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Extreme Veteran
Posts: 578
 
| First off, this is my brothers horse(about a 1600lb Clydesdale). He's taken him to 2 different vets( dr sievers and cornell university), who have not given us much to go on as to what's wrong with him or how to fix it. The end of May he was at a local gymkhana loping him through poles and on the way home, the horse stumbled and fell. Right after that, he started limping in a circle to the left and was slightly off in trotting a straight line. Took him to Dr. sievers to find through an x ray that he had a chip off his coffin bone and side bone. He told us 45 days stall rest then slowly start putting him out to pasture, should be sound to ride by this fall. He did improve some, and when they called him for other options and got nothing. Basically if he's not sound, he's not going to be. When he's out during the day and in at night, he's almost completely sound when he walks out in the morning. About 2 weeks ago, he went to Cornell university. They did another set of x-rays and said surgery would fix him because the chips were irritating the joint. 2 days later they call and say when they rotated the x-rays 45 degrees, they realized surgery would help and the chips weren't bothering him. So they took him BACK up there Monday. Did a nerve block to the coffin joint and he came 90% sound! They said it must be arthritis, so injected with a steroid and put a wide shoe with a rocker toe on.... Should be sound in 4 days. He's NOT! Not even remotely better. They did say, it's a possibility he has some collateral ligament damage. What would you do? What would you think the issue is? I told him what I thought, but would like to get some other options and opinions to gather up! |
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 Expert
Posts: 2308
 
Location: Viola, IL | This is going to sound really dumb, but I just had x-rays done on Tuesday on a horse that has never been fully sound for three years. She had tore her impar ligament, it runs between the coffin bone and navicular bone. Might be something to look into. |
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Extreme Veteran
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| The X-Ray showed the tear in the ligament? |
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 Expert
Posts: 1482
Location: on my horse | I also had an impar tear diagnosed via X-ray as the initial test. they could see changes in that area that were consistent with impar damage and looked further from there. |
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Expert
Posts: 2308
Location: Viola, IL | redmansmyman11 - 2014-10-30 3:38 PM I also had an impar tear diagnosed via X-ray as the initial test. they could see changes in that area that were consistent with impar damage and looked further from there.
This exactly. My local vet didn't see it on the x-rays, it didn't show up. But, when I took her to the University, their x-ray machine is much better, and you could see the changes. It was slight, and the impar ligament isn't very big, so you need a good x-ray machine. |
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Extreme Veteran
Posts: 383
| if its collateral ligament the only way to know is mri- and usually stem cell therapy and a long stall recovery of 6-12 months in stall- I have a friend who went through this and it took many visits to the vets before they finally did the mri- they tried all kinds of stuff never got better- good news is he is coming back now (slowly) but the mri is expensive and its a long road but collateral lig is nothing to mess with cuz it will only get worse if not taken care of |
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Extreme Veteran
Posts: 578
| What was the prognosis and treatment for both of you? Were your lamenesses similar to being lame in a circle and not really in a straight line? Cornell's x rays are probably about the best you'll find also. Our local vet is thinking it's his side bone causing the pain when he turns. |
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 IMA No Hair Style Gal
Posts: 2594
| Interesting, my horse had a collateral ligament issue....he has been approved for full work from a hospital in Lexington after three months stall rest.
My vet told me a collateral ligament injury is actually an okay thing as they are on both sides of the pastern so they are typically not a career ending injury since the other side can offer reinforcement support. |
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The Advice Guru
Posts: 6419
| shilohorse - 2014-10-30 8:05 PM
if its collateral ligament the only way to know is mri- and usually stem cell therapy and a long stall recovery of 6-12 months in stall- I have a friend who went through this and it took many visits to the vets before they finally did the mri- they tried all kinds of stuff never got better- good news is he is coming back now (slowly) but the mri is expensive and its a long road but collateral lig is nothing to mess with cuz it will only get worse if not taken care of
My vet was able to diagnose crushed collateral ligaments off of his xray, I could even see the collateral ligament on his xray.
Mine had generic stem cells injected in and I was competing on in 3 weeks. It all depends on treatment and time from injury to treatment.
I would have ultrasound done to ensure there is no soft tissue injury.
Also I thought horses were not supposed to have sidebones |
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Extreme Veteran
Posts: 578
| From what I'm reading, a side bone is ossification of cartilage... often seen in drafts. This may be a bad question, but is the stem cell therapy extremely expensive? |
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Expert
Posts: 2308
Location: Viola, IL | I cannot share what my course of treatment was. We never found this, until we were looking at nerving for other issues. Sorry. :( |
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Extreme Veteran
Posts: 578
| Did you horses lameness coordinate with this horses though? Being more lame in a circle one way, and sound going the other way? |
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The Advice Guru
Posts: 6419
| redrodeo72 - 2014-10-30 8:36 PM
From what I'm reading, a side bone is ossification of cartilage... often seen in drafts. This may be a bad question, but is the stem cell therapy extremely expensive?
For real stem cells I believe the cost is 2500 for the procedure
My vet uses acell a generic form which I have had great success with it costs 200/bottle plus whatever for the vet to inject in.
Another option is to put bone marrow into the injured area, I have done this also and had great success with, but horses take a little longer as bone marrow creates an inflammatory reaction which can impede healing off a few days. Bone marrow aspiration and injection costs me about 800 total
Thanks for the clarification on the side bone
My understanding is not many vets are aware of acell, I just found the how to inject information for vets online if anyone wants email me at [email protected] and I will forward the attachment so you can print it off and discuss with your vet
Edited by cheryl makofka 2014-10-30 9:56 PM
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Expert
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Location: on my horse | redrodeo72 - 2014-10-30 8:05 PM
Did you horses lameness coordinate with this horses though? Being more lame in a circle one way, and sound going the other way?
My horse was just off all ways, most noticeably in the direction of the damaged impar. We were over a year getting him sound because he re injured it four months in. He got away from my mom who was helping me hand walk him and tore around the round pen we were walking him in. He was super super hot 16HH and always a little bit of a nut job to handle. After the year he healed sound with extremely minimal scar tissue and was able to return to competing. I just had to be a little bit careful about which types of ground I ran him on because from what my vet told me the scar tissue would be much stronger and "stiffer" than the surrounding ligament tissues and could potentially allow a tear in the surrounding ligament tissues if we made a hard run on trashy ground or something. He did say that it was unlikely from how well he healed but to keep it in mind. |
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Expert
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Location: Viola, IL | redrodeo72 - 2014-10-30 9:05 PM
Did you horses lameness coordinate with this horses though? Being more lame in a circle one way, and sound going the other way?
yes, she was lame on the right front in a circle so that the foot was to the outside of the circle. |
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