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View Full Version : When Do You Throw In The Towel? (Long)


Montanas_Girl
Dec. 31, 2009, 12:41 PM
I will have had my guy for ten years this spring. For nine years, he was as sound as they come. We injected his hocks a couple of times and that was it as far as maintenance goes.

He is a sensitive, sometimes difficult horse, and it took us seven or eight years to really get going together (that whole "green on green" thing). In December '08 we moved up to the 3' hunters (he was 13 at the time) and things were going well.

At a show the first week of March '09 (horse now 14 yrs. old) he came up a bit off with some heat and swelling in his left front fetlock. With a couple of days off, he seemed fine. We thought maybe he'd just stung himself or something.

Two weeks later, the day after another show, he came in from the pasture three-legged lame with his left front swollen all the way up to the knee and his right front slightly swollen as well. The vet (at Hagyard's in Lexington) diagnosed cellulitis. We did five days of IV antibiotics followed by a course of oral antibiotics before the swelling went away completely and the skin condition (that looked like a bad chemical burn) that developed secondary to the swelling went away.

Horse was right as rain until we took him to another show in April. Again, significantly lame with some heat and swelling in the left front fetlock after he came home. Had a lameness specialist (this one from Rood & Riddle) out. Diagnosed with a large bone spur in the left front fetlock, right at the insertion point of the joint capsule. We injected the fetlock and moved the horse back down to the 2'6" hunters.

He did great until late September, when he started looking just slightly off now and then. Assuming it was the bone spur bothering him again, we injected the fetlock again at the first of October '09. This time, he only improved for about a week and a half before the lameness started coming back, again right after a (small, non-demanding) horse show. The left front fetlock started to swell dramatically again - at this point the horse was living in middle TN again and turned out 24/7, so we're not talking about simple stocking up.

So, back to the (excellent lameness specialist in middle TN) vet we go again in the middle of October. Horse was (naturally!) not visibly lame at the clinic. An ultrasound of the suspensory and SDFT/DDFT looked good. Vet was ready to call it just cellulitis again when I asked him to take a new set of x-rays to check on the bone spur situation. X-rays revealed that the "bone spur" is now an avulsion fracture of the end of the cannon bone at the fetlock joint. Similar to a sesamoid fracture in racehorses. Vet also suggested that there may be some collateral ligament damage as well due to the location of the fracture.

The vet recommended shockwave, but that is not in the budget at this time (I am an unemployed recent graduate and have now spent $2K+ in vet bills on this horse in 2009). So, we started on 90 days of stall rest and will go back to re-check in just a couple of weeks.

Thankfully, the horse is very sensible and is handling stall rest as well as any horse could. However, the horse also has RAO and has been struggling some with that during his confinement. I don't think that he's really getting any better. We have been keeping his leg wrapped 99% of the time, but on the occasions that I've had to leave it unwrapped overnight, it still looks like this the next day: http://www.facebook.com/photo.php?pid=32673316&l=4e720a9f78&id=52700902

I'm at a loss as to what to do next. If he were 5 or 10 years younger, I might feel differently, but he'll be 15 in the spring. At this point I'm wondering if it might not be best to just turn him out for six months to a year and see what we have. If he has retire, I have friends who would be willing to care for him very cheaply, so that is not an issue. I have a coming three year old to "replace" him as my show horse, so that isn't an issue either. But this is my heart horse, and I'm not sure I want to give up on him! What would you do?

Of course I'll discuss all this with the vet when we go back, but in the meantime I was hoping to get some input from you all. I'm just feeling very frustrated and depressed right now.

ChocoMare
Dec. 31, 2009, 12:45 PM
If he were mine, I'd turn him out for 6 - 12 months and just let his body heal. The body is telling you the story. Tis time to listen. :sadsmile:

Jingles for your boy!!! :yes:

Highflyer
Dec. 31, 2009, 01:43 PM
Ditto turning him out for at least six months, then see what you have.

Fharoah
Dec. 31, 2009, 01:55 PM
Well do they think the stall rest can heal the fracture? I would pour your heart out on recheck. Also have you tried wrapping with DMSO? I do no one pastern fracture that healed with extended rest and rehab it was eventually IRAP that got him sound but yours may be a more serious case. Sad situation you may just want to turn him out 24/7 or close to for a year but I would re-evaluate first. Best Wishes!

pines4equines
Dec. 31, 2009, 02:09 PM
A great big kudos to you for having plans for him. I opened this thread waiting to see yet another A-circuit horse come up lame and suddenly there is no money to treat him (yet there was dough up the ying-yang to show) and then the wa, wa, wa of what do I do with him.

Again, a great big 2010 kudos to you for having a retirement plan for your heart horse!!! And jingles to him!

WW_Queen
Dec. 31, 2009, 03:10 PM
Sounds like you've already done a lot...and so has he! :) He's had a good run and he's 15 now. Definitely try turning him out for a while and work on your youngster. Even if he never goes over fences, you could always find someone to just hack and play around with him to keep him busy.

Good luck!

chemteach
Dec. 31, 2009, 03:32 PM
If he were mine, I'd turn him out for 6 - 12 months and just let his body heal. The body is telling you the story. Tis time to listen. :sadsmile:

Jingles for your boy!!! :yes:

Agree totally. I would start working the three year-old also.

Tegan
Dec. 31, 2009, 03:48 PM
Will the fracture heal on turnout though? I agree that it may be time to retire this horse, but he needs to be at least pasture sound.

I had an avulsion fracture in my ankle and I had to get a boot to immobilize it-- bending the ankle (or walking around the paddock) will prevent healing.

Talk to your vet, but I would be reluctant to put him on pasture until the fetlock is healed.

BuddyRoo
Dec. 31, 2009, 04:06 PM
It sounds like time would be in his best interest. He may not be able to compete at the level and intensity that you want...but he may be sound again if given some rest.

Good luck. That is hard stuff to deal with. But it sounds like you're doing your level best. THAT means you are a horsewoman...and not just a rider. Your horse is lucky.

Montanas_Girl
Dec. 31, 2009, 06:37 PM
Thanks, guys.

My biggest concern with turning him out is whether he will be able to even stay sound on pasture. If the leg keeps swelling, he could become pretty lame again. I'm not against bute for a pasture puff here and there, but if we have to do daily bute just to keep him sound at this age...I want what is best for him in the long run, and I'm not sure that's it. I'll of course talk to the vet about that, but we may just have to try it and see what happens.

The vet isn't sure whether the fracture will heal completely or not. I guess we'll find out in a couple of weeks whether we've made any progress at all towards that. The horse is tolerating stall rest well, but his patience is starting to run thin. If he's probably not going to be sound anyway, I'd rather turn him out than keep him on stall rest for several more months.

I don't care if he is ever competition sound or not - I've already ruled out jumping for his future, whether he becomes completely sound or not - but he is the kind of horse who really prefers to have a job. I'd like to at least be able to hack him around and maybe trail ride him lightly. He does not have the temperament to become a lesson horse or even someone's schoolmaster without very close professional supervision. So, he's mine to take care of, for better or worse. ;)

I started the baby under saddle this fall, and she's enjoying the winter off before going back to work in the spring. It is nice to have something to ride and focus my energies on. She's a nice horse and is going to be a thousand times easier to bring along than he was, so I'm excited about her future. I don't have the bond with her that I have with the older horse, which is natural, but I miss that and find myself not as enthusiastic about riding as I was when he was sound. Does that feeling go away? When you can no longer ride your heart horse, can you ever give 100% to another horse again?