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Armchair vets.......mystery lameness UPDATE first post

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  • #21
    Originally posted by BabyGoose View Post
    Thanks for all the input and thoughts so far everybody. It gives me several things to think about and discuss options with my vet. At this point, my vet is wanting to get more information on this facetal disease from the vet that specilaizes in it. He attended a seminar a few months ago where they talked about facetal disease and it seems it is something they are learning more about and he wanted more info before we come up with a plan of action. Roxy has had a preliminary lameness workup with all the routine flexion tests. She passed all of them. Vet also did the basic neurological tests, pulling the tail while walking etc. So there is nothing glaring showing up from those tests. We have talked about EPSM and she doesn't feel it looks like EPSM. I am not convinced that it isn't EPSM and may go ahead and start her on the diet. The vet also considered EPM, but again, doesn't feel it really looks like EPM horses that she has seen. EPM is also not real common in our area. Same with lyme, Roy is from Wisconsin, but I got her 1999 and I live in an area that as little to no occurance of lyme. Unless she has carried it all these years and it is just showing up now. Need to check into that.

    So once they get all the info they are lookin for on facetal disease, then we will decide what direction to take. Either x-ray for that, or start trying to narrow down feet and legs. We are just in this holding pattern right now.
    By the video, she is lame enough right now to try nerve blocks to localize the problem. You might want to start there. If you can't block it out, then you might want to take a closer look at her neck. I did have one similar that turned out to have a problem in the neck, but we checked the whole leg first.
    Turn off the computer and go ride!


    • #22
      Okay, Ive said many times I don't know hoofs but in her conformation shot isn't her left front very high, and right lower? And "jammed" on that left front? I upped my magnification so it was clearer.
      Maybe some of the knowledgeable hoof people here can comment further.


      • #23
        Hi, So I'm just going to cast my vote and say that an equine chiropractor/massage/accupressure practitioner can really make a huge difference. Especially in a horse that isn't really lame in one place, just sort of lame all over. I have seen huge differences made in horses that were sore, unhappy and not 'clearly' lame.

        And on a side note, how long has it been since you've seen her lying down? That can really lead to some serious issues, which could be obscuring the actual lameness. You might try giving her a full dose of pain killers/anti-inflamitory drugs for 3 or 4 days. Then in a few days, when you do your lameness trial you can see what is actually hurting, not what is hurting because she has been compensating/tense. This works really well in horses with long term lamenesses.

        She is a lovely looking lady, I hope all goes well!
        A student in all things.


        • Original Poster

          It has been months since I have actually seen her lie down. I check every morning for "smushed" marks in the sand and I have only seen any evidence twice in probably the last 5-6 months. She is never dirty, and I watch her from the window on weekends and instead of laying down in the sun like all the other horses, she stands and shifts her weight back and forth. I know she is not lying down much. I don't know how much trouble she is currently having getting up or down. I just came in from last feeding and bed check and she has bloodied her knee. She has been getting little rub marks on them the last few weeks, and now she is opened the skin. I tried bute awhile back and it didn't seem to make a difference. She is currently on Previcox and has been for over a month. Dang it!!! I just wish I knew what was going on with her. I am so worried about her.......


          • #25
            Dr Jensen here in El Paso, is pretty good with Lameness, if you end up needing a 2nd opinion.

            Xrays are fairly cheap. Might be worth doing front feet/stifles/hocks.


            • Original Poster

              Originally posted by jetsmom View Post
              Dr Jensen here in El Paso, is pretty good with Lameness, if you end up needing a 2nd opinion.

              Xrays are fairly cheap. Might be worth doing front feet/stifles/hocks.
              I have considered Dr. Jenson as well as Dr. Ramos. Dr. Ramos helped me with my OTTB and his hock issues years ago. We already have x-rays on her hocks from about a year and a half ago. She had some arthritis showing up at that time and I had them injected. So she could easily have arthritis showing up in other places. She did happily trot across the pen this morning when I came out to feed so at least she isn't feeling totally miserable. She has a good appetite and always seems bright and cherry, so that is a plus.


              • #27
                Originally posted by Watermark Farm View Post
                I'd get her in to a really good clinic or university that has lameness specialists and have a thorough evaluation done. Don't waste more time or money at home. You'll nickle and dime yourself to death, and in the end still know nothing and wind up taking her to the big guns.

                Vague or Shifting leg lameness can be a hallmark of neuro problems like wobbler syndrome. Last year I had a horse diagnosed at UC Davis with wobbler syndrome --- basically cervical arthritis that causes neurological deficits. This horse was sometimes lame behind, sometimes "ouchy" in front. Local vets at first suspected huge splint was impinging on soft tissues. Got to Davis and the stress of the trip made his neuro symptoms much more pronounced, and they diagnosed him as neuro in all 4 limbs. A cervical radiograph confirmed this.
                Yes, yes, and yes to this. I just sent my QH gelding directly to Cornell for an extensive lameness evaluation. It cost around $2,500 (ouch!), BUT my regular vet suggested it, saying it would be less expensive in the long run. Thank god for vets like her.

                Turns out his vague front limb lameness was related to cervical arthritis--something that was not diagnosable in the field as we couldn't get positive results from flexion testing or any other standard lameness evaluation. His diagnosis required standing neck x-rays and a bone scan to determine what was going on with him.


                • Original Poster

                  Update in first post


                  • #29
                    I would strongly consider a bone scan as radiographic changes don`t always correlate lameness very well where as a bone scan will suggest where the inflammation and pain is coming from and likely give you a more solid diagnoses. Best Wishes!


                    • #30
                      What Fharoah said...
                      www.littlebullrun@aol.com See Little Bull Run's stallions at:
                      "Argosy" - YouTube and "Boleem" - YouTube
                      Boleem @ 1993 National Dressage Symposium - YouTube


                      • Original Poster

                        Not sure my vet has the equipment to do a bone scan.


                        • #32
                          OP, were you able to figure out what was bothering your mare? She's so cute that she kind of stuck with me. I hope she's 100% again.
                          "Absent a correct diagnosis, medicine is poison, surgery is trauma and alternative therapy is witchcraft" A. Kent Allen