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Vet, Chiro, or Massage? How do you decide?

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  • Vet, Chiro, or Massage? How do you decide?

    I've noticed a new "bump" on maresy. (Not a protrusion...definitely skeletal.) It's on her top line, directly in the center of her hips. When you run a hand down, you can feel a bone on one side of her spine, but not the other. With my limited knowledge, it seems like she threw her back out or something. While she is already weak/tight in her hind end, this doesn't seem to have made it worse or different. Who would you recommend calling first?

    Red arrow indicates bump. Blue arrow is just soft flesh/muscle.

    http://i114.photobucket.com/albums/n...ar/Capture.jpg

  • #2
    Is mare unsound because of it? If so, then I'd start w/vet, in case you need NSAIDs or something to help reduce swelling before starting therapies.

    If not 'unsound', just increased stiffness, then I'd start with chiro, provided you have a very very good one. Mine started as a western vet before she started dabbling in eastern modalities.. then gave up practicing western medicine to be a chiro FT. Love her.

    Comment


    • #3
      VET. 100%. The rest is wasting money on "modalities" with no evidence of effectiveness.

      Human chiropractors are granted a D.C. after a 4-year course of study; no part of that study pertains to animals. Veterinary schools do not certify vets in "chiro," because scientifically the entire theory of "subluxations" et al is a throwback to 19th-century notions of "vitalism," which with our present knowledge of biology really haven't a leg to stand on beyond placebo effect.
      There are also some serious questions about how the theory underlying human chiropractic manipulations would or even could translate to an animal on all fours as opposed to our upright locomotion.

      Massage of muscles this size is pure woo-woo and not worth anyone's money.
      GROOM your horse thoroughly instead.

      Comment


      • #4
        I have used a chiropractor on my horse with AMAZING results. Horse was not unsound but knowing horse so well, I could just feel that something was NQR. Chiro came out - unbelievable results in the first treatment. I had him back 2 more times because I just couldn't believe it.

        If not unsound, I would go chiro.

        Comment


        • #5
          Originally posted by talkofthetown View Post
          I've noticed a new "bump" on maresy. (Not a protrusion...definitely skeletal.) It's on her top line, directly in the center of her hips. When you run a hand down, you can feel a bone on one side of her spine, but not the other. With my limited knowledge, it seems like she threw her back out or something. While she is already weak/tight in her hind end, this doesn't seem to have made it worse or different. Who would you recommend calling first?

          Red arrow indicates bump. Blue arrow is just soft flesh/muscle.

          http://i114.photobucket.com/albums/n...ar/Capture.jpg
          You start with the vet. They have the job of making a diagnosis. They should follow the SOAP process. Then, as part of the "P", we decide what we will do.

          G.
          Mangalarga Marchador: Uma Raça, Uma Paixão

          Comment


          • #6
            All of the chiropractors I've ever used for my horses have been veterinarians, so actually I generally call the chiropractor first for what might be a skeletal "outness." Also, they all have practiced acupuncture so with the help of pressure points can find areas that might "light up" so to speak and might help narrow down other places to look for the root of the problem.

            If your horse is more than "out," though, and actually has some bony changes, xrays might be called for an in such a case I'd go to the actual vet who could do that.

            For my own health, I've had more success with chiropractors than with regular MDs, which could be why I tend to go the chiro route.
            "A horse's face always conveys clearly whether it is loved by its owner or simply used." - Anja Beran

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            • #7
              For me it depends on who I think is a more effective practitioner.

              My vet is my primary chiro, so I don't have to make an either/or decision, but I have a secondary bodyworker who I will sometimes call in before my vet. But I have long term relationships with both of these folks and have a good feel for how they work and how much they can help in general.

              IME, a "straight" vet (meaning a vet not familiar with or particularly appreciative of bodywork) will often dismiss an issue if the horse isn't lame or hurting in some way. So at the end of the day, it comes down to the quality of vet and the quality of bodyworker you're talking about.

              In my world, with an issue like you're describing, my vet/chiro takes a look first and 9 times out of 10 she relies on chiropractic/acupuncture over western medicine techniques. Or my bodyworker comes out, and if I've called her, I'm pretty certain about what she can or can't do.

              But over the years I've used quite a few bodyworkers of various types who are absolutely ineffective at best. So given the choice to call a bodyworker I don't know versus a vet (regardless of quality), I would probably start with the vet and hope that the vet was able to look at how the horse is using his body (not just whether he's technically lame or not).
              __________________________________
              Flying F Sport Horses
              Horses in the NW

              Comment


              • #8
                Vet.. helps if your vet is a chiropractor, which one of mine is.


                FWIW I have had mixed results w/ chiros - some, no change.. others have made a world of a difference. Do your research. I've seen a strong correlation in success when you use a chiro that is also a vet.
                AETERNUM VALE, INVICTUS - 7/10/2012

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                • #9
                  If something is off and there's any consideration if who should be called, the vet is *always* the answer. Not all chiropractors are DVMs and even fewer masseuses have that level of medical background. If I'm understanding what you've described, I'd guess you have a horse who has lost some muscle and the sacral tubers appear prominent or you have a horse who has developed a subluxation of the sacroiliac joint, a condition more commonly known as a hunter's bump. I am not a vet (nor do I play one on TV!), but those two things are what immediately jumped to my mind. Either way, you should absolutely have your vet evaluate your horse, especially if this is a new finding!
                  Nine out of ten times, you'll get it wrong...but it's that tenth time that you get it right that makes all the difference.

                  Comment

                  • Original Poster

                    #10
                    Punkie, it does appear where a hunter's bump would be but it's only on the one side. Can they be asymmetrical? I've seen them before but they've always been even. That's what caught my eye to begin with. I was grooming her and felt it, but it didn't register. When I groomed her other side and it was missing, I realized something was out of whack.

                    Well, I have a good history and a lot of faith in my vet. I definitely believe in the power of chiropractics, but I haven't used any in my area before. Sounds like the vet will be called this time.

                    And just to clarify (a few posters mentioned this) she's not off or lame in any way. You can see, especially in the canter, that she is weak in her hind end but she came to me that way. This new discovery hasn't affected her movement at all to the naked eye.

                    Comment


                    • #11
                      For the described issue, if your horse was one of my clients (massage), I would suggest you call the vet first. By your description of the placement, it could be a tear or other injury to one of the critical pelvic ligaments (or any number of other things ... I'm not a vet and don't diagnose!). Chiro could well be contra-indicated, and no reputable massage therapist would touch it w/o the all-clear from a competent vet.

                      And yes, injuries that lead to the "hunter's bump" blemish can most definitely be uni-lateral. I've seen several, including one who lives in my backyard.
                      Equinox Equine Massage

                      In the depth of winter, I finally learned that there was in me invincible summer.
                      -Albert Camus

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                      • #12
                        Originally posted by talkofthetown View Post
                        Punkie, it does appear where a hunter's bump would be but it's only on the one side. Can they be asymmetrical? I've seen them before but they've always been even. That's what caught my eye to begin with. I was grooming her and felt it, but it didn't register. When I groomed her other side and it was missing, I realized something was out of whack.

                        Well, I have a good history and a lot of faith in my vet. I definitely believe in the power of chiropractics, but I haven't used any in my area before. Sounds like the vet will be called this time.

                        And just to clarify (a few posters mentioned this) she's not off or lame in any way. You can see, especially in the canter, that she is weak in her hind end but she came to me that way. This new discovery hasn't affected her movement at all to the naked eye.
                        Hunter's bumps can be either unilateral or bilateral. While most horses do come up lame when the injury occurs, there are instances where the horse may be sound but unwilling to push from behind or feeling week/unbalanced.

                        This is a great summary article on hunter's bumps: http://www.thehorse.com/articles/14145/hunters-bump

                        As I said, I'm not a vet! This is just an educated guess Keep us posted!
                        Nine out of ten times, you'll get it wrong...but it's that tenth time that you get it right that makes all the difference.

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