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Guess the lameness....

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Last activity 2015-03-02 3:50 PM
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Longneck
Reg. Mar 2004
Posted 2015-03-02 11:52 AM
Subject: Guess the lameness....


Rad Dork


Posts: 5218
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Location: Oklahoma
Horse had suspensory inflammation mid September.  Treated it (Runners Relief, Shockwave, BOT) and was given the okay to leg back up early January... but didn't because we were starting EPM treatment.  Went last week to retest for EPM and  I've noticed that he's constantly resting his right hind.  So I had him put back on the lameness locator and it found his numbers to be worse on that leg than they had been (this was his 4th LL test) the entire time.  Ultrasounded the suspensories and they looked just fine.  No inflammation or tears.  Blocked the suspensories and he had a 61% improvement.  What gives???

His hind feet were negative 2 degrees on one left hind and negative 3 on the right.  The shoer got him positive (with trimming and the help of shoes) and the new angles were positive 3 (left) and 2 (right). This was done five days before the trip to the vet.  Could the suspensories be sore from that shoeing and just not pick up on an ultrasound?  All new to this!

 
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Just Bring It
Reg. Oct 2003
Posted 2015-03-02 12:41 PM
Subject: RE: Guess the lameness....



Husband Spoiler


Posts: 4151
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Location: North Dakota
His suspensories could definitely be sore from changing his angles that much that quickly. Have you had his feet xrayed?  
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Just Bring It
Reg. Oct 2003
Posted 2015-03-02 12:50 PM
Subject: RE: Guess the lameness....



Husband Spoiler


Posts: 4151
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Location: North Dakota
I would also like to know what you mean by the foot being negative or positive degrees? Each foot should be trimmed to how the foot and horse are built not by some measurement a book says. An xray would show you where the coffin bone is at that will help give you an idea as to how that foot should be trimmed. 
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mruggles
Reg. Oct 2008
Posted 2015-03-02 1:20 PM
Subject: RE: Guess the lameness....



Good Grief!


Posts: 6343
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Location: Cap'n Joan Rotgut.....alberta
i agree id be wanting x-rays...............

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Longneck
Reg. Mar 2004
Posted 2015-03-02 2:34 PM
Subject: RE: Guess the lameness....


Rad Dork


Posts: 5218
5000100100
Location: Oklahoma
It's the plantar angles that were negative.  The shoer/podiatrist/vet (he's an all in one) took x rays before he started and then once again after the shoes were on.  Is that what you mean by wanting x rays?  Or do you mean that something could be wrong with his bone structure?  I think he would have said something was wrong if he saw something, but we did do x rays for the purpose of determining angles if that's what your asking.  But the original vet (with the lameness locator) that we've been working with did not take x rays of his feet. 

The shoer (this is what I'll refer to him as to avoid confusion) thought he might have been sore in his stifle/hip.  My horse really gave him trouble with his left hind because he was having to put his weight on the right.  We know that part of it was behavioral, but he also said he thought it was pain related as well. 

The vet ultrasounded his stifle and he said that it looked good, but we did not x ray them.  They were x rayed back in July an injected.. so I'm not sure why I didn't think to have them re x rayed.  We were kind of running out of time (we were blocking two horses at a time) so we didn't make it that far up the leg.  The 61% better number was stunning and confusing.

 
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Just Bring It
Reg. Oct 2003
Posted 2015-03-02 2:42 PM
Subject: RE: Guess the lameness....



Husband Spoiler


Posts: 4151
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Location: North Dakota
Longneck - 2015-03-02 2:34 PM It's the plantar angles that were negative.  The shoer/podiatrist/vet (he's an all in one) took x rays before he started and then once again after the shoes were on.  Is that what you mean by wanting x rays?  Or do you mean that something could be wrong with his bone structure?  I think he would have said something was wrong if he saw something, but we did do x rays for the purpose of determining angles if that's what your asking.  But the original vet (with the lameness locator) that we've been working with did not take x rays of his feet. 



The shoer (this is what I'll refer to him as to avoid confusion) thought he might have been sore in his stifle/hip.  My horse really gave him trouble with his left hind because he was having to put his weight on the right.  We know that part of it was behavioral, but he also said he thought it was pain related as well. 



The vet ultrasounded his stifle and he said that it looked good, but we did not x ray them.  They were x rayed back in July an injected.. so I'm not sure why I didn't think to have them re x rayed.  We were kind of running out of time (we were blocking two horses at a time) so we didn't make it that far up the leg.  The 61% better number was stunning and confusing.


 

Ok, that's what I was wondering because I didn't know you had xrays so wasn't sure how he would know he was negative without them.

Lots of things could be going on especially after changes angles so much. Suspensories, stifles, etc. How long has this been going on? If it something that is new and your xrays look clean and his feet are internally balanced then I would say just let him rest for awhile to get use to his new feet. If he is still sore after some time off then you can dig deeper but as for now I would give him a break. 
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mruggles
Reg. Oct 2008
Posted 2015-03-02 2:51 PM
Subject: RE: Guess the lameness....



Good Grief!


Posts: 6343
5000100010010010025
Location: Cap'n Joan Rotgut.....alberta
sounds like he may need another round of injections.....and i would still xrays hocks and see what that shows you

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Longneck
Reg. Mar 2004
Posted 2015-03-02 3:06 PM
Subject: RE: Guess the lameness....


Rad Dork


Posts: 5218
5000100100
Location: Oklahoma
Thank you both.  I should add:  he's been off since mid September when we found the initial injury.  I might have rode him 2-3 times under saddle at a walk (10-20 minutes at a time), but that was back in Oct/Nov.  I opted to hand walk him 99% of the time instead of saddling up. 

He was on a regular trimming schedule (he's been barefoot the last few years, I just opted to go with the shoes to speed up his progress. but I see now how that's biting me in the butt!), but he's probably been negative after all those trimmings because I was using the same guy up until the new guy looked at him.   It just confuses me because he was "sound" even with that guy doing the trims.  I originally took him to the new guy because he was having flares on the sides.  The guy explained how that (along with negative plantar angles) could alter everything about the way he carries/holds himself, I guess it's just puzzling that he's now registering as unsound with all the help.  But I see how it was so drastic.

We injected the suspensories, lower hock and SI.  He's on day 4 of 5 for bute and stall rest and will turn him out tomorrow.  The vet said to give him two weeks off from riding after the SI injection, but I don't even have a saddle fo him so he will stay off even longer.  We go back in two in a half weeks (three from the last appointment) and re-check him.  I hope it helped him!  Just a little puzzled as to why he seemed to go downhill when I only thought I was helping him out. 

 
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Just Bring It
Reg. Oct 2003
Posted 2015-03-02 3:11 PM
Subject: RE: Guess the lameness....



Husband Spoiler


Posts: 4151
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Location: North Dakota
You mentioned he had EPM? That can definitely cause mystery lameness as well. Xray hocks and double check those stifles. Stifles are highly affected by hoof angles.
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Longneck
Reg. Mar 2004
Posted 2015-03-02 3:50 PM
Subject: RE: Guess the lameness....


Rad Dork


Posts: 5218
5000100100
Location: Oklahoma
Just Bring It - 2015-03-02 3:11 PM You mentioned he had EPM? That can definitely cause mystery lameness as well. Xray hocks and double check those stifles. Stifles are highly affected by hoof angles.

He was treated with Orogin first of January.  Drew blood for retest and still awaiting the results, but the Orogin made him look 10x better!  I'm optimistic about that. 
I'll get hocks and stifles x rayed next time we're there.  I've had his hocks x rayed in May (pre purchase) and then again in September to rule them out before finding suspensory inflammation.  Would we be able to see any changes that quickly? 
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