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 Extreme Veteran
Posts: 362
 
Location: MO | I would like to hear from people who had a High Suspensory injury to back leg. What did you decide to do. Did it work to get the horse back to competition or ended up a trail riding horse? Hoping others experience will help me. I have different vets saying opposite things. Dont know what to do. thanks in advance. |
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 You get what you give
Posts: 13030
  
Location: Texas | I did bilateral plantar fasciotomy and neurectomies and my horse came back 100%.
Stall rest and rehab is imperative to PSD (or any soft tissue injury for that matter).
You can try ESWT (shockwave) to see if that helps jumpstart the healing process... that usually ends up being around 900-1000 if you do three treatments 2 weeks apart
Another option is the plantar fasciotomy and neurectomy. That's my personal treatment of choice, but the horse has to have good conformation in the hock (post hocked horses do not do well with this procedure) and the injury has to be chronic, not acute.
Regenerative medicine like stem cells and/or PRP don't work for PSD because there's typically not a core lesion to inject anything into. PSD isn't like other soft tissue injuries with an obvious lesion.
It's hard to say exactly what to do without seeing the horse and getting the whole story. What are you vets saying? |
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 Shelter Dog Lover
Posts: 10277
| 40% tear, given less tha 19% chance of being sound, PRP, runners relief sweat at night, iced during the day, off a year, came back 100% |
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Extreme Veteran
Posts: 362
Location: MO | i am going on two years now. Had a hard time diagnosing it at first but finally did . Had shock wave ...8 months rest in stall and was doing better... but after 3 runs back went to limping. Had bone scan at University of Mo. and that vet said nothing will help because after blocking it the lameness locator says he is 30% lame even though he looked sound.They said to do nothing and bute to trail ride him. He is limping in the pasture...did not want to ride him that way even with bute.
Talking to a vet in Texas (Dr. Hand ). He thought Faciatomy was way to go even after reading the Universitys recommendation.He says 3 things can do...Faciatomy, Novobrace, or teldron. Can do all or only one. I am leaning towards Faciotomy. He says i have 70% chance of soundness.
How much did it cost to do Faciatomy? |
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You get what you give
Posts: 13030
Location: Texas | So bone scans are very nonspecific for injuries... It's best used when you can't localize the lameness , like it wont block out, or you're looking at an acute injury like a stress fracture in a race horse. Since you know WHERE the problem is, the test of choice would have been an MRI... but I know cost can get in the way.
For me I was quote 1800 for the fasciotomy/neurectomy. My horse developed post op ileum and had to be kept in ICU for the weekend until she started passing manure again... so she doubled my bill. I would say you should be able to find it for 2500 or under. |
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Extreme Veteran
Posts: 362
Location: MO | Thanks Casualdust07 yes...im not to proud of my vet recommending bone scan. waste of money i thought and i dont have.
that is why I'm asking more questions now.
With reading about psd it seems like they believe there is an underlying problem somewhere else that causes the psd and needs to also be taken care of. My horses right front foot showed up in the bone scan and he was off a little before the PSD. i thought i had addressed that by vet and farrier got together and balancing the hoof .
Im not sure of my next move. change vets? How do i find a good one for this problem?
If anyone has an experience with psd please tell your story. |
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You get what you give
Posts: 13030
Location: Texas | Willie B Fast - 2016-09-25 3:58 PM
Thanks Casualdust07 yes...im not to proud of my vet recommending bone scan. waste of money i thought and i dont have.
that is why I'm asking more questions now.
With reading about psd it seems like they believe there is an underlying problem somewhere else that causes the psd and needs to also be taken care of. My horses right front foot showed up in the bone scan and he was off a little before the PSD. i thought i had addressed that by vet and farrier got together and balancing the hoof .
Im not sure of my next move. change vets? How do i find a good one for this problem?
If anyone has an experience with psd please tell your story.
I haven't heard anything about an underlying problem causing PSD... What I've learned and have been reinforced at school is that the suspensory apparatus is just at high risk for damage in any athletic animal, especially one that is asked to collect and drive from the hind end. It's a big problem in dressage horses as well. |
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Extreme Veteran
Posts: 362
Location: MO | Anyone recommend a good vet for this problem? |
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 Did I miss the party?
Posts: 3864
| My gelding had bilateral hind PSD with lesions. Fasciotomy with Neurectomy was given as an option. I decided not to go that route. I did two rounds of PRP for the lesions. His rehab started on stall rest and over the course of a calculated 2 year layoff, movement was gradually increased. I wanted to do all that I could to avoid scar tissue developing. He received acuscope treatments 3x a week initally (after it was safe following PRP) and then, at various times throughout his rehab. I made sure I kept his feet balanced.
MRI this spring revealed that his suspensories are 100% and no desmitis. So, a complete success story with that. Unfortunately, I'm dealing with another non-related issue now.
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Expert
Posts: 4766
Location: Bandera, TX | Willie B Fast - 2016-09-26 7:38 AM Anyone recommend a good vet for this problem?
Rood and Riddle Dr Scott |
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