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Horses that are horses that are bilaterally lame often don’t look overtly lame beforehand- though you had a toe drag, they’re just lame...

With bilateral lameness it's quite common for the opposite leg to show as quite lame when one is nerve-blocked - if they have been...

It’s almost certainly not the nerve block (especially as the horse is lame in the opposite leg), the horse is bilaterally lame...

You mentioned the problem on the first line ;)