Advice please- laminitis/cushings

LM59

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Can anyone give me any advice regarding cushings-induced laminitis? I have never had a laminitic before, so all this is new to me. Apologies for the long post..........

A little history- I have a 17hh ex-racehorse TB gelding who is 17 on loan from a charity as a companion, who I have had for 18 months. I had trouble keeping weight on him last winter, so he had full blood tests etc, but we couldn't find any reason other than him just being a poor-doer. He had a great summer with no problems. Around October, his arthritis got worse, so he was put on to one bute a day to help (he had access to stable and barn, but was out and well-rugged 24 hours a day).

Four weeks ago he suddenly went very lame in both front feet, although one was much worse than the other. He had heat in all four hooves and pulses in the front two. I had the vet straight out, who diagnosed bruising, and an abcess in the worst one. I hot poulticed twice a day for five days on box rest with no improvement. The vet came out again and had another dig, but still no improvement. This continued for two and a half weeks, with three vet visits, plus one from the farrier (he refused to move at all, it was that bad), and at one point was on up to four bute a day.

After this, I had a different vet from the practice out one evening. He found pulses in all four and diagnosed laminitis. He was very surprised, as he is a lean (not thin at the moment) thoroughbred with no history that we know of. He thinks it may be due to cushings, although he shows none of the more obvious signs. However, he does have trouble keeping weight on (despite eating constantly), takes a very long time to heal (even the smallest graze) and has mud fever-like symptoms all year round despite treatment. I had the blood test taken last week, so we are waiting for the results- due later this week or the beginning of next.

He had a one week course of ACP which seems to have helped massively, and is currently on two bute a day- having been in for four weeks now. He is comfortable, but I would love some advice and help on the prognosis for him. He cannot be ridden due to an old back injury and his arthritis, so exercise is not possible. At the moment he seems comfortable on his deep bed, and is mostly back to normal in his attitude etc. He is happy to walk on a hard surface as well (he can access a concrete area if he chooses).

I know that he will have to be managed as a normal laminitic, but I am concerned that restricted turnout etc may make his arthritis etc worse, and I am already having great difficulty keeping his weight up. I have no school or other facilities for alternative turnout, as the horses are kept at home.

The additional complication is that I only have the two horses, who have such a strong pair bond, that I cannot safely turn out the other one without dangerous behaviour on the TB's part, so the other one has been in for four weeks too, and is starting to get very restless (18hh shire).

Has anyone had the same problems or a cushings horse/pony with laminitis? How did you manage it, and was it successful? Any advice on any aspect would be greatfully received. Thanks for reading all this!
 
If it is cushing's (you will find out soon from the test!) then step one would be to give pergolide (in my opinion) it is the best medication for treatment/preventing progression of the disease.
If the laminitis is due to this then the medication will help clear it up and help prevent further laminitis attacks. It should also help him keep weight on, and help the wound healing (these are signs of cushing's, just not the most common ones).
The treatment of the lami itself is, as you've said, needs to be treated as laminitis. So everything you and your vet have been doing sounds to be right so should hopefully show effects, and if the diagnosis comes back positive then the pergolide treatment (or whichever you decide)will also help improvement!

Hope this helps a bit, if you want any other help or talk about cushing's etc please feel free to pm me!
smile.gif


Good luck!
 
well cushing's cannot be "cured" but its effects can be minimised
at the moment, pergolide is the best treatment available!
The dosage of it will depend on your horse and how well he responds to it. But the prognosis is generally good! I would just say start medication as soon as you can if you get a positive diagnosis back for the best prognosis as being a progressive disease, the earlier you catch it, the better the likely outcome will be! (if you get me?!)
 
Hi LM59

I am so sorry to read about your horse having Laminitis.

I know how you feel as I loaned a chronic laminitic for 14 years, and I can really sympathise with you.

Laminitis is sometimes seen as the route with no end but I can assure you that in many cases things get better, much much better and even verge on perfect.

I have had the experience, with sunken and fully rotated pedal bones in all four feet. Once recovered - about a year later - we went on long rides, done one day events, sponsored rides, jumping, beach rides and so on. He was just a normal horse. It just takes a lot of time, consideration and patience in the way you manage the after they have recovered.

I would, in my exeperience do the following:

Ensure a deep shavings bed, of at least 8 inches.
Do not deep litter, take the wet out everyday.
Start to feed your mare seaweed - this will promote new hoof growth.
Start to feed your mare 'Pink Powder' this will help her feel better, look better, heal quicker and keep her gut moving and improve her metabolic system (which is a main contributor to Laminitis).
Feed only Thrashed hay, and as much as you would feed normally - soaked if possible.
Do not starve her
The mix I would reccomend is L-Mix by Allen and Page with HI Fi light or Speedy beet.
Ley them out, if you dont they will just gorge, but ensure you get them well first and increse time gradually.

If your mare is shod, I would also put hoof disinfectant in the nail holes everyday. If barefoot, then you could also put this around the white line area - just for cleanliness.

I would like to know more about your horse and the reason for her laminitis. I should then be able to give you some more advise - dont give in!

For info, the gelding I had was a Welsh Section D who got laminitis from a number of reasons:

Poison
Grass induced
Concussion
Illness
Pain in another area
Cushings

Hope this helps, and that I can be of further help.
 
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