The Chronicle of the Horse
MagazineNewsHorse SportsHorse CareCOTH StoreVoicesThe Chronicle UntackedDirectoriesMarketplaceDates & Results
 
Page 1 of 2 12 LastLast
Results 1 to 20 of 25
  1. #1
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default Pedal osteitis in unshod youngster

    This is a big, 3 yr old horse. An abscess kept recurring, and radiographs show early stages of PO. There is no known foreign body, although something could have penetrated the hoof. Radiographs show a drainage tract, slightly eroded coffin bone tip, and there is a palpable "soft spot" adjacent to the bone.

    Is surgery always indicated? I'm pursuing second opinions but would like to hear from others who have experience with PO.



  2. #2
    Join Date
    Feb. 28, 2001
    Posts
    15,232

    Default

    photos of the hooves would be great...if you dare.



  3. #3
    Join Date
    Dec. 13, 1999
    Location
    Greensboro, NC
    Posts
    37,135

    Default

    Digital xrays?

    I would be looking for 2nd and even 3rd opinions about the possibility of a septic coffin space.
    ______________________________
    The CoTH CYA - please consult w/your veterinarian under any and all circumstances. - ET



  4. #4
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default referral in process

    Thanks -- am in the process of getting a referral to New Bolton. I don't have x-rays but have posted his feet previously, was surprised that the responses weren't too bad. He is now on SMZs and stall rest, with a notch in the front of his hoof. While I can't show the x-rays, the erosion appears to be slight -- we were able to compared radiographs in March (first abscess) with those taken on 7/3 to determine the change.

    This may not be enough to go on but I'm sure interested in any general advice or experience with PO.

    Thanks!



  5. #5
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default non-septic

    The thought is that it is non-septic. Radiographs are on their way to NB...



  6. #6
    Join Date
    Feb. 8, 2002
    Posts
    5,106

    Default

    Quote Originally Posted by JB View Post
    Digital xrays?

    I would be looking for 2nd and even 3rd opinions about the possibility of a septic coffin space.
    That'd be my concern as well. I'll be curious to hear NB's opinion. Are they suggesting that you shoe this horse?



  7. #7
    Join Date
    Jan. 31, 2003
    Posts
    18,472

    Default

    Draining tract? Soft spot?

    Come on now.... I'd be demanding either a debriding or some serious perfusions. SMZ's aren't going to do anything for that one. Sigh.
    "Kindness is free" ~ Eurofoal
    ---
    The CoTH CYA - please consult w/your veterinarian under any and all circumstances.



  8. #8
    Join Date
    Oct. 19, 2005
    Posts
    7,320

    Default

    How long has this been going on?



  9. #9
    Join Date
    Sep. 2, 2004
    Location
    Up and Down East Coast
    Posts
    868

    Default

    Quote Originally Posted by Dune View Post
    That'd be my concern as well. I'll be curious to hear NB's opinion. Are they suggesting that you shoe this horse?
    what's wrong with shoes in a medical/mechanical diress situation?



  10. #10
    Join Date
    Oct. 19, 2005
    Posts
    7,320

    Default

    Quote Originally Posted by J.D. View Post
    what's wrong with shoes in a medical/mechanical diress situation?
    Uhm, how would shoes help in this situation? Please elaborate.



  11. #11
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default answers to questions

    His radiographs are on their way to a surgical facility--drainage is a possibility.

    He happens to be unshod as he is only 3, but he has been backed and ridden in an indoor with great footing. If he needs shoes he'll get them.

    The soft spot could be a pocket of infection or maybe a hematoma from bruising. Would drainage help in the latter case?



  12. #12
    Join Date
    Jan. 31, 2003
    Posts
    18,472

    Default

    ? for you. His films are "on the way"? It takes just a few minutes to send digital rads to someone who knows more. When my vet sends film like this for a second opinion she sends them to Rich Redden at NCSU and he looks at them that day. When I had a horse who presented much as you describe, she took them there herself and waited to talk to him. So.. I am hoping this film is digital? Because if it's not it will be much harder to tell what is what and the delay could be problematic. If they are digital I'd be wanting to know what is taking so long! If they aren't, I'd be finding out if you can just take him wherever he might be going and have them do digital film and make a decision then/there.

    I don't think the question is, should it be surgically *drained*, unless I am missing something... The question is more likely, does the coffin bone need to be debrided?

    FWIW, after my horse had a septic coffin bone he was casted rather than shod. Shoes would not have protected the big missing chunk of toe wall. Casting certainly did and he was able to be turned out in the spring with all the wet and slop with no problem.
    "Kindness is free" ~ Eurofoal
    ---
    The CoTH CYA - please consult w/your veterinarian under any and all circumstances.



  13. #13
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default digital, yes.

    But they were overnighted. They should be there now.

    I think there is a feeling that this is non-septic, FWIW. I don't think any obvious sequestra were noted.

    Thanks for your replies.



  14. #14
    Join Date
    Feb. 21, 2009
    Posts
    1,871

    Default

    Uhm, how would shoes help in this situation? Please elaborate.
    Uhmmmm lets see.... .let me count the ways....maybe protect the already damaged coffin bone solar margin from further damage? Or maybe add a hospital plate to cover up the hole they may need to make in a the surgical clean up ? or maybe protect the probably thin sole from more trauma? or maybe ease breakover all around the foot to reduce stresses on the bone and surrounding soft tissue structures? or maybe help hold a genetically weak foot together?
    Or how about this one ....... help this lame domesticated horse that does not have the rock solid 20mm thick sole of a feral mustang ?
    Patty Stiller CNBBT,CNBF,CLS, CE
    Natural Balance Certified Lameness Specialist ,instructor.
    www.hoofcareonline.com



  15. #15
    Join Date
    Feb. 21, 2009
    Posts
    1,871

    Default

    His radiographs are on their way to a surgical facility--drainage is a possibility.
    usually, if there is no bone fragment, drainage of a sole abscess or hematoma would only requires a small drain hole and should resolve quickly.
    He happens to be unshod as he is only 3, but he has been backed and ridden in an indoor with great footing. If he needs shoes he'll get them.
    GOOD.
    The soft spot could be a pocket of infection or maybe a hematoma from bruising. Would drainage help in the latter case?
    If there is a hematoma from a bruise then a little drain will relieve the pressure quickly, and the small hole created will heal fast as well.

    AS well if the radiograohs reveal a very thin sole, you may consider that this horse may need to be in shoes for protection and prevention of further incidents such as this.
    Patty Stiller CNBBT,CNBF,CLS, CE
    Natural Balance Certified Lameness Specialist ,instructor.
    www.hoofcareonline.com



  16. #16
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default I kind of lied

    When the vet came, she met the farrier and they looked at him together. He now has bar shoes that have a little makeshift pad that inserts into the toe area (which is now notched). I've been sticking icthamol into the notch with cotton, taping it, and booting it with a soft nylon boot. And he is on stall rest w/handwalking until further notice.

    I didn't say he was "shod" b/c I consider this more of a medical situation.



  17. #17
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default drainage vs. debridement

    What kind of post op care is involved in each of these?



  18. #18
    Join Date
    Jul. 7, 2007
    Posts
    216

    Default sorry for third post -- xrays from MARCH

    Maybe they'll help...
    It's the right front, you can see a tract. This was taken after 10 days of a non-breaking abscess. At the time he was on turnout and I assumed it had broken while he was in the field...
    http://picasaweb.google.com/barnhelp...83222843258770

    Oh, he has a different farrier now, and a lot less toe.



  19. #19
    Join Date
    Jun. 12, 2009
    Posts
    525

    Default

    I had a horse with pedal osteitis. We did a lot of things to make him comfortable but nothing ever made him totally sound. He wore bar shoes with pads and seemed pretty good with those. At the time we didn't have money for expensive treatments so I searched the internet for some alternatives.

    One website I went to said to turn the horse out barefoot in a rocky paddock. I personally thought this sounded cruel but I thought I would pass it on to you. It said that after a while the foot would get tougher and the sole would get thicker.

    I asked my vet about this and he said it was worth a try. We never actually did it as I ended up selling him as a trail horse to some very nice people. I know this is not a lot but hopefully it helps.
    "Be the change you want to see in the world."
    ~Mahatma Gandhi



  20. #20
    Join Date
    Jan. 31, 2003
    Posts
    18,472

    Default

    Did the vet tell you to stick icthammol up it?
    "Kindness is free" ~ Eurofoal
    ---
    The CoTH CYA - please consult w/your veterinarian under any and all circumstances.



Similar Threads

  1. Pedal Osteitis... Help!
    By Hunter3jumper237 in forum Horse Care
    Replies: 19
    Last Post: Jun. 11, 2012, 12:50 PM
  2. Talk to me about Pedal Osteitis
    By bjd2013 in forum Horse Care
    Replies: 10
    Last Post: Mar. 3, 2011, 01:05 PM
  3. Replies: 10
    Last Post: Dec. 20, 2010, 10:16 AM
  4. IR & Pedal Osteitis
    By QuillcoteFarm in forum Horse Care
    Replies: 10
    Last Post: Oct. 21, 2009, 05:03 PM
  5. Unshod showing on grass?
    By gumshoe in forum Hunter/Jumper
    Replies: 35
    Last Post: Mar. 24, 2009, 01:01 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
randomness