’s blood is taken for testing, not sure what tests were conducted but the tests came back clean.

March 31st – The horse’s soundness at the walk improves, especially if a small amount of trot on the long sides tracking to the right is added. The horse continues with 20 minute tack walks with 10 longsides of trot both tracking to the right twice daily.

April 5th – The acupuncturist vet conducts the first more intensive round of electro acupuncture. We plan on 2-3 more sessions over the next couple weeks. The main vet is kept up to date and approves of the current plan of action.

April 8th – The horse’s walk continues to improve, the horse appears sound at the trot. However, something does not feel right with the horse’s trot on the right front again, but the horse appears sound even tracking to the left and into the corners. Following exercise there was heat in the right pastern and fetlock.

At this point we are now waiting for the main vet to come out again next week and I have put the horse back to a control program of 20 minute hand walks twice daily.
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