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Caudal heel pain- early navicular changes - share stories

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WetSaddleBlankets
Reg. Nov 2010
Posted 2016-09-16 8:16 PM
Subject: Caudal heel pain- early navicular changes - share stories


Gettin Jiggy Wit It


Posts: 2734
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 I feel like I'm trying to tread and keep my head above the water.. I'm not ever planning on selling my colt so I'll put his medical history out there in hopes it helps someone else or anyone has ideas. When he was 3 he had some behavioral issues under saddle so I took him into the vet... a bal and scope was done and he was diagnosed with severe allergies. He was honestly deemed unfit for any performance career if we couldn't control it. Inflammatory air way disease but not yet copd..... Through careful management and trial and error we figured out a way to manage it and he was able to continue with training under saddle when he was 5. Things have been going ok until mid summer of this year. When he tripped a couple times while high loping a barrel pattern. He was not wanting to rate or hunt barrels every run either....so after a vet check I got a diagnosis of caudal heel pain with early changes on his navicular bone. Then he was treated with osphos to see if the boney changes were what was causing the pain and rule out if there was any soft tissue issues too. Well 2 Months post osphos he is progressing on the barrel pattern... Rating and hunting barrels and slowly getting a little faster. But something still isn't quite right in my opinion. Im trying to invest and spend my money wisely to get the best diagnosis and treatment plan possible so I am gonna go for an MRI soon. I think about it and I think am I nuts, this is a progressive disease. Is it really worth the time, effort and money? I don't know honestly... Maybe throwing in the towel is better? Whenever I hear navicular I think of doom and gloom. Anyone out there have any uplifting stories or experiences? His problem predominantly stems from what seems to be his foot conformation. He's naturally a low heel long toe horse. He has always been barefoot and we have always tried to keep his toes backed up from the start so this is a surprise. Shoes will be next once i get a diagnoses..... Ugh I just need a small glimmer of hope.

Edited by WetSaddleBlankets 2016-09-17 4:01 PM
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cheryl makofka
Reg. Jan 2011
Posted 2016-09-16 8:32 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


The Advice Guru


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Contracted heels is my guess as it restricts blood flow to the foot, causes caudal heel pain and left untreated can cause navicular
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WetSaddleBlankets
Reg. Nov 2010
Posted 2016-09-16 9:03 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Gettin Jiggy Wit It


Posts: 2734
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  his heels aren't contracted. Ill try and get pictures tomorrow. I'm hoping to go for an mri this next week.
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SmokinBandits
Reg. Dec 2003
Posted 2016-09-17 6:46 AM
Subject: RE: Caudal heel pain- early navicular changes - share stories



Having Smokin Bandits


Posts: 4572
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Location: Woodstown, NJ
No uplifting stories but a story nonetheless. Whatever you do, make a solid decision and go with it full force. One way or another. Don't do what I did. I farted around with it for years. I'd try something and then I'd think, ah, this is not going to work. I don't have the money or the time for wild goose chases.... And I'd quit him. Then a couple of years later I'd see him out there in the field and he's so spectacular and beautiful, from all appearances a perfectly sound horse, and so I'd try him again. Then I'd think, ah, this is stupid and I'd quit him again. Now he's 18 and I'm thinking about trying it again! 

Same deal. I've had this horse since he was a baby. Never taken a lame step in his life. To this day, he has never limped. But he started stumbling. One time fell at a barrel race. He also grows a long toe and low heel. I've had a dozen farriers over the years and they just cannot get it right. In fact, I think one of the early farriers exacerbated it. At first when I would call the vets out because he was tripping, they'd talk me out of X-rays. He wasn't lame. He wasn't tripping continuously and they'd say, "He's fine! I don't want to waste your money!" And so I'd go with that because I don't want to waste my money either! But finally I got him X-rayed by my new vet and we discovered old sidebone (not ringbone), and possible navicular changes. I say "possible" because it is so minute that she is not sure it's the problem. She also doesn't think the sidebone should be causing the stumbling because it's been long set, is not causing any pain, and though there is less mobility in a foot that has sidebone, she doesn't think it should be causing it. On top of that, he's lazy. With Bullet, his tripping is probably a combination of all three things. But I don't know!

I'd hear a lot of success stories and I know a horse who was regularly successfully barrel racing with navicular so we started him on Bute and Isoxsuprine. He stopped tripping but you can't keep them on Bute for long periods so we switched to Previcox. I don't think it was working as well. I can't say for sure because I quit him again. I'm on Farrier #57 and I can't help but wonder if this whole time he hasn't been trimmed right. If that's really the whole problem. Farrier #57 was leaving all their toes too long. I complained and it appears that he fixed them by dubbing the toes, rather than correcting the angles. So even though the feet are short and the toes look short now, I think in relation to the heel, the toes are actually still too long. I'm in farrier nightmare on top of everything else.

Anyway, my advice to you is to make a decision and go all out with trying to "fix" him. Or retire him right now. You don't want to be where I am now with an 18-year-old horse you're still grappling with. We've heard both good stories and bad stories. Maybe we heard the good stories because they really gave it their all? Looking forward to seeing what everyone else says.




 
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Junebug1
Reg. May 2016
Posted 2016-09-17 2:19 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Veteran


Posts: 155
1002525
I bought a really nice, consistent 3d, mare in 2009. After 5 months she was off. Took her to the vet and he said caudal heel pain, and the start of navicular. I didn't know much, but we did shock wave therapy, and started her on every joint supplement known to man.

Knowing what I know now, I'm glad I have a great shoer, and glad I kept with the same one!!! Shoeing, to me is everything. To this day, the mare is now 21, she gets her feet done like clockwork, and she is still very active??
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casualdust07
Reg. Mar 2005
Posted 2016-09-17 2:21 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories



You get what you give


Posts: 13030
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Location: Texas
are you determined to keep him barefoot? If you are okay with shoes, I would put shoes on him. We have a 5 YO who I noticed an intermittent grade 1 lameness. Every 4th or 5th stride she would give an off step, and then would look sound for a few strides, only visible at a trot and in a circle. Vet radiographed her and noticed a few very mild navicular bone changes. We put her in an aluminum wedge before trying any sort of joint injections or oral pain meds, and so far that's been the trick.



I have another mare, actually my best barrel horse, who doesn't have the best front feet. They like to grow long toes and low heels. My farrier does a great job of backing her up every cycle, but she still will show lameness that blocks to a PD somewhat consistently. She's managed on coffin joint injections and no more than 6 weeks on a shoeing cycle (none of ours go over 6 weeks, but she sometimes gets done at 5 if she's growing fast). i tried Osphos with her and honestly not sure it did anything or not. She has completely clean radiographs, so the next recommendation was to MRI, but it won't change the course of action with her.


Your treatment options are: bisphosphonates (and remember osphos can take up to 60 days to start working and may last somewhere around 6 months, so hard to say if it works or not because the results take a long time to show, but it still may be doing something. and there's also tildren which is IV and more expensive) corrective shoeing, joint injection with corticosteroids, or further diagnostics. Getting an MRI will potentially tell you a bunch of information about the soft tissue structures of the foot. From that information, you will get a clinical recommendation to consider bisphosphonates like Osphos or Tilden, which are still fairly new drugs and some vets love them, some don't, inject with corticosteroids into the coffin joint or navicular bursa, corrective shoeing, long term stall rest and rehab, or retirement. They may also give some suggestions for other therapies such a stem cells if there's a core lesion in a soft tissue structure they can reach.


Unfortunately, there's not a ton of options for navicular changes that traditional vets will prescribe. You may get some results with supplements that people on here recommend, but we don't have a ton of proof that they do or don't work, so it's hard for a vet to give a recommendation to try those things. However, they will usually tell you it won't hurt anything, and if you want to try supplements to go ahead and give it a shot.


If it were my horse and I wanted to keep trying, the first thing I would do is put shoes on and see if it helps, maybe even just a regular shoe without a wedge at all. If that doesn't work, I would proceed with coffin joint injections once and see how long they are helpful for. Hopefully, the idea is with proper shoeing and the occasional injection you may be able to get him comfortable for a long time. He may even become comfortable just with shoeing.

Edited by casualdust07 2016-09-17 2:25 PM
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WetSaddleBlankets
Reg. Nov 2010
Posted 2016-09-17 4:32 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Gettin Jiggy Wit It


Posts: 2734
200050010010025
SmokinBandits - 2016-09-17 6:46 AM No uplifting stories but a story nonetheless. Whatever you do, make a solid decision and go with it full force. One way or another. Don't do what I did. I farted around with it for years. I'd try something and then I'd think, ah, this is not going to work. I don't have the money or the time for wild goose chases.... And I'd quit him. Then a couple of years later I'd see him out there in the field and he's so spectacular and beautiful, from all appearances a perfectly sound horse, and so I'd try him again. Then I'd think, ah, this is stupid and I'd quit him again. Now he's 18 and I'm thinking about trying it again! 



Same deal. I've had this horse since he was a baby. Never taken a lame step in his life. To this day, he has never limped. But he started stumbling. One time fell at a barrel race. He also grows a long toe and low heel. I've had a dozen farriers over the years and they just cannot get it right. In fact, I think one of the early farriers exacerbated it. At first when I would call the vets out because he was tripping, they'd talk me out of X-rays. He wasn't lame. He wasn't tripping continuously and they'd say, "He's fine! I don't want to waste your money!" And so I'd go with that because I don't want to waste my money either! But finally I got him X-rayed by my new vet and we discovered old sidebone (not ringbone), and possible navicular changes. I say "possible" because it is so minute that she is not sure it's the problem. She also doesn't think the sidebone should be causing the stumbling because it's been long set, is not causing any pain, and though there is less mobility in a foot that has sidebone, she doesn't think it should be causing it. On top of that, he's lazy. With Bullet, his tripping is probably a combination of all three things. But I don't know!



I'd hear a lot of success stories and I know a horse who was regularly successfully barrel racing with navicular so we started him on Bute and Isoxsuprine. He stopped tripping but you can't keep them on Bute for long periods so we switched to Previcox. I don't think it was working as well. I can't say for sure because I quit him again. I'm on Farrier #57 and I can't help but wonder if this whole time he hasn't been trimmed right. If that's really the whole problem. Farrier #57 was leaving all their toes too long. I complained and it appears that he fixed them by dubbing the toes, rather than correcting the angles. So even though the feet are short and the toes look short now, I think in relation to the heel, the toes are actually still too long. I'm in farrier nightmare on top of everything else.



Anyway, my advice to you is to make a decision and go all out with trying to "fix" him. Or retire him right now. You don't want to be where I am now with an 18-year-old horse you're still grappling with. We've heard both good stories and bad stories. Maybe we heard the good stories because they really gave it their all? Looking forward to seeing what everyone else says.








 

Thanks for your story! I really appreciate it! Thats why I am think I am going to just go for it and get the **** mri done. That way it'll help throw some of the guess work out if it is soft tissue. I am so sorry about your horse. I sure hope the best for him and I know the farrier deal is just never ending. Its so hard to find a good one that will work with you. 
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WetSaddleBlankets
Reg. Nov 2010
Posted 2016-09-17 4:33 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Gettin Jiggy Wit It


Posts: 2734
200050010010025
Junebug1 - 2016-09-17 2:19 PM I bought a really nice, consistent 3d, mare in 2009. After 5 months she was off. Took her to the vet and he said caudal heel pain, and the start of navicular. I didn't know much, but we did shock wave therapy, and started her on every joint supplement known to man. Knowing what I know now, I'm glad I have a great shoer, and glad I kept with the same one!!! Shoeing, to me is everything. To this day, the mare is now 21, she gets her feet done like clockwork, and she is still very active??

Thats awesome! I am so glad to hear that!
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WetSaddleBlankets
Reg. Nov 2010
Posted 2016-09-17 4:47 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Gettin Jiggy Wit It


Posts: 2734
200050010010025
casualdust07 - 2016-09-17 2:21 PM are you determined to keep him barefoot? If you are okay with shoes, I would put shoes on him. We have a 5 YO who I noticed an intermittent grade 1 lameness. Every 4th or 5th stride she would give an off step, and then would look sound for a few strides, only visible at a trot and in a circle. Vet radiographed her and noticed a few very mild navicular bone changes. We put her in an aluminum wedge before trying any sort of joint injections or oral pain meds, and so far that's been the trick. I have another mare, actually my best barrel horse, who doesn't have the best front feet. They like to grow long toes and low heels. My farrier does a great job of backing her up every cycle, but she still will show lameness that blocks to a PD somewhat consistently. She's managed on coffin joint injections and no more than 6 weeks on a shoeing cycle (none of ours go over 6 weeks, but she sometimes gets done at 5 if she's growing fast). i tried Osphos with her and honestly not sure it did anything or not. She has completely clean radiographs, so the next recommendation was to MRI, but it won't change the course of action with her. Your treatment options are: bisphosphonates (and remember osphos can take up to 60 days to start working and may last somewhere around 6 months, so hard to say if it works or not because the results take a long time to show, but it still may be doing something. and there's also tildren which is IV and more expensive) corrective shoeing, joint injection with corticosteroids, or further diagnostics. Getting an MRI will potentially tell you a bunch of information about the soft tissue structures of the foot. From that information, you will get a clinical recommendation to consider bisphosphonates like Osphos or Tilden, which are still fairly new drugs and some vets love them, some don't, inject with corticosteroids into the coffin joint or navicular bursa, corrective shoeing, long term stall rest and rehab, or retirement. They may also give some suggestions for other therapies such a stem cells if there's a core lesion in a soft tissue structure they can reach. Unfortunately, there's not a ton of options for navicular changes that traditional vets will prescribe. You may get some results with supplements that people on here recommend, but we don't have a ton of proof that they do or don't work, so it's hard for a vet to give a recommendation to try those things. However, they will usually tell you it won't hurt anything, and if you want to try supplements to go ahead and give it a shot. If it were my horse and I wanted to keep trying, the first thing I would do is put shoes on and see if it helps, maybe even just a regular shoe without a wedge at all. If that doesn't work, I would proceed with coffin joint injections once and see how long they are helpful for. Hopefully, the idea is with proper shoeing and the occasional injection you may be able to get him comfortable for a long time. He may even become comfortable just with shoeing.

great great infomation! Thanks! He is just like your first horse you  talked about. He is only off in a tight circle trotting and only every 3 to 4 strides... Almost looks sound but then not. Its so slight...  Shoes are definitely a go... They are my next step after the mri. The vet that did the first diagnosis wanted to just use osphos while barefoot and see how it helped him then go from there. Well luckily about 30 days after the first round of osphos I did notice a huge improvement with him on the lesser lame foot (the left) and a good amount of improvement on the right foot (which is the worse one)... But now at a little over 60 days hes still not 100%. So before I go spending more money on trying things I thought I should just get the mri done so I can know how to treat and shoe him.... Thanks again for your advice!!!!! I appreciate it!
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casualdust07
Reg. Mar 2005
Posted 2016-09-17 5:12 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories



You get what you give


Posts: 13030
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Location: Texas
Yeah gold standard diagnostics is definitely an MRI. A lot of people just can't afford it or choose to try other things first, but if you are willing to do one that is awesome!
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readytorodeo
Reg. Dec 2005
Posted 2016-09-17 5:50 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Expert


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Talk to your vet about giving Osphos.
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Woodys Mama
Reg. May 2009
Posted 2016-09-22 11:21 AM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Elite Veteran


Posts: 1141
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Location: Somewhere across the SABINE
My gelding was diagnosed in February of this year with early stages of Navicular. I was devastated, hes 7 and we raised him. The attending Vet tried to explain to me that it wasnt a death sentence like it used to be. I did some researching on my own, and from all of the therapies available Osphos, Tildren, Equibone and Surgery- they all sounded like we had a 50% chance of any of them working. I knew my gelding had been off or not quite right for at least the past year, even with my friends telling me I was making stuff up. Ive had the same farrier doing him since he was 3. I did try one bag of equibone and I didnt see or feel any results that warranted me continuing that avenue. Like most of your horses, he has a long toe and very little heel.

Of course my budget is always a problem, I just tried a new farrier two weeks ago. We went with a rocker shoe, a size bigger than he had on. Couldnt hardly walk for a couple of days, but I think thats because the new farrier changed his angle so much. I have had him on Previcox for a month now, I got on him Monday evening and he felt 100%. So I have pulled him off the previcox, and will start trying to get him back in shape. Spoke with a friend of mine that is a well respected trainer/ competitor told me about her experience with Tildren as it helps repair the bone.

SO, with all of that being said and the research I have done on my own, im convinced that its 75% related to farrier work.

Im saving up for the tildren as we speak, but its nice to have my horse back.
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Fun2Run
Reg. Jul 2005
Posted 2016-09-22 11:45 AM
Subject: RE: Caudal heel pain- early navicular changes - share stories



A Barrel Of Monkeys


Posts: 12972
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Location: Texas
Two things to try without breaking the bank:

1. Equibone by TLC Animal Nutrition.  The bag is $200+, but it lasts for months and people have had amazing results.

http://www.tlcanimalnutrition.com/equi-bone-nutritional-support-for-horses-navicular-fractures-calcium-deposits/

 2.  Vettec farrier products.  My tender footed horse is shod with this with amazing results.
http://www.vettec.com/

 
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r_beau
Reg. Apr 2010
Posted 2016-09-22 1:52 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories



Born not Made


Posts: 2937
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Location: North Dakota
My horse has not been diagnosed with navicular (his x-rays have always been clean) but he does have heel pain in both front feet, slightly worse on the left. I have not footed the bill or made the drive for an MRI and I probably won't, because my vets have told me it really won't change his treatment/management anyway. So of course, we know he is having some sort of soft tissue inflammation that is causing the heel pain. 

He does great with shoes and a low 2 or 3 degree wedge. I've done coffin joint injections twice and he feels SO good after we do that. I do Previcox on an as-needed basis if we are going to have a multi-day weekend or something like that.

 
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rodeomom3
Reg. Dec 2007
Posted 2016-09-22 2:35 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories



Shelter Dog Lover


Posts: 10277
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 Question for the above posters that horses have sore heels or take a lame step, are they also positive to hoof testers??  Thanks 
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RockinGR
Reg. Feb 2009
Posted 2016-09-22 2:56 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories



Hummer's Hero


Posts: 3071
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Location: Smack Dab in the Middle
Little encouragement for you...
I have one, diagnosed navicular as a youngish horse (less than 10) and de-nerved before I got him.

I've had him 6 years, only been able to run him for less than 4 of those due to taking time off for pregnancies. He's won me a lot. Saddle, buckles, barrel bashes, state NBHA 1D title...and a lot of money.

It's a lot of expense... I have a good farrier and religiously reset him every 5-6 weeks. Squared rocker toe shoes is what he does best in. I've tried Tildren on him (didn't work) and I've even tried him barefoot (didn't work). I am actually thinking of doing Osphos on him if he needs some help in the future. He's been de-nerved a second time. Right now, I'm battling a bone spur in his pastern, but his heel pain is not problem. I'm super, super careful with him. He get's x-ray'd regularly to check for changes, and he's had a couple MRI's. Clean feet, good ground, coffin joint injections when needed, etc. Through careful, diligent management, his progression has been Herd-A-Turtles slow.

He proved himself to me long before he started costing me a lot of money. I can't say that I'd do it for a young horse that hadn't "earned the right" for me to take care of him this way...but for this horse, he's earned every bit of it. And I'm blessed to be in a position to do it. It's just a choice you will have to make.
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jojammer
Reg. Feb 2011
Posted 2016-09-23 9:49 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories



Elite Veteran


Posts: 1092
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Location: OK
We're in this process also. So far, we're in wedges and have done Osphos with no success.
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aqhabarrelchic1
Reg. Apr 2005
Posted 2016-09-24 10:14 PM
Subject: RE: Caudal heel pain- early navicular changes - share stories


Expert


Posts: 3300
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Hey I'd pray for just navicular that can be worked with.. My filly BROKE her navicular! I have so much money and hope in this horse it's not funny... So it could be worse
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