Sunday, 26 April 2015

Not so much a mile stone, as a humongous great boulder!!!

Guess where Red and I went today....on the downs!



First time in nearly a year. He was brilliant, he is feeling so much more sturdy on his feet, beginning to feel like he has a leg in each corner. We had a trot on the top, where the grass gave the ground a good covering, and Red popped into canter. We have only just began to trot over this last week so not up to cantering yet but as he offered it we had a little one.

Coming down hills has never been Red's strong point, he tends to let gravity take over and just throws his legs out in the hope they will catch him, it is very disconcerting! Not today though. The top part of the path was REALLY steep but Red slowed down, sat back and balanced himself all the way down. Poor horse probably had such sore feet before that he couldn't use them properly, now he felt much more confident at putting the weight onto his heels.

I'm feeling really positive :-)

Saturday, 25 April 2015

Bliss' story.

Bliss became intermittently lame in May 2011. In June 2011 she was diagnosed with medial collateral ligament damage in both front feet, bone spavin in her off hind and changes to her near fore navicular bone (which the vets said weren't affecting her yet).

She had to have 6-8 weeks (if I remember correctly) box rest followed by controlled ridden exercise, still no turnout (I still call this box rest!). In October we had got up to 40 mins walking with short trots, obviously Bliss, having been confined for 4 months, was feeling very fresh and I was loosing my nerve riding her. With winter approaching and my final school placement looming, meaning I would be riding in the dark on my own, I decided it was too dangerous and that I would turn Bliss away and let nature do its thing. I had her hind shoes removed and turned her out...1 week later she fractured her pedal bone!

It was a mystery to us how she had managed to do this in the middle of a field, I was thinking that it was because I had taken off her hind shoes and had she still had them on they would have taken the stress.

I have just read Bone Remodeling of the Equine Distal Limb and part of the article got me thinking about Bliss.

Quote:

"One example of a negative influence to bone would be the lack of mechanical stimulation imposed by rest, or immobilization. When one extremity or a part of the extremity is immobilized (such as in a cast), it is deprived of the normal weight-bearing and muscle-pull influences which preserve bone integrity. Therefore, bone loss occurs in the extremity or bone which is immobilized. This extremity is then vulnerable to fracture once the immobilization or protected weight-bearing is removed. It is important to gradually reintroduce weight-bearing, and stress to this particular bone, so that it is allowed to regain bone mass prior to the application of full stresses."

I was right!

The shoes had been stress shearing, resulting in loss of bone strength, which was made worse by the box rest. Although she had spent a little time being ridden in walk, this was nowhere near enough to allow the bones to strengthen themselves. I then removed the shoes (unknowingly) leaving her weakened bones to cope with her weight and movement and they couldn't.

Very long story made short...

After 3 months box rest with a plaster cast on her foot, the x rays showed that the bones had moved out of alignment and that she would not be sound enough even to retire in the field. The x rays looked awful, I had to make that decision. I was going to give her the weekend, get her out in hand to let her see some sun and eat some grass and then say good bye :-(
I returned to the yard, after many tears, to a horse who was looking the picture of health and was weight bearing, it broke my heart.
I lead her our for grass over the weekend and she was walking relatively well, I couldn't do it to her. I called the vet the next week and he said that all I could do was gradually build up the time she was walking out for and she will either cope or she won't, he suspected that the increase in movement would make her extremely lame. I had to try, I fully expected that she would become horrendously lame and that would take the decision away from me. SHE COPPED!!!

I had her front shoes removed and in June 2012 she was turned out with her girls again. I left her hind shoes on as they were restricting her hoof from expanding which would have allowed the bone to move.

After 3 years she is in work...w,t,c, gallop and jumps, still bare foot in front, and stomps over any type of ground. She has not been lame in front once! I would be really interested to have the navicular bone re x-rayed to see how it compares to 4 years ago.

I would love to try her bare foot all round but am nervous to change anything while she is doing so well.

I love her so much and am so glad I gave her the chance.


I've been thinking....

I called this blog 'Red's journey' I am now thinking I should have called it 'Our journey', I am learning so much!

I have been reading about 'stress shearing', a situation where a stronger material applied to the body (ie: plaster cast, hip replacements, METAL HORSE SHOES,) takes more strain than the body and, therefore, leads to the bones in close proximity loosing density.

Bone Remodeling of the Equine Distal Limb

This got me thinking....

Why was Red sound jumping up to 1m before he fractured his radius but then wasn't sound in trot (and, depending on the ground, walk) 4 months later?? That's a massive deterioration in a relatively short space of time!

If he was already developing this cyst prior to his fracture but then was cross tied for 8 weeks and had a further 2 months COMPLETE box rest (not even being lead out!) then the bones hadn't received sufficient weight-bearing stress and, therefore, loose density....increase in size of cyst???!

So as far as the navicular bone was concerned, standing still was the worst thing for it :-(
When Red came off box rest the bone had deteriorated so much he now couldn't walk/trot 100% comfortably.

This has backed up my decision to remove his shoes and allow the hoof to function better, leading to an increased blood supply to the foot and it's bones. Hopefully it is not too late to save his navicular bone.

Friday, 10 April 2015

11 week update- off fore


The hoof defiantly looks more upright.













As with the near fore, he has a bit of a stretch to the white line on the outside edge, which is made to look worse in the photo due to the hoof wall being too long.

















Again, he had a big v in the first photo which it levelling out in the second..although not as much as the near fore has, yet.

The hoof wall on this foot also needs to be shorter to allow the frog contact with the ground.

11 week update- near fore

Red has become a little more 'footy' over the last 2 weeks I think it must be the grass coming through as Bliss is also choosing to walk on grass when she can.

Red has had a light couple of weeks due to being at the vets and having his joint medicated, since having the treatment I have noticed him resting his off fore a bit agin, which he has not done for months. He also started snatching his front hooves from me again when picking them out :-(

I have posted the latest photos of Red's hooves along with the photos that were taken the day after his shoes were removed for comparison.




He has grown out about a third of his hoof in these 11 weeks, as you can see from the nail holes.
I think it looks like the new growth at the top of the hoof is growing at a steeper angle, but not sure.

His heel defiantly looks less under run and stronger.






His frog is defiantly broader and his hoof looks rounder. I have trimmed off the part of has frog that was shedding as he has thrush and I wanted to be able to give it a good clean. His white line is looking stretched on the outside edge, I think this looks worse in the photo because the hoof wall is too long at the moment, he needs to do more roadwork, which I am hoping to do now that the lighter evenings are here.




He has a big v shape in the hair line of the first pictures which has levelled out in the second one. This shows his heels are less contracted. You can see that the hoof wall needs to be shorter to allow the frog to come into contact with the ground.





Off hind plantar view.

17th January 2015


21st March 2015

















15th February 2015
These were taken on 25th January 2015. He has a massive frog on this foot that is much deeper than his hoof. 




Off hind progress photos solar view

15th February 2015

                                                                   21st March 2015

Friday, 3 April 2015

Red visited his holiday home again.

So...Red had a trip to the vets on Wednesday, I wanted to have his DDFT rescanned and possibly x-ray his navicular bone. It is a year ago that he was at the vets for his 3 week rehab following his fractured radius...time flies!

He is trotting sound in a straight line, vets were impressed with how comfortable he was without shoes, but is still lame in trot on a right circle.

The scan shows some improvement to the DDFT but it is still slightly larger than the other side, apparently they don't always go back to the same size due to scar tissue, but the fibres are looking more organised in it.
We decided to do a nerve block to try to narrow down where the majority of pain was coming from-navicular, DDFT or both. We had to wait while Red woke up from his sleepy juice so Trixie and I sat in the waiting room where Trixie managed to capture the hearts of all of the office staff.
The nerve block had to be put in low down and assessed relatively quickly so that, as much as possible, it was just blocking the navicular region. Red was still lame but with a marked improvement. It was decided that he would stay in over night and have another round of Tildrens, medicate the joint and some X-rays the following day.

The x-rays show that the cyst has not changed in size, but it is more obvious to see. This could be good because the bone around it has thickened so the body is responding to it and encapsulating it.

I was really pleased that the vets have agreed that he seems to be doing better without shoes and are happy for him to continue unshod. One of the vets has said that we seem to have hit a bit of a plateau and that if he has not improved much by now then he probably won't. I felt quite sad when I got home , it's like they are giving up on him. It just makes me more determined to do as much as I can for him, there is nothing more likely to set me a challenge than to say something can't be done!!!
Come on Red, let's show them! X