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  1. #1
    Join Date
    Mar. 17, 2001
    Location
    NC
    Posts
    547

    Unhappy Ringbone -Adequan, Legend, both?

    18 year old QH gelding just diagnosed with the beginnings of high articular ringbone in both front legs.

    Job right now is low level hunter.

    Are there benefits to using Adequan in older horses with problems such as this? Legend?

    He is on no joint supplements at this time. He's always been incredibly sound up until now.



  2. #2
    Join Date
    Feb. 21, 2009
    Posts
    1,871

    Default

    The Good news is that high ringbone is easier to manage than low ring bone most cases. The bad news is that most joint supplements do not usually help much with ringbone because although they assist in lubricating the joints and/or building cartilage they can not make the excess bone growth go away. Those that reduce inflammation may help a little.

    Management of the stresses that caused the ringbone is best .That is accomplished through reduced workload , and shoeing to help the foot break over easily in all directions. This means A perfectly balanced trim (use Xrays if necessary, I trim to the sole plane) followed by a shoe designed for that purpose. There are several shoes on the market to accomplish that goal including the Morrison Roller, the Grand Circuit "T" shoe, and the newer natural Balance "PLR" shoe. (performance Leverage reducer) .
    As well , the farrier can forge/fabricate a ringbone shoe, one with a higher inner edge to facilitate breakover in any direction.
    Patty Stiller CNBBT,CNBF,CLS, CE
    Natural Balance Certified Lameness Specialist ,instructor.
    www.hoofcareonline.com



  3. #3
    Join Date
    Dec. 11, 2003
    Location
    Northern California
    Posts
    1,300

    Default

    Patty - this is the best answer regarding the problem with ringbone I have ever seen. Thanks very much. We use New Balance shoes with our 30 yr old with ringbone and I think it helps. We also keep him moving - interesting pasture during the day and trail rides once or twice a week.



  4. #4
    Join Date
    Jan. 4, 2007
    Location
    TX
    Posts
    56,670

    Default

    Many, many years ago, I saw a 14 year old broodmare with high ringbone that their vet told them to put a chain around her pasterns.
    The idea was that the chain would irritate that area so it would keep remodeling and keep the ringbone from advancing.
    The chains didn't irritate the outside any, she didn't develop sores or bald spots.

    It seemed to work for her, as she quit being so lame over several weeks.

    Just an interesting case.



  5. #5
    Join Date
    Dec. 30, 2008
    Posts
    227

    Default

    devil's claw will really help with the pain



  6. #6
    Join Date
    Jun. 4, 2006
    Posts
    2,638

    Default

    I think you can make a list from the least expensive to the most expensive. I choose to try a loading dose, one at a time and see what works, For example:

    recovery EQ HA 1 scoop twice daily for two months (LD)
    Cosequin ASU
    adequan twice a week for a month
    legend once a week for a month
    If any of the above help you can back off and find a effective dose. Possibly using equioxx or bute as needed and good balanced shoeing

    you may also consider:
    steroid HA joint injection
    IRAP every two weeks for three injections
    shockwave theropy
    tildren

    last resort is chemical or surgical fusion.

    Good luck!



  7. #7
    Join Date
    Mar. 17, 2001
    Location
    NC
    Posts
    547

    Default

    Thanks so much for the replies.

    Right now he is in Grand Circuit Open Therapy Speed (like the "t" shoes but lower profile) shoes with equipak. We are working with an awesome farrier at the local vet hospital. He seemed much better after these shoes were put on.

    I've already ordered some MSM to hopefully help with some of the inflammation and I've got some equioxx in case he gets ouchy again, but he's been much better since the shoeing.



  8. #8
    Join Date
    Jul. 31, 2007
    Posts
    19,906

    Default

    Patty Stilller-- just another thanks for the reminder about Grand Circuit's shoes AND the note that farriers can make a version of these. IME, carefully trimming and shoeing to allow early, easy and "wherever" break over is the most effective ingredient in a recipe for managing ringbone.
    The armchair saddler
    Politically Pro-Cat



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