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Chronic random lameness saga

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  • Chronic random lameness saga

    At the beginning of June, I hopped on my (12-year-old QH) one night and he was head-bobbing lame as soon as I tried to trot to the right. No heat or soreness anywhere, sound at the walk and keeping weight on it, but was his turnout group's first day in the giant grass pasture that day, so I figured he tweaked something and gave him a couple days off and some bute.

    He seemed pretty much back to normal, a little stiff to the right, a few days later. Went to a dressage show that weekend (small one-day schooling show) and again, seemed fine, though on a tighter turn felt a little off. Again, gave a few days off and some bute afterward. Still no heat or swelling anywhere.

    Got on for a lesson the next week and he was lame to the right again. Continued to be just a little off all through June, so he pretty much got the month off, though I hopped on periodically just to see how he was.

    Moved to a new barn in July (unrelated reasons). Had vet come to do lameness exam; he was, of course, about 98% sound for it. Noted that he looked a tiny bit off in the right front. X-rays showed nothing really abnormal, but she suggested correcting his hoof angles slightly because of possible pressure in the right foot, and he seemed footsore as well (old barn's pasture was very rocky), so he got shoes and pads in the front (has always been barefoot).

    Tried riding again with the shoes, and still off to the right. Farrier looked at him and thought it seemed higher up, and he was thinking a muscle pull or soft tissue around the shoulder, which was kind of what I was thinking it felt like. He suggested doing lots of walking and some segments of trot on the straightaway, no circles, to build him back up. So I started doing trot/walk sets on the track outside, and he was doing great with that. By fall we had started lessons, again avoiding small circles, no jumping, cantering a little on the long sides, and he continued to be good with only occasional stiffness starting off to the right. Continued to get better and better throughout the fall.

    By December he was 100% again. Shoes were pulled in November; he's got perfect feet. Started jumping and was great. January continued with more intense lessons, still great.

    Then we got the unending cold of February and I've barely been on him; got on one day last week and he was very off to the right. Fine to the left, just going right. Walked him for a while, put him back on bute at night, and he had another week off with the cold. Saturday he was a little bit off so I didn't do much, but not too bad. Got on today and he was very off again.

    Both days that he was very off, he hadn't been out that day and turnout has obviously been all wonky this month with the cold.

    So... what should my next step be?

    Vet again? I'm afraid that if she comes out again, it will have to be on a warmer day anyway, and he will be sound, as that seems to be his M.O.

    Chiropractor? He's coming this weekend and Sam has never been adjusted, so while I don't think it would really do much, I thought it might help a little.

    Massage? Again, he's never been done, so I don't know if it might help.

    Or just blame it, like all the ills of the world, on the unending relentless misery that is this weather and wait to see how he looks once he and the ground both have a chance to thaw out?

    Thanks for any suggestions... he's been so perfect and sound and easy to maintain all his life, I am now at a loss.
    "Remain relentlessly cheerful."

    Graphite/Pastel Portraits

  • #2
    I'd skip the chiro for this one.

    This screams soft tissue to me, but your post is a bit vague as to what "off" means at various points over the last year or so. Is he lame on a straight line, only on a curve? Is he head bobbing, or just short strided? Did he test positive with hoof testers? Has he been nerve blocked of flexed?

    Honestly, I'd get the vet out and do a nerve block. They'll start with the bottom and work their way up the leg. See if it shows anything, since you seem to have yet to find a source of his lameness.

    On and off stuff like this, in my experience, tends to be either hoof or soft tissue related. With soft tissue especially, you tend to see that gets-better-gets-worse dance as the seasons change. Horse goes poorly, horse gets rest and drugs, horse goes better, horse gets worked a bit harder, horse starts to go poorly again. It's a never ending cycle unless you get the root problem sort out and then treat appropriately.
    Do not spoil what you have by desiring what you have not. Remember that what you have now was once among the many things that you only hoped for.

    Comment

    • Original Poster

      #3
      Off is generally short strided, a tiny bit of a head bob, just generally not feeling comfortable to me when riding. On a curve but sometimes (like today) also on a straight stretch, but only when tracking right and when I'm asking for a bit of an inside bend.

      The vet did a nerve block when she came this summer, and he looked marginally more sound with the block around mid-fetlock (if I remember correctly, I don't recall exactly where it was), which led to the x-rays of the hoof and pastern. She noticed that the angle of the hoof seemed like it could be causing some pressure, but nothing else showed up. But again, he was almost totally sound to begin with that day, so I don't know if it was him working out of something that made him seem better after the nerve block, or if it was actually the block. She didn't go any higher after that.

      Also he did react to hoof testers in both front hooves--that's where both vet and farrier agreed he was footsore (feet were really unusually worn down) and we went with shoes. After shoes were pulled his sole and wall were regrown and in great shape and he has no reaction to hoof testers.

      With soft tissue, what kind of treatment is out there?
      Last edited by SarahandSam; Feb. 24, 2015, 09:47 PM.
      "Remain relentlessly cheerful."

      Graphite/Pastel Portraits

      Comment


      • #4
        That depends entirely on what soft tissue is affected

        Treatments differ between ligament, tendon and muscle. This, to me, sounds more muscular, especially given the touch-and-go tendency of the unsoundness and the fact that straight lines versus circles and right versus left bend. I'm assuming, based on your description, that if you asked the horse for left bend, he has little, if any, trouble?

        Being foot sore for an extended period of time can absolutely affect structures higher up, so a horse who has foot issues, whether it's angles, lack of sole, etc., can develop hypertonicity in the forearm and shoulder sling from altered gait. It's possible his issues started as foot soreness and turned into something higher up, which would explain why, even with proper shoeing, the issue didn't resolve.

        Either way, you still need to pinpoint the problem area. For this sort of thing, I actually find that vets who practice Eastern medicine as well as conventional Western methods do a better job of identifying issues in soft tissue, specifically those we can't take pictures of. A very good massage therapist would also be useful in this case: the latter is a significantly cheaper and can help rule out basic muscular issues.
        Do not spoil what you have by desiring what you have not. Remember that what you have now was once among the many things that you only hoped for.

        Comment


        • #5
          My older mare became 3 legged (lame) while riding. I got off herin the pasture, took saddle off and she ran away bucking.

          Turn out saddle no longer fit. Fixed saddle and had a few chiro visits and no longer had any issues. So have Chiro check saddle fit. Also ensure you are placing the saddle in the correct position (behind, not on top of, the shoulder blade, and not too far back either).
          Now in Kentucky

          Comment

          • Original Poster

            #6
            Thanks, y'all! Valentina, it's been the same in three different saddles, so I don't think it's related to that.
            "Remain relentlessly cheerful."

            Graphite/Pastel Portraits

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