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How to tell if nerve got damaged? UPDATE
emricmacy
Reg. Sep 2016
Posted 2018-04-07 3:05 PM
Subject: How to tell if nerve got damaged? UPDATE


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Battling pretty bad lameness problems after pastern injection on 3/21/18. We were NOT dealing with major lameness issues before injection. Temp is good, no swelling, but severely lame on the right front (where we did the pastern injection). Bute is helping some, but NOT much. My question is, how do I figure out if the vet hit a nerve close by or something of that sort? Ultrasound, radiograph? She had a tough time giving it, because in the past we always had a helper (so three people total, me, vet and another person). This time it was only us 2, and she had a tough time finding the joint, because she had to hold his foot, and was not at the angle to give the injection as she usually was. Took an x-ray and there is plenty of joint space left to inject, and once she found it the solution got sucked in like a vacuum, but she spent some time before that digging around with the needle..I've been racking my brain trying to figure out what happened, and what caused this, and I think it stems from the injection. It was on a Wednesday morning, stall rest after that for the rest of the day. Turned out Thursday, and was given until Sun off, when I tried to ride at a walk/trot and he has been very lame since.

Edited by emricmacy 2018-04-20 12:57 PM
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Meep.Meep
Reg. Jun 2017
Posted 2018-04-07 3:51 PM
Subject: RE: How to tell if nerve got damaged?


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did she include antibiotics in the injection? I'd be afraid of a joint infection, especially with her "digging around"
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emricmacy
Reg. Sep 2016
Posted 2018-04-07 4:09 PM
Subject: RE: How to tell if nerve got damaged?


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Meep.Meep - 2018-04-07 3:51 PM

did she include antibiotics in the injection? I'd be afraid of a joint infection, especially with her "digging around"

As far as I know, no antibiotics. He doesn't have a temp, no swelling, but he's very lame even with bute 2x a day. I think it stems from the injection!
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rodeomom3
Reg. Dec 2007
Posted 2018-04-07 6:35 PM
Subject: RE: How to tell if nerve got damaged?



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 I had had one dead lame after having his pastern injected but after a few days he was no longer lame.   If he had became lame directly after the injection and it has not gotten better by now I soykd be suspect ofthe injection too.  I don’t know how you find nerve damage other than maybe blocking that nerve and seeing if he goes sound.

Edited by rodeomom3 2018-04-07 6:36 PM
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emricmacy
Reg. Sep 2016
Posted 2018-04-07 6:51 PM
Subject: RE: How to tell if nerve got damaged?


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rodeomom3 - 2018-04-07 6:35 PM

 I had had one dead lame after having his pastern injected but after a few days he was no longer lame.   If he had became lame directly after the injection and it has not gotten better by now I soykd be suspect ofthe injection too.  I don’t know how you find nerve damage other than maybe blocking that nerve and seeing if he goes sound.

Thank you..Had it injected 3/21 and still very lame, even with bute twice a day. A few days after the injection vet had me take his temp and it's normal, and the injection site looks good.
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barrelracingchick16
Reg. Aug 2004
Posted 2018-04-07 7:56 PM
Subject: RE: How to tell if nerve got damaged?



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Has your veterinarian been back out to assess? Anytime there is a severe lameness that comes up post joint injection you always worry about an infected joint. Hopefully that is not the case here (although, if I had to choose a joint to become infected the pastern would be it because this is a joint that can go on to be fused and the horse come out sound).

Usually with an infected joint you will see swelling surrounding the joint. However, the pastern is a very low motion joint with not very much space so therefore you may not necessarily see full blown swelling. Although this far out with a true infection you would expect there to be swelling by now.

Regardless I think further examination is warranted- whether you seek a second opinion or involve the vet that originally injected is your decision. I think at the very least joint fluid should be sampled from this joint to try and figure out if infection is a possibility. It would also be beneficial to block out the lameness and figure out where it is coming from.



Edited by barrelracingchick16 2018-04-07 7:58 PM
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Southtxponygirl
Reg. Nov 2006
Posted 2018-04-07 8:44 PM
Subject: RE: How to tell if nerve got damaged?



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I feel so sorry for that boy.  
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emricmacy
Reg. Sep 2016
Posted 2018-04-07 8:54 PM
Subject: RE: How to tell if nerve got damaged?


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Southtxponygirl - 2018-04-07 8:44 PM

I feel so sorry for that boy.  

Me too, I love him so much! I've tried to make him as comfortable and happy as I can! I had a good routine going with him before this injection. Heartbreaking to see him in pain.

Edited by emricmacy 2018-04-07 8:59 PM
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emricmacy
Reg. Sep 2016
Posted 2018-04-07 9:01 PM
Subject: RE: How to tell if nerve got damaged?


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barrelracingchick16 - 2018-04-07 7:56 PM

Has your veterinarian been back out to assess? Anytime there is a severe lameness that comes up post joint injection you always worry about an infected joint. Hopefully that is not the case here (although, if I had to choose a joint to become infected the pastern would be it because this is a joint that can go on to be fused and the horse come out sound).

Usually with an infected joint you will see swelling surrounding the joint. However, the pastern is a very low motion joint with not very much space so therefore you may not necessarily see full blown swelling. Although this far out with a true infection you would expect there to be swelling by now.

Regardless I think further examination is warranted- whether you seek a second opinion or involve the vet that originally injected is your decision. I think at the very least joint fluid should be sampled from this joint to try and figure out if infection is a possibility. It would also be beneficial to block out the lameness and figure out where it is coming from.


Yes, she has been back out since the injection. We have been in contact almost every day. I email her videos of him on the lunge line. She thinks it could possibly be a hot nail. We took X-rays of his feet and pastern last week and things looked pretty good. His high ringbone hasn't changed much since X-rays we took back in September. He also has a decent amount of space to continue injections in the future if needed.
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barrelracingchick16
Reg. Aug 2004
Posted 2018-04-07 9:38 PM
Subject: RE: How to tell if nerve got damaged?



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emricmacy - 2018-04-07 9:01 PM

barrelracingchick16 - 2018-04-07 7:56 PM

Has your veterinarian been back out to assess? Anytime there is a severe lameness that comes up post joint injection you always worry about an infected joint. Hopefully that is not the case here (although, if I had to choose a joint to become infected the pastern would be it because this is a joint that can go on to be fused and the horse come out sound).

Usually with an infected joint you will see swelling surrounding the joint. However, the pastern is a very low motion joint with not very much space so therefore you may not necessarily see full blown swelling. Although this far out with a true infection you would expect there to be swelling by now.

Regardless I think further examination is warranted- whether you seek a second opinion or involve the vet that originally injected is your decision. I think at the very least joint fluid should be sampled from this joint to try and figure out if infection is a possibility. It would also be beneficial to block out the lameness and figure out where it is coming from.


Yes, she has been back out since the injection. We have been in contact almost every day. I email her videos of him on the lunge line. She thinks it could possibly be a hot nail. We took X-rays of his feet and pastern last week and things looked pretty good. His high ringbone hasn't changed much since X-rays we took back in September. He also has a decent amount of space to continue injections in the future if needed.

Did she attempt to get a fluid sample from the pastern joint?

How lame is he? Head bobbing at the walk? Or only noticeable at a trot? Would you be able to post the radiographs? I am a veterinarian so just trying to gather info to be able to help you decide where to go next :)

If you would prefer to private message me that would be fine.
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Southtxponygirl
Reg. Nov 2006
Posted 2018-04-07 10:50 PM
Subject: RE: How to tell if nerve got damaged?



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Get the farrier back out to the barn ASAP and have him check for a hot nail tomorrow I would be calling him to come out. Or check the nails yourself, that poor boy is so miserable and needs relief. And IF its not a hot nail dont be letting this Vet stick anymore needles into this horse please. 

Edited by Southtxponygirl 2018-04-07 10:51 PM
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emricmacy
Reg. Sep 2016
Posted 2018-04-08 6:02 AM
Subject: RE: How to tell if nerve got damaged?


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barrelracingchick16 - 2018-04-07 9:38 PM

emricmacy - 2018-04-07 9:01 PM

barrelracingchick16 - 2018-04-07 7:56 PM

Has your veterinarian been back out to assess? Anytime there is a severe lameness that comes up post joint injection you always worry about an infected joint. Hopefully that is not the case here (although, if I had to choose a joint to become infected the pastern would be it because this is a joint that can go on to be fused and the horse come out sound).

Usually with an infected joint you will see swelling surrounding the joint. However, the pastern is a very low motion joint with not very much space so therefore you may not necessarily see full blown swelling. Although this far out with a true infection you would expect there to be swelling by now.

Regardless I think further examination is warranted- whether you seek a second opinion or involve the vet that originally injected is your decision. I think at the very least joint fluid should be sampled from this joint to try and figure out if infection is a possibility. It would also be beneficial to block out the lameness and figure out where it is coming from.


Yes, she has been back out since the injection. We have been in contact almost every day. I email her videos of him on the lunge line. She thinks it could possibly be a hot nail. We took X-rays of his feet and pastern last week and things looked pretty good. His high ringbone hasn't changed much since X-rays we took back in September. He also has a decent amount of space to continue injections in the future if needed.

Did she attempt to get a fluid sample from the pastern joint?

How lame is he? Head bobbing at the walk? Or only noticeable at a trot? Would you be able to post the radiographs? I am a veterinarian so just trying to gather info to be able to help you decide where to go next :)

If you would prefer to private message me that would be fine.

I just sent you an email with his x-rays!
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total performance
Reg. Nov 2007
Posted 2018-04-08 1:02 PM
Subject: RE: How to tell if nerve got damaged?



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Wasn't the injection done before the farrier was out? I'm guessing this is stemming from the injection itself in some way.  
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emricmacy
Reg. Sep 2016
Posted 2018-04-08 1:09 PM
Subject: RE: How to tell if nerve got damaged?


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total performance - 2018-04-08 1:02 PM

Wasn't the injection done before the farrier was out? I'm guessing this is stemming from the injection itself in some way.  

Yes, injection was done 3/21/18 and farrier was out 4/4/18.
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Meep.Meep
Reg. Jun 2017
Posted 2018-04-08 1:48 PM
Subject: RE: How to tell if nerve got damaged?


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Sometimes the cure is worse than the condition
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emricmacy
Reg. Sep 2016
Posted 2018-04-08 2:05 PM
Subject: RE: How to tell if nerve got damaged?


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Meep.Meep - 2018-04-08 1:48 PM

Sometimes the cure is worse than the condition

I know, I just feel like I've failed him
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Southtxponygirl
Reg. Nov 2006
Posted 2018-04-08 2:24 PM
Subject: RE: How to tell if nerve got damaged?



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Meep.Meep - 2018-04-08 1:48 PM Sometimes the cure is worse than the condition

 Boy your right on about the cure being worst then the condition. And the injections are'nt even a cure thats the sad part.. Its makes me sick to think about how this vet was digging around for a spot to inject, this poor horse.. I know he was on a supplement befor you bought him but was he getting injections too from the pervious owner?
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emricmacy
Reg. Sep 2016
Posted 2018-04-08 2:28 PM
Subject: RE: How to tell if nerve got damaged?


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Southtxponygirl - 2018-04-08 2:24 PM

Meep.Meep - 2018-04-08 1:48 PM Sometimes the cure is worse than the condition

 Boy your right on about the cure being worst then the condition. And the injections are'nt even a cure thats the sad part.. Its makes me sick to think about how this vet was digging around for a spot to inject, this poor horse.. I know he was on a supplement befor you bought him but was he getting injections too from the pervious owner?

No injections from previous owner
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Chandler's Mom
Reg. Jan 2015
Posted 2018-04-08 10:18 PM
Subject: RE: How to tell if nerve got damaged?



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I'm opening myself up here for y'all to know how dumb I am about all this---but how many people does it take to do this type injection? Since OP said usually 3 did it but just had 2 this time, I was wondering why do it if there's not enough people for the procedure? Please don't be too harsh with me
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emricmacy
Reg. Sep 2016
Posted 2018-04-09 6:14 AM
Subject: RE: How to tell if nerve got damaged?


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Chandler's Mom - 2018-04-08 10:18 PM

I'm opening myself up here for y'all to know how dumb I am about all this---but how many people does it take to do this type injection? Since OP said usually 3 did it but just had 2 this time, I was wondering why do it if there's not enough people for the procedure? Please don't be too harsh with me

Last time we injected, I was at his head holding the lead rope, another person holding his hoof and the vet didn't have to hold onto anything she just gave the injection. I asked her before we started this time if we should reschedule because we didn't have a helper and she said no.
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horsegirl
Reg. Feb 2004
Posted 2018-04-09 6:39 AM
Subject: RE: How to tell if nerve got damaged?



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I don't understand the holding situation either, quite honestly. Anytime a horse is worked on, their head is tied. That relieves the need for one person. Then, one to hold the foot and the vet to inject is all I see a need for. Whole situation is just odd to me and I don't really believe that 2 vs. 3 people has much to do with her missing the joint and having to poke around with a needle. 
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rodeomom3
Reg. Dec 2007
Posted 2018-04-09 7:18 AM
Subject: RE: How to tell if nerve got damaged?



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horsegirl - 2018-04-09 6:39 AM I don't understand the holding situation either, quite honestly. Anytime a horse is worked on, their head is tied. That relieves the need for one person. Then, one to hold the foot and the vet to inject is all I see a need for. Whole situation is just odd to me and I don't really believe that 2 vs. 3 people has much to do with her missing the joint and having to poke around with a needle. 

 Agree, my vet has his helper and he usually gives them a light sedative when injecting to keep them still.  I would get a new vet 
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barrelracingchick16
Reg. Aug 2004
Posted 2018-04-09 8:32 AM
Subject: RE: How to tell if nerve got damaged?



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The pastern joint, especially when it has remodeling due to arthritis, can be very tricky to get into. The easiest way to access this joint is to do it while holding the limb up. This can be very tricky even for the most experienced veterinarian. USUALLY, you can hold the limb up with one hand and inject with the other. HOWEVER, in a joint with a lot of proliferative bone you sometimes cannot get into the joint in the normal spot you would, and THEREFORE, when attempting to inject one handed this can prove to be very difficult. Of course it is always ideal to be able to have an assistant with you to help with things like this--- that is not always possible for a plethora of reasons that we won't get into here. Please think about all of these things before attacking a veterinarian.
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Southtxponygirl
Reg. Nov 2006
Posted 2018-04-09 5:35 PM
Subject: RE: How to tell if nerve got damaged?



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How is your gelding doing today? 
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emricmacy
Reg. Sep 2016
Posted 2018-04-09 5:41 PM
Subject: RE: How to tell if nerve got damaged?


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Southtxponygirl - 2018-04-09 5:35 PM

How is your gelding doing today? 

Very nice of you to ask, thank you! Still lame both directions. Not as bad as he was Saturday. Vet is coming out Thursday to do x rays. She thinks the farrier changed my horses angles and that is what's causing his lameness.
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total performance
Reg. Nov 2007
Posted 2018-04-09 6:11 PM
Subject: RE: How to tell if nerve got damaged?



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Chandler's Mom - 2018-04-08 10:18 PM I'm opening myself up here for y'all to know how dumb I am about all this---but how many people does it take to do this type injection? Since OP said usually 3 did it but just had 2 this time, I was wondering why do it if there's not enough people for the procedure? Please don't be too harsh with me

 Wow!  I've never know it to take 3 people to inject a horse. Hmmm
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total performance
Reg. Nov 2007
Posted 2018-04-09 6:12 PM
Subject: RE: How to tell if nerve got damaged?



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emricmacy - 2018-04-08 1:09 PM
total performance - 2018-04-08 1:02 PM Wasn't the injection done before the farrier was out? I'm guessing this is stemming from the injection itself in some way.  
Yes, injection was done 3/21/18 and farrier was out 4/4/18.

And he was sore right after the injection and still sore when farrier came out? I personally think it stems back to the injection itself not a hot nail.  
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Southtxponygirl
Reg. Nov 2006
Posted 2018-04-09 6:49 PM
Subject: RE: How to tell if nerve got damaged?



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emricmacy - 2018-04-09 5:41 PM
Southtxponygirl - 2018-04-09 5:35 PM How is your gelding doing today? 
Very nice of you to ask, thank you! Still lame both directions. Not as bad as he was Saturday. Vet is coming out Thursday to do x rays. She thinks the farrier changed my horses angles and that is what's causing his lameness.

Well I got my fingers crossed for him, I hate that this has happen to him.. Did your farrier ever come out to check him to see if there was a possible hot nail? I feel like your vet is grasping at straws trying to blame the farrier, but wanted to ask is this the same farrier thats been working on your horse since you got him? 
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emricmacy
Reg. Sep 2016
Posted 2018-04-09 7:13 PM
Subject: RE: How to tell if nerve got damaged?


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Southtxponygirl - 2018-04-09 6:49 PM

emricmacy - 2018-04-09 5:41 PM
Southtxponygirl - 2018-04-09 5:35 PM How is your gelding doing today? 
Very nice of you to ask, thank you! Still lame both directions. Not as bad as he was Saturday. Vet is coming out Thursday to do x rays. She thinks the farrier changed my horses angles and that is what's causing his lameness.

Well I got my fingers crossed for him, I hate that this has happen to him.. Did your farrier ever come out to check him to see if there was a possible hot nail? I feel like your vet is grasping at straws trying to blame the farrier, but wanted to ask is this the same farrier thats been working on your horse since you got him? 

The farrier who shod him on 4/4/18 has been shoeing him since October. He did add a slight wedge to his heel for some support.
I asked the vet today if she thought it was a good idea to take a joint fluid sample to see if there is an infection, and she didn't think that was necessary. She has told me more than once that if his joint was infected it would have shown up 24-48 hrs after the injection. I took my dog to the vet Sunday and briefly chatted with him about what is going on, and he said sometimes it takes weeks for the infection to brew and they don't always have a temp and swelling.
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emricmacy
Reg. Sep 2016
Posted 2018-04-09 7:15 PM
Subject: RE: How to tell if nerve got damaged?


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total performance - 2018-04-09 6:12 PM

emricmacy - 2018-04-08 1:09 PM
total performance - 2018-04-08 1:02 PM Wasn't the injection done before the farrier was out? I'm guessing this is stemming from the injection itself in some way.  
Yes, injection was done 3/21/18 and farrier was out 4/4/18.

And he was sore right after the injection and still sore when farrier came out? I personally think it stems back to the injection itself not a hot nail.  

Yes, injection on 3/21/18 which was a Wed, gave him until Sun off, tried riding Sun at a walk/trot and VERY lame. Still lame when farrier shod him on 4/4/18. In the times between 3/21 and 4/4 he was pretty lame, some days fluctuated to where he was slightly better, then got worse again.
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jake16
Reg. Apr 2006
Posted 2018-04-09 7:26 PM
Subject: RE: How to tell if nerve got damaged?


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 ide get a different vet,AND FAST
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Chandler's Mom
Reg. Jan 2015
Posted 2018-04-09 8:32 PM
Subject: RE: How to tell if nerve got damaged?



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Here I go again (I know, sorry!)---is it really expensive to take a sample of the joint fluid? I'm so sorry your poor boy is going thru this. And you too, cause I know we hurt when our four legged kids hurt
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barrelracingchick16
Reg. Aug 2004
Posted 2018-04-09 8:58 PM
Subject: RE: How to tell if nerve got damaged?



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emricmacy - 2018-04-09 7:13 PM
Southtxponygirl - 2018-04-09 6:49 PM
emricmacy - 2018-04-09 5:41 PM
Southtxponygirl - 2018-04-09 5:35 PM How is your gelding doing today? 
Very nice of you to ask, thank you! Still lame both directions. Not as bad as he was Saturday. Vet is coming out Thursday to do x rays. She thinks the farrier changed my horses angles and that is what's causing his lameness.
Well I got my fingers crossed for him, I hate that this has happen to him.. Did your farrier ever come out to check him to see if there was a possible hot nail? I feel like your vet is grasping at straws trying to blame the farrier, but wanted to ask is this the same farrier thats been working on your horse since you got him? 
The farrier who shod him on 4/4/18 has been shoeing him since October. He did add a slight wedge to his heel for some support. I asked the vet today if she thought it was a good idea to take a joint fluid sample to see if there is an infection, and she didn't think that was necessary. She has told me more than once that if his joint was infected it would have shown up 24-48 hrs after the injection. I took my dog to the vet Sunday and briefly chatted with him about what is going on, and he said sometimes it takes weeks for the infection to brew and they don't always have a temp and swelling.

Your dog vet is right.... I hate that you are going through this. Hoping you can get some answers soon! I'm thinking at this point a second opinion is warranted. 
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horsegirl
Reg. Feb 2004
Posted 2018-04-10 7:27 AM
Subject: RE: How to tell if nerve got damaged?



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Please stop calling this vet! I'm begging you. It'll be more expensive in the long run. Take this horse to a specialist if you can. We can only go by the things you have described, but I'd never have this vet out again or even consult with her. It's not worth the risk to your horse.
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roperqueen
Reg. Mar 2009
Posted 2018-04-10 8:24 AM
Subject: RE: How to tell if nerve got damaged?


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emricmacy - 2018-04-09 7:13 PM

Southtxponygirl - 2018-04-09 6:49 PM

emricmacy - 2018-04-09 5:41 PM
Southtxponygirl - 2018-04-09 5:35 PM How is your gelding doing today? 
Very nice of you to ask, thank you! Still lame both directions. Not as bad as he was Saturday. Vet is coming out Thursday to do x rays. She thinks the farrier changed my horses angles and that is what's causing his lameness.

Well I got my fingers crossed for him, I hate that this has happen to him.. Did your farrier ever come out to check him to see if there was a possible hot nail? I feel like your vet is grasping at straws trying to blame the farrier, but wanted to ask is this the same farrier thats been working on your horse since you got him? 

The farrier who shod him on 4/4/18 has been shoeing him since October. He did add a slight wedge to his heel for some support.
I asked the vet today if she thought it was a good idea to take a joint fluid sample to see if there is an infection, and she didn't think that was necessary. She has told me more than once that if his joint was infected it would have shown up 24-48 hrs after the injection. I took my dog to the vet Sunday and briefly chatted with him about what is going on, and he said sometimes it takes weeks for the infection to brew and they don't always have a temp and swelling.

Ok so a few years ago I had a mare get down/hung up in the trailer and pretty much rip her hoof off. Well not quite but she ripped it up so bad I probably should have just put her down right then. But the vet was pretty confident she could at least get her broodmare sound and not in constant pain. I was cool with never running her again. Anyways long story short we battled that foot for a few months going back and forth. She was on the required antibiotics for the correct amount of time. Last time I took her back in cuz I thought something was wrong vet took at x-ray and thought it was probably ok and there was no infection in there. She went back and forth with herself on sticking the joint and pulling fluid. She ended up not because she was afraid of introducing infection if there wasn't any. I'm pretty sure she gave her another round of generic antibiotics. She was looking like a rescue case by this time and before she was healthy/fat. Well my Mom ended up having to have my brother shoot her a couple weeks later cuz she got down and couldn't get back up (of course I was out of town).

Anyways the point of this horror story is to say. If you think there is a slight chance at an infection in there or anything else wrong MAKE them look. Don't just take their word that it should be ok. I should have insisted she stick that foot and check. I honestly believe my mare was fighting a bad infection and her body was just too weak. If I thought she could have made a couple hour trailer ride I should have took her to my good vet. But hindsight and all that.
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total performance
Reg. Nov 2007
Posted 2018-04-10 10:41 AM
Subject: RE: How to tell if nerve got damaged?



Namesless in BHW


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horsegirl - 2018-04-10 7:27 AM Please stop calling this vet! I'm begging you. It'll be more expensive in the long run. Take this horse to a specialist if you can. We can only go by the things you have described, but I'd never have this vet out again or even consult with her. It's not worth the risk to your horse.

Ditto!  
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Liana D
Reg. Sep 2008
Posted 2018-04-10 12:13 PM
Subject: RE: How to tell if nerve got damaged?


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^^^^^what others are saying. Anytime you have lameness after an injection (same leg) , whether the horse has a temp or not, the horse needs to go to the vet, (immediately) possibly another vet.


Joint flares and infections are time critical.
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emricmacy
Reg. Sep 2016
Posted 2018-04-10 2:11 PM
Subject: RE: How to tell if nerve got damaged?


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Would it be worth it to not put a needle in again to get joint fluid to test and treat with antibiotics to see if he gets better? I know any time going into a joint is invasive, so was wondering if I could treat with antibiotics without testing fluid?
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roperqueen
Reg. Mar 2009
Posted 2018-04-10 2:18 PM
Subject: RE: How to tell if nerve got damaged?


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emricmacy - 2018-04-10 2:11 PM

Would it be worth it to not put a needle in again to get joint fluid to test and treat with antibiotics to see if he gets better? I know any time going into a joint is invasive, so was wondering if I could treat with antibiotics without testing fluid?

Probably wouldn't hurt. I know that was the main reason the vet didn't pull any fluid in my case. She was afraid of introducing something and since the mare was already so compromised and weak she just didn't want to chance it. But I don't know if they would need to know to treat it with a specific antibiotic or not? I would definitely talk to a vet, either this one or other one you can trust.
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barrelracingchick16
Reg. Aug 2004
Posted 2018-04-10 4:40 PM
Subject: RE: How to tell if nerve got damaged?



It Goes On


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emricmacy - 2018-04-10 2:11 PM

Would it be worth it to not put a needle in again to get joint fluid to test and treat with antibiotics to see if he gets better? I know any time going into a joint is invasive, so was wondering if I could treat with antibiotics without testing fluid?

To treat a joint infection you need to put antibiotics directly into the joint, as well as lavage sterile fluid through the joint. So regardless, if you are sticking needles in the joint for that you should also get a fluid sample to confirm infection +/- culture to be able to make appropriate antibiotic selection.
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rodeomom3
Reg. Dec 2007
Posted 2018-04-10 9:06 PM
Subject: RE: How to tell if nerve got damaged?



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barrelracingchick16 - 2018-04-10 4:40 PM
emricmacy - 2018-04-10 2:11 PM Would it be worth it to not put a needle in again to get joint fluid to test and treat with antibiotics to see if he gets better? I know any time going into a joint is invasive, so was wondering if I could treat with antibiotics without testing fluid?
To treat a joint infection you need to put antibiotics directly into the joint, as well as lavage sterile fluid through the joint. So regardless, if you are sticking needles in the joint for that you should also get a fluid sample to confirm infection +/- culture to be able to make appropriate antibiotic selection.

 My gelding stepped on a nail and infected his coffin joint.   The process to treat him was:get a sample of the joint fluid for culture to determine antibiotics, administer antibiotics directly into the joint and also by perfusion, flushed the joint 48 hours after antibiotics given.  He repeated this process several times, including getting samples of joint fluid to see if the infection was subsiding.  My horse stayed at the clinic about a week. 
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horsegirl
Reg. Feb 2004
Posted 2018-04-12 9:40 AM
Subject: RE: How to tell if nerve got damaged?



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Update? I have been worrying.
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emricmacy
Reg. Sep 2016
Posted 2018-04-12 5:12 PM
Subject: RE: How to tell if nerve got damaged?


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Update:
Vet apt went well this afternoon. It is not a hot nail. The recent shoeing changes, adding a pad to his heel was too much of a drastic change. The pad the farrier put in is very hard, and does not offer much support, which he needs. Vet has contacted a VERY well known farrier in my area who specializes in "problem" cases, and is going to come out and take a look at him, with my vet at the same. Going to come up with a new shoeing plan, lightly tack a shoe on, take an x ray, and see where it goes from there. He will be moving to a new barn that is 24/7 turnout, so will see if that helps some. His high ringbone has changed some in 6 months. We are talking about IRAP or Osphos. He did great all fall and winter, once a week very intense lessons with my trainer, and riding 3-4 days a week. We were looking forward to our first barrel race Saturday, but that's not in the cards. Vet said we can try some corrective shoeing, and possibly trying IRAP or Osphos. If the combination does not work, we will have to make a decision. I'm sad, as I've only had my horse 9 months and we worked hard all fall and winter getting him in shape, and I've had a lot of fun with him! But, if this combination does not work, I will be out of money, and will make a decision based on how he is doing. This horse gets everything that could possibly help him. Adequan, previcox, chiro, good feed, good hay, quality supplements, love, PHT..I'm doing all I can, and I hope the new farrier can help! If not, I will have to stop..
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horsegirl
Reg. Feb 2004
Posted 2018-04-13 6:34 AM
Subject: RE: How to tell if nerve got damaged?



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I feel for you. It's not easy, and incredibly frustrating.
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Meep.Meep
Reg. Jun 2017
Posted 2018-04-13 8:09 AM
Subject: RE: How to tell if nerve got damaged?


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How can it be the farriers fault if he didn't reset him until 2 weeks after injection? Vet grasping at straws?
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total performance
Reg. Nov 2007
Posted 2018-04-13 8:12 AM
Subject: RE: How to tell if nerve got damaged?



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Meep.Meep - 2018-04-13 8:09 AM How can it be the farriers fault if he didn't reset him until 2 weeks after injection? Vet grasping at straws?

I was wondering the same thing. I think vet is trying to cover her own a$$! 
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horsegirl
Reg. Feb 2004
Posted 2018-04-13 8:27 AM
Subject: RE: How to tell if nerve got damaged?



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Meep.Meep - 2018-04-13 9:09 AM How can it be the farriers fault if he didn't reset him until 2 weeks after injection? Vet grasping at straws?

Agree. This vet is apparently very persuasive and convincing, it sounds. 
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emricmacy
Reg. Sep 2016
Posted 2018-04-13 8:55 AM
Subject: RE: How to tell if nerve got damaged?


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I'm just so lost. I asked if she wanted to treat with antibiotics just for the heck of it to see if it made a difference, and she didn't want to do that. Had another vet out yesterday at the same time from VA and she said the same thing as my vet. I asked about alcohol fusion, and they said they don't recommend it as the success rate is so low. The talked about corrective shoeing, and Osphos. The vet from VA said she has had good luck with feeding the supplement Flexadin. I haven't been able to find too much info on it. My goal is to get him back to how he was a month ago, ready to go to barrel races, and working 3-4 days a week. Vet said that she can't guarantee that and I will be out of options if Osphos and corrective shoeing do not work.
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jake16
Reg. Apr 2006
Posted 2018-04-13 10:16 AM
Subject: RE: How to tell if nerve got damaged?


Go Get Em!


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YOU ARE THE HORSES OWNER.YOU HAVE THE RIGHT TO GET A SAMPLE OF FLUID.YOU HAVE THE RIGHT TO GET RESULTS.ONE VET WILL MOST LIKELY NEVER GO AGAINST YOUR VET ON THE SAME SCENE UNLESS THEY HAVE THE BALLS TO DO SO.YOU VET IS TRYING TO COVER HER ASS.BOTTOM LINE IS GET A DIFFERENT VET,GET FLUID SAMPLE,TAKE OWNERSHIP OF YOUR HORSE AND THE MONEY YOU ARE PAYING OUT. THIS HORSE DESERVES A BETTER VET.

Edited by jake16 2018-04-13 10:17 AM
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Southtxponygirl
Reg. Nov 2006
Posted 2018-04-13 10:26 AM
Subject: RE: How to tell if nerve got damaged?



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I would stop dinking around with these Vets and haul this horse to a good lameness Vet and get to the bottom of all this, you are wasting time and money and this poor horses soundness, befor this Vet started injecting this horse he was doing really good {going on what you have been telling us since you bought him}, you need to find a good lameness Vet and stop dealing with this one that cause all this mess with your horse.  
Edit for spelling "(


Edited by Southtxponygirl 2018-04-13 10:59 AM
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joplin21
Reg. Dec 2013
Posted 2018-04-13 10:26 AM
Subject: RE: How to tell if nerve got damaged?



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Exactly! Don't even tell your vet that you are seeking a second opinion because she clearly has influence over you and another vet is not going to go against her in front of you. Go to someone else she has NOT consulted with- the best lameness vet you can find with this detailed timeline. I feel bad for your horse.

Edited to add: I am not bad mouthing your vet, but sometimes a fresh set of eyes and ideas is the best thing. If she's giving her two cents and opinions, then the other vet may overlook something. Then you will have a true comparison.

Edited by joplin21 2018-04-13 10:29 AM
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emricmacy
Reg. Sep 2016
Posted 2018-04-13 10:28 AM
Subject: RE: How to tell if nerve got damaged?


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I just talked to a well known equine hospital 2 hrs from me, and they will see us, only if my vet will refer us, and send all his records to this hospital. I didn't realize they were a referral hospital.
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horsegirl
Reg. Feb 2004
Posted 2018-04-13 10:30 AM
Subject: RE: How to tell if nerve got damaged?



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emricmacy - 2018-04-13 11:28 AM I just talked to a well known equine hospital 2 hrs from me, and they will see us, only if my vet will refer us, and send all his records to this hospital. I didn't realize they were a referral hospital.
So, do it. They'd be more equipped to handle this horse at this point. Your vet will send his records. She has to understand that you want a second, more reliable, opinion. My local vets had no problem with me going elsewhere. None. They ask for updates.

Edited by horsegirl 2018-04-13 10:32 AM
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total performance
Reg. Nov 2007
Posted 2018-04-13 11:03 AM
Subject: RE: How to tell if nerve got damaged?



Namesless in BHW


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jake16 - 2018-04-13 10:16 AM YOU ARE THE HORSES OWNER.YOU HAVE THE RIGHT TO GET A SAMPLE OF FLUID.YOU HAVE THE RIGHT TO GET RESULTS.ONE VET WILL MOST LIKELY NEVER GO AGAINST YOUR VET ON THE SAME SCENE UNLESS THEY HAVE THE BALLS TO DO SO.YOU VET IS TRYING TO COVER HER ASS.BOTTOM LINE IS GET A DIFFERENT VET,GET FLUID SAMPLE,TAKE OWNERSHIP OF YOUR HORSE AND THE MONEY YOU ARE PAYING OUT. THIS HORSE DESERVES A BETTER VET.

^^^^^ THIS 
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total performance
Reg. Nov 2007
Posted 2018-04-15 12:09 PM
Subject: RE: How to tell if nerve got damaged?



Namesless in BHW


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Where are you located?  
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emricmacy
Reg. Sep 2016
Posted 2018-04-15 12:11 PM
Subject: RE: How to tell if nerve got damaged?


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total performance - 2018-04-15 12:09 PM

Where are you located?  

VT
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Hot Rod
Reg. Dec 2003
Posted 2018-04-15 2:26 PM
Subject: RE: How to tell if nerve got damaged?



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Please quit beating yourself up.  It's  understandable that you feel bad that maybe some treatment you sought caused him pain, but you are a very responsible owner .  You are going way beyond what a lot of people would do to get their horse sound.  Good for you.  Stay positive.  I believe you will find a way to get this horse sound to compete on.  Good luck.   
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dashnlotti
Reg. Aug 2009
Posted 2018-04-16 12:36 PM
Subject: RE: How to tell if nerve got damaged?



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If I'm thinking correctly, you said horse was going 8 weeks between shoeings...so 8 weeks of growth and a drastic change very well could've made him very sore.
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total performance
Reg. Nov 2007
Posted 2018-04-16 1:49 PM
Subject: RE: How to tell if nerve got damaged?



Namesless in BHW


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dashnlotti - 2018-04-16 12:36 PM If I'm thinking correctly, you said horse was going 8 weeks between shoeings...so 8 weeks of growth and a drastic change very well could've made him very sore.
I would agree with this if he hadn't come up sore the very next day after injections.

Edited by total performance 2018-04-16 1:50 PM
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emricmacy
Reg. Sep 2016
Posted 2018-04-20 12:47 PM
Subject: RE: How to tell if nerve got damaged? UPDATE


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I guess a little update..
He has been on bute 2x a day with some relief, but not much. Whenever I have used bute in the past on this horse, he really feels good.
A farrier in my area who is considered the best of the best by a lot of people, including my trainer..came out with my vet yesterday and did some shoeing changes. The farrier did not like the wedge that was put on a few weeks ago, and said we need to address some things. We were at the barn for three hours. The farrier packed his hoof with magic cushion, and put a leather pad on , and added a rocker shoe. Did not touch the back feet, as I pulled his back shoes for the winter, and they are not the best right now, kind of spread out, so we have another visit with the farrier on May 22nd, and I will be at the new barn then, the one that has 24/7 turnout. The farrier actually boards his horses where we are moving to, and lives 3 min away. I rode my horse today, 30 min walking, and 5 min trotting, and knock on wood, he was pretty much 100% sound. We took him off of bute on Tuesday, and I was so nervous to see him on Wed, I thought he would be so sore, and he was sounder and more comfortable without bute.
Vet pulled blood on Thursday to check his kidneys, as I am leaning towards trying Osphos. Farrier recommends bell boots on 24/7.
I know it's only been a day, but I'm trying to be optimistic.

On a side note, our first barrel race ever was supposed to be last weekend, and we could not go. There was another one this upcoming Sunday, and that got cancelled today! We were hoping to go, but they rescheduled for May 5th! Maybe we can go!
The farrier did recommend a hoof oil called Farriers Fix. He said it's a good product. Paint it on the hoof walls. I read about it online, and it's a mixture of turpentine and a few other ingredients.

Edited by emricmacy 2018-04-20 12:49 PM
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Chandler's Mom
Reg. Jan 2015
Posted 2018-04-20 7:59 PM
Subject: RE: How to tell if nerve got damaged? UPDATE



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emricmacy - 2018-04-20 12:47 PM

I guess a little update..
He has been on bute 2x a day with some relief, but not much. Whenever I have used bute in the past on this horse, he really feels good.
A farrier in my area who is considered the best of the best by a lot of people, including my trainer..came out with my vet yesterday and did some shoeing changes. The farrier did not like the wedge that was put on a few weeks ago, and said we need to address some things. We were at the barn for three hours. The farrier packed his hoof with magic cushion, and put a leather pad on , and added a rocker shoe. Did not touch the back feet, as I pulled his back shoes for the winter, and they are not the best right now, kind of spread out, so we have another visit with the farrier on May 22nd, and I will be at the new barn then, the one that has 24/7 turnout. The farrier actually boards his horses where we are moving to, and lives 3 min away. I rode my horse today, 30 min walking, and 5 min trotting, and knock on wood, he was pretty much 100% sound. We took him off of bute on Tuesday, and I was so nervous to see him on Wed, I thought he would be so sore, and he was sounder and more comfortable without bute.
Vet pulled blood on Thursday to check his kidneys, as I am leaning towards trying Osphos. Farrier recommends bell boots on 24/7.
I know it's only been a day, but I'm trying to be optimistic.

On a side note, our first barrel race ever was supposed to be last weekend, and we could not go. There was another one this upcoming Sunday, and that got cancelled today! We were hoping to go, but they rescheduled for May 5th! Maybe we can go!
The farrier did recommend a hoof oil called Farriers Fix. He said it's a good product. Paint it on the hoof walls. I read about it online, and it's a mixture of turpentine and a few other ingredients.

I'm glad for your boy that there seems to be some things improving
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