Arthramid in coffin joint/navicular bursa

Birker2020

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Hi my horse had Arthramid in her coffin joints on both left and right fore on Friday 16th April and some in her navicular bursa on her left fore - a scan showed this was inflammed. She also had 10mg triamcinolone which is steroid and 40mg of depmedrone which is used to treat pain and swelling in arthirtis.

Vet notes said box rest and walk in hand for 20 mins once/twice a day which I started on Saturday afternoon. Over the weekend she was clearly much sounder in walk, still a little bit 'not right' but an obvious improvement. Sunday was much the same, she had a quick walk on Sunday in the morning and ten mins on Sunday afternoon - I have to be careful walking her outside the confines of the yard as she is quite spooky, its a big yard with a lot going on, we have lambs in one of the pens and she spooks at those, and a bonfire was blowing smoke which she also found spooky and I didn't want her taking off with me as she has to be on box rest with walks for 2 weeks because she's so feisty in the field and the first 48 hours are crucial that they are 'kept quiet'. I was delighted as it looked like the Arthramid had worked.

This morning I was there at 6am to muck out and a quick walk before work and she was noticeably worse than she had been over the weekend. She's certainly not hopping lame by any extent but she did look lame when I walked her up and down the aisles (big circle), the same as she'd looked before she'd had the Arthramid (in walk). I only did one lap as I didn't want to push it. I rang the vets when I got to work as was advised to ring my vet so rang him and he said it can take 4-6 weeks to work but that it could also be an infection in the navicular bursa. I am really concerned now. If it were an infection I'd expect her to be hopping lame which she isn't - (vet said this isn't always the case) she just looks 'not right' walking. She is bright, wolfed down her breakfast, wasn't reluctant to walk, seemed very keen really.

I am going to see how she is when I get there after work and ring the vet accordingly. I will take her temperature also and if necessary call the vet on an emergency appointment.

I'm really worried because this was her last chance to get her paddock sound before I gave up and had her pts. I don't understand how she could have been good walking yesterday at 5pm and yet lame this morning. She doesn't look like she's been cast overnight or anything. She had had her breakfast with a sachet of bute in this morning but I don't think it would have taken effect by the time she was walked about (30 mins later) but this was the same case Saturday and Sunday morning when she wasn't lame.
 
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Meowy Catkin

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Sorry I don't have any experience with those injections but I really hope that it isn't an infection. I hope it goes OK with the vet when you talk to them.
 

Squeak

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Sorry I don't have any experience either but hopefully someone will be able to help and I hope that it does work for your mare.
 

HelenBack

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I don't know enough to be able to advise you either but my horse has had arthramid in his hocks and it does take several weeks to work. I'm wondering if it was maybe the steroid that had the immediate effect and that has worn off now. Is she more lame than she was before she had the injections or just the same? If she's the same then I'm thinking maybe there was something that had a short term effect over the weekend but if she's worse I'd be more worried about infection. I hope it's not that though...
 

Birker2020

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I don't know enough to be able to advise you either but my horse has had arthramid in his hocks and it does take several weeks to work. I'm wondering if it was maybe the steroid that had the immediate effect and that has worn off now. Is she more lame than she was before she had the injections or just the same? If she's the same then I'm thinking maybe there was something that had a short term effect over the weekend but if she's worse I'd be more worried about infection. I hope it's not that though...
Yes in my opinion she is as lame as she was before the injections. It's so hard to tell as she was only 1/10th lame in trot on the left rein and one and a half on the right but that was in trot on a surface, in walk it wasn't really that obvious and I daren't trot her. However the second time I called the vet out on tarmac she was loads worse and on Friday during the lameness examination she was worse still.

I never thought about the steroid effect over the course of the weekend, I am hoping it's that. I'm desperately hoping its not a joint infection too as we will be calling it a day much earlier than I had planned.
 

Tiddlypom

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In my mare's case (arthramid in both front coffins), she showed a steady improvement over a few weeks.

I've not had a horse go more sore after joint injections of any flavour, whether gel or steroid.

I hope it's something and nothing, but I would get the vet out to check.

Are the horse's pulses up?

ETA Re reading, so the horse's lameness was deteriorating before and on the day of the joint medication (3 days ago)?
 
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Birker2020

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Panic over! It's good news about my horse. I checked her temperature when I got there after work and it was bang on 37F. Her feet weren't hot and she ate some hay and was bright and alert. I rang the vet to say that I didn't think she had a joint infection, she just wasn't as sound as she had been but the more I started walking her around the yard the better she became. However, she was intermittently lame so one minute she'd be sound then five minutes later a bit of head nodding but nothing to suggest a joint infection. The vet seemed satisfied and I said I'd let him know more in the morning. I think he thought it was something more and that started to worry me. Also using triamcinolone can delay signs of joint infection by 5 days or more so I think maybe that was what he was thinking.

These are the photos from this morning, I walked her outside and she seemed a lot better. I think like my physio said, that when they have inflammation with the navicular bursa they can be quite intermittently lame/unsound so its quite a frustrating problem. Anyway the more I walked her the better she was so I text the vet when I got to work and let him know.

We are just going to continue with the box rest for another 10 days and then turn out in a small paddock overnight although I might proceed that with an hour in the morning turnout whilst I am there. I'm so relieved, I thought when she'd been so good over the weekend and then was lame on the Monday morning it meant it hadn't worked which was why I was so upset, but like the vet said, it can take 4 - 6 weeks to work and going by today all seems well. I never expect to ride again, just want to keep paddock sound.
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Birker2020

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Are the horse's pulses up?

ETA Re reading, so the horse's lameness was deteriorating before and on the day of the joint medication (3 days ago)?
Hi pulses not up. Yes was steadily getting worse but does mess about in the paddock, we've had two or three horses come in lame due to running around on the hard ground. Also because the navicular bursa is effected she can be intermittently lame which is why it's so hard to determine, one minute she is sound looking, five minutes later she starts head nodding.

It was the same when I used to hack her which is why my physio suggested it could be Navicular Bursa inflammation. She would be sound going out the gate and acutely lame half way round the block for a few strides, then would be fine, then go lame again, all in one hack.
 

Birker2020

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When I got to the yard last night I found that my box rested horse had got loose, she'd managed to undo her top bolt on the stable door and the kick bolt hadn't been put on and she trotted off down the field grr. Luckily okay, not lame, rang vet very distressed, he said at this stage it wouldn't have had any detrimental effect. Apparently she had a nice roll in one of the paddocks she trotted into, flipping horse! :oops:
 

Goldenstar

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Arthimid takes time to work fully
I have used and and its my go to now .In my experience it works best when it’s your first treatment done right of beginning of an issue it’s less effective for long term problems .
 
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