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Positive Update!!! #15 Swollen Suspensory Branch, WWYD?

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  • Positive Update!!! #15 Swollen Suspensory Branch, WWYD?

    So the ol' gal has had a bit of swelling localized to her RH pastern for about 4-5 weeks. She was never lame, but after cold hosing, and wrapping at night for a few days it did not resolve. Vet came out, did a lameness exam and she flexed moderately positive at the fetlock on that side, took X-rays and saw nothing. Prescribed 1 week off with bute am/pm with a gradual return to regular work.

    2 weeks go by and then mare was trimmed WAY too short in back and the swelling came right back, worse even. Got a new farrier, who put shoes on in back (she's always shod up front) and adjusted toes a bit. Vet said (over the phone) to rest a week again, etc and swelling has come down, but is still present. Still no lameness at WTC. Had vet out again yesterday, who said the medial suspensory branch was mildly inflamed, and slightly sensitive when palpated.

    So...the vet said the words "inflamed suspensory" and I about lost my mind. He didn't think that it was anything to worry about yet and recommended continuing to ride her (we do 1st level dressage and some low jumps, ~18"-24" max) and closely watch that leg. Said that ultrasound to visualize the soft tissues would be next, but he didn't think that it was necessary now (but we could do it if I wanted...) unless 1. swelling significantly worsens 2. lameness presents or 3. 3-4 more weeks pass w/ no change.

    What would you do, wait or do the ultrasound and a more extensive workup ASAP?
    Last edited by Twigster; Sep. 11, 2009, 09:10 PM.
    Reasons I'm crazy, #37: I went out shopping for a pony and came home with a 17hh OTTB
    ~~Member of the TB's Rule Clique ~~

  • #2
    I ultrasound immediately as soon as we suspect a tendon or suspensory injury. You need to find out exactly what you are dealing with so you can react accordingly.
    McDowell Racing Stables

    Home Away From Home

    Comment

    • Original Poster

      #3
      Thanks! Vet was just out yesterday and I didn't want to seem like a drama queen by insisting on more testing right away. We'll make an appointment for the ultrasound :-)
      Reasons I'm crazy, #37: I went out shopping for a pony and came home with a 17hh OTTB
      ~~Member of the TB's Rule Clique ~~

      Comment


      • #4
        i second Laurierace

        this is potentially serious stuff.
        you want to know exactly what's going on in there. and no, i would not ride her until after the ultrasound.

        good luck. hope it turns out to be nothing.
        http://www.eponashoe.com/
        TQ(Trail Queen) \"Learn How to Ride or Move Over!!\" Clique

        Comment


        • #5
          Another vote for ultrasound. Sooner than later.

          Comment


          • #6
            yep. i agree-ultrasound. or get a second opinion. i went through this with my horse and prevented damage by ultrasounding. i would def not jump until the ultrasound is done!
            be kind to your horses mouth!

            Comment

            • Original Poster

              #7
              Thanks a ton. I really needed to hear this. W/ the holiday weekend and all the vet can't do it until Wednesday w/o an emergency call, so I'll just spoil her until then
              Reasons I'm crazy, #37: I went out shopping for a pony and came home with a 17hh OTTB
              ~~Member of the TB's Rule Clique ~~

              Comment


              • #8
                spoil, cold hose, put some sore no more on there, cold hose some more, spoil. always make sure you end with spoiling
                http://www.eponashoe.com/
                TQ(Trail Queen) \"Learn How to Ride or Move Over!!\" Clique

                Comment


                • #9
                  Yep, ultrasound and spoil seem like the way to go... I was thinking handwalk, too, but you know, I think I'd wait until after the ultrasound.

                  One thing you could use to take the inflammation down really effectively, if you have it on hand, is Surpass. That and cold hosing work really well.

                  Comment

                  • Original Poster

                    #10
                    Cold hosing it is plus lots of apples, hopefully she won't figure out that a slice at a time means she isn't really getting more treats

                    There is some surpass I could use, but I don't want to mask anything when she goes in to the vet. How long do the effects last? (if use it 1x a day, and not the day before we go in...)

                    Gotta keep this girl working (at least her brain!) otherwise she gets naughty. So I am going to have to devise some new ways to keep her thinking about what she is doing without it being physically taxing...
                    Reasons I'm crazy, #37: I went out shopping for a pony and came home with a 17hh OTTB
                    ~~Member of the TB's Rule Clique ~~

                    Comment


                    • #11
                      Originally posted by Twigster View Post
                      Cold hosing it is plus lots of apples, hopefully she won't figure out that a slice at a time means she isn't really getting more treats

                      There is some surpass I could use, but I don't want to mask anything when she goes in to the vet. How long do the effects last? (if use it 1x a day, and not the day before we go in...)
                      I think that question is worth another quick call to the vet.

                      Comment


                      • #12
                        Re: Surpass. It isn't really a masking agent, just a really good anti-inflammatory that you can hit the right spot with. If there's a suspensory lesion, it isn't going to magically heal it or disguise it, but it will help stop any further damage that inflammation might be causing--bit like cold hosing really, but more so.

                        However, please do ask your vet!

                        Comment

                        • Original Poster

                          #13
                          thanks again everyone, I really appreciate it!

                          Called (again, I think they must feel like they are on speed dial by now...)We're gonna skip the surpass until after the ultrasound. Just cold hosing for now, surpass later if warranted.

                          Here's hoping she's fine, gonna get better on her own and all I did was waste a day of vacation and a few hundred bucks!
                          Reasons I'm crazy, #37: I went out shopping for a pony and came home with a 17hh OTTB
                          ~~Member of the TB's Rule Clique ~~

                          Comment


                          • #14
                            Hey - the SO sent me a link to this post because he knows I am dealing with the same thing. My guy started with a little swelling, no heat, and he wasn't really lame. Occasionally he would take the off step but no biggie. Talked with the vet - was told to sweat it, cold hose, give a few days off, etc. Well, about two weeks later he bucked under saddle - the first time he has done that in the two and a half years I have owned him. I got off immediately - he was clearly in pain. Called a different vet...and I pushed the ultrasound. I could have cried when I saw the lesion on his right hind, outside branch of the suspensory. We are seven weeks into stall rest. So - you are NOT being a drama queen. I am going to tell you what the SO said to me....no one knows your horse better than you and you should always listen to your gut. I "felt" like something was wrong - but everyone said you are being overly dramatic so I wasn't as aggressive as I should have been. By the way - mine was also the result of being trimmed WAY too short. I am keeping my fingers crossed that because you are dealing with yours early - you will be in a MUCH better position than we were. Let us know what the vet says.

                            Comment

                            • Original Poster

                              #15
                              NO lesion NO desmitis! Happy days!!!

                              So, we had to move our appointment from Wed to this morning. I think I haven't slept in like a week. We arrived at the clinic this morning at 9, ultrasounded both hinds (for comparison). Everything looks golden! I am so happy that I could just cry!!! The medial branch on the right hind matches the left, and is much less palpable than it was last week. Miss mare didn't react at all (and she is one sensitive girl!).

                              No lesions, no desmitis, nothing! Perhaps we lucked out more than I thought possible by getting the new farrier out so quickly?

                              We are cleared for riding and cavelletti, but was told to lay off longer canters and jumps for a month, I can do that Plus mare gets to stay on 24hr turnout which is just the best thing for her mental health. We have a schooling show next weekend, we scratched from both the o/f classes and we'll just go to cheer on our barnmates.

                              The only down side is that my wallet is a bit smaller:-) but that's OK, I have a great horse, who needs more than that?
                              Reasons I'm crazy, #37: I went out shopping for a pony and came home with a 17hh OTTB
                              ~~Member of the TB's Rule Clique ~~

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