Box rested horse (OCD). What would you do?

LankyDoodle

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As some will know, Lanky was found lame in the field on 18th August. The farrier was called because 2 weeks beforehand, he'd lost a shoe, and we felt he may have an abcess as same leg. Vet came next day and prescribed penicillin but no foot problems were found by either him or farrier. Vet referred him to clinic on 24th, due to no improvement and NO clue what it could be. Easier to get all tests done in one place and at one time. He went to the clinic that day and the next day they did the investigation. They found OCD on xray (in his near side stifle) and said the lameness was being caused by a meniscal tear, probably from an injury in the field, but could equally have been caused by a shard of bone breaking away.

He had the op on 15th September. An ortho surgeon travelled down from Liphook to do the op. They did double arthroscopy and found that while the off-side was only minorly affected by OCD, the nearside looked catastrophic. OCD had been developing since he was about 18 months old, there was arthritis and the meniscus was completely torn and had to be removed. We were told by them that the horse may come sound but that we would need to give him time, patience and rest, and even if he came sound, only very light work was advised. The horse is 8 years old and 17.3hh so not ideal for acting as companion or field ornament.

I'd only had the horse 11 months when all this started, and so was still bonding with him. Since he's been on box rest, I've really struck up a bond with him (dangerous in the circumstances). I said at the time of the op that I would have him PTS if the prognosis was poor, but the vets gave me a good chance that he would come sound and said that under BEVA guidelines, he doesn't meet the criteria for humane destruction (I don't really care about that - the insurer is refusing to pay for the op at the moment anyway!).

Anyway, to get to the point: Lanky spent one week on rest at home from 18th-24th August, then between the clinic and the op spent another 2 weeks on rest, then he had the op and had since then had another nearly 9 weeks of rest. He is onto about 12 weeks of rest now. We have done our best to make it easier for him - put George in a paddock next to his stable so they can talk to each other, groom each other and see each other etc. We spend time grooming him and have made him as comfortable as we can. 6 weeks after the op we were to start walking him out, which we did, and he coped OK to begin with, however he has recently started exploding every time the stable door is opened (he is walked out in a bridle).

This horse coped great with the box rest to begin with and I was really proud of him - he was really settled; but over the last week or so, he's started chewing wood that had already been criboxed and more cribox does not deter him, he's started to spin round and round in his stable and calls and calls if he can't see George for any reason. He broke the partition in his stable the other day by charging at it, and then on Monday morning he charged at his stable door (while my husband was in there mucking out), broke the bolt off and escaped! He is far from calm - he looks sad and is getting worked up, running circles in his stable. When he is led out, he doesn't want to walk out calmly. This cannot be doing the leg any good.

When we initially started walking him out, he was very stiff, understandably, but he is now actually sound. When he went trotting off when he escaped on Monday, he wasn't hopping at all and again, looked sound (I am sure there is still some lameness there). He has no shoes on so on rough ground he struggles a little, but that's understandable.

Anyway, the long and short of this is, he has to stay on box rest for another 3-4 weeks, and I just cannot see this working as he gets worse every day and is doing his legs no favours. On one hand, if we let him out and he goes lame again, the insurer will refuse to pay out on PTS of animal (like I care really though, about that) but on the other, the animal is bored, worked up and causing himself and his environment damage. Either myself or my husband are going to end up injured as a result of this, and being pregnant I cannot take the chance of getting kicked by him. I cannot blame him for his exuberance - he is a horse and is trying to tell us he feels well.

What would you do? I can talk to my vet, and they can advise me what is best for the horse, but at the end of the day, I am also at the mercy of the insurer. However, put it this way: if the horse was to go lame again in the next few weeks, it's likely he'd have done that after eventually being turned out anyway, in which case I'd want him PTS regardless of what the insurer says, as I cannot keep a horse in pain and in this level of distress.
 
mild sedation? or can you create a small pen outdoors, and have him on mild sedation whilst he gets used to it, and the make hes "pen" a little bigger each day, so hes not only got more grass but hes adjusting to the space without going out and going nuts.

ps.. id tell nobody id just do it (ie wouldnt discuss with vets etc incase of insurance kicking up, at the end of the day a bit like you id go for the option of a happy safe horse.)
 
I would turn out for a few hours a day (with supervision if poss). Maybe walk him around for half mile at a time and see how the leg goes. When my horse was put on box rest due to a stifle operation he went a bit stir crazy doing more damage in the stable than out in the small paddock were he could mooch about and see all the other horses. He recovered well.

I hope all works out OK for you and Lanky
 
Thanks, J.

This was kind of my thinking. I'd already discussed with my vet the best way to start turning him out come December 7th (which is meant to be his day for freedom!). We decided what you have described - a small pen so that he doesn't have the space to go wild but feels a bit freer (and can come and go from his box), and limiting this to just 2-3 hours a day maximum to start with.
 
I'd talk to my vet, most vets have experience of horses really saying enough with the box rest and have a good list of alternatives whether it's mild sedation, or restricted turn out or a combination of those.
 
Thanks annbal.

My husband and I have both said similar - he'd be less frisky and therefore do less damage to himself and others, if he could mooch around a small pen for a few hours a day. I am signed off work at the moment so could even supervise it.
 
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Could you not put him in a small paddock so he thinks he is turned out (you could make it the same size as the stable ~dont see what the difference would be...)

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Exactly my thoughts, Holly. I feel that he would believe he is outdoors and feel happier. I just don't want to run the risk of him injuring himself or others. Because he is big, his stable is 18 by 18 anyway.
 
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I think I'd be inclined to turn him out in a small pen. He won't do his leg any good throwing himself about in the stable.

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I think this settles it. He has only 3 weeks left anyway. I could maybe even just give him an hour morning and evening. I think this is what I will do.

Thanks guys. Great as ever.
 
My horse frcatured his hip bone last year and spent 3 months on box rest. He started being led out in hand for grass and then building up to walking out inhand up till 1/2 hour. After 5 weeks, he was becoming a night mare. Nipping, bitting, dancing around at the end of the leadrope. So, ending up putting chifney on. Until one day, he was awful, starting leaping and rearing about. He then took off with me at full gallop. He galloped 4 stubble fields home and me limping back! Have been there and counted the days. I would suggest that you know your horse better than anyone and if he is feeling better to give him what he craves (obviously to be out in the field with his friend).
I would definelty sedate first time out just incase and also to make sure that he is hungry so can only think about feeding his belly.

Good luck with the recovery.
 
after my horses KS op and 3 months box rest when i turned her out she did nothing she ate and rolled....i dont like the idea of sedating and then letting them eat.....you'll just have to see how he goes.....id turn him out on his own those with others near by and make sure he has hay if the grass is turning muddy!
 
My horse was prescribed box rest for a sacroiliac strain some years ago.

I have to say that I decided to turn him out because he is not the easiest of characters. I knew he would never cope with box rest. At first I used a small pen alongside a main paddock. Unfortunately he jumped out of this (a good 3'3") and electrifying it made no difference. I tried various set-ups but in the end I let him into the main paddock where he was FAR calmer and mooched about. He recovered well and I am now a little sceptical about box rest being prescribed so often, depending of course on the condition in question.

I can't comment precisely on your case but;
If your horse is as wound-up as you say then I would be inclined to walk out for say 30 minutes (or however long you think the horse can cope with) twice a day. This would be good exercise. (As long as it doesn't do further damage that is). The small pen is a fab idea and I personally would go for this ASAP.

I hope it all works out. I think that a lot of horses on box rest for that long would react in such a way. I actually think it is admirable that he has managed all this time.

Good luck
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Oh I am so sorry to hear he is getting upset with the box rest!!

Feels like deja vue as I had the same problems with Thomas on both rest for 5 months post OCD arthroscopy on both stifles. In hindsight I would not have put him through the box rest as he was so unsettled he would box walk, rear, buck, etc. he would have been better going out as normal every day in a small pen.

Try mild sedation and turn out in a small pen, he might be a lot calmer than he is now which is overall better for the legs.
 
Thanks all.

I have tonight gone and put a strip of electric fencing up (he does respect electric fencing) and made him a small paddock next to the main one that George is in. We only have George and Lanky there, as we rent this place for ourselves. I am confident he should cope fine with this.

Mickey, thanks for that - he is currently getting 15 minutes twice a day and we are to build this up to 30 mins twice daily by the end of the 6 weeks.

Booboos - I thought of you when this started happening tbh. I think, as you say, it's better for him to be out, even if for just short periods.

Thanks everyone. You've really helped put this into perspective for me.
 
Hi

My horse has OCD in his stifle and hock and was operated on back in March this year. I wouldn't have got through it without Sedalin! Hes 18hh and whilst he coped with the box rest ok, it was the walking out that was the problem. As soon as the Sedalin kicked in he was a puppy dog! I would really talk to your vet about mild sedation is far more safer for you and your horse.

Unfortunately, my boy is still lame 8 months later and I am considering pts.

Good luck and keep us posted
 
I am so sorry to hear that, hallarider. As you are local, was your horse operated on at Western Counties?

My horse, touch wood, is currently sound 2 months after the op, but I appreciate that it is early days and him being brought back into work will be a trial.

I would imagine with having OCD in both hock and stifle, your poor horse was in an awful lot of pain.

Good luck whatever you decide.
 
Eak! I can see now why you said in SB you were thinking about me the other day
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I'm sure you know what I'm going to say - turn him out!! You absolutely cannot risk something happening to you or your husband, ESPECIALLY with you pregnant. For one of you to suffer an injury anything like I did when you have a baby on the way it just unthinkable.
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Back when she got injured in August, Be was supposed to do a week of boxrest, followed by 6 weeks in a small paddock. I got the vets to agree to keep her at theirs for the box rest, and I knew she would be a danger to herself and others back home. I then brought her back to my friends yard, to be in a very tiny paddock. She settled to start with, but only lasted 2 weeks before she was pacing so much I thought screw this, doped her up and turned her out back home in her usual paddock. She was much, much happier (which is crucial for their healing IMO!) and her latest reassessment was more positive then we hoped
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Be had further injections into her joint 2 weeks ago, and once again her discharge instructions were 2 days boxrest, followed by 8 weeks in a small paddock. In her 2 days of boxrest we got through A LOT of sedalin, and broke two leadropes
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Once again, I have turned her out in her usual paddock, I didn't even attempt small paddock rest for this time.

I'm sure it goes without saying that I love her to pieces, and desperately want to get her as sound as is physically possible, but not at the cost of more boxrest - absolutely not!
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I think you already know what you need to do, but should you start to doubt again, then I can also post the pics of my face from last xmas day again
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Ps - I'm curious, who are you insured with?

H xx
 
He was operated on with St Davids Equine. Luckily Pet plan paid, in fact I am over my limit of £5000 as we speak. Its been a long and confusing journey, especially as the prognosis was fair at the time of the operation. He was sound after the 8 weeks box rest but after a couple of weeks and bringing back into work the lameness started again, infact just as lame as before the operation. Hes only four.

Do keep me posted though and get on that Sedalin asap even ifs its just to lead to the field!!
 
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I'm sure you know what I'm going to say - turn him out!! You absolutely cannot risk something happening to you or your husband, ESPECIALLY with you pregnant. For one of you to suffer an injury anything like I did when you have a baby on the way it just unthinkable.
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Ps - I'm curious, who are you insured with?

H xx

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Puppy, I didn't want to say this as I wasn't sure if you would read the post and I didn't want to upset you by mentioning your accident with Be; but I have had you very much in mind recently, with walking him out in hand, and how he has been.

Thanks for this post. I am glad Be is doing better than anticipated, and that you are doing what is right for you and her.
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I am insured with Scottish Equestrian. They were great when we had a claim on our mare, who was PTS last year, but they were taken over by Petplan in February this year (midway through our policy year).
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xx
 
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He was operated on with St Davids Equine. Luckily Pet plan paid, in fact I am over my limit of £5000 as we speak. Its been a long and confusing journey, especially as the prognosis was fair at the time of the operation. He was sound after the 8 weeks box rest but after a couple of weeks and bringing back into work the lameness started again, infact just as lame as before the operation. Hes only four.

Do keep me posted though and get on that Sedalin asap even ifs its just to lead to the field!!

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I am so sorry to hear this.
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I hope things start to look better in some way.
 
When my chap had his OCD op, he started off an absolute saint, coping well by the seems of things, but clearly just bottling it all up... then exploded etc He was 3 at the time.

I saw him as much as possible, he was walked out, in the end was put on mild sedation, so he didnt injure himself further. Then I gave up with all of that completly, made a small pen outside with his friends, as soon as he was in a routine, in fresh air, my normal horse was back to normal. He's over 17.2hh, very much a big horse thing regarding OCD.
Good Luck
 
small pen outdoors for yours and his sake.i had a mare who had colic surgery and with a stomach full of staples jumped a fence.my sensible vet assured me that if she felt well enough i was best leaving her.good luck
 
Oh no, I don't mind you mentioning my accident. I think it's good to bare in mind the risks that we expose ourselves to in desperation to get our horses sound
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Be is doing well. I'm mean she's never going to be properly sound but I'm lucky that she is still here and still brings me lots of smiles and happiness
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I'm sorry that you are having such a hard time with Lanky
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Keep us posted. xx
 
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