bilateral hindlimb neurectomy and fasciotomy surgery

lme said:
It’s also on my ‘never’ list. But if my horses can’t work, or are too tricky to keep in work, I am happy to / able to retire them. One of the reasons I don’t insure is that it leaves me and my vets free to try less drastic treatments or even turn away before resorting to something more invasive.
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Ironically the other benefit of not being insured is to go immediately for the drug most likely to work, rather than trying cheaper options first. I won't, for example be messing about with steroids and seeing how long they last if my horse gets hock issues, I'll be going straight for arthramid if he's a suitable case.
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ycbm said:
Ironically the other benefit of not being insured is to go immediately for the drug most likely to work, rather than trying cheaper options first. I won't, for example be messing about with steroids and seeing how long they last if my horse gets hock issues, I'll be going straight for arthramid if he's a suitable case.
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That’s a really good point. And one I hadn’t considered.
 
lme said:
That’s a really good point. And one I hadn’t considered.
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It's uppermost on my mind right now. If I was insured and my horse's recently found hock spurs turn arthritic, it's likely that an insurance company would insist on seeing if they can get him to the end of the 12 month window with cheap steroids. Uninsured, I can go straight for arthramid, a very expensive but very effective alternative.
 
@ycbm as an aside to the original poster (sorry OP) my vet recommends that the gold star treatment would be a dose of steroid into the joint (hocks in our case) to reduce the inflammation, then arthramid 4 weeks later. The reduction in inflammation gives more room within the joint for the gel and we've found it to be more effective (quicker acting and longer lasting) than just the arthramid itself.
 
spacefaer said:
@ycbm as an aside to the original poster (sorry OP) my vet recommends that the gold star treatment would be a dose of steroid into the joint (hocks in our case) to reduce the inflammation, then arthramid 4 weeks later. The reduction in inflammation gives more room within the joint for the gel and we've found it to be more effective (quicker acting and longer lasting) than just the arthramid itself.
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Excellent info, thanks!
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Goldenstar said:
I have been exactly where you are , and I put the horse down .
You just have to meet this head on there’s no nice way of dealing with it .
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Sorry to revisit an old, probably very painful thread, but Im currently faced with bilateral hind PSD. Any wisdom or reflectiona you can provide from how you made your decision would be so gratefully appreciated.
We have SI issues after a non-weightbearing fracture. This is yet another thing, and I cant stand the thought of PTS but equally I cant see another option x
 
My horse had N&F surgery in Spring this year. He was also diagnosed with arthritis in two places and kissing spines. He has had injections for his arthritis (we are monitoring but he may need these every one - two years). I have been offered surgery for his back but am currently trying to focus on rehabbing continually and teaching him to carry himself correctly.

He has gone from being in evident discomfort at the start of the year to comfortably hacking and starting to school again. I constantly monitor how he is moving / how he is acting and now know how his pain signals will present.

Because of his conditions I will not event him (what he was originally purchased to do). My priority is keeping him comfortable and happy for as long as possible. And if that means hacking and light schooling that’s fine, anything else is a bonus. And if he ever needs to retire that’s fine too. He’s quite happy being an oversized dog!
 
jilly2024 said:
Sorry to revisit an old, probably very painful thread, but Im currently faced with bilateral hind PSD. Any wisdom or reflectiona you can provide from how you made your decision would be so gratefully appreciated.
We have SI issues after a non-weightbearing fracture. This is yet another thing, and I cant stand the thought of PTS but equally I cant see another option x
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I don’t regret my decision .
My horse was loveliest person he was the perfect size for me, I dropped in the saddle when I tried him and he fit me perfectly , he was talented brave and mannerly .
When the vet blocked out one hind suspensory ( he was sound on flexion ) and he was hopping on the other my heart felt ripped right out of me. I knew straight away what it was because I just knew what that flat feeling he had sometimes was .
I had knew I could offer him nothing more than boredom and chronic pain, no long happy life for my lovely boy.
The morning of the day they came to shoot him I gave him a very very large dose of Bute and turned him out with Fatty he played like a yearling .
I knew I was right to do it then he was so sensible because he lived with pain all the time .
It’s crap sometimes having horses. It’s made me cry writing this,I remember his ears which belonged to a much smaller horse and the way he used to hook his head over your shoulder from behind for attention.
I am so sorry you are going through it it’s tough having horses .
I wish you an easy way through this to the other side and say I have loved again and so will you.
 
Goldenstar said:
I don’t regret my decision .
My horse was loveliest person he was the perfect size for me, I dropped in the saddle when I tried him and he fit me perfectly , he was talented brave and mannerly .
When the vet blocked out one hind suspensory ( he was sound on flexion ) and he was hopping on the other my heart felt ripped right out of me. I knew straight away what it was because I just knew what that flat feeling he had sometimes was .
I had knew I could offer him nothing more than boredom and chronic pain, no long happy life for my lovely boy.
The morning of the day they came to shoot him I gave him a very very large dose of Bute and turned him out with Fatty he played like a yearling .
I knew I was right to do it then he was so sensible because he lived with pain all the time .
It’s crap sometimes having horses. It’s made me cry writing this,I remember his ears which belonged to a much smaller horse and the way he used to hook his head over your shoulder from behind for attention.
I am so sorry you are going through it it’s tough having horses .
I wish you an easy way through this to the other side and say I have loved again and so will you.
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I am so sorry, I didnt mean to upset you and Im sure its a very painful memory.
Did you consider the Neurectomy at all or was that not an option?
The more I read and speak to people, the more I dont think im going to do surgery. His left hind is 1/5 lame, the right went the same when we blocked the left. He has SI problems already as well so im thinking we will just find something else that causes lameness post surgery anyways.
You sound like you gave him a wonderful last day and Im relieved to hear of someone making this decision and not regretting it. Thank you xo
 
I'm another that wouldn't do the surgery I was offered it as an option for Arabi when he injured his suspensory but I opted for the prp and 6 months box rest, he came sound and was sound for years until he was 19 he then went slightly off on both hinds and he had shock wave on them and his been fine since.
 
Ours was never a candidate for surgery as his confirmation was against him. He had hind limb PSD, worse in left hind than right. I wouldn’t have opted for surgery anyway. We turned him away for about a year and he came sound. His recent scans are as good as could be expected.
 
I had several friend who had the surgery done without a good result, one in particular had a horse that presented very similarly to mine.
Apart from my vet I talked to my best friend who is a very experienced horse vet and another who is a horse physio .
He was such a lovely horse it’s never fair .
In my heart I knew what I needed to do and when I saw him playing with Fatty I knew I was right .
Good luck if you ever need to talk do pm me.
 
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